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 455908

Pay Invoice

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

To: Corey Beamer
73 Fourth St Apt D
Biglerville, PA 17307
US

Date: September 11, 2023

Invoice Number: 455908

Invoice Due: September 30, 2023

Invoice Total: $138.23

Balance: $138.23

Task

Rate

Qty

%

Amount

Direct Premium Billing August 2023

$134.20

1

-3%

$138.23

Notes

Thank you; we really appreciate your business.

Status Update
September 11, 2023 @ 11:38 pm

Status changed: Draft to Pending.