From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0016
Invoice Date October 12, 2017
Total Due $156.00
To:
Alejandra De Jesus Algarin
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,386.000.00%$2,386.00
Sub Total $2,386.00
Tax $0.00
Paid -$2,230.00
Total Due $156.00

Pago Manual