Billing

First Name *

Last Name *

Street Address *

Street Address 2

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Expiration Date *

Security Code *

Invoice 542083

Pay Invoice

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

To: William Wallace
310 N Axtel Ave
Milford, 60953

Date: September 9, 2024

Invoice Number: 542083

Invoice Due: September 30, 2024

Invoice Total: $774.63

Balance: $774.63

Task

Rate

Qty

%

Amount

Direct Premium Billing for August 2024

$752.07

1

-3%

$774.63

Notes

Thank you; we really appreciate your business.

Status Update
September 9, 2024 @ 5:02 pm

Status changed: Draft to Pending.

Viewed
September 11, 2024 @ 7:30 am

Invoice viewed by 66.249.69.65 for the first time.