Quantity	Item	Units	Description	Discount %	Taxable	Unit Price	Total
Subtotal
Tax
Shipping
Miscellaneous
Balance Due

Date	Your Order #	Our Order #	Sales Rep.	FOB	Ship Via	Terms	Tax ID

Invoice

Shipping Address Line 1

Shipping Address Line 2

Shipping Address Line 3

Shipping Address Line 4

Mailing Address Line 1

Mailing Address Line 2

Mailing Address Line 3

Mailing Address Line 4

Mailing Address Line 5

Invoice #:

Invoice Date:

Customer ID:

Bill To:

Ship To:

Mailing Address

Address 2

City, ST ZIP Code

Shipping Address

Address 2

City, ST ZIP Code

Street Address

Address 2

City, ST ZIP Code

Phone: 555.555.0125

E-mail address

Company Name

2008-09-10