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Ver. 2.7 <br />•ZWPmactive Residential Enforcem Program (PREP) Accounts 3/31/2016 <br />Z <br />-- -- <br />invoicing Pacerietem sheet must be completed for each Invoice type. <br />c In-houu-ilou se Non -Submitter <br />• ovisa 0 MasterCard 0 Discover Ei;iumex HEFT/ACH <br />DEBPP ®Claud Store 0 Cloud Pay 0 OBD 0 IVR nKlosk <br />Billing Frequency: Annually Number of Bills: <br />Number of Cycles: <br />Number of Installments: <br />Average Invoice Amount: 80 Highest Invoice Amount: <br />10,000 <br />-L-- .. . . ........ . ....... . ....... . ---- .. . .. . ......... <br />Billing Months (please select the applicable months below): <br />CJan DFeb OMar DApr DMay OJun 0 Jul 0 Aug 0 Sept OOct 0 Nov 0 Dec 0 All <br />0 le- loth 0 11th -20th EJ 21n-310 <br />• er ❑ Template 0 Bill Print Vendor (piecfse complete below) <br />Hardware: Choose an itern, QTY item. Provided by: 0 Sales Rep 0 Operations <br />PerUnItPetco; $ dress: <br />n location address) <br />Total Due: <br />Item Paid b ayer Item Pdld bVBiller <br />0 Credit Card: <br />Credit <br />Interchange, feos. dues assessments + <br />%with$' Minimum Card: <br />Authorization $+ r-,-"- % Bp <br />I f O�'20' 1 50 <br />I <br />0 EFT/ACH: $ per item 0 EFT/ACH: per item <br />0 Flex Pay ACH: $ per item 0 Flex Pay ACH: per item <br />U, <br />Item Paid by payer Item Paid to Biller <br />0 Credit Card: El Credit Interchange, fees, dues assessments + <br />% with Minimum Card: Authorization + %BP <br />swlfjjour voo Acceptance) <br />F m EFT/ACH: s I - -- <br />0 EFTFACH7: $ Per he Per Item <br />I <br />Ca <br />❑ Credit Service Fee: Max Cap for Ca <br />� EFT/ C <br />❑ rT/ACH: ter ❑ Paid by BiCler <br />P p <br />0 Paid by payer Service Fee + ;i L -j Paid by Bitter per item surcharge <br />Proactive Rental Enforcement Program (PREP) Accounts Cloud Store requires a customer loxbox file (see business license Cloud Store), Please <br />see 13L Cloud Store or contact City for exact specificiations for the file and format <br />Hans Nielsen <br />Pte,},. ot,we rp'wesh-,�j cfore v rgov, inf�.! r,ph- riowe r, nol o,d I ov, <br />DIV,' <br />