Customer Identification			Instructions Please provide your name and the invoice number on which you are making a payment. For the Services Provided field, briefly describe the work that was performed (i.e. Spyware Removal, Wireless Network Setup, etc).
Company/Customer Name:	(required)
Invoice Number:	(required)
Services Provided:	(required)
Payment Amount:	$
(More payment information will be collected on the next page) Clear Form

PC Pro Technologies, Inc.
9801 Fall Creek Road #316
Indianapolis, IN 46256
(317) 710-3999

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