From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0025
Invoice Date February 17, 2017
Total Due $0.00
To:
Alexandra Colon Rivera
Hrs/Qty Service Rate/PriceAdjustSub Total
1 BROKEN BRACKETS $40.000.00%$40.00
Sub Total $40.00
Tax $0.00
Paid -$40.00
Total Due $0.00

Pago Manual