Example of Billing Statement

Billing Statement

BILL TO:		Statement Period	____________________
Name/Company Name		Statement No.	____________________
Address		Customer No.	____________________
City, State, Zip
Phone: 1-234-567-8910

Account Details
Balance Due
Due Date
	Amount Enclosed

Date	Description	Payments	Debits	Balance
01/01/10	Current Balance			$1,000.00
02/13/10	Service Fee		$300.00	$1,300.00
03/21/10	Payment – Thank you!	$600.00		$700.00

Current Balance

$700.00

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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