Laserfiche WebLink
Mvoice- cloudw <br /> Biller Order Form ,,,.-,.. <br /> J� <br /> -o <br /> Matt Braley <br /> Cathedral <br /> vanced <br /> A <br /> Z EBPP ❑0 Cloud Store 0 Cloud Pay Z Pay by Text 0 IVR 0 OBD 13 Kiosk <br /> Z Visa/MasterCard/Discover DAmerican Express 9 ACH/EFT <br /> 7-IT- <br /> Ownership Type: Utility Biller Contacts <br /> I;, iv ft ��q <br /> Legal Name: <br /> County of Indian River BCC(spelled out) <br /> f Messersmith <br /> Address 1: 1801 27th Steel Phone Number: yy�772-226-1-83-7 Ext. =F— <br /> Address 2: F Email Address: bmessersm-ith@ircgov.com <br /> City: <br /> Vero Beach StateFL Zip: 32960 C-, Bethany Messersmith <br /> F <br /> Phone# (772)226-1845 Fax #: I F772.77 .5318 Phone Number: Ext. F <br /> Website URL: hV-://www.ircublites.com/ -- Email Address: <br /> Business Open Date: 1925 <br /> Cindy Corrente <br /> 5�6000674 Phone Number: Ext. I F <br /> Federal'�x �F F772.226.1832 <br /> Note*Federal Tax 0 and Legal Name must match on all documents. Email Address: Fccorrente@ircgov.com <br /> Signatory Contact: # Bob Solari Title: <br /> I I Board of County Commissioners <br /> Phone Number: 772-226-1440 Ext. Email Address: bsolari@ircgov.com <br /> I A'- <br /> - . <br /> 7 <br /> T'7 :- <br /> New Biller Implementation: 0-00 Paperless Presentment: $ F-0.00 Per Item <br /> Biller Portal Access: —0 (includes 3 email notifications) <br /> .00 Monthly IC Payment-Credit Card: $ —rl/a Per Item <br /> Additional User(s): —0 <br /> .00 Monthly Per User IC Payment-EFT/ACH: $ Per Item <br /> Online Bank Direct Access: F0.00 Monthly Online Bank Direct: $ —rl/a Per Item <br /> Invoice Presentment: —0 <br /> .00 Monthly EFT/ACH Reject: $ --15.00 Per Item <br /> r <br /> Encrypted Reader License Monthly Charge Back: $ -15 <br /> Fo.00 .00 Per Item <br /> Fee: <br /> Vs <br /> I'D <br /> C' <br /> Name of Checking Account(As it appears on check or Bank Letter): <br /> Bank Address: <br /> I I Phone: <br /> Name: <br /> Depository Routing#: IF —I Account#: F— <br /> Your Invoice payment collections will be electronically deposited into this account <br /> Fees Routing#: Acc6unt#: <br /> Invoice and payment processing fees will be electronicoll deducted from this account. 41 <br />