DIMSUM 99

Street Address P: Phone Number Email

City, State ZIP Code F: Fax Number Website

Bill To: Phone: Invoice #:

Address: Fax: Invoice Date:
Email:

Invoice For:

Item # Description Qty Unit Price Discount Price

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -

Invoice Subtotal $ -

Tax Rate

Sales Tax $ -

Other

Deposit Received
Make all checks payable to DIMSUM 99.
Total due in <#> days. Overdue accounts subject to a service charge of <#>% per month.
TOTAL $ -

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