Professional Documents
Culture Documents
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit
Code Legend
1 - Invoice CONTINUED CONTINUED
2 - Debit ON NEXT PAGE ON NEXT PAGE
DETACH and RETURN this portion
3 - Credit with your remittance.
6 - Payment CUSTOMER
7 - Adjustment PAYMENT
PLEASE
8 - General Payment AMOUNT
COMPLETE
9 - General Credit