Billing

First Name *

Last Name *

Street Address *

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Expiration Date *

Security Code *

Invoice 325245

Pay Invoice

From: The Advantage Group
Advantage Group
43471 Ridge Park Drive, Suite B
Temecula, CA 92590
US

To: Zackery Faubert
1509 Washington St
Huntingdon, 16652

Date: December 14, 2022

Invoice Number: 325245

Invoice Due: December 31, 2022

Invoice Total: $291.38

Balance: $291.38

Task

Rate

Qty

%

Amount

Direct Premium Billing November

$282.89

1

-3%

$291.38

Notes

Thank you; we really appreciate your business.

Status Update
December 14, 2022 @ 9:25 pm

Status changed: Draft to Pending.