STATEMENT
	sTATEMENT # Date: December 8, 2007
, Phone Fax

 

BILL To

Customer ID

COMMENTS

 

 

dATE	DESCRIPTION				BALANCE	AMOUNT
CURRENT		1-30 DAYS PAST DUE	31-60 DAYS PAST DUE	61-90 DAYS PAST dUE	OVER 90 DAYS PAST dUE	AMOUNT DUE

 

Remittance
Statement #	100
Date
Amount Due
Amount Enclosed

 

Make all checks payable to

Thank you for your business!