Invoice No.
2
Hill Cooperative Youth Services, Inc.
INVOICE Customer Name Address City Phone Qty 1
Payment Comments Name CC # Expires
Misc Empower New Haven New Haven
State CT
Date Order No. Rep FOB
ZIP 06519
Description Second payment for Contracted Services
Select One…
Unit Price $ 12,000.00
8/14/2002
$
TOTAL 12,000.00
SubTotal Shipping
$
12,000.00
TOTAL
$
12,000.00
Tax Rate(s)
Office Use Only
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