Understanding Your Bill: Level Billing
We want you to know exactly what’s on your bill. This easy guide gives an
explanation of the charges and information you can expect each month.
Turn over this page for more details on the numbered sections listed below.
1462359922
52801c00-81b3-4cca-b5e8-0734d1d2b7c6
Account Inquiries: 1-877-604-3489
7001 SW 24th Ave.
Gainesville, FL 32607-3704
Service Address:
123 INFINITE DR
HOUSTON, TX 77002
1
Address Service Requested
Hours: 8 AM to 5 PM CST, Monday - Friday
Agreement End Date: 08/19/2015
PUCT License Number: 10196
Infinite Electric LLC DBA Infinite Energy
1234567890
Account Number:
WATTSON
Account Name:
11111111111111111
ESI ID:
Invoice Number: 12345678901502
02/23/2015
Invoice Date:
03/11/2015
Due Date:
Fixed
Rate Type:
Current Meter Read
Previous Meter Read
Meter Multiplier
Total Usage (kWh)
87098
86297
1.0000
801.0000
801 kWh @ $0.043519 01/22/2015 - 02/20/2015
801 kWh @ $0.043519 01/22/2015 - 02/20/2015
TDU Delivery Charges ACTUAL PERIOD
Service Fee
$9.95
$1.59
$0.13
MMM
1203
MMM
1570
MMMM
1896
MMMMM
2194
MMMMM
2302
MMMM
1969
MMM
1312
MM
936
MM
935
MM
894
M
525
Sales Tax
MM
1046
WATTSON
123 INFINITE DR
HOUSTON, TX 77002
PUC Assessment
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Budget Charges
$34.86
$34.86
6
Miscellaneous Gross Receipts Tax Reimbursement
Monthly Usage (kWh)
Actual Charges
Current Electricity Charges Detail for Invoice Number 12345678901502
Energy Charge ACTUAL PERIOD
1.50%
$1.22
Budget Billing Amount
$100.00
Current Charges
Important Messages & Account Notices
$100.00
LITE-UP TEXAS is back. The Low Income Electric Discount Program will run May 2015 through August 2015. For additional information and program requirements you can
call 1-866-454-8387 or go to the Public Utility Commission of Texas website at http://www.puc.texas.gov/consumer/lowincome/Assistance.aspx.
Electric Outage or Safety Issues (24/7):1-888-313-4747
For more information about residential electric
service, please visit www.powertochoose.com
Customers with a variable priced product may contact Infinite Energy at 877-674-3489 to obtain rate information for their next invoice cycle.
2
Pay your bills online at www.InfiniteEnergy.com
Summary of Charges
Previous Balance
Payments Received
Balance Forward
Current Charges
Subtotal:
Deposit Due:
Amount Due to Infinite Energy:
The average price you paid for electric service this month was 10.0¢ per kWh.
Estimated Period: In the event no meter read is provided by the TDSP at the time your invoice is issued, we may issue you an invoice based on your estimated usage for
the invoicing period. This period will be identified on your invoice as an "Estimated Period" and will be adjusted accordingly once actual meter reads are provided.
3
Actual Charges
$111.20
-$100.00
$11.20
$82.61
$93.81
$0.00
$93.81
Budget Charges
$100.00
-$100.00
$0.00
$100.00
$100.00
$0.00
$100.00
Amount From Payment to Donate: Infinite Energy is proud to offer the community an invoice payment assistance program that provides assistance to Infinite Energy
customers who are experiencing a hardship situation and need help paying their energy invoices. This program is funded by customer contributions. This donation may be
added to your total payment or a separate payment may be submitted. Please write the amount of your donation in the space provided. All donations are tax deductible.
Contacting Infinite Energy: If you have any questions, concerns regarding your account or believe there are unauthorized charges on your invoice, please contact Infinite
Energy Customer Care M - F 8AM - 5PM CST for assistance. If, after contacting Infinite Energy first, you are not completely satisfied with our findings, you have the right to
file a complaint with the PUCT. You may contact the PUCT locally by calling (512) 936-7120, or toll free in Texas at (888) 782-8477. You may also contact the PUCT by
mail--see below for the address. Hearing and speech-impaired individuals with text telephones (TTY) may contact the commission at (512) 936-7136.
Conditional Payments: Any form of payment You send to Infinite Energy for less than the full balance due, which is marked paid in full or is tendered as full satisfaction of
the balance, may be treated, in Infinite Energy’s sole discretion, as (a) a partial payment on your account or (b) improper payment and refused by Infinite Energy by either
returning it to You, not cashing it, or destroying it. Infinite Energy reserves all rights concerning these payments.
