| Bill To: | Ship To: |
|---|---|
, |
, |
| Terms | PO # | Route/Driver | Sales Rep | Account # |
|---|---|---|---|---|
| Net 30 | GB8 | MKH |
| Item | Description | Qty | Rate | Price |
|---|---|---|---|---|
| 7001-Sani Service-Weekly | Sani Service - Weekly | 1 | $48.00 | $48.00 |
| 6006-Trip Charge | Trip Charge | 1 | $4.00 | $4.00 |
| Subtotal | $52.00 |
|---|---|
| Tax | $0.00 |
| Total | $52.00 |
