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Collection Services Agreement (2012) Client #100825 Salina Retailers Association, Inc. PO Box 317,300 South 9",Suite 106 Salina, KS 67402 785-827-8706 785-827-8981 (fax) e-mail maxine @salinaretailersassn.com Alice McCall, Manager COLLECTION SERVICES AGREEMENT t/We, City of Salina Finance Department authorize Salina Retailers Association, Inc. dba The Credit Bureau of Central Kansas (hereafter referred to as Credit Bureau) to process all collection accounts submitted according to the guidelines and rates below. I/We understand that all accounts turned over for collection will be handled exclusively by your collection department, with no other contacts being made by our office, any other collection agency or an attorney. I/We also agree to notify the Credit Bureau immediately of any disputes regarding any accounts we turn over at the time of referral or as we become aware of such disputes. I/We understand and agree that commission is earned on all payments made directly to our office as well as any received at your agency as long as the account is submitted for collection. In accordance with the Federal Fair Debt Collection Practices Act, any and all payments made directly to us must be reported to the Credit Bureau immediately. I/We understand that the Credit Bureau is authorized to endorse all checks,drafts,and money orders sent to your agency in our name for deposit in a trust account to enable remittance by the end of the month. I/We understand in the event we withdraw an account(s) placed for collection, a service fee of$25.00 will be charged for handling and removal of each account. Other terms may be given consideration for unusual circumstances. SCHEDULE OF RATES 40%of all monies collected on accounts turned over to the Collection Department of the Credit Bureau. AGREEMENT AUTHORIZATION City of Salina Finance Department Legal Business/Individual Name(Client) 300 W. Ash, P.O. Box 736 Street and mailing address Salina KS 67402-0736 City State Zip Penny Day Accounting Technician Contact Person Title 785-309-5737 785-309-5738 Municipality P ne numbers Fax#s Type of Business 02-10-2012 lient Signatur ner or a orized signer) Date Agency Signature Date Client #101405 Salina Retailers Association, Inc. PO Box 317,300 South 91",Suite 106 Salina, KS 67402 785-827-8706 785-827-8981 (fax) e-mail maxine @salinaretailersassn.com Alice McCall,Manager COLLECTION SERVICES AGREEMENT I/We, City of Salina E.M.S. , authorize Salina Retailers Association, Inc. dba The Credit Bureau of Central Kansas (hereafter referred to as Credit Bureau) to process all collection accounts submitted according to the guidelines and rates below. I/We understand that all accounts turned over for collection will be handled exclusively by your collection department, with no other contacts being made by our office, any other collection agency or an attorney. I/We also agree to notify the Credit Bureau immediately of any disputes regarding any accounts we turn over at the time of referral or as we become aware of such disputes. I/We understand and agree that commission is earned on all payments made directly to our office as well as any received at your agency as long as the account is submitted for collection. In accordance with the Federal Fair Debt Collection Practices Act, any and all payments made directly to us must be reported to the Credit Bureau immediately. I/We understand that the Credit Bureau is authorized to endorse all checks, drafts,and money orders sent to your agency in our name for deposit in a trust account to enable remittance by the end of the month. 1/We understand in the event we withdraw an account(s) placed for collection, a service fee of$25.00 will be charged for handling and removal of each account. Other terms may be given consideration for unusual circumstances. SCHEDULE OF RATES 40%of all monies collected on accounts turned over to the Collection Department of the Credit Bureau. AGREEMENT AUTHORIZATION City of Salina E.M.S. (Emergency Medical Services) Legal Business Individual Name(Client) 300 W. Ash, P.O. Box 736 Street and mailing address Salina KS 67402-0736 City State Zip Penny Day Accounting Technician Contact Person Title 785-309-5737 785-309-5738 Ambulance Service Phone numbers Fax #s Type of Business 02-10-2012 C i t Signat owner or a orized signer) Date Agency Signature Date Client #101650 Salina Retailers Association, Inc. PO Box 317,300 South 9th, Suite 106 Salina, KS 67402 785-827-8706 785-827-8981 (fax) e-mail maxine @salinaretailersassn.com Alice McCall, Manager COLLECTION SERVICES AGREEMENT I/We, City of Salina Water Customer Accounting Department authorize Salina Retailers Association, Inc. dba The Credit Bureau of Central Kansas (hereafter referred to as Credit Bureau) to process all collection accounts submitted according to the guidelines and rates below. I/We understand that all accounts turned over for collection will be handled exclusively by your collection department, with no other contacts being made by our office, any other collection agency or an attorney. I/We also agree to notify the Credit Bureau immediately of any disputes regarding any accounts we turn over at the time of referral or as we become aware of such disputes. I/We understand and agree that commission is earned on all payments made directly to our office as well as any received at your agency as long as the account is submitted for collection. In accordance with the Federal Fair Debt Collection Practices Act, any and all payments made directly to us must be reported to the Credit Bureau immediately. I/We understand that the Credit Bureau is authorized to endorse all checks,drafts,and money orders sent to your agency in our name for deposit in a trust account to enable remittance by the end of the month. I/We understand in the event we withdraw an account(s) placed for collection, a service fee of$25.00 will be charged for handling and removal of each account. Other terms may be given consideration for unusual circumstances. SCHEDULE OF RATES 40%of all monies collected on accounts turned over to the Collection Department of the Credit Bureau, AGREEMENT AUTHORIZATION City of Salina Water Customer Accounting Department Legal Business/Individual Name (Client) 300 W. Ash, P.O. Box 1307 Street and mailing address Salina KS 67402-1307 City State Zip Cindy Beneke WCA Supervisor Contact Person Title 785-309-5741 785-309-5769 Municipal Utility Phone numbers Fax #s Type of Business 02-10-2012 C ent Sign atur (owner or thorized signer) Date Agency Signature Date