Invoice
From:
P.O. Box 848
Hamburg, NY 14075
| Invoice Number | INV-INV-0133 |
| Invoice Date | June 1, 2017 |
| Due Date | August 14, 2017 |
| Total Due | $275.00 |
To:
Combined Insurance
Attn: Chris Berry
2564 Walden Avenue, Suite 103
Cheektowaga, NY 14225
Level 3 Renewal
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Membership Renewal Invoice Level 3 Renewal |
$275.00 | 0.00% | $275.00 |
| Sub Total | $275.00 |
| Tax | $0.00 |
| Total Due | $275.00 |
|
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