Invoice
From:
To:
AG Insurance Agencies Inc
1010 Oakridge Ct.
Kennedale, Tx 76060
817-665-2484
dattaway@agiainc.com
- Invoice #: 17
- Issue Date: 2017-04-05
- Due Date: 2017-04-05
- Status: Unpaid
This invoice was automatically generated by the membership form.
| Item | Amount |
|---|---|
| Membership: Premiere | $1925 |
| Tax | $ |
| Donation | $ |
| Processing Fee | $ |
| Total | $1925 |