MoneyGram ExpressPayment®: You can pay your invoice with Cash by using any MoneyGram ExpressPayment® service. You can call (800) 555-3133 for locations. The
following information is necessary to make a payment: (1) Your Infinite Energy CUSTOMER NUMBER (2) RECEIVE CODE: 7372.
4
Deposit Balance
Previous Balance
Payments Received
Deposit Due
Current Charges
Amount Due
$0.00
$100.00
-$100.00
$0.00
$100.00
$100.00
Standard Payment Address
Overnight Payment Address
Public Utility Commission of Texas (PUCT)
Infinite Energy
Payment Center
P.O. Box 660905
Dallas, TX 75266-0905
First Data/REMITCO
Infinite Electric, Box# 660905
1010 W. Mockingbird Ln, Suite 100
Dallas, TX 75247
Public Utility Commission of Texas
P.O. BOX 13326
Austin, TX 78711-3326
7
Phone
LATE FEE REMINDER: A ONE TIME FEE OF 5% WILL BE APPLIED TO ANY CURRENT CHARGE, WHICH IS UNPAID BY THE PAYMENT DUE DATE.
RETURNED PAYMENTS: A $30.00 FEE IS CHARGED FOR ALL RETURNED PAYMENTS
Fax
(877) 604-3489
Email
(866) 427-7845
Care@InfiniteEnergy.com
Web
www.InfiniteEnergy.com
Infinite Energy, 7001 SW 24th Ave, Gainesville, FL 32607
page 1
page 2
Please tear off this portion and return it with your payment in the enclosed envelope.
If you have entered information below, you must fill in the box on the front of this return payment coupon. Thanks!
Amount from Payment
To Donate ($1, $5, $10)
$
Payment Amount
$
,
,
Customer Number:
Payment Due Date:
Please check appropriate box if applicable:
Name, Address, Email or Phone changes on back
Correspondence enclosed
5
.
Please Change Name or Mailing Address To:
1234567890
03/11/2015
By mail, send check or money order (cash not accepted) to:
Infinite Energy
Payment Center
P.O. Box 660905
Dallas, TX 75266-0905
Total Amount Due
$100.00
Please enter your Customer Number on all remittances and make
your check payable to: Infinite Energy. Cash not accepted
Infinite Energy
Payment Center
P.O. Box 660905
Dallas, TX 75266-0905
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Payment Options:
Check here if your change of address is due to a move
New Email Address:
New Telephone Number:
May
May Jun
Jun
Jul
Jul
Aug
Aug
Sep
Sep
Oct
Oct
7001 SW 24th Ave.
Gainesville, FL 32607-3704
1
Nov
Nov
Jan
Jan
Jul
Aug
Sep
Oct
Nov
Dec
Jan
Feb
Hours: 8 AM to 5 PM CST, Monday - Friday
1234567890
Account Number:
WATTSON
Account Name:
11111111111111111
ESI ID:
$100.00
-$100.00
$0.00
Invoice Number: 12345678901502
02/23/2015
Invoice Date:
03/11/2015
Due Date:
Budget
Fixed
Rate
Type: Charges
$100.00
1234567890
Account Number:
$0.00
WATTSON
Account Name:
11111111111111111
ESI ID: $100.00
Invoice Number: 12345678901502
02/23/2015
Invoice Date:
03/11/2015
Due Date:
Dec
Jan Fixed
Feb
Sep
Oct
Nov
Rate Type:
Amount Due
MM
894
Feb
M
525
page 1
Summary of Charges
Previous Balance
Electric
Payments Outage
Received or
Subtotal:
Deposit Due:
Safety
The average price you paid for electric service this month was 10.0¢ per kWh.
Customer Number:
Payment Due Date:
Total Amount Due
Please tear off this portion and return it with your payment in the enclosed envelope.Actual Charges
Important Messages & Account Notices
$111.20
Payment Amount
Amount from Payment
Issues (24/7):1-888-313-4747
$
To Donate ($1, $5, $10) $
,-$100.00
,
$11.20
$82.61
$93.81
$0.00
$93.81
$100.00
Balance
Forward
For
more
information about residential electric
Current Charges
service,
please visit www.powertochoose.com
Amount
DueName,
to
Infinite
Energy:
Address,
Email
Phone changes on back
Pay
your
bills
online
ator www.InfiniteEnergy.com
Please check appropriate box if applicable:
Amount
AmountDue
Due
Please tear off this portion and return it with your payment in the enclosed envelope.
