Your Practice Name Here Practice Address Practice Address VAT No. Tel: 0162089 5556 123 456 7890 Mrs Yates 96 Hillside Drive With reference to : North Berwick Millie East Lothian EH39 4RQ Statement: 677/30.09.2000 ----------------------------------------------------------------------------- ******************************* * NO Transactions this period * ******************************* ----------------------------------------------------------------------------- A Surcharge of 1 will be added if NOT paid by 14.10.2000 Aged analysis (days) 1-30 31-60 61-90 91-120 120+ 17.54 Total amount outstanding 17.54 ----------------------------------------------------------------------------- PLEASE CUT OFF THIS REMITTANCE SLIP AND RETURN IT WITH YOUR PAYMENT Name : Mrs Yates A/C ref : 677 96 Hillside Drive Date : 30.09.2000 North Berwick Due : 17.54 East Lothian EH39 4RQ Your Practice Name Here Practice Address Practice Address VAT No. Tel: 0162089 5556 123 456 7890 Mrs Yates 96 Hillside Drive With reference to : North Berwick Samson East Lothian EH39 4RQ Statement: 678/30.09.2000 ----------------------------------------------------------------------------- ******************************* * NO Transactions this period * ******************************* ----------------------------------------------------------------------------- A Surcharge of 1 will be added if NOT paid by 14.10.2000 Aged analysis (days) 1-30 31-60 61-90 91-120 120+ 33.77 Total amount outstanding 33.77 ----------------------------------------------------------------------------- PLEASE CUT OFF THIS REMITTANCE SLIP AND RETURN IT WITH YOUR PAYMENT Name : Mrs Yates A/C ref : 678 96 Hillside Drive Date : 30.09.2000 North Berwick Due : 33.77 East Lothian EH39 4RQ Your Practice Name Here Practice Address Practice Address VAT No. Tel: 0162089 5556 123 456 7890 Mrs Yates 96 Hillside Drive North Berwick East Lothian EH39 4RQ ----------------------------------------------------------------------------- 30.09.2000 - Statement for all animals B/F Work Pd/Disc Total ----------------------------------------------------------------------------- Millie 17.54 0.00 0.00 17.54 Samson 33.77 0.00 0.00 33.77 Total Brought Forward 51.31 Total Payments this period 0.00 Total Work this period 0.00 (01.09.2000 to 31.12.2039) Total to be paid 51.31 ----------------------------------------------------------------------------- PLEASE CUT OFF THIS REMITTANCE SLIP AND RETURN IT WITH YOUR PAYMENT Name : Mrs Yates A/C ref : 677 96 Hillside Drive Date : 30.09.2000 North Berwick Due : 51.31 East Lothian EH39 4RQ