Attorney-at-law

27 September 2019

NAME
ADDRESS

BILLING STATEMENT

Greetings!

This is to inform you that the undersigned is billing

you for the following:

1. ___________ Fee:
a. July 2019
b. August 2019

2. Total amount due:

This Billing Statement also serves as notice that

the holder hereof is authorized to receive the above-
mentioned amount for and in my behalf.

Very truly yours,

___________________