P.O.
Box 3855
Seattle, WA 98124-3855
(360) 750-5876
(360) 993-8800 SelfPay
Billing Statement
(360) 750-7570 Fax
www.crwwd.com
ACCOUNT INFORMATION
ACCOUNT: 000000-000
SERVICE ADDRESS: 123 MAIN STREET
SERVICE PERIOD: 12/1/2017 To 1/31/2018
CUSTOMER NAME BILLING DATE: 12/29/2017
123 MAIN STREET
VANCOUVER, WA 98661
DUE DATE: 1/31/2018
SPECIAL MESSAGE CURRENT CHARGES
PLEASE TAKE NOTE, P.O. BOX 3855, SEWER SERVICE 76.00
Seattle, WA 98124 is the District's new mailing
address. Payments received by mail or online
banking must be sent to the new address!
Please allow additional time for processing
TOTAL CURRENT CHARGES 76.00
payments.
BILL SUMMARY
PREVIOUS BALANCE 76.00
PAYMENTS -76.00
ADJUSTMENTS 0.00
MISCELLANEOUS 0.00
FINANCE CHARGE 0.00
LIEN INTEREST 0.00
CURRENT CHARGES 76.00
TOTAL AMOUNT DUE 76.00
10/18/17_v2
P.O. Box 3855
Seattle, WA 98124-3855 AMOUNT DUE
(360) 750-5876
(360) 993-8800 SelfPay
(360) 750-7570 Fax
TOTAL AMOUNT DUE BY 1/31/2018 76.00
www.crwwd.com AMOUNT ENCLOSED
Clark Regional Wastewater District Please return stub with payment. Make check payable to CRWWD.
ACCOUNT: 000000-000 $ , .
SERVICE ADDRESS: 123 MAIN STREET
SERVICE PERIOD: 12/1/2017 To 1/31/2018
BILLING DATE: 12/29/2017
DUE DATE: 1/31/2018
2*1**G50**0.74**1/1*********AUTOALL FOR AADC 990
CUSTOMER NAME
123 MAIN STREET
Please check box to indicate change of ownership VANCOUVER WA 98661
or mailing address for owner (see other side)
2 1/1
00778500000000076006