CBA Record October 2017
Proud Member Benefit Provider
Invoice Payment Payment Detail
Cook Brooks Johnson PLLC
Amount to Pay* Invoice Number Amount to Pay Invoice Number
Cooks Brooks Johnson 123 Main St. City, State 23451 Phone: (123) 345-4751 Email: email@example.com Web: www.cbjlawfirm.com
Matter Number Matter Number Cardholder Informatio
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