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Irene Fake
INVOICE
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ABA Therapist/Tutor
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1234 56th AveDATE:01-Aug-2011
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Vancouver, BC V1N N1N
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Invoice #1
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Client Name (Child):Jon Jones
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BILL TO:
PAYMENT DUE:
10-Aug-11
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John and Janet Jones
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1234 123 St
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Surrey, BC V4B 7H5
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Date of ServiceDescription of ServiceHoursHourly RateAmount
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01 July 2011Child Care or2.00$10.00$20.00
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ABA Tutoring or$0.00
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Attendant Care$0.00
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(Pick one of the above)$0.00
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(All descriptions should be the same)$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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$0.00
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TOTAL $20.00
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Make all cheques payable to Irene Fake
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RECEIPTDate:01-Aug-2011
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 Received From:John & Janet JonesAmount$20.00
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Amount:Twenty Dollars and no Cents
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For Payment of:
Tutoring, Child Care or Attendant Care for Jon Jones
Cheque # 102
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For the month of:July 2011Ref Invoice #1
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Received by:
*Paid in Full*
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Irene Fake
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1234 56th AveSIN:720 334 566
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Vancouver, BC V1N N1N
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