Re: Parcel No.(s) ______________________
The purpose of this document is to seek action by the County Auditor in performing an official function. Any false statements made with the purpose to mislead an Auditor constitutes a criminal activity.
SEWERAGE CHARGES
Sewerage charges for services rendered to the above referenced parcel numbers(s) are delinquent in the amount of $______________.
The undersigned has the authority and sufficient information to sign this part of the certification (§729.49 O.R.C.)
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Signature
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Printed Name & Title
(Ord. 24-23. Passed 11-27-23.)