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Name: Ping x Mord ing Mlle Address: LAV West Maen SF Account Number: If determined eligible for Leak Forgiveness Program: Eligible ® N Leak Fixed: Y es Sewer Abatement N Billing Period: 3 3 | Jb Current Bill: Water $: oF}. gi + Sewer $:_ St. #9 t+ as 42 =Total Bill $ 1134, Of Average Consumption (last 4 gtr. average prior to current leak bill): 3? Gs thon s Average Water/Sewer Bill Totals (last 4 qtr. average prior to current leak bill):_ f 64 Current Bill Consumption (gallons): [10 9260 Leak Forgiveness Calculations: Current Consumption ~ Average Consumption = /06 ‘i d60 /1,000 = lOG.Q6 tH 0, 260 - LA00 (Leak Forgiveness Eligibility) (Units) ($3.02/unit reduction) £ F ($2.01/unit reduction) wae Unit x 50% Water Rate Reduction g_ 320.90 Unit x 50% Sewer Rate Reduction $ £13.58 Current Water Bill Portion $- 6 8 71% | Current Sewer Bill Portion $ St, 2 3 Water Forgiveness $ 320 10 Sewer Forgiveness $ L13,58 Total Water Adjusted Bill $ 3 66 ‘ 4 ( - Total Sewer Adjusted. Bill $ a 3 7. 6 a Current Bill: $ [ } 3 4.6 Y -Water Forgiveness $ : 3 ad. 40 -Sewer Forgiveness $ A13..593 TOTAL Adjusted Bill $ G04. S6 24y Total Leak Forgiveness $ 9 34. HY Recommended by Water Hearing Committee on \ g! a Lo Water Hearing Village Board Liaison Signature