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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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Download Example Billing Statement Excel Template