Central Beauty

Street Address 4321 Maplewood Ave Phone: (555) 555-5555

Address 2 Suite #123 Fax: (555) 555-5550

City, ST ZIP Code Nashville, TN 24680 E-mail: central@interestingsite.com

STATEMENT
Bill To:
Statement #: 567 Name Andre Lawson

Date: 11/1/2022 Company Name Seattle Salon

Customer ID: 8675309 Street Address 123 Main Street

Address 2 Bldg A

City, ST ZIP Code Seattle, WA 78901

DATE TYPE INVOICE # DESCRIPTION AMOUNT PAYMENT BALANCE

5/4/2024 Sales 123 Products $200.00 $100.00 $100.00

TOTAL $100.00

Reminder: Please include the statement number on your check.

Terms: Balance due in 30 days.

REMITTANCE

Customer Name: Andre Lawson

Customer ID: 1011

Statement #: 567

Date: 11/1/2022

Amount Due: $100.00

Amount Enclosed: $100.00