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Street Address Phone: (413) 555-0190
Address 2 Fax: (413) 555-0191
City, ST ZIP Code E-mail: [email protected]
Statement
Statement #: Bill To:
Date:
Customer ID:
Date Type Invoice # Description Amount
Payment Balance
Reminder: Please include the statement number on your check.
Total -$
Terms: Balance due in 30 days.
REMITTANCE
Customer Name: Enter customer name
Customer ID: Enter customer ID
Statement #: Enter statement number
Date: November 13, 2015
Amount Due:
Amount Enclosed:
City, ST ZIP Code
Name
Company Name
Street Address
Address 2
Your Company Name
November 13, 2015
Enter statement number
Enter customer ID
Billing Statement
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