From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0081
Invoice Date September 11, 2018
Total Due $0.00
To:
Axel Joel Rivera Cartajena
Hrs/Qty Service Rate/PriceAdjustSub Total
1 RETAINERS $700.000.00%$700.00
Sub Total $700.00
Tax $0.00
Paid -$700.00
Total Due $0.00

Pago Manual