Remittance Voucher

<%currency%> <%total%>

IBAN: <%bankiban%> BIC: <%bankbic%> Bank: <%bankname%>

<%company%> <%address%>

<%name%>
<%address1%>
<%address2%>
<%city%> <%if state%> , <%state%> <%end state%>
<%zipcode%>
<%country%>