Receipt

Order ID: INT140813-6881-49681B
Order Created: August 13, 2014
Paid In Full: August 13, 2014

Purchaser

Suzie Graham
Downtown Akron Partnership
103 S. High St, Greystone Hall, 4th FL
Akron, OH 44308
United States

Product Support
https://www.jotform.com
support@jotform.com

Seller

FastSpring
801 Garden Street
Suite 201
Santa Barbara, CA 93101

questionacharge.com
W-9 Form

Description Quantity Sales Tax Amount
JotForm Premium Monthly
Billed monthly. Next Billing Date On 9/12/14
1 $0.00 $9.95
Subtotal $9.95
Sales Tax (0%) $0.00
Total $9.95