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; <br />*MIINICIPALITY acknowledges that GREAT LAKES will rely on the accuracy <br />and completeness of such information for the provision of it's services hereunder. <br />Great Lakes sha11 not be responsible for the failure to invoice, bill, file a claim, or collect <br />payment on claims due to the inaccuracy of information furnished by ambulance provider. <br />12. The MUNICIPALITY will provide the above Information to GREAT LAKES <br />within 15 days after transport via fax copy to (440) 442-4443, US Mail, or FEDEX. <br />Address for US Mail Delivery: <br />Great Lakes Billing Associates, Inc. <br />PO Box 21727 <br />Cleveland, OH 44121-0727 <br />Address for Fed Ex Delivery: <br />Great Lakes Billing Associates, Inc. <br />5231 Case Avenue <br />Lyndhurst, Ohio 44124-1013 <br />PAYMENT METHODS <br />13. Please choose one: <br />a. _X _GREAT LAKES will provide a PO Box #, at its sole cost and <br />expense, to be used as the mailing address for all correspondence / payments for <br />MiJNICIFALITY. <br />b. MUNICIPALITY will provide a PO Box # at its sole cost and <br />expense, to be used as the mailing address for all correspondence / payment for <br />MUNICIPALITY. MUNICIPALITY must only use this PO Box for EMS <br />revenue. MLTNICIPALITY, prior to deposit, must copy all checks and <br />envelope contents to forward to GREAT LAKE5. Payment information must <br />be supplied to GREAT LAKES within 3 business days of deposit. <br />c. MUNICIPALITY, at its sole cost and expense, will utilize a lockbox <br />procedure with bank of choice. NOTE: Great Lakes has negotiated discounted <br />rates with Bank One, if interested. MUNICIPALITY will advise bank that a <br />complete set of lockbox copies must be mailed to GREAT LAKES daily. <br />4 <br />