Example of Billing Statement
BILL TO: |
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Statement Period |
____________________ |
Name/Company Name |
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Statement No. |
____________________ |
Address |
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Customer No. |
____________________ |
City, State, Zip |
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Phone: 1-234-567-8910 |
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Account Details |
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Balance Due |
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Due Date |
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Amount Enclosed |
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Date |
Description |
Payments |
Debits |
Balance |
01/01/10 |
Current Balance |
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$1,000.00 |
02/13/10 |
Service Fee |
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$300.00 |
$1,300.00 |
03/21/10 |
Payment – Thank you! |
$600.00 |
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$700.00 |
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Notes on Billing Statement Example
To ensure your account is credited correctly, write your Customer Number on your check.
Please make all checks payable to [Company Name.]
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