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INVOICE Invoice #: 100.

1
Date: August 9, 2012

SERVICES TO BILL TO
Invoice #: 100.1 Hloom.com
Date: August 9, 1912 Wayside Lane
Customer ID: 57922 San Francisco, CA 94108
Bill To: Andrew G. Garcia (415) 123 45 67
Contact: agg@website.com hloom@hloom.com

SERVICES

DECRIPTION AMOUNT
Rear Bumper painting 34.00
Rear Fender painting 34.00
Panel Realign 0.00
Dent Repairs, Coin Size 0.00
Dent Repairs, Up to A4 Size 0.00
0.00
0.00
0.00

NOTES SUBTOTAL $68.00


TAX RATE 7.00%
TOTAL TAX $4.76
OTHER 100
TOTAL $172.76

Please contact [Name] at [Phone #] with any questions regarding this invoice

Hloom.com | 1912 Wayside Lane | San Francisco, CA 94108 | (415) 123 45 67 | hloom@hloom.com
Hloom.com | 1912 Wayside Lane | San Francisco, CA 94108 | (415) 123 45 67 | hloom@hloom.com

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