PLEASE RETURN THIS PAGE WITH YOUR PAYMENT AND REFERENCE THE INVOICE NUMBER ON YOUR CHECK

Transcription

1 Page: REMITTANCE BILL TO : MENTZER MEDIA SERVICES INC Attn: BETH BEALL 600 FAIRMOUNT AVE STE 306 TOWSON, MD Invoice Number AE Name Agency Number Agency NCC WASHINGTON ME062 MENTZER MEDIA SERVICES INC Billing Month Payment Terms Customer Number Customer OCTOBER Due 30 Days from invoice date Vern Buchanan for Congress PLEASE RETURN THIS PAGE WITH YOUR PAYMENT AND REFERENCE THE NUMBER ON YOUR CHECK AE Name Contract Number Estimate Number Reference Number Order Number Client Code Product Code NCC WASHINGTON NA 4VBUC Gross Spot Dollars : $ Agency Discount : $ Rep Discount : $ Net Advertising Total : $ BALANCE DUE : $ PLEASE REMIT TO : BRIGHT HOUSE MEDIA STRATEGIES (TPA) Thank you for your business! Questions? please call Payment Terms: Due 30 Days from invoice date

2 Page: 1 of 5 BILL TO : MENTZER MEDIA SERVICES INC Attn: BETH BEALL 600 FAIRMOUNT AVE STE 306 TOWSON, MD Invoice Number AE Name Agency Number Agency NCC WASHINGTON ME062 MENTZER MEDIA SERVICES INC Billing Month Payment Terms Customer Number Customer OCTOBER Due 30 Days from invoice date Vern Buchanan for Congress SUMMARY Order Number Line Number Syscode Region Network/Group Aired Qty N M Gross Total MAN FXNC 6.0 $ $ MAN FXNC 5.0 $ $ MAN FXNC 4.0 $ $ MAN FXNC 4.0 $ $ MAN FXNC 4.0 $ $ MAN FXNC 3.0 $ $ MAN FXNC 2.0 $ $ MAN FXNC 2.0 $ $ FMAN FXNC 8.0 $ $ FMAN FXNC 7.0 $ $ FMAN FXNC 13.0 $ $ Net Total Order # Subtotal : 58.0 $ $ GRAND TOTAL : 58.0 $ $

