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COMPANY NAME BILLING STATEMENT

BILL TO DATE
ATTN: Name / Dept
Company Name STATEMENT NO.
123 Main Street
Hamilton, OH 44416 CUSTOMER ID
(321) 456-7890
Email Address

REMIT TO
BALANCE DUE $ 200.00
Company Name
Address Line 1 To ensure proper credit, please ensclose
a copy of this statement with your check. DATE PYMNT DUE
Address Line 2 Please write your Customer ID on your
Hamilton, OH 44416 check.
AMT ENCLOSED $ -
Please make check payable to Your Company Name.

ACCOUNT ACTIVITY

DATE TYPE INVOICE DESCRIPTION PAYMENT AMOUNT BALANCE

BALANCE FORWARD $ 250.00

$ 100.00 $ 50.00 $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

$ - $ - $ 200.00

CURRENT BALANCE $ 200.00

For questions concerning this invoice, please contact Name, (321) 456-7890, Email Address

YOUR COMPANY NAME

123 Main Street, Hamilton, OH 44416

(321) 456-7890

Email Address | www.yourwebaddress.com

THANK YOU
COMPANY NAME BILLING STATEMENT
BILL TO DATE

STATEMENT NO.

CUSTOMER ID

REMIT TO
BALANCE DUE $ -

To ensure proper credit, please ensclose


a copy of this statement with your check. DATE PYMNT DUE
Please write your Customer ID on your
check.
AMT ENCLOSED $ -
Please make check payable to Your Company Name.

ACCOUNT ACTIVITY

DATE TYPE INVOICE DESCRIPTION PAYMENT AMOUNT BALANCE

BALANCE FORWARD $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

$ - $ - $ -

CURRENT BALANCE $ -

For questions concerning this invoice please contact

THANK YOU

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