,
Budget Charges
$100.00
. -$100.00
$0.00
$0.00
$100.00
$100.00
1234567890
03/11/2015
$100.00
.
LATE FEE REMINDER: A ONE TIME FEE OF 5% WILL BE APPLIED TO ANY CURRENT CHARGE, WHICH IS UNPAID BY THE PAYMENT DUE DATE.
RETURNED PAYMENTS: A $30.00 FEE IS CHARGED FOR ALL RETURNED PAYMENTS
AFAFAAFTTDTTFDTDDFADTFDFFAFAATAAFTFDTATDFDFTTTDDDAADFFDTATFFTDDAT
Correspondence
enclosed
Summary of
Charges
Actual
Charges
Budget
Charges
Please enter your Customer
Number
on all remittances
and make
Previous Balance
your check payable to: Infinite$111.20
Energy. Cash not accepted$100.00
Payments Received
-$100.00
-$100.00
Balance Forward
$11.20
$0.00
Infinite Energy
Current Charges
$82.61
$100.00
Payment Center
Subtotal:
$93.81
P.O. Box 660905
$100.00
Deposit Balance
Previous Balance
Payments Received
DepositDallas,
Due TX 75266-0905
Current Charges
Amount Due
Deposit Due:
$0.00
$0.00
$0.00Due to Infinite Energy:
$100.00
-$100.00
$0.00
$100.00
$100.00
Amount
$93.81
$100.00
The average price you paid for electric service this month was 10.0¢ per kWh.
page 1
$100.00
$100.00
$
$
,
$100.00
$100.00
Total Amount Due
$100.00
,,
1234567890
03/11/2015
1234567890
1234567890
03/11/2015
03/11/2015
3
2
Budget Charges
This column shows your current level billing charges, also called
budget billing charges. The total shown here is the amount due.
Actual Charges
This column shows a running tally of your actual electricity charges
and previous payments. We recalculate your budget billing four
times each year to make sure it is aligned with your actual charges.
Your current rate plan will be in effect until this date.
1 Agreement End Date
4
Average Price per kWh
Your average price is calculated as the sum of your energy
charges, recurring TDU charges and service fees, divided by your
consumption and rounded to the nearest one-tenth of a cent.
5
Remittance Slip
Please include your customer number on your payment. This helps
us quickly credit your account even if your payment should be
separated from the payment coupon during processing.
A charge based on the electric energy (kWh) consumed.
6 Energy Charge
TDU Delivery Charges
generation plant to your home.
$34.86
Actual Charges
Budget Charges
Meter Read
Previous Meter Read
Meter Multiplier
Total Usage (kWh)
.Current
. 87098
A charge to
cover the cost of moving
electricity from
the
86297
1.0000
801.0000
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Infinite Energy
Payment Center
P.O. Box 660905
Dallas, TX 75266-0905
Please enter your Customer Number on all remittances and make
your check payable to: Infinite Energy. Cash not accepted
$100.00
AFAFAAFTTDTTFDTDDFADTFDFFAFAATAAFTFDTATDFDFTTTDDDAADFFDTATFFTDDAT
Customer
Number:
Infinite
Energy
Payment Due Date:
Payment Center
P.O. Box 660905
Total Amount Due
Dallas, TX 75266-0905
.
Please enter your Customer Number on all remittances and make
Payment
Amount
your
check
payable to: Infinite Energy. Cash not accepted
Please tear off this portion and return it with your payment in the enclosed envelope.
Name, Address, Email or Phone changes on back
Correspondence enclosed
Amount from Payment
To Donate ($1, $5, $10)
Name, Address, Email or Phone changes on back
Please check appropriate box if applicable:
,,
Correspondence enclosed
$$
ninthe
theenclosed
enclosedenvelope.
envelope.
1462359922
ment
mentAmount
Amount
6
omer
tomerNumber:
Number:
ment
mentDue
DueDate:
Date:
801 kWh @ $0.043519 01/22/2015 - 02/20/2015
Administrative fee.
Service Fee
Current Electricity Charges Detail for Invoice Number 12345678901502
Total
Total
Amount
Amount
Due
Due
Energy
Charge
ACTUAL PERIOD
Sales Tax
Energy Charge ACTUAL PERIOD
TDU Delivery Charges ACTUAL PERIOD
Budget Billing Amount
Service Fee
Miscellaneous Gross Receipts Tax Reimbursement
PUC Assessment
Infinite
InfiniteEnergy
Energy
Sales Tax
Billing Amount
Payment
PaymentBudget
Center
Center
P.O.
