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