R4

R4

R4

R8

L4

R1

R5

L12

L30

L30

L30

L30

L30

L17

L2

R9

R10

L10

L10

R17

R2

L1

L2

Institution Number

AP Client Number

GL Client #

Ctrl Group #

SRC Code

Default bank

Vendor #

Invoice #

Invoice Description 1

Invoice Description 2

Invoice Payee Name

Invoice Payee Address 1

Invoice Payee Address 2

Invoice Payee City

Invoice Payee State

Zip Code

Line Amount

Invoice Date

Invoice Due Date

Invoice Line Item GL Account

Invoice 1099 Category

Use Tax Code

Profile Distribution Code