From:

Suite 5A-1204
123 Somewhere Street
Your City AZ 12345

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0005
Invoice Date January 17, 2019
Total Due $1,019.83
To:
Adianellys Diaz Perez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,459.630.00%$2,459.63
Sub Total $2,459.63
Tax $0.00
Paid -$1,439.80
Total Due $1,019.83

Pago Manual