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Utility Bill Template 12

The document is a utility bill for John D. Smith, detailing account information, billing period, and charges for gas service. The total amount due is $0.00, with a breakdown of previous balance, payments, and current charges. It also includes customer service contact numbers and options for budget billing and supporting the HeatShare program.

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jared
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0% found this document useful (0 votes)
156 views3 pages

Utility Bill Template 12

The document is a utility bill for John D. Smith, detailing account information, billing period, and charges for gas service. The total amount due is $0.00, with a breakdown of previous balance, payments, and current charges. It also includes customer service contact numbers and options for budget billing and supporting the HeatShare program.

Uploaded by

jared
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Ruiru Utilities Commission

24-Hour Customer Service 800-889-9508


24-Hour Gas Emergencies 800-889-4970
En Español 866-556-6003

www.minnesotaenergyresources.com TDD Line 866-556-6007

Bill Date Account Number Next Meter Read Date Amount Due Payment Due Date
mm/dd/yyyy 123456789-12345 mm/dd/yyyy $00.00 mm/dd/yyyy
Customer Name JOHN D SMITH
Service Address 1234 UTILITY DR Account Summary
ANYTOWN MN 12345-6789 Bill Period: mm/dd/yyyy to mm/yy/yyyy
Activity Since Last Bill Apr Mar Apr
mm/dd/yyyy Previous Balance $0.00 xxxx xxxx xxxx
mm/dd/yyyy Payment $0.00 Billing Days 29 29 30
Balance $0.00 Avg Temp 34°F 16°F 34°F
Total Current Charges $0.00 Heating Deg Days 891 1414 918
Total Current Balance $0.00 Cooling Deg Days 0 0 0
Gas Service Therms Used 62.6 104.9 80.3
Gas Residential With Heat GS-Res NNG Therms / Day 2.2 3.6 2.7
Meter NGM123456 Actual Reading mm/dd/yyyy 0000 Graphs
Actual Reading mm/dd/yyyy -0000 Usage by Month Therms
00 160
Meter Constant x 0.0000
120
Total Gas Use 00 CCF
00 CCF x 0.00 BTU = 00.0 Therms 80
Local Distribution Service
Monthly Customer Charge xx Days at $0.00000 $0.00
Interim Customer Charge xx Days at $0.00000 $0.00 40

Distribution Charge xx Therms at $0.00000 $0.00 0


Interim Distribution Charge xx Therms at $0.00000 $0.00
Gas Supply Service Apr
May Jun
Jul Aug Sep Oct Nov Dec
Jan
Feb
Mar
Apr
Base Gas Cost xx Therms at $0.00000 $0.00
Purchased Gas Adjustment xx Therms at $0.00000 (xx/xx Days) $0.00 Charges by Month
Purchased Gas Adjustment xx Therms at $0.00000 (xx/xx Days) $0.00 160
Other Service Charges/Credits 120
Decoupling Adjustment xx Therms at $0.00000 $0.00
Affordability Surcharge xx Therms at $0.00000 (xx/xx Days) $0.00 80
Subtotal: $00.00
40
Gas Service Total: $00.00
Messages 0

You can view your bills online by enrolling in the Your Account section of our website.
Even out your energy bills! Enroll in Budget Billing by paying exactly $00.00, rather than the amount due shown. Apr May Jun Jul Aug Sep Oct Nov Dec Jan FebMar Apr

This will then be your monthlyBudget amount. Every six months, your account will be reviewedand your payment
may be adjusted to better reflect your actual use.

ACCOUNT NUMBER: 1234567890-12345 INVOICE: 0987654321 Page 1 of 1 10 {0}

Please return this stub with your payment.

ACCOUNT NUMBER: 1234567890-12345


Amount Due Bymm/dd/yyyy $00.00

A 1.5% late fee will be charged on unpaid balances over $10


Please write your account number on your check

Amount Enclosed
JOHN D SMITH
1234 UTILITY DR
ANYTOWN MN 12345-6789

I want to support the HeatShare program, which helps pay energy expenses for
those in need. I've circled my monthly gift amount below.
Minnesota Energy Resources $1 $5 $10 $20 Other ________
PO Box 3140
Milwaukee, WI 53201-3140
045123456789123450 9000000000
Issued by: Theodore Eidukas, Vice President-Regulatory Affairs
Submittal Date: June 21, 2019 Effective Date: August 2019
Minnesota Energy Resources Corporation Minnesota Public Utilities Commission

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Issued by: Theodore Eidukas, Vice President-Regulatory Affairs


Submittal Date: June 21, 2019
Effective Date: August 2019

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