CENTRAL LONDON COUNTY COURT

JOE BLOGGS T/A BLOGGS WHOLESALE

BLOGGS INDUSTRIAL ESTATE
BLOGGS TOWN
LONDON
LW1 1RR

A COMPANY LTD. T/A COMPANY IMPORTS

COMPANY HOUSE
LONDON
LW5 6YH

The price of goods supplied. See details below.

The claim is for a specified sum of £4850.00 plus accrued interest and compensation of £123.42.

A COMPANY LTD. T/A COMPANY 4973.42

IMPORTS
COMPANY HOUSE 225.00
LONDON
LW5 6YH 0.00
5198.42

Central London County Court, 26-29 Park Crescent, LONDON, W1B 1HT, DX:97325 Regent's Park 2)
The claim is for: £4973.42.

1. The claim is in respect of goods supplied by the Claimant at the Defendant's request, full particulars thereof
having been provided by way of the Claimant's invoice(s)

Invoice Details
Date Due Ref Invoice Payment Balance
dr cr
22/07/2008 22/08/2008 GH4875Goods supplied 4500.00 4500.00
05/08/2008 06/09/2008 FG4985Goods supplied 450.00 4950.00
03/09/2008 - GH4875Initial Payment 100.00 4850.00

2. The Claimant claims the further sum of £53.42 in respect of interest pursuant to the Late Payment of Commercial
Debts (Interest) Act 1998 at the rate of 13.5% per annum calculated from the due date(s) to the date hereof. For the
purposes of the Act, both parties acted in the course of business.

3. The Claimant claims compensation for late payment pursuant to the Late Payment of Commercial Debts
(Interest) Act 1998 in the sum of £70.00.

4. The Claimant also claims late payment interest at the daily rate of £1.79p from the date hereof to judgment or
sooner payment.

5. Costs

Dated 22/09/2008

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JOE BLOGGS T/A BLOGGS WHOLESALE

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BLOGGS INDUSTRIAL ESTATE

BLOGGS TOWN
LONDON
LW1 1RR