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 11757

Pay Invoice

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

To: Cheryl Rullman
196 DOW ST
Cobleskill, 12043

Date: July 17, 2020

Invoice Number: 11757

Invoice Due: July 31, 2020

Invoice Total: $15.39

Balance: $15.39

Task

Rate

Qty

%

Amount

Direct Premium Billing June

$14.94

1

-3%

$15.39

Notes

Thank you; we really appreciate your business.