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PLEASE <br />DETACH <br />STUB <br />AND <br />RETURN <br />WITH <br />PAYMENT <br />>> <br />>> <br />>> <br />>> <br />>> <br />>> <br />Please remit To: <br />American Electric Power <br />Contract No: <br />Customer No: <br />Date: <br />Amount Due:Bill To: <br />DWMS00000496059 <br />11059676 <br />7/31/2020 <br />4,359.28 <br />City of South Bend Waste Water Treatment <br />3113 Riverside Drive <br />South Bend, IN 46628 <br />170Company No:I&M CIAC <br />PO Box 371883 <br />Pittsburgh, PA 15250-7883 <br />Amount Remitted: <br />Invoice No: <br />PRO FORMA <br />Customer No:11059676 <br />Work Request #:71366427 <br />Contract No:DWMS00000496059 <br />Date:7/31/2020 <br />Invoice No: <br />Description <br />Remove existing 1000kva Pad <br />Transformer and associated <br />facilities that provide electric <br />service to the Re-Use Building. <br />Quantity <br />1.0 <br />UOM <br />EA <br />Init Amt <br />4,359.28 <br />Net Amount <br />4,359.28 <br />Amount Due:4,359.28 <br />Payment Options: <br />1. Check:Send payment and top section of this Pro-Forma to the address shown above. <br />2. For ACH/Wire Transfer or Credit card payments,contact CIAC clerk to obtain an invoice number <br />prior to attempting payment:Phone # 260-408-3594 <br />a. ACH/Wire Transfer -Send Funds to:Indiana Michigan Power <br />Citibank, N.A. New York <br />ABA/Routing #: 021000089 <br />Account #: 00034403 <br />b. Credit Card: <br />i. Visa, Mastercard or Discover only <br />ii. Transactions are limited to $1,500.00 per card per transaction <br />iii. Contact FiServ directly after receiving your invoice number from CIAC clerk <br />866-270-7946 or www.aepmiscreceivables.com <br />*** No work will be scheduled until payment has cleared *** <br /> ** Contact CIAC clerk with any billing related questions **