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 480883

Pay Invoice

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

To: Richard H Sweetman V
123 Stark highway S
Dunbarton, NH 03046
US

Date: October 17, 2023

Invoice Number: 480883

Invoice Due: October 31, 2023

Invoice Total: $155.74

Balance: $155.74

Task

Rate

Qty

%

Amount

Direct Premium Billing for September 2023

$151.20

1

-3%

$155.74

Notes

Thank you; we really appreciate your business.

Status Update
October 17, 2023 @ 4:33 pm

Status changed: Draft to Pending.