From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0078
Invoice Date January 31, 2018
Total Due $195.01
To:
Ashley M. Aponte Rodriguez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $1,963.000.00%$1,963.00
Sub Total $1,963.00
Tax $0.00
Paid -$1,767.99
Total Due $195.01

Pago Manual