Appendix_A_-_Sample_Lockbox_Remittance_Document.pdf

This document is a utility services statement from the City of Tucson for a utility account. The service period covers 10/12/23 to 11/13/23, with a due date of 12/04/23. The total amount due is $34.30, and customers can pay online at www.tucsonaz.gov/pay-utility-bill or by phone at 520-791-3242.

The remittance document provides optional donation amounts of $2, $5, or $10, and includes a lockbox mailing address in Los Angeles, CA for check payments. The statement contains a barcode, account information, and service address details, though specific personal information has been redacted. The document is labeled as Appendix A and is a sample lockbox remittance document for utility billing purposes.