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 21399

Pay Invoice

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

To: Ignacio Lopez
2406 Aspen Ave
Murfreesboro, 37130

Date: February 10, 2021

Invoice Number: 21399

Invoice Due: February 28, 2021

Invoice Total: $93.11

Balance: $93.11

Task

Rate

Qty

%

Amount

Direct Premium Billing January

$90.40

1

-3%

$93.11

Notes

Thank you; we really appreciate your business.

Status Update
February 10, 2021 @ 5:19 pm

Status changed: Draft to Pending.