10517 (SFD)COACHELLA VALLEY WATER DISTRICT
CASH RECEIPT DETAIL
Received From: b'( aO
Date:
Address: t ((o Ar
Account No. ( 0 0 Co L'ot(s)
Tract
Service Address e- n 6 /,1
G.A. Code
'pometer(s) 314'
$ 3-(D.
p.�Sbrvice(s)
• Backflow(s)
• House Lateral(s)
• Detector Check(s)
• MeterSurcharge
9 A�,
Q,,Sanitation Capacity Charge
• W.S.B.F.C.
• Temporary Construction Meter
• Turn on Charge
0 Uncollected Account - Name
• Inspection Fee - Tract -
Fee -
• Plan Check Fees Water Sewer -
Tract -
• Bond Payment - A.D. --Bond
Assmt.
• Customer Deposit
• Other
TOTAL $
Remarks:
0 COPY to:
!Cash Water Service
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Order cVWf)?4.'18 (11/89)