LAW OFFICES

Richard J. Pavlik

A PROFESSIONAL CORPORATION

 

1313 Mockingbird Lane, SUITE 1964

LOS ANGELES, CALIFORNIA 90001

 

 

TELEPHONE: (732) 123-4563

Fax: (987) 654-3221

 

___________________________________________________________________________________________________

 

[#PrintDate#]

 

[#ClientInfo#]

Invoice# [#InvoiceNum#]

 

In Reference to: Matter No. [#MatterFileNum#]

 


Legal services rendered through: [#Invoicedate#]

 

Description
[#InvoiceDescription#]

 

 

Payments received after [#PrintDate#] are not reflected in this statement.

 

 

Professional Services
Date   Details Hours Rate Amount
[#ProfSerItems#]          
           
For professional services rendered [#HrsTotal#]   [#ProfChargeTotal#]
Service Tax     [#ServiceTaxTotal#]

 

 

Additional Charges
Date   Details Quantity Rate Amount
[#AddChargeItems#]          
           
Total additional charges     [#AddChargeTotal#]
Sales Tax     [#SalesTaxTotal#]

 

 

  Late Fees [#LateFees#]
    Discount [#Discount#]
    Overhead Amount [#OverheadAmt#]
      Finance Charges [#FinanceCharge#]
        Total Tax [#TotalTaxAmount#]
Invoice Amount [#InvoiceAmt#]
 
  Payment Received [#AppliedAmt#]
    Remaining Balance [#InvoiceBalance#]
      Previous Invoices Balance [#PreviousMatterBalance#]
        Balance Due [#BalanceDue#]
 
  Retainer Balance (as of [#PrintDate#]) [#RetainerBalance#]

 

 

Transactions since last invoice
Date Ref# Account Payee Deposit Withdrawal
[#FundsRecdItems#]