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 10077

Pay Invoice

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

To: Trisha Frederick
1745 East Carleton road
Adrian, 49221

Date: June 15, 2020

Invoice Number: 10077

Invoice Due: June 30, 2020

Invoice Total: $19.92

Balance: $19.92

Task

Rate

Qty

%

Amount

Direct Premium Billing May

$19.34

1

-3%

$19.92

Notes

Thank you; we really appreciate your business.