3 Page: 2 of 5 AFFIDAVIT OF PERFORMANCE Reg/Ret Line Network Date Day Time Spot Title Length Rate Contract No. : Estimate No. : 3748 Reference No. : N/A Order No. : Customer Number : Customer : Vern Buchanan for Congress Product Code : 4VBUC Client Code : NA FMAN Frontier Manatee SYSCODE: FXNC MON 7:50:28 am VB100TVFLH 60 $ FXNC MON 2:51:12 pm VB100TVFLH 60 $ FXNC TUE 8:52:26 am VB100TVFLH 60 $ FXNC TUE 12:46:39 pm VB100TVFLH 60 $ FXNC TUE 5:46:05 pm VB100TVFLH 60 $ FXNC TUE 11:45:28 pm VB100TVFLH 60 $ FXNC WED 5:49:23 am VB100TVFLH 60 $ FXNC WED 2:51:52 pm VB100TVFLH 60 $ FXNC WED 5:45:39 pm VB100TVFLH 60 $ FXNC WED 6:45:18 pm VB100TVFLH 60 $ FXNC WED 11:45:14 pm VB100TVFLH 60 $ FXNC THU 6:51:14 am VB100TVFLH 60 $ FXNC THU 7:51:58 am VB100TVFLH 60 $ FXNC THU 6:48:28 pm VB100TVFLH 60 $ FXNC THU 11:46:53 pm VB100TVFLH 60 $ FXNC FRI 9:51:33 am VB100TVFLH 60 $ FXNC FRI 1:22:12 pm VB100TVFLH 60 $ FXNC FRI 5:47:29 pm VB100TVFLH 60 $ FXNC SAT 5:45:40 am VB100TVFLH 60 $ FXNC SAT 12:52:08 pm VB100TVFLH 60 $ FXNC SAT 4:49:30 pm VB100TVFLH 60 $ FXNC SAT 5:45:34 pm VB100TVFLH 60 $ FXNC SUN 5:21:27 am VB100TVFLH 60 $ FXNC SUN 11:50:31 am VB100TVFLH 60 $ FXNC SUN 1:52:07 pm VB100TVFLH 60 $ FXNC SUN 4:51:03 pm VB100TVFLH 60 $ FXNC SUN 5:45:34 pm VB100TVFLH 60 $ FXNC SUN 10:45:37 pm VB100TVFLH 60 $ FXNC Aired Spots and Order Subtotal in Gross : 28 $ FMAN Retail Unit Aired Spots and Order Subtotal in Gross : 28 $ MAN BH Manatee County SYSCODE: FXNC MON 7:50:35 am VB100TVFLH 60 $ FXNC MON 8:50:19 am VB100TVFLH 60 $ FXNC MON 4:50:58 pm VB100TVFLH 60 $ FXNC MON 6:49:47 pm VB100TVFLH 60 $ FXNC MON 8:47:08 pm VB100TVFLH 60 $ FXNC TUE 5:50:08 am VB100TVFLH 60 $ FXNC TUE 12:46:16 pm VB100TVFLH 60 $ FXNC TUE 2:52:52 pm VB100TVFLH 60 $ FXNC TUE 8:46:34 pm VB100TVFLH 60 $ FXNC WED 5:48:59 am VB100TVFLH 60 $ FXNC WED 11:51:55 am VB100TVFLH 60 $ FXNC WED 1:51:58 pm VB100TVFLH 60 $ FXNC WED 5:45:45 pm VB100TVFLH 60 $ FXNC WED 9:50:47 pm VB100TVFLH 60 $ FXNC WED 11:45:21 pm VB100TVFLH 60 $ FXNC THU 6:51:21 am VB100TVFLH 60 $ FXNC THU 5:46:07 pm VB100TVFLH 60 $ FXNC THU 8:46:29 pm VB100TVFLH 60 $ FXNC THU 11:46:29 pm VB100TVFLH 60 $ FXNC FRI 5:48:39 am VB100TVFLH 60 $ FXNC FRI 11:52:10 am VB100TVFLH 60 $ FXNC FRI 4:49:45 pm VB100TVFLH 60 $ FXNC FRI 6:49:19 pm VB100TVFLH 60 $ FXNC SAT 7:50:47 am VB100TVFLH 60 $ FXNC SAT 1:48:41 pm VB100TVFLH 60 $ FXNC SAT 6:51:35 pm VB100TVFLH 60 $ FXNC SAT 11:45:36 pm VB100TVFLH 60 $ FXNC SUN 11:50:07 am VB100TVFLH 60 $ FXNC SUN 3:51:02 pm VB100TVFLH 60 $ FXNC SUN 7:48:05 pm VB100TVFLH 60 $ FXNC Aired Spots and Order Subtotal in Gross : 30 $

4 Page: 3 of 5 AFFIDAVIT OF PERFORMANCE Reg/Ret Line Network Date Day Time Spot Title Length Rate Contract No. : Estimate No. : 3748 Reference No. : N/A Order No. : Customer Number : Customer : Vern Buchanan for Congress Product Code : 4VBUC Client Code : NA MAN Retail Unit Aired Spots and Order Subtotal in Gross : 30 $ Order # Aired Spots and Order Subtotal in Gross : 58 $ GRAND TOTAL in Gross : 58 $

5 Page: 4 of 5 AFFIDAVITS SUMMARY Syscode Region Network Total Spots Gross Total 3466 MAN FXNC 30.0 $ FMAN FXNC 28.0 $ Total: : $

6 Page: 5 of 5 BILL TO : MENTZER MEDIA SERVICES INC Attn: BETH BEALL 600 FAIRMOUNT AVE STE 306 TOWSON, MD Invoice Number AE Name Agency Number Agency NCC WASHINGTON ME062 MENTZER MEDIA SERVICES INC Billing Month Payment Terms Customer Number Customer OCTOBER Due 30 Days from invoice date Vern Buchanan for Congress PLEASE KEEP THIS PAGE FOR YOUR RECORDS Salesperson Contract Number Estimate Number Reference Number Order Number Product Code Client Code NCC WASHINGTON VBUC NA Gross Spot Dollars : $ Agency Discount : $ Rep Discount : $ Net Advertising Total : $ BALANCE DUE : $ PLEASE REMIT TO : BRIGHT HOUSE MEDIA STRATEGIES (TPA) Thank you for your business! Questions? please call Payment Terms: Due 30 Days from invoice date