K-4 - One-time Water and Sewer Adjustment at 99 Brown Street

P.O. BOX 259 TIFFIN, IA 52340 (319) 545-2572 KEVIN WILSON PO BOX 421 99 BROWN ST TIFFIN, IA 52340 <table> <tr> <th>Account Number</th> <th>AMOUNT DUE</th> </tr> <tr> <td>01-01000480-00</td> <td>$207.31</td> </tr> <tr> <th>Due Date</th> <th>After Due Date Pay</th> </tr> <tr> <td>4/20/2022</td> <td>PAID BY DRAFT</td> </tr> </table> <table> <tr> <th>Account Name</th> <td>KEVIN WILSON</td> </tr> <tr> <th>Service Address</th> <td>99 BROWN ST</td> </tr> <tr> <th>Amount Enclosed</th> <td></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="2">Service Address</th> <th colspan="2">Account Number</th> </tr> <tr> <td>KEVIN WILSON</td> <td colspan="2">99 BROWN ST</td> <td colspan="2">01-01000480-00</td> </tr> <tr> <th>Status</th> <th>From</th> <th>To</th> <th># Days</th> <th>Bill Date</th> <th>Penalty Date</th> <th>Due Date</th> </tr> <tr> <td>Active</td> <td>2/15/2022</td> <td>3/15/2022</td> <td>28</td> <td>3/31/2022</td> <td>4/21/2022</td> <td>4/20/2022</td> </tr> </table> Usage CURRENT READING 6,169 PREVIOUS READING 4,672 USAGE 14,970 <table> <tr> <th>WATER</th> <td>89.34</td> </tr> <tr> <th>SEWER</th> <td>90.61</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>$5.36</td> </tr> <tr> <th>CURRENT BILL</th> <td>$207.31</td> </tr> <tr> <th>AMOUNT DUE</th> <td>$207.31</td> </tr> <tr> <th>PAID BY DRAFT</th> <td></td> </tr> </table>