SAMPLE COMPLETED DOCUMENTS

Document # Document Name Reference Book Page #

5 Bill of Lading 35-36
6 Charge Sale Invoice 35
7 Cash Sale Invoice 35
9 Cash Receipts Prelist 39
10 Bank Deposit Slip 39
12 Sales Return Request 40, 42
13 Credit Memo 41
15 Monthly Statement – AR 38, 47
16 Purchase Order 54
17 Receiving Report 41, 54
20 Check for Cash Disbursement 57, 71
21 ACH Payment Authorization 57
UNIFORM STRAIGHT BILL OF LADING – Domestic Document No. 5
Simple Example Company
19100 Stewart Avenue
Battle Creek, Michigan 49015
BOL4221
Shipper No.
(616) 555-2600
TO: 4297
Customer Z Carrier No.
Consignee
123 Brown Street 12-22-xx
Date
Street
Lansing, MI 48917 First Trucking
City/State Zip Code (Name of Carrier)

Vehicle
Route: Number RTV3345
No. Weight
Kind of Packaging, Description of Articles, Rate per CHARGES
Shipping (Subject to
Special Marks and Exceptions 100 lb. (for Carrier use only)
Units Correction)

10 Cartons BX495 Product B 500 35.00 175.00

...........................

5 Cartons CB124 Product C 225 35.00 78.75

...........................

...........................

...........................

...........................

...........................

...........................

...........................

...........................

COD
REMIT C.O.D. FEE:
C.O.D. TO:
ADDRESS
N/ A AMT: $
N/ A PREPAID  $
COLLECT 
N/ A
Subject to Section 7 of the conditions, if
Note — Where the rate is dependent on value, shippers are
re­quired to state specifically in writing the agreed or declared value
this shipment is to be delivered to the con­
signee without recourse on the consignor, the Total Charges $ 253.75
of the property. consignor shall sign the following statement:
The agreed or declared value of the property is hereby specifically FREIGHT CHARGES
The carrier shall not make delivery of this
stated by the shipper to be not exceeding. shipment without payment of freight and all Check Appropriate Box:

$
N/ A per N/ A other lawful charges.
N/ A  Freight prepaid  Collect
(Signature of Consignor) X Bill to Shipper

Received subject to the classifications and tariffs in effect on the date of the issue of this Bill of Lading, the property described above
in apparent good order, except as noted (contents and condition of contents of packages unknown), marked, consigned, and destined as
in­dicated above which said carrier (the word carrier being understood throughout this contract as meaning any person or corporation in
­possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, if on its route, otherwise to
deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of, said property over all or any
portion of said route to destination and as to each party at any time interested in all or any said property, that every service to be performed
hereunder shall be to all the bill of lading terms and conditions in the governing classification on the date or shipment.
Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions in the governing classification and the said
terms and conditions are hereby agreed to by the shipper and accepted for himself and his assigns.

SHIPPER Simple Example Company CARRIER First Trucking

PER
Steven Wright PER
William Driver DATE 12-22-xx
(This Bill of Lading is to be signed by the shipper
and agent of the carrier issuing same.)

CONSIGNEE
 Document No. 6
CHARGE SALE INVOICE

Simple Example Company

19100 Stewart Avenue
Battle Creek, Michigan 49015 INVOICE NO. 1004
(616) 555-2600
SAMPLE

S Customer Z 12-22-xx
O FIRM NAME Invoice Date
L Donald Wells Prepared By Steven Wright
D ATTENTION OF
123 Brown Street Credit Terms 2/10, Net 30
T ADDRESS

O Lansing, MI 48917
CITY STATE ZIP

Customer Purchase Order Shipment Date 12-22-xx

Number PO4559 Shipped Via First Trucking
BO BO = Back order – will be shipped shortly.
DO DO = Being shipped direct from factory. Date 12-18-xx Bill of Lading No. BOL4221
NO NO = Not available – item no longer stocked.
SO SO = Similar item substituted. Signed By Donald Wells

QUANTITY PRODUCT QUANTITY

DESCRIPTION UNIT PRICE EXTENSION
ORDERED NUMBER SHIPPED

100 BX495 Product B 100 16 50 1,650 00

30* 75 CB124 Product C 45 20 00 900 00

CHARGE
SALE

TOTAL SALE 2,550 00

IMPORTANT: ALL RETURNS MUST BE MADE WITHIN 10 DAYS AND ACCOM­-
PANIED BY AN INVOICE COPY AND PACKED IN THE ORIGINAL CUSTOMER ACCT. NO. 107
CARTON.
INVOICE

* Note: the eSUA site doesn’t accept letters in this box,
VERIFIED BY MS
so enter quantity only. BO (backorder)will be assumed
for any quantity entered in this box. CUSTOMER
 Document No. 7
CASH SALE INVOICE

