"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
William Kuda
211 E Washington Street
Martinsburg, MO 65264
US
Date
November 27, 2023
Invoice Number
488794
Invoice Due
November 27, 2023
Invoice Total
$128.96
Balance
$128.96
  1. Task
    Rate
    Qty
    %
    Amount

    Direct Premium Billing for October 2023

    $125.20
    1
    -3%
    $128.96
Subtotal $128.96
Total $128.96

Notes

Thank you; we really appreciate your business.

Status Update
November 27, 2023 @ 6:02 pm

Status changed: Draft to Pending.

Viewed
November 27, 2023 @ 7:10 pm

Invoice viewed by 104.47.58.254 for the first time.

Viewed
November 27, 2023 @ 7:40 pm

Invoice viewed by 75.129.230.225 for the first time.

Viewed
November 27, 2023 @ 7:45 pm

Invoice viewed by 104.47.51.126 for the first time.

Viewed
November 28, 2023 @ 2:15 am

Invoice viewed by 104.47.73.254 for the first time.