Invoice No.
INVOICE Customer Name Address City Phone Qty 40 15
Payment
Misc Date 1/1/2006 Order No. Rep Columbus Gaskins FOB
Harlem United New York 212-803-2880
State NY
ZIP 10035
Description Crystal Meth Website Monitoring 12/19/05, 12/21/05, 12/22/05, 12/23/05 12/27/05, 12/28/05, 12/29/05, 12/30/05 Counseling and Testing 12/20/05, 12/28/05, 12/29/05
Check
Unit Price $15.00 $ $
TOTAL 600.00
12.50
$
187.50
SubTotal Shipping
$
787.50
TOTAL
$
787.50
Tax Rate(s)
Comments Name CC # Expires
Office Use Only
Harlem United Testing and Counseling