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54.195.179.192  Public Scan

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URL: https://factuurinzien.nl/d/ku0encetc8hewdb0ij4atui8y0vc50s/i/p6q7v0l3idaj8d7ftx9qjk3u7ncqy5q?r=1eyece01ftktfhxvsgdaaacca
Submission: On September 29 via api from BE — Scanned from NL

Form analysis 1 forms found in the DOM

<form>
  <div class="field-wrapper"><label>
      <div class="label-wrapper">
        <div class="field-wrapper__label--prominent">Message</div>
      </div><textarea class="textarea" name="message" rows="2"></textarea>
    </label>
    <div class="field-wrapper__help">Write a message to Seniorenvoordeelkaart.be.</div>
  </div>
  <div class="box--align-right box--spacing-top-1 box--spacing-bottom-1" role="presentation">
    <div class="grid grid--gutter-small" role="grid">
      <div class="grid-item grid-item--size-10 grid-item--align-left grid-item--valign-top" role="gridcell">
        <div class="field-wrapper"><label>
            <div class="label-wrapper"></div>
            <div class="file file--inline"><button type="button" style="display: none;"></button><button type="button" class="button button--neutral button--size-medium button--icon-fixed button--icon-position-left button--shadow">
                <div class="button__icon"><svg class="icon icon--size-medium" data-testid="attach-icon">
                    <use xlink:href="#attach"></use>
                  </svg></div>
                <div class="button__content"><input type="file" name="attachment" class="upload-button__input" data-testid="file-upload-input">Add an attachment</div>
              </button></div>
          </label></div>
      </div>
      <div class="grid-item grid-item--size-2 grid-item--align-right grid-item--valign-top" role="gridcell"><button type="submit" class="button button--primary button--size-medium button--icon-fixed button--shadow">
          <div class="button__content">Send</div>
        </button></div>
    </div>
  </div>
</form>

Text Content

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INVOICE 22719047


Download original invoice
Due date: 10/12/2022
Invoice date: 09/28/2022
Rudolf Devriese
Debtor number: 3220210258850

Mollei 138
2930 Brasschaat
Belgium
cumbria@telenet.be

Invoice amount€22.65Received payments€22.65

The invoice is paid

--------------------------------------------------------------------------------


TIMELINE


All correspondence and history concerning invoice 22719047 can be found in this
summary.
Message
Write a message to Seniorenvoordeelkaart.be.
Add an attachment
Send
Invoice sent
September 29 at 8:02 AM
Email to cumbria@telenet.be
Payment of €22.65 was registered
September 28 at 5:37 PM
Seniorenvoordeelkaart.be

Lange Lozanastraat 142

2018 Antwerpen
Seniorenvoordeelkaart.be uses