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