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EXHIBIT B <br />lnvr ice° S --I ararnt— ctvs <br />Ver. 2.7 <br />' Municipal Utility Services > • 5/9/2016 <br />Invoicing Parameters sheet must be com leted for each invoice type_.____ <br />Systems and Software enQuesta4.5 NOM Non - Submitter <br />• •® ZVisa ® MasterCard ❑Discover' []Amex 9EFT /ACH <br />Emil ' •' 11I ZjtI3PP 0Cloud Store ® Cloud Pay ❑ OBID ® IVR ❑Kiosk <br />Billing Frequency: Monthly Number of Bills: 23,000 <br />Number of Cycles: 4 Number of Installments: 1 <br />Average Invoice Amount: $250 Highest Invoice Amount: $ 125,000 <br />Billing Months (please select the applicable months below): <br />0-an ❑Feb ❑Mar ❑Apr ❑May ❑Jun ❑ Jul ❑ Aug ❑ Sept ❑Oct ❑ Nov ❑ Dec ® All <br />® ®• - ® 1 Bt -I Oth ® 11th - 20th ® 21 st - 31 Bt <br />❑ Biller ❑ Template ❑ Bill Print Vendor (please complete below) <br />- <br />LNG. <br />Item <br />Paid by Biller <br />❑ <br />Credit Card: <br />lINFOSEND, <br />Hardware: se an item. <br />QTY <br />Chaose an item. <br />Provided by: <br />❑Sales Rep ❑Operations <br />Per Unit Prie <br />EFT /ACH: 1 <br />Shipping Address: <br />® <br />EFT /ACH: <br />$ <br />0.50 Per Item <br />❑ <br />Credit Card <br />(if different than location address) <br />❑ <br />EFT /ACH: <br />Total Due: <br />❑ <br />Paid by payer <br />❑ <br />I Paid by Biller <br />Item <br />Paid by payer <br />❑ <br />.re <br />• <br />watobor <br />Paid b Biller <br />❑ <br />Credit Card: <br />Interchange,��f�e"es, dues asse�s°s'm--e�nts+ <br />%with $ <br />Minimum <br />Authorization <br />$ I + I ... % gP <br />❑ <br />EFT /ACH: <br />$ <br />per item <br />H: <br />$ ', per item <br />❑ <br />Flex Pay ACH: <br />$ <br />per item <br />ACH: <br />$ per item <br />Item <br />Paid by-payer <br />Item <br />Paid by Biller <br />❑ <br />Credit Card: <br />7o with $ Minimum <br />(Without Visa Acceptance) <br />® <br />Credit <br />Card: <br />Interchange, fees, dues assessments+ <br />Authorization $ 0,50 + F %Bp <br />❑ <br />EFT /ACH: 1 <br />$ Per item <br />® <br />EFT /ACH: <br />$ <br />0.50 Per Item <br />❑ <br />Credit Card <br />Service Fee: $ Max Cap for Credit Cards; $ <br />❑ <br />EFT /ACH: <br />Service Fee: $ - - <br />❑ <br />Paid by payer <br />❑ <br />I Paid by Biller <br />s a e • ���� <br />❑ <br />Paid by payer Service Fee + $ ❑ I Paid by Biller 1 $1 F per item surcharge <br />e0 B' 0 ® 6e i /, /.v.t, p8' <br />Willard Holt <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 />25B -12 <br />