Collection Services Agreement (2003)
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CREDIT BUREAU OF CENTRAL KANSAS -- COLLECTION DEP,ARTMENT
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104 W. Elm, P.O. Box 317
Salina, Kansas 67402-0317
Dick Hurley, Manager
Salina Retailers Association, Inc.
,-rhone 785-827-8761
< "-PAX785-827-8981
-
COLLECTION SERVICES AGREEMENt" - -
-. -.
I
I/We, City 0 f Sa I i na Finance Dept. , authorize 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. We are prepared to provide supporting documentation upon request.
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 or any other collection agency. IIWe 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 each month.
I/We understand in the event we withdraw an account(s) placed for collection, a service fee of$5.00 will be charged
for handling and removal of the account. Other terms may be given consideration for unusual circumstances.
SCHEDULE OF RATES
40% of all monies collected on the accounts turned over to the Collection Department of the Credit Bureau.
I
40% of all monies collected on accounts referred to another state or turned for Legal Action. (Legal Action with
Client Approval and prepaid filing fees required.).
AGREEMENT AUTHORIZATION
I
City of Sa I ina Finance Department
Legal BusinesslIndividual Name (Client)
300 W. Ash, P.O. Box 736
Street (and Mailing) Address
Sa I ina
KS
State
67402-0736
Zip
City
Penny Day
Contact Person
Account Clerk I II
Title
785-309-5735
Phone #s
785-309-5738
Fax#s
8/5/03
Date
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Date
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CREDIT BUREAU OF CENTRAL KANSAS -- COLLECTION DEPARTMENT
104 W. Elm, P.O. Box 317
Salina, Kansas 67402-0317
Dick Hurley, Manager
Salina Retailers Association, Inc.
..Phone 785-827-8761
. FAX 785-827-8981
COLLECTION SERVICES AGREEMENT
-J
I/We, City 0 f Sa I i na Wa t e r Dept. , authorize 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. We are prepared to provide supporting documentation upon request.
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 or any other collection agency. 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/W e 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.
IIW e 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 each month.
I/We understand in the event we withdraw an account(s) placed for collection, a service fee of$5.00 will be charged
for handling and removal of the account. Other terms may be given consideration for unusual circumstances.
SCHEDULE OF RATES
40% of all monies collected on the accounts turned over to the Collection Department ofthe Credit Bureau.
I
40% of all monies collected on accounts referred to another state or turned for Legal Action. (Legal Action with
Client Approval and prepaid filing fees required.).
AGREEMENT AUTHORIZATION
I
Ci ty of Sa I ina Water CustOOler Accounti ng Department
Legal Business/Individual Name (Client)
300 W. Ash, P.O. Box 1307
Street (and Mailing) Address
Sa I ina
KS
State
67402-1307
City
Zip
Cindy Beneke
Contact Person
Water Customer Acct. SIJpervi sor
Title
785-309-5769
Fax#s
~7-~ðCJ8
Date
Agency Signature
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CREDIT BUREAU OF CENTRAL KANSAS -- COLLECTION DEPARTMENT
104 W. Elm, P.O. Box 317
Salina, Kansas 67402-0317
Dick Hurley, Manager
Salina Retailers Association, Inc.
... Phone 785-827-8761
.. FAX 785-827-8981
COLLECTION SERVICES AGREEMENT
J
I/We, City of Salina E.M.S. , authorize 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. We are prepared to provide supporting documentation upon request.
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 or any other collection agency. I/W e 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/W e 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 each month.
I/We understand in the event we withdraw an account(s) placed for collection, a service fee of$5.00 will be charged
for handling and removal of the account. Other terms may be given consideration for unusual circumstances.
SCHEDULE OF RATES
40% of all monies collected on the accounts turned over to the Collection Department ofthe Credit Bureau.
I
40% of all monies collected on accounts referred to another state or turned for Legal Action. (Legal Action with
Client Approval and prepaid filing fees required.).
AGREEMENT AUTHORIZATION
I
City of Sa I ina E.M.S. (6mergency Medical Services)
Legal BusinesslIndividual Name (Client)
300 W. Ash, P.O. Box 736
Street (and Mailing) Address
Sa I ina
KS
State
67402-0736
Zip
City
Esther Wolfe
Contact Person
Account Clerk
Title
785-309-5738
Fax#s
8/5/03
Date