Crystal Reports ActiveX Designer - UB-Billing Statement.rpt

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TOTAL DUE $ 18.00 DUE DATE 12/27/2007 ACCOUNT NUMBER 0xyz14-000 AMOUNT ENCLOSED $ $ Please make checks payable to: Clifton Water District NAME: OWNER / RESPONSIBLE PARTY 8012 TWILLWOOD DRIVE OWNER / RESPONSIBLE PARTY 8012 TWILLWOOD DRIVE GRAND JUNCTION CO 81504 SERVICE ADDRESS: For credit card payments, please complete the reverse side CLIFTON WATER DISTRICT ACCOUNT NUMBER METER READING PREVIOUS PRESENT USAGE DATE * 510 34 Road * Please detach and return this coupon with your payment CLIFTON, CO 81520 SERVICE ADDRESS: SERVICE DATES * (970) 434-7328 8012 TWILLWOOD DRIVE 0xyz14-000 FROM: 11/4/07 TO: 12/5/07 NUMBER OF DAYS: 31 18.00 0.00 18.00 134 143 9 12/05/07 Water Consumption 40 35 30 BEGINNING BALANCE ADJUSTMENTS PAYMENTS 1000 gals 25 20 15 10 5 0 BALANCE FORWARD WATER SEWER MISC DELINQ CHG PC PC PC PC 0.00 18.00 0.00 0.00 0.00 0.00 PC PC PC PC PC PC PC PC MAY MAR AUG NOV JUL OCT APR JAN JUN FEB SEP DEC TOTAL CURRENT BILLING TOTAL AMOUNT DUE Delinquency charge: $1.00 on unpaid balance of $4.00 or more 18.00 How to Calculate Your Water Bill Gallons 0 to 3,000 3,001 to 10,000 10,000 + Usage 3.00 4.00 0 Rate 2.00 2.15 Charge 10.00 8.00 0.00 Total 7.00 $18.00 Additional Information Customer Message Have you considered signing up for our automatic payment option? Call us at 434-7328 Average Daily Temperature 100 80 60 40 20 0 MAY MAR AUG NOV OCT Prior Current Earning Your Confidence Every Day DEC JAN APR JUN FEB JUL SEP

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