<h4>Remittance Voucher</h4>

<p><%currency%> <%total%>

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

<p><%company%> <%address%>

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

