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table Bill to Jose Palmer 16035 Dawson Prairie Suite 809 Cooperhaven, FL 04715 US Tel +(609)351-3423 Email tony80@example.com Site https //rivera.com/ Terms and Conditions will be charged if payment is not made within the due date. Date 17-Jun-2008 DISCOUNT(4.17%) (-) 37.18 Due Date 27-Aug-2011 INVOICE ID INV/98-78/424 Note Total payment due in 14 days. Address 19021 Christopher Estate South Williammouth, NH 22397 US SUB_TOTAL 891.70 $ TAX VAT (5.21%) 46.45 $ INVOICE logo