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 322957

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: November 10, 2022

Invoice Number: 322957

Invoice Due: November 30, 2022

Invoice Total: $379.53

Balance: $379.53

Task

Rate

Qty

%

Amount

Direct Premium Billing for October 2022

$368.48

1

-3%

$379.53

Notes

Thank you; we really appreciate your business.

Status Update
November 10, 2022 @ 5:21 pm

Status changed: Draft to Pending.