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| Item | Quantity | Price | Total |
|---|---|---|---|
| Gold Edition | 2 | $199.95 / user / month | $399.90 |
| XXXXXX Discount | -$19.95 / month | – $19.90 |
Subtotal
$380.00
Tax
$0.00
Due Today
$380.00
Due Monthly on 01/02/2014
$380.00
- Bill to
-
John Smith
1234 Main St.
Anytown, VA 56789 - Pay with
-
Visa ending in 1111
