IN Millcreek Summer 2017 - Page 18

RECYCLING DEPARTMENT ANNOUNCEMENTS Pay By Phone: 1-877-720-1583 Phone PIN: XXXXXXXXXXXXX YOUR LOCAL FACILITY 123 STREET CITY, STATE ZIP Your local Advanced Disposal Facility Various marketing messages will appear in this space. RETURN SERVICE REQUESTED YOUR BUSINESS 1234 GREAT SERVICE AVE YOUR TOWN, STATE 00000 Customer Billing Address SAMPLE INVOICE – DO NOT PAY Account Information Account Number A0000000 Site Number 0000 Invoice Date May 31 2015 Invoice Number A01234567 Account Summary Previous Balance Payments/Adjustments Current Invoice Amount Your local contact information All correspon- dence should be directed to this email address and/or telephone number. Amount Due Due Date $X.XX $X.XX $X.XX $X.XX Upon Receipt* Invoice Breakdown Current 30 days - past due 60 days - past due 90 days - past due $X.XX $X.XX $X.XX $X.XX * Payment terms on back of invoice. Various marketing messages will appear in this space. Previous Balance Payments and Adjustments YOUR BUSINESS 1234 GREAT SERVICE AVE. YOUR 00000 Details TOWN, of services STATE performed and fees associated with the specific services Date $X.XX $X.XX Customer Site Address Caller name and phone or PO number if applicable Number of billing periods/months Description Reference 1.00 - 20.00YD:ROLLOFF TRASH (002) 05/01/15 DUMP & RETURN: 324171 05/01/15 MSW FA 11223344 Qty Unit Price Amount Description of type of service provided 1.00 - 4.00 YD:F/L COMM TRASH (001) 05/01/15 STANDARD SERVICE 06/01/15 – 06/30/15 X X.XX X.XX SITE TOTAL X X X.XX X.XX X.XX X.XX X.XX CURRENT CHARGES AMOUNT DUE $X.XX $X.XX Contact Us Your Facility Phone Number Your Facility Email SPECIAL MESSAGES MAY APPEAR IN THIS SECTION Various marketing messages will appear in this space. PLEASE RETURN THIS PORTION WITH PAYMENT A0000000.001-1-000000001 YOUR LOCAL FACILITY 123 STREET CITY, STATE ZIP Please return this portion with payment IF PAYING BY CREDIT CARD, FILL OUT BELOW. 16 Millcreek CHECK CARD USING FOR PAYMENT CARD NUMBER AMOUNT PAID SIGNATURE EXP. DATE ACCOUNT # A0000000 INVOICE # A01234567 INVOICE TOTAL $X.XX BALANCE DUE $X.XX VISA MASTER CARD AMERICAN EXP. AMT. ENCLOSED Printed on recycled paper Du H]N\ۈXZ\\Y\[[Y\΂STTSTŒLԑPUTPHUBSTӋUH [Z]Y\΂\H[[\^[Y[ [Z]^[Y[΂X\H[TXHXZ[ B ˈ]K]H\