 |
      |
| |
|
|
||||
| You have chose the following invoice(s) to pay. Please verify and submit this form to complete your payment. Make sure your credit card is current and valid. Click here to change your credit card information. |
| INVOICE | AMOUNT | ||||||||||||||
| 002222222 | 333.00 | ||||||||||||||
| 002223333 | 500.00 | ||||||||||||||
| --------------- |
| Invoice(s) Total .......................................... | 833.00 |
| Credit Adjustment ........................................... | - 80.00 |
| ========== |
| Payment Total ........................................... | $ 753.00 |
|
|
|
|