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Invoice for Water/Sewer/Solid Waste Services

STATEMENT DATE: ACCOUNT NUMBER: CUSTOMER NAME: SERVICE ADDRESS: CYCLE-ROUTE: DEPOSIT ON FILE: BILL DUE DATE: 5/5/2012 1815-3826 JANE DOE 200 NORTH ST 04-04 148.00 5/15/2012

City of Titusville
Customer Service Division 555 S. Washington Avenue Titusville, FL 32796 Phone: 321-383-5791 Fax: 321-383-5848 Ofce Hours: 8:00 am to 5:00 pm Mon-Fri After Hours Emergency: 321-383-5657

Bills are due when rendered. A penalty charge of $5.00 or 1.5% of the delinquent amount, whichever is greater, will be charged if not paid within fteen (15) days after the bill date. The City is not responsible for lost or delayed mail.

SERVICE PERIOD 3/13/2012 - 4/17/2012 SERVICE WATER FIXED MONTHLY WATER USAGE CHARGE SEWER FIXED MONTHLY SEWER USAGE CHARGE UTILITY TAX TRASH SERVICE RECYCLE REFUSE FRAN FEE RECYCLE FRAN FEE

DAYS 35

METER NUMBER 8956423

PREVIOUS READ 319

CURRENT READ 320

USAGE(X1,000) 1.00 CHARGE AMOUNT 8.39 2.72 12.47 6.60 1.11 10.46 0.84 1.05 0.08

CONSUMPTION 1,000 1,000

AMOUNT FROM PREVIOUS BILL $53.31

LE MP SA
BALANCE FORWARD IS PAST DUE AND SUBJECT TO CUT OFF AFTER THE DUE DATE ON THE BILL PAYMENTS $0.00 OTHER DEBITS/CREDITS $0.00 BALANCE FORWARD $53.31 CURRENT CHARGES $43.72 CONSUMPTION ANALYSIS PERIOD DAYS CURRENT LAST MONTH YEAR AGO 24 32 30 TOTAL AMOUNT DUE $97.03 WATER USAGE 1460 2570 1670

DUE DATE 5/15/2012

WARNING: Accounts with a balance forward must be paid on 5/16/2012 before 5:00 pm in order to avoid disconnection of service on 5/17/2012.

DAILY AVG 61 80 56

PLEASE DETACH AND RETURN LOWER PORTION WITH YOUR PAYMENT - RETAIN THE TOP PORTION FOR YOUR RECORDS

04-04
City of Titusville P.O. Box 2807 Titusville, FL 32781-2807
RETURN SERVICE REQUESTED

Make Checks Payable to: City of Titusville ACCOUNT NUMBER: BALANCE FORWARD (DUE IMMEDIATELY) CURRENT CHARGES: TOTAL DUE: DUE DATE:
Change of Address (see reverse side) Enroll this account to ACH Payment Option Enclose current payment & voided check. Allow 60 days to activate (see reverse side)

1815-13826 $53.31 $43.72 $97.03 5/15/2012

Jane Doe 200 North Street Titusville, FL 32796

City of Titusville P.O. Box 2807 Titusville, FL 32781-2807

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