09346 (PLBG)Received
Address:
Account No. 6�51 0 (P 0 - Q L,t(s) L+
Service Address S 4, C,\ C) V,
• Meter(s)
• Service(s)
• Backflow(s)
• House Lateral(s)
• Detector Check(s)
• Meter Surcharge
G -"Sanitation Capacity Charge
• W.S.B.F.C.
• Ternporary Construction Meter
-0 Turn on Charge
0 Uncollected Account - Name
0 Inspection Fee - Tract -
Fee -
• Plan Check Fees Water I Sewer -
Tract -
• Bond Payment - A.D. --Bond
COACHELLA VALLEY WATER DISTRICT —
CASH RECEIPT DETAIL
• CustomerDeposit
• Other
G.A. Code
_!�C.
IS -M', Oo
TOTAL $ IS 7-r, 00
Remarks: "Y� P:!f 4� 40 V-\
0 COPY to:
Cash
Check
Money
Order
Water Service
Cashier-
CVWD-438 (11189)