Statement

To: Date

GSIS Dec 31 2016

c/o Miss Lucille Manuel

Amount Due

PHP 11,650.00

Date Transaction Amount Balance

10 31 2016 Balance forward 0.00

11 19 2016 INV #5123. Due 11 19 2016. 3,100.00 3,100.00
11 19 2016 INV #5124. Due 11 19 2016. 1,950.00 5,050.00
11 21 2016 INV #5126. Due 11 21 2016. christmass 5,500.00 10,550.00
11 22 2016 INV #5127. Due 11 22 2016. 1,100.00 11,650.00

31-60 DAYS PAST 61-90 DAYS PAST OVER 90 DAYS PAST

CURRENT 1-30 DAYS PAST DUE Amount Due
DUE DUE DUE

0.00 0.00 11,650.00 0.00 0.00 PHP 11,650.00

Please make all checks payable to: EQUAL BUSINESS SOLUTIONS, INC

Prepared by: Received by:

___________________________ ____________________________
Date: