VALIDAT 1    }AUy                 ▀АRemittance Statement· ╠╠Б Б╠╠b b╠╠P Statementшn╪APF╓Г             Ю Ю╠╠МDateдг╪A╓Г╚п             дг╪A·╚п║█             1 1╠╠ Invoice ToxiиUт■ "             Customer╬D0о┼ р             x·iиU "╔             ╬D0 ртc              ╠╠ Termsв в╠╠РDue Date╬╠╞Жво┼·             ╠╞D0Жво┼              ╠╠ Repд д╠╠Т Amount Due~┘ТОА2             ~┘Т·А2r^              е е╠╠У Amount Enc.Т╪AОА2             Т╪AА2r^             о· о╠╠МDatePFмr^°Ы   ┐          PFм°ЫИ√   ┐           ╡ ╡╠╠У Descriptionм~┘r^°Ы·   ┐          м~┘°ЫИ√   ┐          ( , ,╠╠ Item + +╠╠ Qty , ,╠╠        а       · Rate ░ ░╠╠ОAmount~┘Тr^°Ы   ┐          ~┘Т°ЫИ√    ┐          ▒ ▒╠╠П·BalanceТ╪Ar^°Ы   ┐          Т╪A°ЫИ√    ┐          б б╠╠ПCurrentPFЎИ√z'   ·           PFЎz'╩m             м м╠╠Ъ1-30 Days Past DueЎреИ√z'             Ўреz'╩m ·             н н╠╠Ы31-60 Days Past Dueре▐LИ√z'             ре▐Lz'╩m             н н╠╠Ы61-90 · Days Past Due▐L▄єИ√z'             ▐L▄єz'╩m             п п╠╠ЭOver 90 Days Past Due▄є┌ЪИ√z'    ·          ▄є┌Ъz'╩m             7 7╠╠% Amount Due┌Ъ╪AИ√z'             Amount Payable╬Ц╧тc╘П·              ┌Ъ╪Az'╩m              Ц╧D0тc╘П               ╠╠ ╠╠! !╠╠·! !╠╠! !╠╠ Account # ╠╠ E-mail ╠╠ Phone # ╠╠ Fax #   ╠╠·Web Site ╠╠Ц╧D0╘П╞╗             ╬Ц╧╞╗╕ч             Ц╧D0╞╗╕ч            · ╬Ц╧╘П╞╗             $q╬hбР─             $q─¤о┼аё             иUV╢╚Ё7     ·        $q╬Жв╕ч             $q─¤аё╚             $q─¤╚Ё7             $q╬@~hб·             $q─¤Ё7@~             $q"@~hб             $q"hбР─             ─¤о┼·╓ш             OвJЄРL∙             ─¤аё■              ─¤Ё7мl       ·      фWР_╝Щx╬             Ф(И╩m^             $q"Р─╕ч             V╢╚&/·             ─¤иU╚&/             $q╬Жво┼             ╧Date of Payment Amount Paid Name On Card Card Type Credit Card· Card Number Expiry DateSignature/ Date Cheque No.EFT No.Remittance AdvicePaying Invoice No.  ╠╠!( (╠╠Customer Contact"& &╠╠Cus    А·tomer Phone#$ $╠╠ Customer Fax$+ +╠╠Customer Alt. Phone%- -╠╠Customer Alt. Contact&' '╠╠Customer E-mail', ,╠╠Cust·omer Price Level(+ +╠╠Customer Resale No.)- -╠╠Customer Credit Limit*/ /╠╠Company Business Number++ +╠╠ U/M    wЩ╠╠[ [╠╠3р¤h░PFPFPFPFPF0uАКшk Ъ 4