CUSTOMER INVOICE 

From: 	_________________________	Invoice #:  ____________________
Address: 	_________________________	Invoice Date:  __________________
                     _________________________	Phone:  _______________________

To __________________________		Ship to _______________________ Address ______________________		Address ______________________ _____________________________                      _____________________________ _____________________________                      _____________________________ Phone ________________________                      Phone _______________________

Quantity	Unit	Item Number	Price Discount 	Ext. Price	
_________	_________	_________	__________	________	
_________	_________	_________	__________	________	
_________	__________	_________	__________	________	
_________	__________	_________	__________	________	

Taxable Sale           $_______.__

Nontaxable Sale      $_______.__

Total Sale                $_______.__

Sales Tax                $_______.__

Balance Due           $_______.__