SCHEDULE OF ACCOUNTS

J.O.B.E. Client ID   

            This 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 -    Wire:      ACH:    Check:   Fuel     Amount  
                                                   Do you request refund?         Yes    No                   Will support docs be attached ?         Yes    No
Debtor's Name Misc. Ref # Inv# Inv. Date Load Amt Det Stop Chg Total Amt Ship Date Item Ship To Name Ship To City Ship To ST

Schedule Total:
Comments:

   


Timestamp:         Do you request a reserve refund? Yes: No:
Date:      Seller:   By