From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0064
Invoice Date July 8, 2020
Total Due $1,583.84
To:
Angeliz Rios Baez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.750.00%$2,775.75
Sub Total $2,775.75
Tax $0.00
Paid -$1,191.91
Total Due $1,583.84

Pago Manual