Simple Example Company

19100 Stewart Avenue
Battle Creek, Michigan 49015 INVOICE NO. C-97
(616) 555-2600
SAMPLE

S Customer D 12-17-xx
O FIRM NAME Invoice Date
L Margaret Thayer Prepared By Steven Wright
D ATTENTION OF
429 E. Main St.
T ADDRESS

O Grand Rapids, MI 49504

CITY STATE ZIP

Customer Purchase Order Shipment Date 12-17-xx

Number PO2987 Shipped Via Acme Freight
BO BO = Back order – will be shipped shortly.
DO DO = Being shipped direct from factory.
NO = Not available – item no longer stocked.
Date 12-15-xx Bill of Lading No. BOL4165
NO
SO SO = Similar item substituted.
Signed By Margaret Thayer

QUANTITY PRODUCT QUANTITY

DESCRIPTION UNIT PRICE EXTENSION
ORDERED NUMBER SHIPPED

100 XR952 Product X 100 19 00 1,900 00

250 MT396 Product M 250 10 00 2,500 00

CASH
SALE

TOTAL SALE 4,400 00

IMPORTANT: ALL RETURNS MUST BE MADE WITHIN 10 DAYS AND ACCOM­-
PANIED BY AN INVOICE COPY AND PACKED IN THE ORIGINAL CUSTOMER CK/ACH # 3745
CARTON.
INVOICE
VERIFIED BY MS
CUSTOMER
 Document No. 9

SIMPLE EXAMPLE COMPANY

CASH RECEIPTS PRELIST

MONTH December

Purpose
Bank
Cash A/R CHECK # Invoice Amount Amount Rec
Date Description Sale Collec. Other or ACH Number of Invoice Received Ctrl

1 Dec. 7 Rock National Bank 3 2294 N/A 1 0 0 0 0 00 1 0 0 0 0 00

2 Dec. 9 Customer P 3 ACH 842 1 0 9 2 4 00 1 0 9 2 4 00
3 Dec. 17 Customer J 3 44973 C-96 7 5 6 0 00 7 5 6 0 00
4 Dec. 17 Customer D 3 3745 C-97 4 4 0 0 00 4 4 0 0 00
5

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24
 Document No. 10

9-80/720

CURRENCY 11,960 00 Checks and other items

COIN are received for deposit
subject to the provi­­
TOTAL CHECKS
DEPOSIT TICKET
sions of the Uniform
DATE 12-17-xx TOTAL
Commercial Code or

DEPOSITS MAY NOT BE AVAILABLE FOR IMMEDIATE WITHDRAWAL

11,960 00 any applicable collec­
tion agreement.

– SAMPLE –
Rock National Bank
Haslett, MI 48840
 PLEASE BE SURE THAT ALL ITEMS ARE PROPERLY
ENDORSED. LIST EACH CHECK SEPARATELY.

CHECKS LIST SINGLY DOLLARS CENTS

1
44973 Cust J 7,560 00
2
3745 Cust D 4,400 00
3

8
DEPOSIT TICKET
9

10

11

12

13

14

15

16

17

18

19

20

TOTAL
CHECKS 11,960 00
ENTER TOTAL ON OTHER SIDE
 Customer Z Document No. 12

REQUEST TO RETURN FROM 123 Brown Street

Lansing, MI 48917

VENDOR: All returns will be clean, in saleable con­ Ret. Request No. RET6697
Simple Example Company dition, and shipped prepaid. A prompt reply
19100 Stewart Ave. will be greatly appreciated. Thank you for Date of Request
Battle Creek, MI 49015 12-27-XX
your cooperation.

RETURN CODES:
 Cash Refund – Please FOR CLARIFICATION CONTACT
4 Credit to Account – Please

A OVERSTOCK D WRONG PRODUCT BILLED & SHIPPED
B DAMAGED E CORRECT PRODUCT BILLED BUT F OTHER
Account No. 107
Name Donald Wells
WRONG
C DEFECTIVE PRODUCT SHIPPED
Request by DW Phone (269) 555-8888
QUAN. PRODUCT RETURN INVOICE INVOICE QUAN. LIST COST OR
DEPT. REQ. NUMBER DESCRIPTION CODE NO. DATE RET. PRICE DISC. EXTENSION
V
E
50 BX495 Product B A 1004 12-22-XX 50 16.50 825.00 N
D
O
R

TOTAL 825.00
Adam Venturino 12-29-XX
Return Authorized by Date
 Simple Example Company
19100 Stewart Avenue
CREDIT MEMO Document No. 13
NO. CM557
Battle Creek, Michigan 49015
(616) 555-2600
CREDIT TO Customer Z DATE 12-29-xx
123 Brown Street
Lansing, MI 48917 CUSTOMER
ACCOUNT NO. 107
RETURN REQUEST NO. INVOICE NO. INVOICE DATE RECEIVING REPORT NO. C
RET6697 1004 12-22-xx RR-2934 U
ITEM NUMBER DESCRIPTION QUAN. PRICE EACH AMOUNT S
T
O
BX495 Product B 50 16 50 825 00 M
E
R

TOTAL CREDIT 825 00

Prepared By AV
You must present this copy APPLY ON FUTURE ORDER ONLY 
when applying to future REFUND BY CHECK/ACH 
orders. CREDIT ACCOUNT X
 Mary Smith
 Document No. 15 Document No. 15
Simple Example Company
PAGE PAGE
19100 Stewart Avenue
Battle Creek, Michigan 49015 1 1
(616) 555-2600 STATEMENT REMITTANCE
ADVICE
CUSTOMER CUSTOMER
DATE NUMBER DATE NUMBER
Customer Z
12-31-xx 104 12-31-xx 104
123 Brown Street
PLEASE DETACH AND RETURN THE
Lansing, MI 48917  STUB WITH YOUR REMITTANCE.

