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[Company Name] Statement Date:
[Company Address] Date Due:
[City, ST ZIP Code]
[Phone]
STATEMENT OF ACCOUNT
[Customer Name]
[Address]
[City, State ZIP Code]
DATE DESCRIPTION CHARGES CREDITS
05/12/04
The Phone Company $500.00
05/13/04
Woodgrove Bank $250.00
05/14/04
City Power & Light $125.00
Balance brought forward
Statement of Account Template
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