From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0035
Invoice Date May 15, 2019
Total Due $0.00
To:
Alondra Bonilla Caballero
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHOPEDIC $395.000.00%$395.00
Sub Total $395.00
Tax $0.00
Paid -$395.00
Total Due $0.00

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