1 Detach and return this remittance form with your your payment.\\
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6 \makebox{ \includegraphics{[@-- $logo_file --@]}} & [@-- $verticalreturnaddress ? '\\\\' : '' --@]
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7 \begin{minipage}[b]{5.5cm}
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8 [@-- $returnaddress --@]
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11 \begin{tabular}{r@{: }lr}
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12 Invoice date & \textbf{[@-- $date --@]} & \multirow{4}*{[@-- $verticalreturnaddress ? '\\rule{1.5cm}{0cm}' : '' --@]
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14 \begin{minipage}[t]{7.0cm}
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15 \textbf{[@-- $payname --@]}\\
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16 \addressline{[@-- $company --@]}
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17 \addressline{[@-- $address1 --@]}
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18 \addressline{[@-- $address2 --@]}
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19 \addressline{[@-- $city --@], [@-- $state --@]~~[@-- $zip --@]}
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20 \addressline{[@-- $country --@]}
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21 [@-- $barcode_file ? '\\\\ \includegraphics{'.$barcode_file.'}' : "\\" --@]
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23 Customer\#& \textbf{[@-- $custnum --@]} & \\
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24 Total Due & \textbf{[@-- $balance --@]} & \\
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25 \rule{0pt}{[@-- defined($amountenclosedsep) ? $amountenclosedsep : '2.25em' --@]}Amount Enclosed & \rule{2cm}{1pt}& \\
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27 \rule{0pt}{[@-- defined($coupontoaddresssep) ? $coupontoaddresssep : '1cm' --@]} &\\
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30 \addressinset \rule{0.5cm}{0cm} &
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32 \begin{minipage}[t]{7.0cm}
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33 [@-- $addcompanytoaddress ? $company_name. '\\\\' : '' --@][@-- $returnaddress --@]
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