Invoice #
Customer #
Sales Rep #
Invoice Date
Ship Date
@InvNumber@
@CustNumber@
@RepNumber@
@InvoiceDate@
@DueDate@

2030 Pie IX. suite 500
Montreal, QC H1V 2C8 Canada

@CustomerName@

@Account@
Please indicate amount enclosed

$ ------------- . ---

Checks are payable to:

OL ACME
2030 Pie IX, Suite 500
Montréal, QC
Canada H1V 2C8


70700447458  972266665

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