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Invoice Number: Invoice Date: Customer Number: PO Number: Contract Number: mount Due: Due Date Terms: Pa#e: 'E( '_ENTIT)_N ME **scri+ts !e,era* Ta- ID EIN_TIN_NUMBER Customer Service In.uiries: /0112 033 4530 O+tion 6 Di, 7ou 8no9 7ou can +a7 t:is invoice on*ine; 'o# in at 999<a**scri+ts<com to access 7our account BILL TO: BI''_ CCOUNT_N ME BI''_ DDRESS$ BI''_ DDRESS& IF TTN:BI''_ TTNEIF BI''_CIT)= BI''_ST TE= BPC

INVOICE_NUMBER CUSTOMER_NUMBER PURCH SE_ORDER CT_RE!ERENCE " TERMS Pa#e $ o% &

SHIP TO: SHIP_ CCOUNT_N ME SHIP_ DDRESS$ SHIP_ DDRESS& IF TTN:SHIP_ TTN EIF SHIP_CIT)= SHIP_ST TE= SPC

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DESCRIPTION SERI '_NUMBER

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Comments !or a,,itiona* ,etai* about t:e transactions bi**e, on t:is invoice= +*ease *o# in to our C*ient Su++ort +orta* an, navi#ate to On*ine bi** +a7<
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Item Subtota* !rei#:t Ta- Tota* Invoice Tota* Ba*ance Due

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** un,is+ute, c:ar#es on t:is invoice are ,ue an, +a7ab*e +er terms o% contract< C*ient@s +rom+t noti%ication o% ,is+utes is critica* to enab*e **scri+ts to reso*ve issues s9i%t*7= contro* costs= an, maintain +er%ormance sc:e,u*es< C*ient a#rees to noti%7 **scri+ts in 9ritin# o% an7 #oo, %ait: ,is+ute re*ate, to t:is invoice 9it:in 61 ,a7s a%ter t:e invoice ,ate= ot:er9ise a** c:ar#es 9i** be ,eeme, %ina* an, bin,in#< !inance c:ar#es 9i** be assesse, on a** +ast ,ue invoices< !inance c:ar#es on ,is+ute, invoices t:at are %oun, in %avor o% t:e c*ient 9i** be cre,ite,< ** ot:er %inance c:ar#es are ,ue an, +a7ab*e< Airin# instructions: ccount Name: **scri+ts Hea*t:care= ''CB Ban8 Name: CPMor#an C:aseB Ban8 C:ica#o= I' 51516B ccount D 3E1630345B Routin#F B D 1&$1111&$ Ban8 P:one /6$&2 665G&3HH

................................................................................ P ease detac! and return "ottom portion in en#e op pro#ided Invoice Number: INVOICE_NUMB ER Invoice Date: Customer Number: CUSTOMER_NUMBER PO Number: PURCH SE_ORDER Contract Number: CT_RE!ERENCE mount Due: " Due Date Terms: TERMS

REMIT P )MENT TO: I;REMIT_TO_ DDRESS$;J I;REMIT_TO_ DDRESS&;J I;REMIT_TO_ DDRESS6;J I;REMIT_TO_ DDRESSH;J I;REMIT_TO_CIT);J= I;REMIT_TO_ST TE;J RPC

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