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 322931

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: November 10, 2022

Invoice Number: 322931

Invoice Due: November 30, 2022

Invoice Total: $277.23

Balance: $277.23

Task

Rate

Qty

%

Amount

Direct Premium Billing for October 2022

$269.16

1

-3%

$277.23

Notes

Thank you; we really appreciate your business.

Status Update
November 10, 2022 @ 4:56 pm

Status changed: Draft to Pending.