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Jotform Inc. 4 Embarcadero Center, Suite 780, San Francisco, CA 94111 Tax ID: 46-5729519

INVOICE

Date: December 23rd, 2021 Invoice Number: 20213570705

Bill To

Name: Enable4you
Email: notesjumeletchris@icloud.com

Ship To

Name: Enable4you
Email: notesjumeletchris@icloud.com

Services

Total

  • Jotform Gold Yearly $948.00 USD
  • Unused time on Bronze Yearly (with $114.00 off) after 23 Dec 2021 -$140.65 USD
  • End of Year 2021 Gold Yearly Discount -$354.00 USD
  • Amount Paid: $453.35 USD