Invoice - Balance Due

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Invoice For
Account Invoice Number Invoice Date Receipt Number Filing ID Envelope Number Date Paid Final Trans ID
Green Filing Test Firm Admin Account
8. S. 8th St.
Richmond, IN 47374
551417
06/02/2025
604840
2024375
25PL00019215
06/02/2025 - Reversed
683DB66D28EA25C400000C1400016B67415653A0
Filed On
M-CV-0088583 - Atlas vs. Jones, Jeff
Invoice Details
Item Description Qty Unit Price Amount
Complaint: 1 $225.00 $225.00
State Admin Fee 1 $0.30 $0.30
EFM Convenience Fee 1 $1.95 $1.95
Provider Service Fee (Green Filing) 1 $11.95 $11.95
Payment Service Fee 1 $6.76 $6.76
Mail Service 1 $5.00 $5.00
Amount Due $250.96
Notes
When Marked Paid, this account will be auto-charged the invoice amount