Documents tagged "Amount Due"
Found 6 documents with this tag
DOJ-OGR-00026565.jpg
The image is a scanned document with handwritten marks. At the top left corner of the page, there's a red "X" drawn through some of the text. The text at the bottom reads "Received" followed by an illegible date and signature. There are also sections titled "Customer Number," "Case Number," "Location," "Description," "Amount Due," and "Action Taken." Some information in these fields has been redacted with pink lines, covering the text completely. The background of the image is a plain surface that could be a table or desk.
DOJ-OGR-00026454.jpg
The image shows a piece of paper with printed content and handwritten annotations. At the top, there's a header that includes a logo and some text, possibly indicating an organization or department name. Below this is a table with columns containing figures and percentages, related to financial data such as "Amount Due," "Receipt Amount," "Refund Amount," "Overpayment," and "Underpayment." The figures are accompanied by notes, likely explanations or adjustments made in handwriting within the table cells. At the bottom of the page, there is a footer with additional information that seems to be related to the document's purpose or source. Due to the resolution, specific numbers and text details are not clear.
DOJ-OGR-00026173.jpg
The image shows a document with the title "U.S. MEDICAL CENTRE" at the top. The text is red and centered on the page. Below this title is a table with columns labeled "Drug Name/Code," "Qty," "Price ($)," and "Amount Due." In the first row of the table, there are two entries: "HUMAN MENOPAUSE" in the Drug Name/Code column and "100" in the Quantity column. There is a handwritten annotation above this entry, circling the words "HUMAN MENOPAUSE" and underlining it with red ink. The image has a formal appearance consistent with official or medical documentation.
DOJ-OGR-00026166.jpg
The image appears to be a document, possibly an itemized receipt, report, or list from a pharmacy or medical facility. It contains various fields of data including date and time stamps at the top. There is printed text with information such as "RX #" followed by a number, "Patient's Name," which is likely where the patient's name would be listed, and other fields like "Prescriber's Name," "Quantity," and "Amount Due." The specific details in these fields are not visible in this description. There are also numerical amounts and codes under some headings, which are common elements of medical billing or prescription records to denote medication names, dosage forms, and costs.
DOJ-OGR-00025619.jpg
The image appears to be a scanned document with several fields of information. It includes handwritten notes and signatures at the bottom, suggesting it's been reviewed or authorized by individuals. There are also printed sections with text that seem to be related to financial transactions or services, indicated by terms like "Ref No", "Invoice Date", and "Amount Due". The text is not entirely legible due to the quality of the scan and the angle at which the document was photographed.
DOJ-OGR-00033140.jpg
The image appears to be a scanned document with text and a table of data. The upper portion of the document features a header that includes the name "SOLAR & ASSOCIATES" and provides an address in Clearwater, Florida. Below this header is a column-based table with headings such as "Customer Name," "Invoice Date," "Invoice Number," "Amount Due," and others which are likely related to financial transactions or account information. The text within the table includes various entries that correspond to these headings, suggesting lists of customers, dates, invoice numbers, amounts owed, and possibly other details associated with those accounts. There is no visible image of people or locations in this document; it consists entirely of textual information presented in a structured format.