Monthly Rent Utility Bill

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Monthly Rent & Utility Bill Today’s Date: Desk Rent Chair Rent Computer Usage Fee Classroom Library Usage Fee Trash & Sewer Fee Water Service Fee Total Amount Due $200.00 $75.00 $55.00 $25.00 $65.00 $35.00 $455.00 Rent is payable on or before the 3rd of each month to avoid a $25 late fee per day. Checks Only Accepted – NO CASH. Make checks payable to “The City of Jensenville” Date Paid: Banker’s initials: Monthly Rent & Utility Bill Today’s Date: Desk Rent Chair Rent Computer Usage Fee Classroom Library Usage Fee Trash & Sewer Fee Water Service Fee Total Amount Due $200.00 $75.00 $55.00 $25.00 $65.00 $35.00 $455.00 Rent is payable on or before the 3rd of each month to avoid a $25 late fee per day. Checks Only Accepted – NO CASH. Make checks payable to “The City of Jensenville” Date Paid: Banker’s initials: Monthly Rent & Utility Bill Desk Rent Chair Rent Computer Usage Fee Classroom Library Usage Fee Trash & Sewer Fee Water Service Fee Total Amount Due $200.00 $75.00 $55.00 $25.00 $65.00 $35.00 $455.00 Today’s Date: Rent is payable on or before the 3rd of each month to avoid a $25 late fee per day. Checks Only Accepted – NO CASH. Make checks payable to “The City of Jensenville” Date Paid: Banker’s initials:

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