IN ACCOUNT WITH

A CALIFORNIA PROFESSIONAL CORPORATION

 

Direct Dial: (732) 123-4563

Facsimile: (987) 654-3221

rjpavlik@pavco.com

EIN: 12-3456789

 

Richard J. Pavlik

1313 Mockingbird Lane

Los Angeles, CA 90001

________________________________________________________________________________________

 

[#ClientInfo#]

 

 

Date:[#InvoiceDate#]

Client #:[#ClientId#]

Invoice #:[#InvoiceNum#]
In Reference to: [#Matter#]  

 

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#]