"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

Billing
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Credit Card
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From
The Advantage Group Advantage Group
43471 Ridge Park Drive, Suite B
Temecula, CA 92590
US
To
Johnathen Johnson
518 NW 5th Ave
Grand Rapids, MN 55744
US
Date
February 9, 2026
Invoice Number
561455
Invoice Due
February 28, 2026
Invoice Total
$143.27
Balance
$143.27
  1. Task
    Rate
    Qty
    %
    Amount

    Direct premium billing for January 2026

    $139.10
    1
    -3%
    $143.27
Subtotal $143.27
Total $143.27
Balance $143.27

Notes

Thank you; we really appreciate your business.

Status Update
February 9, 2026 @ 8:22 pm

Status changed: Draft to Pending.

Viewed
February 13, 2026 @ 11:25 pm

Invoice viewed by 143.105.137.198 for the first time.

Viewed
February 15, 2026 @ 11:27 am

Invoice viewed by 31.145.96.216 for the first time.

Viewed
February 17, 2026 @ 8:41 am

Invoice viewed by 202.76.182.157 for the first time.