"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.

The ccnumber field is required REFID:1137170955

Billing
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Billing
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From
Lofts @ 624 Texas
624 Texas Street
Shreveport, LA 71101
US
To
Radiant Form Designs
James Osbourne
1050 Ontario
Shreveport, LA 71106
US
Date
May 5, 2021
Invoice Number
47691
Invoice Due
May 31, 2021
Invoice Total
$91.29
Balance
$91.29
  1. Task
    Rate
    Qty
    %
    Amount

    624 Texas St., #209:  April 2021 Rent

    $756.42
    1
    0%
    $756.42
  2. 624 Texas St., #209: April 2021 Utility Charge

    $91.29
    1
    0%
    $91.29
  3. 624 Texas St., #209: Security Deposit Applied to April 2021 Invoice 

    -$756.42
    1
    -$756.42
Subtotal $91.29
Total $91.29
Balance $91.29

Terms

Thank you for prompt payment of your rent/utilities. Rent is considered late after the 10th. If rent payment has not been received by the 10th, a late fee will be assessed according to your lease. Payment must be made by certified check or credit card.

Updated
May 5, 2021 @ 4:46 pm

Invoice updated by Penny Adams.

Updated
May 5, 2021 @ 4:56 pm

Invoice updated by Penny Adams.

Updated
May 5, 2021 @ 4:56 pm

Invoice updated by Penny Adams.

Status Update
June 25, 2021 @ 4:33 pm

Status changed: Pending to Written Off.