| 
	    <%company%>
	     |  | 
	  Tel: <%tel%>
	   | 
|---|---|---|
| S T A T E M E N T | ||
| <%statementdate%> | ||
| <%name%> <%address1%> <%if address2%> <%address2%> <%end address2%> <%city%> <%state%> <%zipcode%> <%if country%> <%country%> <%end country%> <%if customerphone%> Tel: <%customerphone%> <%end customerphone%> <%if customerfax%> Fax: <%customerfax%> <%end customerfax%> <%if email%> <%email%> <%end email%> | 
| Invoice # | Order# | Notes | Date | Due | Current | 30 | 60 | 90+ | 
|---|---|---|---|---|---|---|---|---|
| <%invnumber%> | <%ordnumber%> | <%notes%> | <%invdate%> | <%duedate%> | <%c0%> | <%c30%> | <%c60%> | <%c90%> | 
| <%c0total%> | <%c30total%> | <%c60total%> | <%c90total%> | |||||
| Total Outstanding | <%total%> | 
|---|