K-4 - One-time Water and Sewer Adjustment - 467 Iris Court

BRYAN JAMES 467 IRIS CT TIFFIN, IA 52340 CUSTOMER ACCOUNT INFORMATION - RETAIN FOR YOUR RECORDS <table> <tr> <th>Name</th> <th>Service Address</th> <th>Account Number</th> </tr> <tr> <td>BRYAN JAMES</td> <td>467 IRIS CT</td> <td>01-01004590-07</td> </tr> </table> <table> <tr> <th>Status</th> <th colspan="3">Service Dates</th> <th>Bill Date</th> <th>Penalty Date</th> <th>Due Date</th> </tr> <tr> <th></th> <th>From</th> <th>To</th> <th># Days</th> <th></th> <th></th> <th></th> </tr> <tr> <td>Active</td> <td>7/15/2021</td> <td>8/16/2021</td> <td>32</td> <td>8/30/2021</td> <td>9/21/2021</td> <td>9/20/2021</td> </tr> </table> Usage CURRENT READING 14,047 PREVIOUS READING 8,717 USAGE 53,300 <table> <tr> <th>PREVIOUS BALANCE</th> <td>$286.27</td> </tr> <tr> <th>PAYMENTS</th> <td>$238.39-</td> </tr> <tr> <th>ADJUSTMENTS</th> <td>$25.00</td> </tr> <tr> <th>PENALTIES</th> <td>$3.64</td> </tr> <tr> <th>PAST DUE AMOUNT</th> <td>$76.52</td> </tr> <tr> <th>WATER</th> <td>300.15</td> </tr> <tr> <th>SEWER</th> <td>272.68</td> </tr> <tr> <th>STORM WATER</th> <td>3.00</td> </tr> <tr> <th>Tax</th> <td>$18.01</td> </tr> <tr> <th>CURRENT BILL</th> <td>$593.84</td> </tr> <tr> <th>AMOUNT DUE</th> <td>$670.36</td> </tr> <tr> <th>AMOUNT DUE AFTER 09/20/2021</th> <td>$700.05</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.