Template37_Instance198.jpg
table Bill to Frank Kirk 961 Wang Mountains Apt. 263 Alejandrochester, NE 80485 US Tel +(709)277-5698 Email mccoytony@example.net Site http //lin.com/ Date 07-Feb-2010 Due Date 27-Aug-1997 PO Number 52 Address 05866 Velazquez Mount North Diane, NJ 20651 US SUB_TOTAL 963.53 USD TAX VAT (5.65%) 54.39 USD INVOICE BALANCE_DUE 997.97 USD logo