My Company Name 123 My Street Address My City, My State Zip 123456 Main Phone: 222-123-4567

Invoice 501
Date:____/____/________ Page 1 of 1

Company Name Name Address City,State Zip Main Phone Extra Phone 1 Extra Phone 2 Price Item Description

Payment Terms Due on day of completion

Quantity

Price Each

Total

Acceptance of proposal. The prices, specification and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as specified above.

Authorized Signature Signature 1 Signature 2 Date

Amount Paid Sub Total Tax Total Invoice Total