K-3 - One-time Water and Sewer Adjustment - 465 Iris Court

P.O. BOX 259 TIFFIN, IA 52340 (319) 545-2572 SCOTTIE MOLER 465 IRIS CT TIFFIN, IA 52340 <table> <tr> <th>Account Number</th> <th>AMOUNT DUE</th> </tr> <tr> <td>01-01004580-08</td> <td>$174.41</td> </tr> <tr> <td>Due Date</td> <td>After Due Date Pay</td> </tr> <tr> <td>7/20/2023</td> <td>$177.01</td> </tr> <tr> <th colspan="2">Account Name</th> </tr> <tr> <td colspan="2">SCOTTIE MOLER</td> </tr> <tr> <th colspan="2">Service Address</th> </tr> <tr> <td colspan="2">465 IRIS CT</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>SCOTTIE MOLER</td> <td colspan="3">465 IRIS CT</td> <td colspan="2">01-01004580-08</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>5/15/2023</td> <td>To<br>6/15/2023</td> <td># Days<br>31</td> <td>6/29/2023</td> <td>7/21/2023</td> <td>7/20/2023</td> </tr> </table> Usage CURRENT READING 26,886 PREVIOUS READING 26,678 USAGE 2,080 <table> <tr> <th>PREVIOUS BALANCE</th> <td>$204.41</td> </tr> <tr> <th>PAYMENTS</th> <td>$84.41-</td> </tr> <tr> <th>ADJUSTMENTS</th> <td>$0.00</td> </tr> <tr> <th>PENALTIES</th> <td>$2.48</td> </tr> <tr> <th>PAST DUE AMOUNT</th> <td>$122.48</td> </tr> <tr> <th>WATER</th> <td>18.44</td> </tr> <tr> <th>SEWER</th> <td>29.38</td> </tr> <tr> <th>STORM WATER</th> <td>3.00</td> </tr> <tr> <th>Tax</th> <td>$1.11</td> </tr> <tr> <th>CURRENT BILL</th> <td>$51.93</td> </tr> <tr> <th>AMOUNT DUE</th> <td>$174.41</td> </tr> <tr> <th>AMOUNT DUE AFTER 07/20/2023</th> <td>$177.01</td> </tr> </table>