<table style="width: 100%; margin-top: 20px;"><tr>
<td rowspan="4"><b>${companyInformation.companyName}</b></td>
<td> </td>
</tr></table>
<table style="width: 100%; margin-top: 10px;"><tr>
<th>Remittance Slip</th>
<th> </th>
<th>Remit To</th>
</tr>
<tr>
<td><b>${record.entity@label}</b></td>
<td>${record.entity}</td>
<td rowspan="4">${companyInformation.addressText}</td>
</tr>
<tr>
<td><b>${record.tranid@label}</b></td>
<td>${record.tranid}</td>
</tr>
<tr>
<td><b>Amount Due</b></td>
<td>${record.amountremaining}</td>
</tr>
<tr>
<td><b>Amount Paid</b></td>
<td><b>____________</b></td>
</tr>
</table>