www.skynova.com
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2606:4700::6812:c7a
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URL:
https://www.skynova.com/w1uu-ki0y-4oyu.view
Submission Tags: falconsandbox
Submission: On April 10 via api from US — Scanned from DE
Submission Tags: falconsandbox
Submission: On April 10 via api from US — Scanned from DE
Form analysis
2 forms found in the DOMPOST printInvoice.php
<form id="print_form" style="margin:0px; padding:0px;" method="post" action="printInvoice.php">
<input type="hidden" name="view" id="print_view" value="w1uu-ki0y-4oyu">
<input type="hidden" name="source" value="customer">
<input class="customButton" type="submit" value="Print" onclick="newWindow();">
</form>
POST pdfInvoice.php
<form id="download_pdf_form" style="margin:0px; padding:0px;" method="post" action="pdfInvoice.php">
<input type="hidden" name="view" value="w1uu-ki0y-4oyu">
<input type="hidden" name="source" value="customer">
<input id="pdf_button" class="customButton" onclick="document.getElementById('pdf_button').disabled=true; document.getElementById('download_pdf_form').submit(); setTimeout( function() {document.getElementById('pdf_button').disabled=false},3000);"
type="button" value="PDF">
</form>
Text Content
* View Invoice Dr. Daniel J Reidenberg 1225 Summit Oaks Drive Burnsville, MN 55337 Jamie Leszczynski Oswego Health INVOICE Invoice # 0000003 Invoice Date 08/14/2023 Due Date 10/13/2023 Item Description Unit Price Quantity Amount Service Professional Suicide Prevention/Mental Health Training 5000.00 1.00 5,000.00 Subtotal 5,000.00 Total 5,000.00 Amount Paid 0.00 Balance Due $5,000.00