PAYMENT ON SPECIFIC ACCOUNTS


Date:

 

To:

 

We enclose our check in the amount of $____________, to be credited
to the following charges or invoices only:

Invoice/Charge Amount

_______________ ___________

_______________ ___________

_______________ ___________

_______________ ___________

 

Yours very truly,

_________________

Macrotwin Company / www.FreeBusinessForms.com