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 4988

Pay Invoice

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

To: Eric Krieger
130 willow lane
Rossie, 51357

Date: April 2, 2019

Invoice Number: 4988

Invoice Due: April 30, 2019

Invoice Total: $126.98

Balance: $126.98

Task

Rate

Qty

%

Amount

Direct Premium Billing March

$123.28

1

-3%

$126.98

Notes

Thank you; we really appreciate your business.