| PERM-Ads.com, LLC | |||||||||||
| PERM Labor Certification Recruitment Advertising Agency | |||||||||||
| 5376 Tomah Drive, Suite #124 Colorado Springs, CO 80918 | |||||||||||
| Invoice | |||||||||||
| Petitioner Company | Smile Innovations Corp. | Info | |||||||||
| Attorney: | Jesse Gordon | Invoice # | 9806 | ||||||||
| Jobsite: | 6323 S Rural Rd #101 | Date | 12/15/25 | ||||||||
| City: | Tempe | State | AZ | ZIP | 85283 | . | . | ||||
| Qty | Description | Unit Price | TOTAL | ||||||||
| 1 | Newspaper Gen. Circ. 2 Sundays – Arizona Republic | $- | $2,900.00 | ||||||||
| 0 | Local Newspaper Job Ad – | $- | $- | ||||||||
| 1 | Radio Station Ad – KALV | $- | $450.00 | ||||||||
| 0 | Employer Website 30 Day Job Posting | $- | $- | ||||||||
| 0 | DOL Registration | $- | $- | ||||||||
| 0 | SWA 30 Day Job Ad – | $- | $- | ||||||||
| 1 | Online Job Board – Job-Search-Board.com | $- | $200.00 | ||||||||
| 0 | SERVICE FEE | $- | $- | ||||||||
| Smile Innovations Corp. | |||||||||||
| Dentist | |||||||||||
| Jobsite: Tempe, AZ | |||||||||||
| SubTotal | $3,550.00 | ||||||||||
| . | |||||||||||
| NOTES | Tax Rate(s) | ||||||||||
| . | TOTAL | $3,550.00 | |||||||||
| . | |||||||||||
| . | |||||||||||
| . | |||||||||||
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PAYMENT OPTIONS:
Credit Card Authorization Form Cardholder: Fill out / sign CC Auth Form attached to the Quote email. Email to [email protected]. Bank Wire Transfer. If you prefer this option, we can email you the information. STRIPE Secure Online Payment. If you prefer this option, we can send you a Payment Link. |
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| Thank you for your business! | |||||||||||
| PERM-Ads.com, LLC | |||||||||||
| PERM Labor Certification Recruitment Advertising Agency | |||||||||||
| 5376 Tomah Drive, Suite #124 Colorado Springs, CO 80918 | |||||||||||
| Credit Card Authorization Form | |||||||||||
| Please fill out, sign and email to [email protected] | |||||||||||
| Date: | |||||||||||
| Invoice Number: | 9806 | ||||||||||
| Petitioner Company: | Smile Innovations Corp. | ||||||||||
| Attorney Name: | Jesse Gordon | ||||||||||
| PERM Job Title: | Dentist | ||||||||||
| Total Amount | $3,550.00 | ||||||||||
| PLEASE MAKE SURE TO ENTER ALL CREDIT CARD INFORMATION | |||||||||||
| Credit Card - Circle one: | VISA | Master Card | American Express | | |||||||||||
| Credit Card # ______________________________________________________ | |||||||||||
| Expiration Date ________________ Card Verification / CVC #:______________ | |||||||||||
| First Name: ___________________________________________ Exactly as it appears on Card | |||||||||||
| Last Name: ___________________________________________ Exactly as it appears on Card | |||||||||||
| Street Address associated with this credit card. | |||||||||||
| Street Address: ___________________________________________ City: _______________________ | |||||||||||
| State: ___________________________________________Postal Code: _________________________ | |||||||||||
| Cardholder Email Address: _____________________________________________________________ | |||||||||||
| I, (Print Name Here)__________________________________, certify I am the cardholder of the credit card | |||||||||||
| listed above, and hereby authorize PERM-Ads.com LLC, to charge said credit card in the amount of: | |||||||||||
| $______________________________ for the purpose of placing PERM recruitment ads. | |||||||||||
| I also certify that I will recognize this charge on my bank statement. | |||||||||||
| Cardholder Signature - NO PROXY SIGNATURES ACCEPTED: | |||||||||||
| X: ________________________________________________________Date ______________________ | |||||||||||
