ordinance · K-2

K-2 - One-time Water and Sewer Adjustment Attachment - 541 East Goldfinch Drive

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P.O. BOX 259 TIFFIN, IA 52340 (319) 545-2572 DANIEL T WOODSON 541 E GOLDFINCH DR TIFFIN, IA 52340 <table> <tr> <th>Account Number</th> <th>AMOUNT DUE</th> </tr> <tr> <td>01-01007140-02</td> <td>$1,433.32</td> </tr> <tr> <td>Due Date</td> <td>After Due Date Pay</td> </tr> <tr> <td>4/20/2021</td> <td>PAID BY DRAFT</td> </tr> </table> <table> <tr> <th>Account Name</th> <td>DANIEL T WOODSON</td> </tr> <tr> <th>Service Address</th> <td>541 E GOLDFINCH DR</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="3">Service Address</th> <th>Account Number</th> </tr> <tr> <td>DANIEL T WOODSON</td> <td colspan="3">541 E GOLDFINCH DR</td> <td>01-01007140-02</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>3/30/2021</td> <td>4/21/2021</td> <td>4/20/2021</td> </tr> </table> Usage CURRENT READING 27,400 PREVIOUS READING 14,315 USAGE 130,850 <table> <tr> <th></th> <th></th> <th></th> </tr> <tr> <td>PREVIOUS BALANCE PAYMENTS</td> <td>$48.92</td> <td>(-$48.92)</td> </tr> <tr> <td>ADJUSTMENTS</td> <td>$0.00</td> <td></td> </tr> <tr> <td>PENALTIES</td> <td>$0.00</td> <td></td> </tr> <tr> <th>PAST DUE AMOUNT</th> <th colspan="2">$0.00</th> </tr> <tr> <td>WATER</td> <td>726.68</td> <td></td> </tr> <tr> <td>SEWER</td> <td>641.04</td> <td></td> </tr> <tr> <td>GARBAGE</td> <td>13.50</td> <td></td> </tr> <tr> <td>STORM WATER</td> <td>3.00</td> <td></td> </tr> <tr> <td>RECYCLING</td> <td>5.50</td> <td></td> </tr> <tr> <td>Tax</td> <td>$43.60</td> <td></td> </tr> <tr> <th>CURRENT BILL</th> <th colspan="2">$1,433.32</th> </tr> <tr> <th>AMOUNT DUE</th> <th colspan="2">$1,433.32</th> </tr> <tr> <td colspan="3">PAID BY DRAFT</td> </tr> </table>

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