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table Bill to Justin Jacobs 4976 Melissa Drive Port Katieville, UT 63553 US Tel +(306)414-2636 Email brianadams@example.org Site http //villa.com/ Invoice Date 30-Sep-2003 DISCOUNT(3.5%) (-) 9.06 Due Date 20-Apr-1998 INVOICE # 5138-079 Address 744 Hernandez Hollow Apt. 459 Rossville, UT 53295 US Email stephenfoster@example.net SUB_TOTAL 258.98 USD INVOICE logo