From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0006
Invoice Date April 3, 2019
Total Due $395.97
To:
Adner Garcia Figueroa
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.810.00%$2,775.81
Sub Total $2,775.81
Tax $0.00
Paid -$2,379.84
Total Due $395.97

Pago Manual