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18.236.48.207  Public Scan

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URL: https://paylink.paytrace.com/?m=eyJhbGciOiJBMjU2S1ciLCJlbmMiOiJBMTI4R0NNIn0.nhOW6ukLdLdHWQRYhR6vejUqESpiGmV2.5uXFpLND6bL5EkK_...
Submission: On May 08 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form novalidate="">
  <div class="paymentform-form">
    <div class="row">
      <div class="col-md-12">
        <div class="row">
          <div class="PaymentSteps no-print">
            <ul class="horizontalList">
              <div>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="active" style="color: rgb(249, 142, 57);">Payment</label></div>
                    <div><label class="checkmark active" style="border-color: rgb(249, 142, 57);"></label></div>
                  </div>
                </li>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="">Billing</label></div>
                    <div><label class="checkmark"></label></div>
                  </div>
                </li>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="">Review</label></div>
                    <div><label class="checkmark"></label></div>
                  </div>
                </li>
                <li class="">
                  <div class="RoundCheckbox">
                    <div><label class="">Receipt</label></div>
                    <div><label class="checkmark"></label></div>
                  </div>
                </li>
              </div>
            </ul>
          </div>
        </div>
        <div class="row">
          <div>
            <div class="header-label">
              <div class="icon" style="display: inline-block; margin-right: 10px;"><img src="Payment.42e436ad.png" width="36" height="36"></div><span class="label" style="font-size: 25px;">Payment</span>
            </div>
          </div>
        </div>
        <div class="row">
          <div class="col-lg-7">
            <div class="payment-fields row">
              <div class="col-md-12">
                <div class="row">
                  <div>
                    <div class="AmountInputBox with-prepended-icon"><label for="amount">Amount<span class="required-mark">*</span></label><i class="input-left-icon">$</i><input id="amount" name="amount" placeholder="" maxlength="13"
                        title="Dollar amount of the transaction upto 12 digits including 2 decimal places" type="text" readonly="" value="2006"></div>
                  </div>
                </div>
                <div class="row">
                  <div class="form-input">
                    <div><label for="invoice">Invoice #<span class="required-mark">*</span></label></div><input id="invoice" type="text" maxlength="50" readonly="" value="SI52994" style="width: 102%;">
                  </div>
                </div>
              </div>
            </div>
          </div>
          <div class="col-lg-5"></div>
        </div>
      </div>
    </div>
    <div class="total-section row">
      <div>
        <div class="TotalPaymentBox">
          <div>Total Amount</div><input type="text" placeholder="" name="txtTotalPayment" maxlength="13" title="Total Dollar amount of the transaction" disabled="" value="$2006.00">
        </div>
      </div>
    </div>
    <div class="row no-print">
      <div class="nav-buttons row">
        <div class="continue-button"><a href="/Billing"><button class="btn" style="background-color: rgb(70, 150, 202);">Continue to Billing</button></a></div>
      </div>
    </div>
  </div>
</form>

Text Content

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Victor Stanley
Payment Page
https://victorstanley.com/
RondaV@victorstanley.com
View Company Terms
Payment

Billing

Review

Receipt



Payment
Amount*$
Invoice #*

Total Amount
Continue to Billing
 * Copyright 2004-2023 PayTrace, Inc. All Rights Reserved.