From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0024
Invoice Date December 16, 2016
Total Due $0.00
To:
Alexandra Colon Rivera
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,269.250.00%$2,269.25
Sub Total $2,269.25
Tax $0.00
Paid -$2,269.25
Total Due $0.00

Pago Manual