K-3 - One-time Water and Sewer Adjustment - 619 Doe Ave

P.O. BOX 259 TIFFIN, IA 52340 (319) 545-2572 JACKSON C LITTERER 619 DOE AVE TIFFIN, IA 52340 <table> <tr> <th>Account Number</th> <th>AMOUNT DUE</th> </tr> <tr> <td>01-00001031-02</td> <td>$269.83</td> </tr> <tr> <td>Due Date</td> <td>After Due Date Pay</td> </tr> <tr> <td>3/20/2023</td> <td>PAID BY DRAFT</td> </tr> <tr> <td colspan="2">Account Name</td> </tr> <tr> <td colspan="2">JACKSON C LITTERER</td> </tr> <tr> <td colspan="2">Service Address</td> </tr> <tr> <td colspan="2">619 DOE AVE</td> </tr> <tr> <td colspan="2">Amount Enclosed</td> </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>JACKSON C LITTERER</td> <td colspan="3">619 DOE AVE</td> <td colspan="2">01-00001031-02</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</td> <td>To</td> <td># Days</td> <td>2/27/2023</td> <td>3/21/2023</td> <td>3/20/2023</td> </tr> </table> PREVIOUS BALANCE $76.33 PAYMENTS $76.33- ADJUSTMENTS $0.00 PENALTIES $0.00 PAST DUE AMOUNT $0.00 CURRENT READING 15,280 PREVIOUS READING 13,192 USAGE 20,880 WATER 121.84 SEWER 118.68 GARBAGE 13.50 STORM WATER 3.00 RECYCLING 5.50 Tax 7.31 CURRENT BILL $269.83 AMOUNT DUE $269.83 PAID BY DRAFT