Paid

Invoice

From:

11940 N. Lower Sacramento Rd
Lodi, CA 95242

jess@leadingedgedata.com

Invoice NumberINV-0123
Invoice DateOctober 19, 2021
Due DateNovember 19, 2021
Total Due$0.00
To:

Ordered by Adriana on Wednesday 10/13/2021  General Local Grievance forms 3 part, 1000 sets of 3,000 pages total, numbered

Hrs/QtyServiceRate/PriceSub Total
1Print Setup

4 part form

$25.00$25.00
3000Printing (3 parts, 1000 completed forms)

Printing includes sequencing Form numbers and form gluing for packets of 3 pages

$0.16$480.00
1Shipping and Handling$12.50$12.50
Sub Total$517.50
Tax$37.20
Paid-$554.70
Total Due$0.00