Date 6/08/2018 Invoice No.

1, DUE UPON 3 DAYS OF RECEIVED

Bill for rental of a private property taken, including labor, time, and actual
To
Police Commissioner
recover expenses - due to being taken by your employees (or someone
Richard Ross Jr. individually). This may include damages for making false or un-verified claims
against my property (house, car, other items being threatened, etc - make it
Ship To
Room 314 yours) OR have mailed bills of lading, a fraud, and using the mail using
Philadelphia, PA 19106
fictitious conveyance of language, possibly violating 18 USC 1001, 18 USC
Instructions 1002 (etc).
Signature required

There is no commercial contract with me, a private American, and the state of
Pennsylvania. Non response will be considered acquiescence and agreement
to this contract and the associated charges. Non performance and default shall
entitle this party to a judgment if no settled and paid by the due date. MAKE
THIS FIT AND BRIEF

MAKE CHECK PAYABLE TO: John Henry Doe

℅ 2200 s.22nd st. Philadelphia, Pa. 19140

Quantity Description Unit Price Total

Rend begins 06/04/2018 11:00 am and

4 DAYS $1000.00 $4000.00
will accumulate and adjust.

Rate is $1000.00 per day, as long as I

don’t have possession of my _________,
ABC agency, officer/ agents individually
as well, are equally and severally liable.

Misc expenses - postage, travel etc $58.00

John Henry Doe

Tel-267-999-6111 2200 s.22nd st. Website

Fax Fax Philadelphia Pa 19140 Email: email@gmail.com
Date 6/08/2018 Invoice No. 1, DUE UPON 3 DAYS OF RECEIVED

Subtotal

Sales Tax

Shipping & Handling

Total Due

Due upon receipt

Thank you for your business!