SELF BILLING INVOICE CIS STATEMENT REMITTANCE ADVICE

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Zeva is a trading style of Orion Contracting Limited Address: Hardmans Mill New Hall Hey Road Rawtenstall Rossendale BB4 6HH United Kingdom Telephone: 0808 168 2772 Email: info@zeva.co.uk Web: www.zeva.co.uk Company Number: 06741743 Vat Number: 944376792 SELF BILLING INVOICE SUPPLIER ID - 014991 Mr. Joseph Bloggs 27 Queen Street Any Town Yorkshire United Kingdom LX12 5BB Tax Point Date : Document Number : Process No: : 12/06/2009 ORISBI004617 000010 INVOICE TO Orion Contracting Limited Unit 23 Hardmans Mill New Hall Hey Road Rawtenstall Rossendale United Kingdom BB4 6HH Company No. : 06741743 UTR No. : 1643013237 VAT No. : 944376792 Description Joinery Services Contract Ref ORISBA013128 Qty 1.00 Total VAT @ 15% Total £ Unit Cost 609.10 £ £ £ £ Amount 609.10 609.10 0.00 609.10 The VAT shown is your output tax due to customs and excise CIS STATEMENT SUBCONTRACTOR Mr. Joseph Bloggs 27 Queen Street Any Town Yorkshire United Kingdom LX12 5BB UTR: 12345678 Verification No.: V12345678 Date : Document Number : 12/06/2009 ORICIS004617 CONTRACTOR Orion Contracting Limited Unit 23 Hardmans Mill New Hall Hey Road Rawtenstall Rossendale United Kingdom BB4 6HH Company No. : 06741743 UTR No. : 1643013237 VAT No. : 944376792 Amount Liable @ 20.00 % Amount Deducted Less Materials Cost Gross Amount Paid : : : : £ £ £ £ 609.10 121.82 0.00 487.28 REMITTANCE ADVICE Mr. Joseph Bloggs 27 Queen Street Any Town Yorkshire United Kingdom LX12 5BB Date : Document Number : 12/06/2009 ORIREM004617 Orion Contracting Limited Unit 23 Hardmans Mill New Hall Hey Road Rawtenstall Rossendale United Kingdom BB4 6HH Company No. : 06741743 UTR No. : 1643013237 VAT No. : 944376792 Main Contractor Sample Construction Limit - ORICO013128 Sample Construction Limit - ORICO013128 Qty 40.00 Qty 1.00 Qty £ £ Unit Cost 15.00 30.00 £ £ £ £ Amount 600.00 30.00 (20.90) 121.82 £ 609.10 Total Description Joinery Services Joinery Services Zeva Administration Net Payable to Sub Contractor CIS Deduction Paid £ 487.28

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