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 320707

Pay Invoice

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

To: Brandi Odom
669 Jetway Dr
Belgrade, MT 59741
US

Date: October 13, 2022

Invoice Number: 320707

Invoice Due: October 27, 2022

Invoice Total: $46.22

Balance: $46.22

Task

Rate

Qty

%

Amount

Direct Premium Billing September

$44.87

1

-3%

$46.22

Notes

Thank you; we really appreciate your business.

Status Update
October 13, 2022 @ 5:04 pm

Status changed: Draft to Pending.