Billing Statement

Statement
Bill To: Costumer Name Date: 11/10/2016
Address Statement #:
Costumer
Code:
Remittance Details Account Summary
To ensure proper credit, pleaser enclose a copy of this statemement Balance Due ₱4,750.00
withg your check and remit to: Payment Due Date 10/18/2016
Bank Account Number: All Checks Payable to
Baank IFSC Code
Bank Branch
Note: Please write your costumer ID behind on your check.
Account Activity
INVOICE
DATE INVOICE # DESCRIPTION AMOUNT PAYMENT BALANCE
Balance Forward ₱250.00
11/7/2016 ABC 123 Dispatch Voucher Number - 123456 -₱ 5,000.00- -₱ 2,000.00- ₱3,250.00
8/8/2016 ABC 123 Dispatch Voucher Number - 123456 ₱0 -₱ 1,500.00- ₱1,750.00
10/9/2016 ABC 234 Dispatch Voucher Number - 234560 -₱ 15,000.00- -₱ 5,000.00- ₱11,750.00
11/10/2016 ABC 234 Dispatch Voucher Number - 234560 ₱0 -₱ 7,000.00- ₱4,750.00

Payable as of this date: 10/11/2016 is Amount ₱4,750.00

Authorized Signatory Costumer's Signature

If you have any questions about this invoice,please contact
Name, Street Address, Phone 1234567890, FAX 1234567890, Email