New Invoice — Template
Prefilled from INV-II-002811. Click any field to edit, then print or save as PDF.
Intrinsic Imaging, LLC
580 Main St, Suite 210
Bolton, MA 01740
Invoice
#
Invoice Date:
Bill To
Amount Due
$1,590.00
Due Date:
PO#
Project #
Memo
Terms
| Description | Quantity | Rate | Amount | |
|---|---|---|---|---|
| $95.00 | ||||
| $25.00 | ||||
| $25.00 | ||||
| $45.00 | ||||
| $250.00 | ||||
| $900.00 | ||||
| $250.00 |
Subtotal$1,590.00
Tax Total$0.00
Total$1,590.00
Please Remit To:
Beneficiary Name: Intrinsic Imaging, LLC
Beneficiary Account Number: 5805534939 (Chequing Account)
Beneficiary Address: 580 Main St, Suite 210, MA, 01740
Routing Number: 113011258
SWIFT Code: ZFNBUS55
Receiving Bank: ZIONS BANCORPORTATION, N.A., dba AMEGY BANK
Bank Address: 300 Convent Street, Suite 2100, San Antonio, TX 78205
Return With Payment
Customer ID:
Invoice Number:INV-II-
Amount Due:$1,590.00
Amount Paid:$0.00
Payable in US dollars (US$). Banking fees are the responsibility of the payor.