CSO SAMPLE CLIENT REMITTANCE LETTER

CREDIT SERVICES OF OREGON, INC.		DATE: 06-15-04
PO BOX 1208
1229 SE STEPHENS
ROSEBURG, OR 97470
TEMPLETON COMMUNITY HOSPITAL		PAGE NO. 1	SLSM:	DUANE
12879 HOWARD EXPRESS WAY		STATEMENT FROM 07-01-04 TO 07-31-04
TEMPLETON, OR 97470		CLIENT NO: 602158006
		REMIT TYPE: 6= STD NET REMIT

 

DATE	NAME		CD	STS	AMOUNT	AMOUNT	OUR	AMOUNT
				*	PAID US	PAID YOU	FEE	DUE YOU

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07-07-04	WINT, ELEIZA FXON	XLEP90M	P	PPL	300.00		150.00	150.00
07-07-04	WINTNEGT, INIGON	0110X7	P	PIF	1652.00		660.80	991.20
		TOTALS			1952.00		810.80	1141.20

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GROSS COLLECTIONS THIS STATEMENT	1952.00	*  PAYMENT CODES:
		P  = PRINCIPAL
OUR CHECK ENCLOSED FOR	1141.20

THANK YOU FOR YOUR BUSINESS! WE SINCERELY APPRECIATE
THE OPPORTUNITY TO WORK FOR YOU