DRAFT
DRAFT - NOT AN INVOICE
DRAFT
Your Company Sample PO Invoice, Inc.
1000 Main St. Building 2 Anywhere, ST ZIP Code
Sample Invoice
Invoice No.: Date: PO No:
Invoice Date: _______________ Phone: (608) 664-5088 Fax: (413) 555-0191 (1) E-mail: U.S.Cellularrequestorname@uscellular.com (2) U.S. Cellular® Requestor number:______________ (3) U.S. Cellular® Cost Center: _____________________
U.S. Cellular_Requestor's Name
Your invoice number<-----------------REQUIRED FIELDS--------->Bill To: June 14, 2006 45XXXXXXXX<--REQUIRED FIELD Enter U.S. Cellular® PO Number:
U.S. Cellular® PO Box 628430 Middleton, WI 53562-8430
Line #
Item #
Description
Model
Shipped
UOM
Unit Price
Reminder: Please include the invoice number on your check. Terms: Balance due in 30 days. REMITTANCE( REQUIRED FIELEDS) Your company name: Remit to Address: Remit to Address: City/State/Zip code Enter Remit To Company Name Your remit to address You remit to addrss - line 2 June 14, 2006
Subtotal Tax Total
Sample_Invoice_Ven_NonComp_PO_V1.xls