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Name: B iver Ig Geng th Address: 75” Broad Way Account Number:__
if deter mined eligible for Leak Forgiveness Pr ogram:
Eligible (Y) “N- Leak Fixed: Ye s _ Sevier AbatementY) N .
Billing Period: (a3) ax
Current Bill: SO
Water §: 746 _ + Sewer $:_3 30. es =ToulBilg 333.25
Average Consumption (last 4 qtr. average prior to current leak bill): A? 980
Average Water/Sewer Bill Totals (last 4 qtr. average prior to current lek bill): darn j@
_ Ab0, 3
Current Bill Consumption (gallons); — $0,390
Leak Forgiveness Calculations:
Current Consumption — Average. Consumption = S74O | /1,000 =_ 277.41 {
80, 34 i ~ 28, Ae ; (Leak Forgiveness Eligibility) (Units)
. “(83 o2/anit reduction) . . 3.3 ye. (2.01/unit reduction)
Unit x 50% Water Rate Reduction $ 7 Unit x 50% Sever Rate Reduction $
Current Water Bill Portion. $ $07.40 , Current Sever Bill Portion 5 80.95
Water Forgiveness g_ 173,57 Sewer Foriveness ¢_ 31-3.)
* Total Water Adjusted Bill $ 33 4 03 Total SewerAdjusted Bill g¢ 79.49
., . . a _ . . a
Current Bill: $ 3 FAS
-Water Forgiveness $ 173.37
-Sewer Forgiveness — $ a3l.39
TOTAL
TAL Adjusted
Adj Bill: $ 3,
433.51
Total Leak Forgiveness $__- 404 7 4
let tes im A wake Line Goins
iD Aavlen hese. Sewer Shy. fd be
abn “pel “all Bit hiring] Countian phan
Recommended by Water Hearing Committee on
Water Hearing Village Board Liaison Signature =