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(9) <br />MONTHLY UTLITY USERS TAX REPORT <br />ACC43UFR NUMBER REFORTtd6 PERIDD: <br />VTILITY PRCMDER FLAME <br />STREET &nDREBB: DV E <br />4 44=1 IU] :1lq&-1 91"IDr2I6 <br />7_ 13R089CHA03ES:................................................................................................ # <br />2- LESS ALLDYN4ii FF CF-OLFMONE <br />WTazEurn•4t RrJenue:..........................__________...............................______ 4. <br />(BFTcU Oine•Non-Taxed:...................................................... ......... <br />4. <br />3_ TOTAL DEDIJ CT1ON8 iLYre hP us Liar B}:.__________....................___................__.............................._____. <br />4. TA)AELE DHLARGE(Lbe I nYnur Line 3k .................._______________________________.........._____________________________- <br />S NET TAXJS.S%OfLbr4):..........__________.....................______________________________.........._______...__________ <br />E, LATE PENALTIES 05%): ________.........._________..__________............ <br />7_ LATE NTEREBT LD.75% Rr mmthk...................... ............................................................. <br />& TOTAL AMDVNT DUE (Sum of 111es5 trough 7k .......................... .............................. ........ <br />ceclsre undw the peney of pequy, Mel inc ia•egotQ smlemenls are Ave, miTxl, and :cr•plele is Im bed or my YnWedge end be W. <br />:34GKATURE 0FAUTFIOR0M AGENT <br />TITLE <br />NINE OFAU7HORMO A13ENT Wkme Pdrrt) TE-EFFONE 4UMBER FAX NUMBER <br />LLV L BTATEMENTAND FhYMENTTO: -OfTY OF aAFITA ARA VnLITY USERS TAX, LIA 5, PO SDX 19K aANTAAKAGA927{ "H A. GENERAL QUEaT IDNB <br />REaARDINO THIS FORM DR THE AFTILJTY USERS TAX SHOULD BE DIRECTED TO 914} fi47-544& <br />CITY OF SANTAANA <br />�•' I' CfTY OF SANTALhNA <br />II 20 CNCENTER Ct3YTER PLJ4Z/5-PO EOiS 1954,iF15 <br />SANMUNA, CALFDMLA 9yTJgi-1%4 <br />FHDNE NUMBER 914} E47-5W <br />Busi ness Name <br />Attention: First Last <br /><<Mailing Addtess>> <br /><<City, State, Zip Code: - <br />ACCOUNT NUMBER <br />UTILrrYPROYIDER NAME: <br />STREETADDRESS: 4 <br />REPORT NG PERIM <br />DUE DATE: <br />PAIDAMT [LME BABOVEY <br />❑o❑❑❑❑o❑o❑oo❑o❑❑❑❑ono❑❑❑❑o❑❑❑❑o❑o❑❑❑❑ono❑ <br />FOR PROPOSERS' REFERENCE ONLY <br />City of Santa Ana RFP No. 23-165 Page 55 of 196 <br />