You are on page 1of 2

<?initial-page-number:1?

>Page 1 of 2

Header
Bill To
Billing Number
Bill To Customer Name
Formatted Bill To Address Billing Number
Bill to Customer Customer Site
Remit To Number
Remit To Address Formatted Customer Location
Bill From Bill To
Bill From Bill To
Billing Date Due Date
Issue Date Due Date
Currency Amount Due
Currency Amount Due

Previous Payments Adjustment Credits Current Tax Late Ending Balance


Balance Received s Charges Fees
Balance Receipts Adjustments Credit Charges Tax Late End Balance

Date Type Description Subtotal Tax Total


Lines Type Description Subtotal Tax Total
Date Lines

Current Balance over 30 Balance over 60 Balance over 90 Balance over 180 days
Balance days days days
Current 30 60 90 180
<?initial-page-number:1?>Page 2 of 2

Lines

Description

Line Number Description Quantity Unit Price Tax Amount Total


Bill Details Description Quantity Unit Price Tax Total
Line Number Bill Details

Lines

Header

You might also like