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
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�\ۈ�X�Z\��\��Y\��[[��Y�\��S�T��T�S�T�L��ԑPU�T��P�HU�B�S�T��Ӌ�UH��[Z]�Y�\���\�H��[�[�\�^[Y[����[Z]^[Y[��X\�H����[��T��XHXZ[
B��ˈ����]K�]H�\