Template5_Instance88.jpg
table Bill to Kristine Collins DDS 41151 Gonzalez Extension Youngland, WV 53562 US Tel +(243)129-4689 Email pmann@example.net Site http //www.johnson.com/ Date 08-Mar-2009 INVOICE # INV84798173 Note This order is shipped through blue dart courier PO Number 78 Address 233 Foster Gardens Johnburgh, ID 41900 US Email paul73@example.com Bailey Group SUB_TOTAL 299.73 USD TAX VAT (4.36%) 13.06 USD BALANCE DUE 303.62 USD Total in words three hundred and - three point six two logo