Invoice
Number:
Date:
Date:
| J.O.B.E. Client ID | Select method of payment -
Mail: Dep: Wire: Other: F.E: ACH: Pickup: Fuel: |
| Do you request refund? Yes No |
| Bill To: | Ship To: |
"THIS DEBTOR INFORMATION IS SUBJECT TO CHANGE ANY TIME. THIS INFORMATION IS UPDATED MULTIPLE TIMES DAILY AND IN NO WAY GUARANTEES CREDIT APPROVAL. THIS INFORMATION WILL NOT PRINT ON THE INVOICE."
| Misc. | Load/Reference # | Ship Date | Shipped via | F.O.B. Point | Terms |
|---|---|---|---|---|---|
| Item | Description | Quantity | Unit Price | Amount |
|---|---|---|---|---|
All Invoices present and future have been assigned to and must be paid directly to:
|
Subtotal
Sales Tax Total |
Thank You For Your Business!
SCHEDULE OF ACCOUNTS
Client No:This is to certify that the named below are indebted to the undersigned in the sums set opposite their respective names, for merchandise sold and delivered or for work and labor done and accepted.
| Debtor's Name | DC | Misc. | Ref # | Invoice No. | Inv. Date | Inv. Amount |
|---|---|---|---|---|---|---|
Do not write in this box-J.O.B.E. Services, Inc. Use Only |
Total: |
| Check No: | Reserve: |
| Check Date: | Computed Amt: |
| Mail: Dep: Wire: | Reserve: |
| Other: F.E: A.C.H: | Chargeback: |
| Pickup: Fuel: | Fuel: |
| For valuable consideration, receipt of which is hereby acknowledged, the undersigned hereby sells, assigns, sets over and transfers to J.O.B.E. SERVICES, INC., its successors or assigns, all its right, title and interest in and to the accounts above named, including all monies due or to become due thereon, all in accordance with and pursuant to that certain Factoring Agreement now existing by and between the undersigned and J.O.B.E. SERVICES, INC., the conditions representative, warranties, and agreements of which are made part of this sale and assignments and incorporated herein by reference. | Bank Charge:
Other: Cash Payment: |
Timestamp: Date: Seller: By
Company Name Authorized Signature
End of Schedule