TO: SIMPLE EXAMPLE COMPANY

19100 STEWART AVENUE
CUSTOMER NAME AND ADDRESS TERMS: 2/10, Net 30 BATTLE CREEK, MI 49015
INVOICE AMOUNT AGE IN DAYS INVOICE
NUMBER DATE AMOUNT
DUE CURRENT 31 - 60 61 - 90 OVER 90 NUMBER

943 11-15-xx 2,050.00 2,050.00 943 2,050.00

1004 12-22-xx 1,725.00 1,725.00 1004 1,725.00

TOTAL DUE TOTAL CURRENT TOTAL 31-60 TOTAL 61-90 TOTAL OVER 90 TOTAL DUE

3,775.00 1,725.00 2,050.00 3,775.00

REVIEWED BY
AV
 Document No. 16
Simple Example Company
19100 Stewart Avenue PURCHASE ORDER
Battle Creek, Michigan 49015 No. PO-597
(616) 555-2600 THIS NUMBER MUST APPEAR ON ALL
SEND INVOICE ONLY TO: CORRESPONDENCE INVOICES,
SHIPPING PAPERS AND PACKAGES.
19100 Stewart Avenue, Battle Creek, Michigan 49015 D-U-N-S 622-7656

VENDOR XYZ Company SHIP TO Simple Example Company

14998 S. Cedar Road 19100 Stewart Ave.
Pickford, MI 49774 Battle Creek, MI 49015
DATE DATE TO BE SHIP VIA C.O.D. TERMS FREIGHT TERMS ADV. ALLOWANCE SPECIAL ALLOWANCE
SHIPPED
12-15-xx First Trucking None Collect None None
ORDERED PRODUCT NO. DESCRIPTION COST EACH

100 DA124 Product D $42.75

175 ND335 Product N 12.50

50 CB124 Product C 10.00

PURCHASE CONDITIONS SAMPLE

1. Supplier will be responsible for extra freight cost on partial 4. All items must be individually packed.
shipment, unless prior permission is obtained. 5. Our purchase order no. must appear on all invoice packages &
2. Please acknowledge this order. correspondence.
3. Please notify us immediately if you are unable to complete
order by date specified.

IF NOT SHIPPED BY 01-15-XY , CANCEL ORDER. Adam Venturino

VENDOR COPY
 Document No. 17
RECEIVING REPORT

Simple Example Company

19100 Stewart Avenue NO. RR2875
Battle Creek, Michigan 49015
(616) 555-2600

DATE PURCHASE ORDER NO. OR RETURN REQUEST NO.

12-23-xx PO-597
RECEIVED FROM PREPAID

XYZ Company
ADDRESS COLLECT

14998 S. Cedar Road, Pickford, MI 49774 X

FREIGHT CARRIER FREIGHT BILL NO.

First Trucking 339487

QUANTITY ITEM NO. DESCRIPTION

1. 100 DA124 Product D

2. 120 ND335 Product N (partial shipment of 175 ordered)
3.
50 CB124 Product C
4.

5.

6.

7.

8.

9.

10.

11.

12.

REMARKS: CONDITIONS, ETC.

Received in good condition

RECEIVED BY DELIVERED TO

Steven Wright warehouse

BE SURE TO
MAKE THIS RECORD
ACCURATE AND COMPLETE
 Document No. 20

Simple Example Company No. 99875

19100 Stewart Avenue 74-651/724

Battle Creek, Michigan 49015

(616) 555-2600 12-19-xx
Date__________________

PAY TO THE
Anycity Utility Company
ORDER OF________________________________________________________________________ 475.87
$__________________

Four hundred seventy-five dollars and 87/100

_____________________________________________________________________________________________ DOLLARS

– SAMPLE –

Rock National Bank Adam Venturino

Haslett, MI 48840
 Document No. 21
Simple Example Company
19100 Stewart Avenue
Battle Creek, Michigan 49015 ACH Payment Authorization No. E-2241

(616) 555-2600

Date: 12-28-xx
_______________
Bank: Rock National Bank - Checking A/C #55584574
Payee: XYZ
__ Company
____________________________________________________________________
Amount: 6,275.00
_______________
Memo: Payment of Invoice #12985
______________________________________________________________________
Approval: Adam Venturino
_________________________________