P.O.Box
Box660905
660905
Dallas,
Dallas,TX
TX75266-0905
75266-0905
Phone
Fax
1.50%
801 kWh @ $0.043519 01/22/2015 - 02/20/2015
801 kWh @ $0.043519 01/22/2015 - 02/20/2015
Email
Payment Options:
$34.86
$34.86
$9.95
$1.59
$0.13
$1.22
$100.00
Current Charges
$100.00
$100.00
PUC Assessment
A fee assessed to recover the statutory fee for administering the
Public Utility Regulatory Act.
Current Charges
Web
By mail, send check or money order (cash not accepted) to:
MoneyGram ExpressPayment®: You can pay your invoice with Cash by using any MoneyGram ExpressPayment® service. You can call (800) 555-3133 for locations. The
following information is necessary to make a payment: (1) Your Infinite Energy CUSTOMER NUMBER (2) RECEIVE CODE: 7372.
Please Change Name or Mailing Address To:
If you have entered information below, you must fill in the box on the front of this return payment coupon. Thanks!
(877)
604-3489
(866) 427-7845
Care@InfiniteEnergy.com
www.InfiniteEnergy.com
Conditional
Payments:
Any form of payment
You send to Infinite Energy
for less than the full balance due, which is marked paid in full or is tendered as full satisfaction of
the balance, may be treated,Infinite
in Infinite
sole discretion,
as (a) a partial payment on your account or (b) improper payment and refused by Infinite Energy by either
Energy, 7001Energy’s
SW 24th Ave, Gainesville,
FL 32607
returning it to You, not cashing it, or destroying it. Infinite Energy reserves all rights concerning these payments.
page 2
Infinite Energy
Payment Center
P.O. Box 660905
Dallas, TX 75266-0905
Contact
Information
Standard
Payment Address
Address
Public Utility
Commission
of Texas
(PUCT)
Contacting
Infinite Energy: If youOvernight
have Payment
any questions,
concerns
regarding
your
account
or believe there are unauthorized charges on your invoice, please contact Infinite
First
Data/REMITCO
Public
Commission
of Texas
Energy Customer Care M - F 8AMInfinite
- 5PM
CST for assistance.
If,Utility
after
contacting
Infinite
Energy
first, you are not
completely
satisfied with our findings, you have the right to
Options
for
contacting
Infinite
Energy.
Electric, Box# 660905
P.O. BOX 13326
1010may
W. Mockingbird
Ln, Suite
TX 78711-3326
file a complaint with the PUCT. You
contact
the100PUCT Austin,
locally
by calling (512) 936-7120, or toll free in Texas at (888) 782-8477. You may also contact the PUCT by
Dallas, TX 75247
mail--see below for the address. Hearing and speech-impaired individuals with text telephones (TTY) may contact the commission at (512) 936-7136.
7
7following information is necessary to make a payment: (1) Your Infinite Energy CUSTOMER NUMBER (2) RECEIVE CODE: 7372.
MoneyGram ExpressPayment®: You can pay your invoice with Cash by using any MoneyGram ExpressPayment® service. You can call (800) 555-3133 for locations. The
Conditional Payments: Any form of payment You send to Infinite Energy for less than the full balance due, which is marked paid in full or is tendered as full satisfaction of
the balance, may be treated, in Infinite Energy’s sole discretion, as (a) a partial payment on your account or (b) improper payment and refused by Infinite Energy by either
returning it to You, not cashing it, or destroying it. Infinite Energy reserves all rights concerning these payments.
Amount From Payment to Donate: Infinite Energy is proud to offer the community
an invoice
payment
assistance
program
assistance to Infinite Energy
complete
list of
terms,
or just
givethatusprovides
a call.
customers who are experiencing a hardship situation and need help paying their energy invoices. This program is funded by customer contributions. This donation may be
added to your total payment or a separate payment may be submitted. Please write the amount of your donation in the space provided. All donations are tax deductible.
