Statement
[Your Company Name]
[Your Company Slogan Here] Date: Statement#: Customer ID: August 12, 2008 [100] [ABC12345] Bill to: [Name] [Company Name] [Street Address] [City, ST ZIP Code] [Phone] Date Description Balance Amount Comments:
Current
1-30 Days Past Due
31-60 Days Past Due
61-90 Days Past Due
Over 90 Days Past Due
Amount Due
Remittance
Statement # Date Amount Due Amount Enclosed [100]
Make all checks payable to [Your Company Name]
Thank you for your business!
[Street Address], [City, ST ZIP Code] [Phone] [Fax] [E-mail]