IS ILLEGAL? YES NO

NAME OF OCCUPANT / HOUSE OWNER (If owner/occupant is not a customer of the branch.)

FINAL READING

SELECT RATE @foreach($classes AS $c) {{ $c->class }} - {{ $c->sub_class }} @endforeach

HIGHEST CONS.

LOWEST CONS.

MONTHLY LOST

MONTH(S) LOST

TOTAL CuM LOST

BASIC AMT

MINIMUM CHARGE

PHOTOS

ADDTL. CHARGE

SERVICE CHARGE

TOTAL AMT