DH Special Services

107 Brookville Rd.

Barnegat, NJ 08005     Phone/Fax  609-698-9530

INVOICE

DATE  :            

Shipping Name and Address:

For:

Quantity

Item or Title

Unit  Cost

Total

Amount Due

Amount enclosed

Make all checks payable to DH Special Services and send to address noted above.

If you have any questions concerning this invoice, contact 609-698-9530

Thank you!