Atlanta GA, 30316 info@23andwalnut.

com (678) 456-7890

To Western Gas & Electric

client (123) 456 - 7824

Invoice No. 201000 Invoice Date Jul 2, 2010 Invoice Status OVERDUE

Payment Due:

Jul 30, 2010

NAME Sample Invoice Item This is a sample invoice item. This is a sample invoice item. This is a sample invoice item. Sample Invoice Item 2 This is another sample invoice item. This is another sample invoice item Sample Invoice Item 3 This is the third sample invoice item. This is the third sample invoice item. This is the third sample invoice item.

HRS/QTY 3

RATE $34

SUBTOTAL $102

$212

$212

$100

$400

INVOICE SUMMARY Total: Payments: Remaining Balance: $714 $105 $609