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Ver. 2.7 <br />Invoice Parameters <br />• • " <br />Dag License • • - <br />11 /19/2015 <br />Invoicing Parameters sheet must completed foreachInvoke VRe. <br />_be <br />• In-house • • Non -Submitter <br />®visa ® MasterCard ❑ Discover ❑Amex ®EFT/ACH <br />MWIM ❑EBPP ❑Cloud Store ® Cloud Pay ❑ OBD ❑ IVR ❑Kiosk <br />Billing Frequency: Monthly Number of Bills: 2 500 <br />Number of Cycles. <br />1 Number of Installments: <br />1 <br />Average Invoice Amount: I <br />25 Highest Invoice Amount: <br />$ <br />1,000 <br />Billing Months (please select the applicable months below(: <br />❑Jan []Feb War ❑Apr ❑May ❑Jun ❑ Jul ❑ Aug ❑ Sept []Oct ❑ Nov ❑ Dec ® All <br />.: <br />• �• - ❑1"t -loth ❑ lith -20th 112151-31.1 <br />• ❑Biller ❑ Template ❑ Bill Print Vendor please complete below <br />• <br />Hardware: Choose an item. QTY Choose an item. Provided by: ❑ Sales Rep ❑Operations <br />Per Unit Price: $ Shipping Address: <br />.... ... .... ..... ... _ .I QFdifferenl than location address) <br />Total Due: $ <br />Item Paid by payer Item Paid by Biller <br />❑ <br />Credit Card:® CreditInterchange, <br />tees, dues assessments+ <br />%with $ - Minimum Card: <br />Authorization $ 0.201 + F79 %BP <br />❑ <br />EFT/ACH: $ peritem ® EFT/ACH: $ 0.50 i per item <br />❑ Flex Pay ACH: $ per item ❑ Flex Pay ACH: $ per item <br />Item Paid by payer Item Paid by Biller <br />❑ Credit Card:ElCredit Interchange, fees, dues assessments+ <br />r'%with <br />IMinimum Card: Authorization $ t + %BP— <br />(Without visa Acceptance) <br />EI EFT/ACH: $ Per item ❑ EFT/ACH: $F-7 Per Item <br />❑ Credit Card Service Fee: $ Max Cap for Credit Cards: $ <br />❑ EFT/ACH: Service Fee: $ ❑Pald by payer 0 Paid by Biller <br />Interactive Voice Response .. <br />. ......... <br />❑ Paid by payer Service Fee + $ ❑ Paid by Biller $ per item surcharge <br />.—_...._...J ..._-__. _.....' <br />=Pecial Handling <br />Cloud Pay (i.e. Web services payment processing) through the Cily's current provider of Basic EBPP, InioSend. <br />• 2/12/2016 Hans Nielsen <br />Biller Requested i <br />Please note the above requested date is not guaranteed. The implementation time frame is not guaranteed subject to change and delays to <br />workload, systems/data requirements, biller cooperation and other factors. <br />25C-30 <br />