K-7 - One-time Water and Sewer Adjustment - 709 Rolling Hills Drive

P.O. BOX 259 TIFFIN, IA 52340 (319) 545-2572 JENNIFER LYNN JOHNSON 709 ROLLING HILLS DR TIFFIN, IA 52340 <table> <tr> <th>Account Number</th> <th>AMOUNT DUE</th> </tr> <tr> <td>01-00010709-01</td> <td>$203.33</td> </tr> <tr> <th>Due Date</th> <th>After Due Date Pay</th> </tr> <tr> <td>9/20/2022</td> <td>$212.63</td> </tr> <tr> <th colspan="2">Account Name</th> </tr> <tr> <td colspan="2">JENNIFER LYNN JOHNSON</td> </tr> <tr> <th colspan="2">Service Address</th> </tr> <tr> <td colspan="2">709 ROLLING HILLS DR</td> </tr> <tr> <th colspan="2">Amount Enclosed</th> </tr> </table> There will be a charge on all returned checks. Please return this portion with your payment. When paying in person, please bring both portions of this bill. CUSTOMER ACCOUNT INFORMATION - RETAIN FOR YOUR RECORDS <table> <tr> <th>Name</th> <th colspan="3">Service Address</th> <th colspan="2">Account Number</th> </tr> <tr> <td>JENNIFER LYNN JOHNSON</td> <td colspan="3">709 ROLLING HILLS DR</td> <td colspan="2">01-00010709-01</td> </tr> <tr> <th>Status</th> <th colspan="2">Service Dates</th> <th>Bill Date</th> <th>Penalty Date</th> <th>Due Date</th> </tr> <tr> <td>Active</td> <td>From<br>7/15/2022</td> <td>To<br>8/15/2022</td> <td># Days<br>31</td> <td>8/31/2022</td> <td>9/21/2022</td> <td>9/20/2022</td> </tr> </table> Usage CURRENT READING 16,194 PREVIOUS READING 14,900 USAGE 12,940 <table> <tr> <th>WATER</th> <td>78.17</td> </tr> <tr> <th>SEWER</th> <td>80.97</td> </tr> <tr> <th>GARBAGE</th> <td>13.50</td> </tr> <tr> <th>STORM WATER</th> <td>3.00</td> </tr> <tr> <th>RECYCLING</th> <td>5.50</td> </tr> <tr> <th>Tax</th> <td>4.69</td> </tr> <tr> <th>CURRENT BILL</th> <td>$185.83</td> </tr> <tr> <th>AMOUNT DUE</th> <td>$203.33</td> </tr> <tr> <th>AMOUNT DUE AFTER 09/20/2022</th> <td>$212.63</td> </tr> </table>