SCHEDULE OF ACCOUNTS
J.O.B.E. Client IDThis is to certify that the parties named below are indebted to the undersigned in the sums set oppsite their
respective names, for merchandise sold and delivered or for work and labor done and accepted.
Select method of payment - Mail: Dep: Wire: Other: F.E: ACH: Pickup: Fuel:Do you request refund? Yes No
| Debtor's Name | DC | Misc. | Ref # | Invoice No. | Inv. Date | Inv. Amount |
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DO NOT WRITE IN THIS BOX-J.O.B.E. SERVICES, INC. USE ONLY |
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Mail: Dep: Wire: Other: F.E: A.C.H: Pickup: Fuel: |
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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. |
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Timestamp: Do you request a reserve refund? Yes: No:
Date: Seller: By
Company Name Authorized Signature