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Learn more →This document is an invoice (INV-46788564531-1741293920) dated March 06th, 2025, from Jotform Inc. to the Pennsylvania Department of Aging. It details the purchase of a Bronze Yearly subscription for $408.00 USD, with a discount of -$174.00 USD, and sales tax of $14.04 USD, resulting in an 'Amount Paid' of $248.04 USD.
Effective Date
Mar 6, 2025
Expires
Effective: Mar 6, 2025
Expires:
This document is an invoice (INV-46788564531-1741293920) dated March 06th, 2025, from Jotform Inc. to the Pennsylvania Department of Aging. It details the purchase of a Bronze Yearly subscription for $408.00 USD, with a discount of -$174.00 USD, and sales tax of $14.04 USD, resulting in an 'Amount Paid' of $248.04 USD.
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