Visit http://puc.texas.gov/consumer/electricity/bill_e.aspx for a
Contacting Infinite Energy: If you have any questions, concerns regarding your account or believe there are unauthorized charges on your invoice, please contact Infinite
Energy Customer Care M - F 8AM - 5PM CST for assistance. If, after contacting Infinite Energy first, you are not completely satisfied with our findings, you have the right to
file a complaint with the PUCT. You may contact the PUCT locally by calling (512) 936-7120, or toll free in Texas at (888) 782-8477. You may also contact the PUCT by
mail--see below for the address. Hearing and speech-impaired individuals with text telephones (TTY) may contact the commission at (512) 936-7136.
Estimated Period: In the event no meter read is provided by the TDSP at
the time
your invoice iswe
issued,
we may
issue you
an invoice based on your estimated usage for
See
something
didn’t
cover
here?
the invoicing period. This period will be identified on your invoice as an "Estimated Period" and will be adjusted accordingly once actual meter reads are provided.
Amount From Payment to Donate: Infinite Energy is proud to offer the community an invoice payment assistance program that provides assistance to Infinite Energy
customers who are experiencing a hardship situation and need help paying their energy invoices. This program is funded by customer contributions. This donation may be
added to your total payment or a separate payment may be submitted. Please write the amount of your donation in the space provided. All donations are tax deductible.
Customers with a variable priced product may contact Infinite Energy at 877-674-3489 to obtain rate information for their next invoice cycle.
Estimated Period: In the event no meter read is provided by the TDSP at the time your invoice is issued, we may issue you an invoice based on your estimated usage for
the invoicing period. This period will be identified on your invoice as an "Estimated Period" and will be adjusted accordingly once actual meter reads are provided.
Customers with a variable priced product may contact Infinite Energy at 877-674-3489 to obtain rate information for their next invoice cycle.
LITE-UP TEXAS is back. The Low Income Electric Discount Program will run
May 2015
Sales
Taxthrough August 2015. For additional information and program requirements you can
call 1-866-454-8387 or go to the Public Utility Commission of Texas website at http://www.puc.texas.gov/consumer/lowincome/Assistance.aspx.
Sales tax collected by authorized taxing authorities, such as the
state, cities and special purpose districts.
LITE-UP TEXAS is back. The Low Income Electric Discount Program will run May 2015 through August 2015. For additional information and program requirements you can
call 1-866-454-8387 or go to the Public Utility Commission of Texas website at http://www.puc.texas.gov/consumer/lowincome/Assistance.aspx.
AFAFAAFTTDTTFDTDDFADTFDFFAFAATAAFTFDTATDFDFTTTDDDAADFFDTATFFTDDAT
AFAFAAFTTDTTFDTDDFADTFDFFAFAATAAFTFDTATDFDFTTTDDDAADFFDTATFFTDDAT
$100.00
801 kWh @ $0.043519 01/22/2015 - 02/20/2015
TDU Delivery$100.00
Charges ACTUAL PERIOD
$34.86
$100.00
Current Meter Read
Previous Meter Read
Meter Multiplier
Total Usage (kWh)
Miscellaneous
Gross Receipts Tax Reimbursement
Service Fee
$9.95
87098
86297
1.0000
801.0000
Miscellaneous Gross Receipts Tax Reimbursement
$1.59
A fee assessed to recover the miscellaneous
gross receipts tax
ase
se enter
enteryour
yourCustomer
CustomerNumber
Numberon
onall
allremittances
remittancesand
andmake
make
PUC
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$0.13
Actual Chargesimposed
Budget Charges
Current
Electricity
Charges Detail for Invoice Number 12345678901502
on retail electric providers operating
in an incorporated
check
checkpayable
payable
to:
to:Infinite
Infinite
Energy.
Energy. Cash
Cashnot
notaccepted
accepted
1.50%
$1.22
city or town having a population
of more
than 1,000 people.
