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 14104

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: November 10, 2020

Invoice Number: 14104

Invoice Due: November 30, 2020

Invoice Total: $117.05

Balance: $117.05

Task

Rate

Qty

%

Amount

Direct Premium Billing October

$113.64

1

-3%

$117.05

Notes

Thank you; we really appreciate your business.

Status Update
November 10, 2020 @ 6:38 pm

Status changed: Draft to Pending.