Labels:dialog box | earth | plant | sky | window OCR: YOUR NAME HERE STATEM ENT 128 EASY STREET DOWN TOWN ALT 00000 DATE PHONE 987/128-4567 ACCOUNT NUMEER TERMS AMDUNT ENOSEDS (PLEAE DETACH AND RETURN WITH YOUR I REMTTANCE) DATE CHARGES AND CREDITS BALANCE BALANCE FORWARD Thanke Yoss PAY THIS AMOUNT3 YSTREET KOWN DAJE AMOUNT ENCLOSED ITANCE