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PLEASE <br />>> <br />Please rem.u..t. To: <br />Anteri-can. Electric P(::)wer <br />Lnvoa.ce No - <br />DETACH <br />>> <br />104 CIAC - IMPC 25 <br />Co�inpany No: <br />STUB <br />>> <br />PO Box 60 <br />C o ta t - i"act No,: <br />F'Ort. Wayne , IN 46801. --2004 <br />Customer No - <br />Date � <br />AND <br />>> <br />Amount Due - <br />Bill To: <br />RETURN <br />>> <br />City of South Bend <br />227 West Jefferson Blvd. <br />WITH <br />>> <br />South Bend® IN 46601 <br />PAYMENT <br />>> <br />Attn: Toy Villa <br />A.amunt Rem-1-tted- <br />COTI.trsct No; I1WMS00000467668 <br />Date5/13/2019 <br />PRO FORMA <br />17 () <br />1:)IAIMS00000467668 <br />1..1.. 0 67 1.'7 9 <br />5/13/2019 <br />12,491-48 <br />Invoi'..ce No: <br />C,ustoyner No- 11 () 67 17 9 <br />Work Request. 73078554 <br />Des (.-,, r., i p t ion. Qu�an.t.i".Aly UOM E i-iJ.. t A.m. t Not Amoi..m.t <br />Insta.11 new i-in(iergrot.iind el.ectr.i.c 1. 0 EA 12,491.48 12,491 .48 <br />s sery !..cc -, to p.lanned. ry.leter <br />tesco box a:.It M1ch.Lqan. & Wayne <br />Intersect::::ion <br />A.rnoun.t Due: 12, 491.48 <br />Payment Ojotli.ons. <br />1. Check, Send payment and top sect.l.on of thi-s Pro Fovm.a to the address shoi,m above, <br />2. For ACH/Wire Transfe.r o.r Credit ca,rd"jpi-Kgj� CI,A(..' c-Lerk. to obtain am immice <br />. . . . . .......... . ............. . . . . . . ........... ..................... . . . . . . . . . . . . . <br />niiinWrarr prior to aLt-cjmj2-t..jrare F.rc�.ym.ent. Phone 4 260 408 3594 <br />-------------------- I <br />a. ACH/Wiy.e Transfer Send Funds to: fndian.a Mi.c.hig,-.an Power <br />CiA.A.-bank, N.A.- New York <br />A.BAjRot.iiting #: 021.000089 <br />Acncount #00034403 <br />b. CrediC L ard: <br />.......................................................... <br />i. Vi.sa, Ma,,,itercard. o.y. EH,,,�=Ter on.Ly <br />1— Transact.i.on.s are 1i.mited Lo $1,500.00 per card per transaction <br />i i. i , Contact Fi.Searn direct1y afI er rece.tv.Lnq your i.rn/oce number froal. CIA.0 c1erk, <br />866 270 '7946 or M(fllj aepfm <br />- -------- - <br />No work w..[1.1 be schedu.].ed unt.L.I. r,:)ayment has ciea-zed <br />Contact CIA.C. clerk. u,,pith any billing z:el.ated quesLi-ons <br />