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 6554

Pay Invoice

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

To: Jeffrey Nichols
1330 Neptune
Mexico, 65265

Date: February 18, 2020

Invoice Number: 6554

Invoice Due: February 29, 2020

Invoice Total: $64.41

Balance: $64.41

Task

Rate

Qty

%

Amount

Direct Premium Billing January

$62.53

1

-3%

$64.41

Notes

Thank you; we really appreciate your business.