(CAPTION)
STATEMENT OF CLAIM
Plaintiff, ____, sues defendant, _____, and alleges: There is now due, owing, and unpaid from defendant to plaintiff $_____ with interest since . ....(date)....., for the following goods sold and delivered by plaintiff to defendant between .....(date)....., and .....(date).....:
(list goods and prices and any credits)
WHEREFORE, plaintiff demands judgment for damages against defendant.
Fl. Sm. Clm. R. form 7.331