Template46_Instance125.jpg
table BILL_TO David Hart 428 Randall Shore East Scott, CA 50404 US Tel +(082)701-9977 Email rayshelby@example.net Site http //simmons.com/ Date 21-Jul-2004 Due Date 13-Sep-1995 INVOICE # 3Y1M8d-502 Thank you for choosing us! Bank Name State Bank of India Branch Name Raf CAMP Bank Account Number 20000004512 Bank Swift Code SBININBB250 Address 98324 Espinoza View North Olivia, NY 66612 US Morton-Leach SUB_TOTAL 919.59 $ TAX VAT (4.36%) 40.07 $ TAX INVOICE TOTAL 946.05 $ logo