					23 June 2017
								</span>
							</h2>


							<hr>


							<div class="row ml-0 mrad-0">

								<div class="col-sm-6">
									<h4>BILL TO</h4>
									<div class="block">Name</div>
									<div class="block">Company</div>
									<div class="block">Street Address</div>
									<div class="block">City, Zip Code</div>
									<div class="block">Phone</div>
								</div>

								<div class="col-sm-6">
									<h4>SHIP TO</h4>
									<div class="block">Name</div>
									<div class="bl