LIHEAP Billing Scenario
Oil and Startup Fee
Vendor 3003224790001 provided 100 gallons of oil for Sue
Williams, Customer Account Number LIHEAP12345.
The delivery date was 01/16/2009.
The vendor obtained the 10-digit Crisis Authorization number
(0000043140) and the Attachment Control number (000004340) from the
PROMISe™/LIHEAP Internet site.
The total charges billed to LIHEAP were $304.00 which
included the oil fee of $245.00 (100 gallons-$2.45/gal) and a $59.00 start-up
fee.
NOTE: Once the claim is submitted, the vendor mails the
Attachment Control Cover Sheet along with the appropriate paperwork to the DHS
LIHEAP address on the cover sheet.