|
INVOICE
|
${input_3_13_1}
|
INVOICE #
${input_3_3}
INVOICE DATE:
${input_3_8}
|
${input_3_13_2}
${input_3_13_3},
${input_3_13_4}
${input_3_13_5}
Phone:
${input_3_14}
Fax:
${input_3_15}
${input_3_16}
${input_3_107}
|
|
|
BILL TO
${input_3_70_6}
|
|
${input_3_70_3}
|
|
${input_3_73_1}
|
|
${input_3_73_3},
${input_3_73_4}
${input_3_73_5}
|
|
${input_3_74}
|
|
${input_3_75}
|
|
Customer ID:
${input_3_72}
|
QTY |
ITEM ID# |
DESCRIPTION |
UNIT PRICE |
ITEM TOTAL |
${input_3_30}
|
${input_3_32}
|
${input_3_26}
|
$${input_3_31}
|
$0.00
|
|
|
SUBTOTAL |
$0.00
|
|
|
|
|
PAYMENT TERMS |
${input_3_62} |
Tax |
$0.00 |
PAYMENT DUE |
${input_3_140} |
Total DUE |
$0.00 |
Make All Checks Payable To:
${input_3_13_1}
THANK YOU FOR YOUR BUSINESS!