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 371042

Pay Invoice

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

To: Bernice Stevens
31822 State Hwy 27
Guys Mills, 16327

Date: May 9, 2023

Invoice Number: 371042

Invoice Due: May 31, 2023

Invoice Total: $491.17

Balance: $491.17

Task

Rate

Qty

%

Amount

Direct Premium Billing for May 2023

$476.86

1

-3%

$491.17

Notes

Thank you; we really appreciate your business.

Status Update
May 9, 2023 @ 4:19 am

Status changed: Draft to Pending.