Billing

First Name *

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Street Address *

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ZIP Code *

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Credit Card

Cardholder Name *

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Expiration Date *

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Invoice 3671

Pay Invoice

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

To: Dan Paschke
20151 Saddle Ct.
Whitewood, 57793

Date: June 5, 2018

Invoice Number: 3671

Invoice Due: July 1, 2018

Invoice Total: $432.23

Balance: $432.23

Task

Rate

Qty

%

Amount

DIRECT PREMIUM BILLING

$419.64

1

-3%

$432.23

Notes

Thank you; we really appreciate your business.