From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0076
Invoice Date October 15, 2015
Total Due $-608.00
To:
Arlene Sanchez Franki
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $1,963.000.00%$1,963.00
Sub Total $1,963.00
Tax $0.00
Paid -$2,571.00
Total Due $-608.00

Pago Manual