13917 (PLBG)COACHELLA VALLEY WATER DISTRICT
CASH RECEIPY-DETAIL
Received F m
Address,
ActouniNo. jot(
Service Addres 6— el 4-"—
• Mater(s)
• Servicefs)
• Backilow(s)
• House Lateral(s)
• Detector Check
0 MeterSurcharge
Sanitation Capacity Charge 10
0 W.S.B.F.C.
0 Temporary 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. --Bonef
C) CustomerDeposit
0 Other
Remarks:
G.A. Code
TOTAL S
Wo At47i
ocopy to:
jCaSh I I I Water Service
Check
Money Cashier
(11189)