[Company Name

]
[Company Slogan] [Stress Address] [City, ST ZIP] Phone: [000-000-0000] Fax: [000-000-0000] BILL TO: [Name] [Company Name] [Stress Address] [City, ST ZIP] [Phone] SALESPERSON P.O. # SHIP DATE SHIP TO (if different): [Name] [Company Name] [Stress Address] [City, ST ZIP] [Phone] SHIP VIA F.O.B.

INVOICE
DATE: INVOICE # Customer ID 8/1/2011 [123456] [123]

TERMS

ITEM # [2345678] [2342342]

DESCRIPTION Product XYZ Product ABC

QTY 15 1

UNIT PRICE 150.00 75.00

[42] Other Comments or Special Instructions 1. Total payment due in 30 days 2. Please include the invoice number on your check

SUBTOTAL TAX RATE TAX S&H OTHER TOTAL

TOTAL 2,250.00 75.00 $2,325.00 6.875% $159.84 $$$2,484.84

If you have any questions about this invoice, please contact [Name, Phone #, E-mail]

Thank You For Your Business!

Make all checks payable to [Your Company Name]

Please detach the portion below and return it with your payment.

[Company Name]
[Stress Address] [City, ST ZIP] Phone: [000-000-0000] Fax: [000-000-0000]

REMITTANCE DATE INVOICE # Customer ID 8/1/2011 [123456] [123]

AMOUNT ENCLOSED