From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0087
Invoice Date June 16, 2017
Total Due $0.00
To:
Berny Bravo Sierra
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHOPEDIC $375.000.00%$375.00
Sub Total $375.00
Tax $0.00
Paid -$375.00
Total Due $0.00

Pago Manual