Service #8113

Sender Bill To
The Copy Man
(248) 674-3500
sales@thecopyman.com
4620 Dixie Hwy B Waterford Twp, MI 48329
Model(s) and Counters

Tech Terms Date Po#




SERVICE DESCRIPTION

Description Quantity Price Type Tax% Subtotal


Total Due: $



Card Type EXP Date CVV ZIP

Card #




Notes

Customer Signature