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 Date 31.05.1998 Invoice No. 221096 / 677/ 1/ 1 ----------------------------------------------------------------------------- Date Description Fees Drugs VAT Total ----------------------------------------------------------------------------- 26.05.98 Consultation 10.20 1.79 11.99 Drontal cat 1.53 0.27 13.79 Injection .5 x Synulox 50mg 1.65 0.29 15.73 Injection .5 x Vit. B12 Inj 1.54 0.27 17.54 ----------------------------------------------------------------------------- 10.20 4.72 2.62 ----------------------------------------------------------------------------- Balance brought forward from previous month 0.00 Work done this month 14.92 VAT on work done this month 2.62 TOTAL for this month 17.54 Total payments this month 0.00 TOTAL AMOUNT NOW DUE 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 : 31.05.1998 North Berwick Due : 17.54 East Lothian EH39 4RQ