Stems and Sage Florist

Address: 5678 Mountain Drive Phone: (333) 333-3333

Building A Fax: (333) 333-3334
Denver, CO 12345 Email: stems@interestingsite.com

Statement

Statement #: 777 Bill To: Kai Carter

Date: November 5, 2022 Partner Wedding Planners
Customer ID: 100123 432 1st Avenue
Denver, CO 12345
Remittance Amount Enclosed: $375.00

Date Type Invoice # Description Amount Payment Balance

10/28/2022 Floral arrangements 201 10 pcs $375.00 375

Total 375

Reminder: Please include the statement number on your check.

Terms: Balance due in 30 days.

REMITTANCE

Customer Name: Kai Carter

Customer ID: 100123

Statement #: 777

Date: 11/5/2022

Amount Due: $ 375.00

Amount Enclosed: $ 375.00