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 3646

Pay Invoice

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

To: Trevor Cook
11769 ct. Rd 28.5
Akron, 80720

Date: June 5, 2018

Invoice Number: 3646

Invoice Due: July 1, 2018

Invoice Total: $200.44

Balance: $200.44

Task

Rate

Qty

%

Amount

DIRECT PREMIUM BILLING

$194.60

1

-3%

$200.44

Notes

Thank you; we really appreciate your business.