"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.

Credit card number is required.

Billing
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Credit Card
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Billing
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Credit Card
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From
Blanco River Organics Inc.
Owner Agent – Pam Mitchell – 512-923-2650
Montesino Ranch
300 Little Arkansas Rd
Wimberley, TX 78676
US
To
Josh Spokehollow
Date
October 9, 2020
Invoice Number
6558
Invoice Due
October 11, 2020
Invoice Total
$500.00
Balance
$500.00
  1. Task
    Rate
    Qty
    Amount

    Deposit on Steer

    $500
    1
    $500
Subtotal $500.00
Total $500.00
Status Update
October 9, 2020 @ 8:29 am

Status changed: Draft to Pending.