From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0009
Invoice Date January 15, 2021
Total Due $2,397.78
To:
Alanis Alamo Garcia
http://kalehm
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,165.750.00%$3,165.75
Sub Total $3,165.75
Tax $0.00
Paid -$767.97
Total Due $2,397.78

Pago Manual