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

INVOICE

Date: April 23rd, 2026 Invoice Number: INV-47491476891-1776979423

Bill To

Name: AVYCI Solutions
Email: mychal@unitedci.com

Ship To

Name: AVYCI Solutions
Email: mychal@unitedci.com

Services

Total

  • Bronze Yearly $408.00 USD
  • Unused time on Bronze Monthly after 23 Apr 2026 -$39.00 USD
  • Sales Tax (10.5%):
    $38.75 USD
  • Total: $407.75 USD
  • Amount Refunded:
    Amount Paid:
    $407.75 USD
    $0.00 USD