Billing

First Name *

Last Name *

Street Address *

Street Address 2

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Expiration Date *

Security Code *

Invoice 481828

Pay Invoice

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

To: Kevin Mason
8246 liv 239
chillicothe, MO 64601
US

Date: November 2, 2023

Invoice Number: 481828

Invoice Due: November 30, 2023

Invoice Total: $177.87

Balance: $177.87

Task

Rate

Qty

%

Amount

Direct Premium Billing for October 2023

$172.69

1

-3%

$177.87

Notes

Thank you; we really appreciate your business.

Status Update
November 2, 2023 @ 6:17 pm

Status changed: Draft to Pending.

Viewed
March 20, 2024 @ 9:14 am

Invoice viewed by 191.96.150.176 for the first time.