> ## Documentation Index > Fetch the complete documentation index at: https://docs.formepdf.com/llms.txt > Use this file to discover all available pages before exploring further. # Remittance Advice > A remittance advice listing invoices paid, discounts taken and a credit memo, with a holds column explaining short payment. Remittance Advice, page 1 A remittance advice listing invoices paid, discounts taken and a credit memo, with a holds column explaining short payment. Change the payment lines first — gross minus discount must equal paid, and the hold note names what is withheld and when it releases (data.json chains to PO-77412). **Engine features exercised:** @page margin boxes with page counters, border-collapse tables with a gsub total row, accent amount block, split columns. Render it: ```bash theme={null} npx @formepdf/html templates/remittance-advice/index.html -o remittance-advice.pdf ``` ```html index.html theme={null} Remittance advice RA-20268 — Northmoor Industrial Group, Inc.
N
Northmoor
Accounts Payable
418 Ellingham Road, Suite 300
Rochester, NY 14604
(585) 274-0180
ap@northmoorgroup.com
Accounts payable · not a negotiable instrument

Remittance advice

Advice number
RA-20268
To
Tanaka Precision Parts, Inc.
Accounts Receivable
860 Industrial Drive
Elkhart, IN 46514
Payment date
15 September 2026
Method
ACH credit
Trace number
021304559-100482
Supplier no.
TPP-0143
Prepared by
L. Nkemdirim
Currency
USD

The payment described below has been released to the bank account we hold on file. This advice is for reconciliation only and is not a negotiable instrument.

Invoice Date Reference Gross Discount Paid
T-884104 Aug 2026PO-77188 · 2% early settlement3,120.0062.403,057.60
T-890221 Aug 2026PO-77412 line 02, partial5,060.000.005,060.00
T-893028 Aug 2026PO-77412 line 03840.000.00840.00
TC-11429 Aug 2026Credit memo — scrap allowance(215.00)0.00(215.00)
Total remitted8,805.0062.408,742.60
Total paid $8,742.60

Deductions and holds

Invoice T-8902 is paid in part; 1,240.00 remains on hold pending receipt of the material certificate required by purchase order line 02. It will be released on the next payment run, 30 September 2026.

Payment runs

Current run15 Sep 2026
Next run30 Sep 2026
Cut-off for inclusion25 Sep 2026
``` ```css style.css theme={null} /* remittance-advice — page geometry and document-specific rules. * Spine comes from ../northmoor-shared.css. */ @page { size: Letter; margin: 52.5pt 57pt 40.5pt; /* 70px 76px 54px */ @bottom-left { content: "Remittance advice RA-20268 · Tanaka Precision Parts, Inc."; font-family: Helvetica, Arial, sans-serif; font-size: 5.625pt; letter-spacing: 0.14em; text-transform: uppercase; color: #8A857E; } @bottom-right { content: "Page " counter(page) " of " counter(pages); font-family: Helvetica, Arial, sans-serif; font-size: 5.625pt; letter-spacing: 0.14em; text-transform: uppercase; color: #8A857E; } } /* First-page 4px full-bleed accent head rule (escapes into the margin). */ .sheet { position: relative; } .atop { position: absolute; top: -52.5pt; left: -57pt; right: -57pt; height: 3pt; background-color: #7B2233; } .meta-doc { grid-template-columns: 1.4fr 1fr 1fr 1fr; } .intro-ra { margin-top: 18pt; } /* 24px */ .items { margin-top: 19.5pt; } .twocol { display: flex; gap: 27pt; margin-top: 25.5pt; } /* 36px / 34px */ .holds { font-size: 7.125pt; line-height: 1.75; } /* Equal/ratio split columns: explicit widths (flex basis is not in * the subset; grow alone leaves intrinsic-width columns). */ .twocol > div { width: 47%; } ``` Both files assume [`northmoor-shared.css`](https://github.com/formepdf/forme/blob/main/templates/northmoor-shared.css) alongside them — the set's shared spine (type scale, tables, signature blocks, the accent). ```json data.json theme={null} { "issuer": { "name": "Northmoor Industrial Group, Inc.", "address": "418 Ellingham Road, Suite 300, Rochester, NY 14604", "phone": "(585) 274-0180", "ein": "16-1904472", "bank": { "name": "First Genesee Bank, Rochester NY", "account": "8841 002937", "routing": "021304559" }, "email": "ap@northmoorgroup.com", "department": "Accounts Payable" }, "document": { "type": "remittance-advice", "number": "RA-20268", "paymentDate": "15 September 2026", "method": "ACH credit", "trace": "021304559-100482", "supplierNo": "TPP-0143", "preparedBy": "L. Nkemdirim", "currency": "USD" }, "payee": { "name": "Tanaka Precision Parts, Inc.", "lines": [ "Accounts Receivable", "860 Industrial Drive", "Elkhart, IN 46514" ] }, "lines": [ { "invoice": "T-8841", "date": "04 Aug 2026", "reference": "PO-77188 · 2% early settlement", "gross": 3120.0, "discount": 62.4, "paid": 3057.6 }, { "invoice": "T-8902", "date": "21 Aug 2026", "reference": "PO-77412 line 02, partial", "gross": 5060.0, "discount": 0.0, "paid": 5060.0 }, { "invoice": "T-8930", "date": "28 Aug 2026", "reference": "PO-77412 line 03", "gross": 840.0, "discount": 0.0, "paid": 840.0 }, { "invoice": "TC-114", "date": "29 Aug 2026", "reference": "Credit memo — scrap allowance", "gross": -215.0, "discount": 0.0, "paid": -215.0 } ], "totals": { "gross": 8805.0, "discount": 62.4, "paid": 8742.6 }, "hold": { "invoice": "T-8902", "amount": 1240.0, "reason": "material certificate required by purchase order line 02", "release": "30 September 2026" } } ``` *** MIT-licensed, free to copy — [source on GitHub](https://github.com/formepdf/forme/tree/main/templates/remittance-advice). Passes PDF/UA-1 validation (veraPDF) in CI; validation is a floor, not a certification.