Sample One Page and Basic Invoice Template
[Your Company Name] INVOICE
"[Your Address]"
"[Your Town, County Postal Code]"
Phone: "[0xxxx xxxxxx]" Fax: "[0xxxx xxxxxx]"
VAT Registration No. xxxxxx
INVOICE No [100]
DATE: 19 April 2013
Billing Address:
Trust / Org Name (Name of Trust you are Billing)
XXX Payables XXXX (Org code and Payables Code)
Phoenix House
Topcliffe Lane
Wakefield
West Yorkshire
WF3 1WE
Delivery Address:
Contact Name
Department
Address line 1
Address Line 2
Address Line 3
Address Line 4
Post code
Comments or special instructions:
ACCOUNT
NUMBER
P.O. NUMBER
REQUISITIONER
DELIVERY
NOTE
TERMS
QUANTITY
DESCRIPTION
UNIT PRICE
AMOUNT
Bank Details: Sort Code (XX-XX-XX)
Account Number (XXXXXXXX)
Please Make Cheques Payable to (XXXXXXXXXXXXXX)
Remittance Address(XXXXXXXXXXXX)
SUBTOTAL
DISCOUNT AMOUNT
SHIPPING/HANDLING
VAT
TOTAL DUE
Supplier Comments or Instructions: (XXXXXXXXXXXXXXXXXX)
No personally identifiable data is to be put on an invoice. This includes any patient names
and addresses. Use initials or the patients NHS number where appropriate.
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