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INVOICE.TXT
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Wrap
Text File
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1993-11-22
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2KB
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52 lines
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I N V O I C E
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Fax & File
P.O. Box 270539
Houston, Texas 77277-0539
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Date:
___________________________________________________________________________
From:
Name_____________________________________________________
Address_________________________________________________
City______________________________ State_____Zip_________
Social Security #________________________________
Daytime Phone_____________________Evening Phone_______________________
Fax Phone # Used to Send the Fax_________________________________
___________________________________________________________________________
Your pre-tax amount is: $15.95
Texas Residents add 7.5% Tax: $
Total: $
___________________________________________________________________________
Credit Card Payment Signature Block
Card Type: Visa / MC (Circle one)
Expiration Date:________________
Card #___________________________________________
Sign Your Name as it appears on your credit card
________________________________________________________Date Signed___________
Please submit your payment (if not paying by credit card)
and all output to:
Fax & File
P.O. Box 270539
Houston, Texas 77277-0539
Attn: 1040EZ Filing Division
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