From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0085
Invoice Date March 21, 2019
Total Due $0.00
To:
Bernelys Maldonado Parrilla
Hrs/Qty Service Rate/PriceAdjustSub Total
1 BROKEN BRACKETS $20.000.00%$20.00
Sub Total $20.00
Tax $0.00
Paid -$20.00
Total Due $0.00

Pago Manual