P.O. Box 5550, Kent WA 98064-5550 Ph.:425-251-8115 www.kcda.org

Invoice # Invoice Date Invoice Due Date KCDA Order # Order Date Pick Ticket # Taker
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Bill To Someone Somewhere
12345 Main Street
Denver, CO 80202
Ship To Someone Somewhere
12345 Main Street
Denver, CO 80202
PO# Customer ID Ordered By Carrier Tracking #
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Item Details Account Code Quantities Pricing
Item # Description UOM Ordered Shipped Remaining KCDA Unit Extended
31306 Terry toweling, 100% cotton, white, 25# CTN 7482-774-82786 2 2 0 1.50 2.00 4.00
29651 Battery Alkaline, AAA Size EA 898-3854-244321 100 80 20 0.73 1.29 129.00
Total Lines Total Cost Sub Total Tax (Snohomish) Total Amount Due
2 $76.67 $58.98 $13.69 $146.69 $45.86
Budget Code Summary
Budget Code Lines Lines Tax Sub Total Total
898-3854-244321 1 $12.90 120 132.90