From:
To:
Farmers Insurance The Lundstrom Agency
719 W Williams Ave
Fallon, Nevada 89406
7754233191
elundstrom@farmersagent.com
- Invoice #: 47
- Issue Date: 2021-05-26
- Due Date: 2021-05-26
- Status: Paid
- Paid Date:
This invoice was automatically generated by the membership form.
| Item | Amount |
|---|---|
| Membership: 1-5 Employees | $100 |
| Tax | $0 |
| Donation | $0 |
| Processing Fee | $2 |
| Total | $102 |