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 341025

Pay Invoice

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

To: Daniel VanBeek
2500 centennial rd lot 221
bismarck, 58503

Date: April 3, 2023

Invoice Number: 341025

Invoice Due: April 30, 2023

Invoice Total: $209.48

Balance: $209.48

Task

Rate

Qty

%

Amount

Direct Premium Billing for March 2023

$203.38

1

-3%

$209.48

Notes

Thank you; we really appreciate your business.

Status Update
April 3, 2023 @ 6:01 pm

Status changed: Draft to Pending.