This document type is for utility bills for gas, water, and power providers in the United States only.

This document type can have multiple pages. If the invoice number is not printed on the document, it is derived from the date and the account number.

Supported fields on this form:

• AccountNumber

• InvoiceNumber: Only if printed on the document.

• InvoiceDate

• DueDate

• ServicePeriodFrom

• ServicePeriodTo

• BalancePrevious

• PaymentReceived

• BalanceForward

• CurrentCharges

• AmountDue

• CustomerName

• ServiceAddress

• UtilityType