ABN - 92 661 124 436
Brendan Molloy
Customer Tax Invoice
PO BOX 527
BALGOWLAH NSW 2093
Invoice Number
6117731
Frances Brown
02 6141 2660
Issue Date
Due Date
12.08.2014
11.09.2014
Customer Number
Direct Inquiries to :
Frances Brown
210526
Phone
:
02 6141 2660
Page
1 of
1
_______________________________________________________________________
Item
Description
No.Units
Amt/Unit
Value
_______________________________________________________________________
001 FOI CHARGES - FINAL
1 140.00
140.00
PAYMENT - FOI14/097
Goods & Services Tax
0.00
_______________________________________________________________________
Total (excluding GST):
AUD
140.00
Total GST:
AUD
0.00
Total (including GST):
AUD
140.00
FOI CHARGES - FINAL PAYMENT - FOI14/097
_____________________________________________
Payment Methods
Due Date
11.09.2014
-
Direct Debit: Deposit your payment into the following a/c and send an email to
xxx.xxxxxxxx@xx.xxx.xx stating the customer number, amount paid,
Customer number
210526
date paid and the invoice number(s) to which the payment applies.
Invoice number
6117731
A/C No : 110695
A/C Name: Attorney General's Official Deptl Acct (
BSB :
092009
Bank :
RBA
Amount Owing
$140.00
-
Credit Card (Cards accepted: MasterCard, Visa & American Express)
by Phone: Call 1300 130 379 (local call charge)
Customer Reference Number : 1116 1177 313
Amount Paid
__________
by Fax: Fill out the following details and fax this full page to 02 6141 3563.
MasterCard Visa American Express
Date Paid
__________
Card Number
_________/_________/_________/_________
Cardholder Name
_____________________________________
Other invoices paid
Expiry Date ______
Card Holders Signature _________________________
in this remittance
__________
-
By Mail: If you cannot use one of the methods above, please attach this portion to your
remittance with cheques/money orders made payable to
Attorney-General's
__________
Department and forward to:
Collector of Public Monies
Attorney-General's Department
Robert Garran Offices
3-5 National Circuit
BARTON ACT 2600