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 330074

Pay Invoice

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

To: Zackery Faubert
1509 Washington St
Huntingdon, 16652

Date: January 16, 2023

Invoice Number: 330074

Invoice Due: January 31, 2023

Invoice Total: $222.07

Balance: $222.07

Task

Rate

Qty

%

Amount

Direct Premium Billing for December 2022

$215.60

1

-3%

$222.07

Notes

Thank you; we really appreciate your business.

Status Update
January 16, 2023 @ 7:44 pm

Status changed: Draft to Pending.