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1/22/24, 10:49 AM CLPI Elite System

CRYSTAL LIQUID PHILIPPINES, INC.


BALUCUC BRANCH
Account Deactivation Report

Date Deactivated 01/22/2024 10:49 AM JO Number (JO Disconnection) JO62-0124-0019


Reference Number AD622024-0373 Date Created 01/04/2024 12:58 PM
Customer's Name GUINTO, CRISANTO GALANG (A) | AC62-0422-0005 | RES-A Date Accomplished 01/04/2024 11:50 AM
Service Address .sitio Caingin, Balucuc, Apalit, Pampanga Contract Number 137230
Remarks Forfeited GD - New Contract

Refundable Guarantee Deposit 1,500.00


Remaining Advances 0.00
less WATER BILLS
Bill Number Bill Amt AtB Septage FTax MCharges Total Due Partial Senior Penalty Balance Due Date Senior Penalty Overdue Balance
1722832 | AB | 09-2023 261.00 0.00 30.00 0.00 0.00 291.00 (0.00) (0.00) 0.00 291.00 2023-10-15 (0.00) 0.00 291.00
1724706 | RB | 10-2023 261.00 0.00 30.00 0.00 0.00 291.00 (0.00) (0.00) 0.00 291.00 2023-11-15 (0.00) 0.00 291.00
1726584 | RB | 11-2023 261.00 0.00 30.00 0.00 0.00 291.00 (0.00) (0.00) 0.00 291.00 2023-12-15 (0.00) 0.00 291.00
1728470 | RB | 12-2023 261.00 0.00 30.00 0.00 0.00 291.00 (0.00) (0.00) 0.00 291.00 2024-01-11 (0.00) 0.00 291.00
1728740 | FB | 01-2024 261.00 0.00 30.00 0.00 0.00 291.00 (0.00) (0.00) 0.00 291.00 2024-01-23 (0.00) 0.00 291.00
1,305.00 0.00 150.00 0.00 0.00 1,455.00 (0.00) (0.00) 0.00 1,455.00 (0.00) 0.00 1,455.00

Net Refund 45.00

Prepared By: Verified By: Approved By: Customer's Signature:


JOANA B. MAGLALANG AUDA COLIS RIMELDA C. GARCIA GUINTO, CRISANTO GALANG (A)
Biller/CSA BRANCH ACCOUNTANT BRANCH MANAGER Customer

Date Refunded: ______________________________ Teller/CSA: ______________________________

192.168.1.2/billing/acct-deactivation# 1/1

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