&bs &esPractice Name Veterinary Surgery&ef &bf                    
              34, High Street, Dalkeith, Lothian EH3 6NW. TEL. (0131) 5563327
                                        VAT Registration Number: 123 456 789
     &date        Ref: &ref     Statement for treatment of: &bs&animal&bf  
                                                                          
                                         Fees       :   &fee             
                                         Drugs      :   &drug           
                                         VAT        :   &vat           
                                         Paid       :   &pay          
                                        &bs Total      :  #&total&bf 
          &client                                                   
           &address1                                               
            &address2                                             
             &address3                                           
                                                                
&bsPlease make cheques payable to Practice Name  Veterinary Surgery&bf