DEBIT MEMO
Issued by a buyer
1MEMO NUMBER AND DATE
Debit memo no. DM-0112
Date: 19 Oct 2026
2VENDOR
Vendor: Apex Valve Co., Dayton, OH
Vendor no. 5532
3REFERENCE
Invoice INV-9021, PO 4471, receipt GR-3310
4REASON
Short shipment: 90 of 100 valves received
5| Description | Qty | Unit | Amount |
|---|
| Valve, 2 inch, brass | 10 | 45.00 | 450.00 |
6EVIDENCE
Receiving report GR-3310 attached
Packing slip shows 90
7REQUESTED ACTION
Issue a credit memo for USD 450.00
Sample for illustration. Company names, numbers, tax registrations and bank details are fictional.