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Text File  |  1987-08-31  |  3KB  |  53 lines
  1.                            [BILLING STATEMENT]
  2.  
  3.  
  4.                              COMPANY NAME
  5.                             STREET ADDRESS
  6.                             CITY, STATE, ZIP
  7.                                  PHONE
  8.  
  9.  
  10.  
  11.                                       Charges and payments received
  12.                                        after statement closing date
  13.                                            will appear on your next
  14.                                                  month's statement.
  15.      TO:
  16.  
  17.  
  18.  
  19.  
  20.  
  21.      ACCOUNT NO.:                  STATEMENT CLOSING DATE:  /  /
  22. ======================================================================
  23. |  DATE     |     DESCRIPTION                      |  AMOUNT         |
  24. |-----------|--------------------------------------|-----------------|
  25. |           |                    Previous Balance: |                 |
  26. |-----------|--------------------------------------|-----------------|
  27. |___________|______________________________________|_________________|
  28. |___________|______________________________________|_________________|
  29. |___________|______________________________________|_________________|
  30. |___________|______________________________________|_________________|
  31. |___________|______________________________________|_________________|
  32. |___________|______________________________________|_________________|
  33. |___________|______________________________________|_________________|
  34. |___________|______________________________________|_________________|
  35. |___________|______________________________________|_________________|
  36. |___________|______________________________________|_________________|
  37. |___________|______________________________________|_________________|
  38. |___________|______________________________________|_________________|
  39. |___________|______________________________________|_________________|
  40. |___________|______________________________________|_________________|
  41. |___________|______________________________________|_________________|
  42. |___________|______________________________________|_________________|
  43. |___________|______________________________________|_________________|
  44. |___________|______________________________________|_________________|
  45.                                                 Last amount in this
  46.                                                 column is your new
  47.                                                 balance.
  48. ______________________________________________________________________
  49. |  CURRENT    |  30   DAYS  |  60   DAYS  |  90   DAYS  | 120   DAYS |
  50. |-------------|-------------|-------------|-------------|------------|
  51. |_____________|_____________|_____________|_____________|____________|
  52. A $1.00 late fee will be added monthly on accounts 85 days past due.
  53.