Balance due
$644.05
of $1,044.05 total
- Invoice date
- Sep 22, 2026
- Due date
- Oct 06, 2026 in 13 days
- Payment terms
- Net 14
- PO reference
- PO-FB-5521
From
Fresh Mart Grocery
120 Market Street, Springfield, IL
62701
+1 (555) 010-7788
hello@freshmart.example.com
Bill to
Fresh Bites Café
400 Commerce Blvd, Suite 12, Springfield,
IL 62701
+1 555-010-4471
orders@freshbites.example.com
Ship to
Fresh Bites Café
Loading Dock B, 400 Commerce Blvd,
Springfield, IL 62701
Attn: Receiving
| Product | SKU | Qty | Price | Discount | Tax | Total |
|---|---|---|---|---|---|---|
Basmati Rice 5 kg per bag |
GR-BAS-0507 | 20 | $24.90 | -$24.90 5% |
$23.66 5% |
$496.76 |
Extra Virgin Olive Oil 1 L per btl |
PN-OLV-1000 | 12 | $11.90 | — | $7.14 5% |
$149.94 |
Whole Milk 1 L per L |
DR-MLK-0101 | 60 | $1.80 | — | Exempt | $108.00 |
Cheddar Block 400 g per pack |
DR-CHD-0400 | 18 | $6.50 | -$11.70 10% |
$5.27 5% |
$110.57 |
Roma Tomatoes per kg |
FR-TOM-0018 | 25 | $2.80 | — | Exempt | $70.00 |
Ground Coffee 500 g per pack |
BV-COF-0500 | 10 | $9.40 | -$4.70 5% |
$4.47 5% |
$93.77 |
Notes
Thank you for your business. Please quote the invoice number with your payment. Delivery to Loading Dock B, weekdays 7am–11am.
Terms & Conditions
- Payment is due by the due date shown above.
- Late payments may incur a 1.5% monthly fee.
- Perishable goods cannot be returned after 24 hours.





