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>$553.73</td> </tr> <tr> <td>Due Date</td> <td>After Due Date Pay</td> </tr> <tr> <td>10/20/2022</td> <td>$571.67</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>Account Number</th> </tr> <tr> <td>JENNIFER LYNN JOHNSON</td> <td colspan="3">709 ROLLING HILLS DR</td> <td>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>8/15/2022</td> <td>To<br>9/15/2022</td> <td># Days<br>31</td> <td>9/30/2022</td> <td>10/21/2022</td> <td>10/20/2022</td> </tr> </table> Usage CURRENT READING 19,121 PREVIOUS READING 16,194 USAGE 29,270 WATER 167.99 SEWER 158.53 GARBAGE 13.50 STORM WATER 3.00 RECYCLING 5.50 Tax 10.08 CURRENT BILL $358.60 AMOUNT DUE $553.73 AMOUNT DUE AFTER 10/20/2022 $571.67 PREVIOUS BALANCE $203.33 PAYMENTS $17.50- ADJUSTMENTS $0.00 PENALTIES $9.30 PAST DUE AMOUNT $195.13