Travel Services Invoice

[Travel Company Name] [Street Address] [Address 2] [City, ST ZIP Code] [Phone] [Web Site] [E-Mail] [Fax] [Invoice Date] Invoice No. Bill To Address

Total Amount Due on: [Due Date]

E-Mail Phone Deposit Received Invoice Total Total Amount Due Amount Paid $200.00 $859.68 $659.68

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Destination Travel Dates No. of Travelers Service Air Transportation Ground Transportation Lodging Tours Other Description Roundtrip ticket, Blue Yonder Airlines Limousine to and from hotel

2

Tax Rate Amount per Traveler $353.00 $45.00 Total Amount

8.0%

$706.00 $90.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $796.00 $63.68 $859.68

Subtotal Tax Total