Sample Company
STATEMENT DATE
PO Box 123
Irvine, CA 92602
08/01/2016
INVOICE NO.
P.O. NUMBER
177456WS
ACCOUNT NO.
ACCT BALANCE
224180
INVOICE TOTAL
125.60
1250.60
PAYMENT DUE DATE: 08/16/2016
SEND PAYMENT TO:
JOHN SMITH
620 ROSEWOOD
IRVINE, CA 92602
SAMPLE COMPANY
PO BOX 123
IRVINE, CA 92602
***PLEASE RETURN THIS ATTACHED PORTION ABOVE WITH PAYMENT***
AMOUNT PAID:
SERVICE TO: JOHN SMITH, 620 ROSEWOOD, IRVINE, CA 92602
DATE
07/15/2016
DESCRIPTION
REFERENCE
UNIT PRICE
QUANTITY
AMOUNT
BALANCE
-625.30
1.000
-625.30
625.30
0.00
Previous Balance >>>
PAYMENT
Gerenral Statement Comment goes here... This is the TEST Print job of Statements using the NEW Statement form for Sample Company. It Includes a Transaction
Comment and a Customer Statement comment. This is the TEST Print job of Statements using the NEW Statement form for Sample Company. It Includes a Transaction
Comment and a Customer Statement comment.
BILLING PERIOD: Jul
ACCOUNT NO
STATEMENT DATE
INVOICE NO.
224180
08/01/2016
177456WS
CURRENT
1250.60
Sample Company
PO Box 123
Irvine, CA 92602
30 - DAYS
0.00
60 - DAYS
0.00
90 - DAYS
0.00
P.O. NUMBER
PAYMENT DUE DATE
08/01/2016
120 + DAYS
0.00
LATE CHARGE
0.00
INVOICE TOTAL
1250.60
ACCT BALANCE
1250.60
Please write your ACCOUNT NUMBER on check!