HomeMy WebLinkAboutCODE ENF/WASTE MGMT BILL ADJUSTMENT FORM - APPEALING BILL W
i Bill Adjust ent Request Form
*Note that there is a week turn around time per request*
Date C941U Q
I
Account number A V 2 / 1 - #44-4
Z
Property addressTPA/nesting adjustment for q 5LQ
Contact nam &number i° !61) / 7/
details -- //
G (�� 711 ��� $� Y y614
.v � 61
For O ice Use Only
Date request processed Status
Amount credited Notes
• v( vk ArK t 1A1.10