"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

From
The Advantage Group Advantage Group
43471 Ridge Park Drive, Suite B
Temecula, CA 92590
US
To
Brad Smith
4751 Rapid Creek Rd NE
Iowa City, Iowa 52240
United States
Date
June 15, 2020
Invoice Number
10305
Invoice Due
June 29, 2020
Invoice Total
$33.44
Balance
$0.00
  1. Task
    Rate
    Qty
    %
    Amount

    Direct Premium Billing May

    $32.47
    1
    -3%
    $33.44
Subtotal $33.44
Total $33.44
Payments $33.44
Balance $0.00

Notes

Thank you; we really appreciate your business.

Viewed
October 29, 2020 @ 9:22 am

Invoice viewed by 185.220.102.4 for the first time.

Viewed
July 31, 2021 @ 11:18 am

Invoice viewed by Brad Smith (bradleylsmith2017@gmail.com) for the first time.

Payment
July 31, 2021 @ 11:19 am

Credit (Authorize.Net)Payment Total: $33.44

Status Update
July 31, 2021 @ 11:19 am

Status changed: Pending to Paid.

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