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table Bill to Samantha Weaver 76828 Kathleen Loaf Port Josephchester, NY 21282 US Tel +(409)930-7685 Email benjaminwest@example.net Site http //rivera.com/ BILL_TO Grace Harris 0564 Bates Land Apt. 120 Sarahport, SD 06739 US Tel +(499)491-8648 Email steinbeth@example.org Site http //roy.net/ Date 06-Dec-2003 INVOICE ID INV40645042 Address 28713 Hart Fort Suite 267 Stewarttown, MI 55458 US Robinson-Carson SUB_TOTAL 291.39 $ BALANCE DUE 291.66 $ Total in words two hundred and nine- ty-one point six six GSTIN 37LTOQASACEIZS logo