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PREPARED FOR
John Smith
ON AUGUST 25, 2026
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Billing Address
Alphabet Inc. 4520 Dublin Blvd Dublin, CA 92880 United States testpartnerproduction@xyz.com |
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| Entity & Order | Age | Invoice Date | Amount | Paid | Due |
|---|---|---|---|---|---|
| Resource Income Parterns Limited Parternship (Location: 672389113) - Order ID: 982412311 (External Ref: 928932234) | |||||
| 45 | 06/03/2025 | $ 890.00 | $ 650.00 | $ 240.00 | |
| Rasa Realty TriHealth Physician Partners Primary Care Bethesda North Internal Medicine Product Based Need Physio Yoga LLC (Location: N/A) - Order ID: 532902311 (External Ref: 78971243) | |||||
| 74 | 07/04/2025 | $ 1,180.00 | $ 920.00 | $ 260.00 | |
| TriHealth Physician Partners Primary Care Bethesda North Internal Medicine (Location: 45089113) - Order ID: 672412311 (External Ref: 728932234) | |||||
| 91 | 18/05/2025 | $ 1,340.00 | $ 1,100.00 | $ 240.00 | |
| Sub Total | $ 3,410.00 | $ 2,670.00 | $ 740.00 | ||
| Overdue | $ 350.00 | $ 0.00 | $ 0.00 | ||
| Entity & Order | Age | Invoice Date | Amount | Paid | Due |
|---|---|---|---|---|---|
| Resource Income Parterns Limited Parternship (Location: 672389113) - Order ID: 982412311 (External Ref: 928932234) | |||||
| 45 | 06/03/2025 | $ 890.00 | $ 650.00 | $ 240.00 | |
| Rasa Realty TriHealth Physician Partners Primary Care Bethesda North Internal Medicine Product Based Need Physio Yoga LLC (Location: N/A) - Order ID: 532902311 (External Ref: 78971243) | |||||
| 74 | 07/04/2025 | $ 1,180.00 | $ 920.00 | $ 260.00 | |
| TriHealth Physician Partners Primary Care Bethesda North Internal Medicine (Location: 45089113) - Order ID: 672412311 (External Ref: 728932234) | |||||
| 91 | 18/05/2025 | $ 1,340.00 | $ 1,100.00 | $ 240.00 | |
| Sub Total | $ 3,410.00 | $ 2,670.00 | $ 740.00 | ||
| Overdue | $ 350.00 | $ 0.00 | $ 0.00 | ||
| Total Amount Due | $ 5,179.00 |
| Amount Overdue | $ 595.00 |
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PAYMENT BY CHECK Attn: Accounting Filejet Inc. 10440 Pioneer Blvd #8 Santa Fe Springs, CA 34212 |
ACH REMITTANCE Account Name: Filejet Inc. Account Number: 123456789 Routing Number: 123455678 Bank Name: C3 Bank |
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