1462359922
Feb
Feb
Jun
1234567890
Account Number:
WATTSON
Account Name:
11111111111111111
ESI ID:
Invoice Number: 12345678901502
02/23/2015
Invoice Date:
03/11/2015
Due Date:
Fixed
Rate Type:
Hours: 8 AM to 5 PM CST, Monday - Friday
Dec
Dec
Account Inquiries: 1-877-604-3489
Service Address:
123 INFINITE DR
HOUSTON, TX 77002
May
Monthly Usage (kWh)
Agreement End Date: 08/19/2015
PUCT License Number: 10196
Infinite Electric LLC DBA Infinite Energy
Apr
Service Address:
123 INFINITE DR
HOUSTON, TX 77002
Agreement End Date: 08/19/2015
PUCT License Number: 10196
$93.81
$0.00
$93.81
Hours: 8 AM to$100.00
5 PM CST, Monday - Friday
Actual
Charges
Infinite Electric LLC DBA
Infinite
Energy
$111.20
-$100.00
$11.20
Monthly Usage (kWh)
$82.61
Account Inquiries: 1-877-604-3489
Service Address:
123 INFINITE DR
HOUSTON, TX 77002
Agreement End Date: 08/19/2015
PUCT License Number: 10196
Mar Electric
Apr
May DBA
JunInfinite
Jul Energy
Aug
Infinite
LLC
Current Charges
Monthly Usage (kWh)
Important Messages & Account Notices
MM
935
Jan
Deposit Due
MM
936
Dec
Payments Received
Nov
Previous Balance
Oct
Deposit Balance
Sep
$100.00
Aug
$100.00
Jul
$0.00
Jun
-$100.00
May
$100.00
Apr
MMM
1312
rpr
52801c00-81b3-4cca-b5e8-0734d1d2b7c6
Address Service Requested
Mar
Account Inquiries: 1-877-604-3489
3
Budget
BudgetCharges
Charges
$100.00
$100.00
-$100.00
-$100.00
$0.00
$0.00
$100.00
$100.00
$100.00
$100.00
$0.00
$0.00
$100.00
$100.00
Mar
MMMM
1969
WATTSON
LATE FEE REMINDER: A ONE TIME FEE OF 5% WILL BE APPLIED TO ANY CURRENT CHARGE, WHICH IS UNPAID BY THE PAYMENT DUE DATE.
123 INFINITE DR
RETURNED PAYMENTS: A $30.00 FEE IS CHARGED FOR ALL RETURNED PAYMENTS
HOUSTON,
77002 online at www.InfiniteEnergy.com
Pay
yourTXbills
MMMMM
2302
M
525
WATTSON
123 INFINITE DR
HOUSTON, TX 77002
M
525
Important Messages & Account Notices
MM
894
MMMMM
2194
MM
894
MMMM
1896
MM
935
52801c00-81b3-4cca-b5e8-0734d1d2b7c6
MM
935
MMMM
1969
service, please visit
MM
936
MMMMM
2302
Electric Outage or Safety Issues (24/7):1-888-313-4747
2 For
more information about residential electric
MMM
1312
MMMMM
2194
7001 SW 24th Ave.
www.powertochoose.com
Gainesville, FL 32607-3704
MMMM
1969
MMM
1312
7001 SW 24th Ave.
Gainesville, FL 32607-3704
MMMMM
2302
$0.00
Address Service Requested
WATTSON
The average price you paid for electric service this month was 10.0¢ per kWh.
123 INFINITE DR
HOUSTON, TX 77002
MMMMM
2194
MM
936
Address
Service
Requested
Summary
of Charges
Previous Balance
Payments Received
52801c00-81b3-4cca-b5e8-0734d1d2b7c6
Balance Forward
Current Charges
Subtotal:
Deposit Due:
Amount Due to Infinite Energy:
Actual
ActualCharges
Charges
Pay your bills online at www.InfiniteEnergy.com
$111.20
$111.20
-$100.00
-$100.00
$11.20
$11.20
$82.61
$82.61
Electric Outage
or Safety Issues (24/7):1-888-313-4747
$93.81
$93.81
For more information about residential electric
service, please visit www.powertochoose.com
$0.00
$0.00
$93.81
$93.81
MMMM
1896
MMMM
1896
MMM
1570
Payment
from Payment
Deposit Balance
Previous Balance Amount
Payments
Received
Deposit
Due AmountCurrent Charges
Amount Due
To Donate ($1, $5, $10)
$0.00
$100.00
-$100.00
$0.00
$100.00
$100.00
Customer Number:
1234567890
Payment
Due
Date:IS UNPAID BY THE PAYMENT DUE DATE.
03/11/2015
LATE FEE REMINDER: A ONE TIME FEE OF 5% WILL BE APPLIED TO ANY CURRENT
CHARGE,
WHICH
Please check appropriate box if applicable:
RETURNED PAYMENTS: A $30.00 FEE IS CHARGED FOR ALL RETURNED PAYMENTS
Current
CurrentCharges
Charges
page 1
4
MMM
1570
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1570
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MMM
1203
MMM
1203
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$ DATE.
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HARGE,
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WHICHISISUNPAID
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THEPAYMENT
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DUEDATE.
ALL
LL RETURNED
RETURNEDPAYMENTS
PAYMENTS
5
MM
1046
MM
1046
MM
1046