From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0095
Invoice Date May 1, 2019
Total Due $-202.19
To:
Brendaliz Burgos Velez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $1,387.900.00%$1,387.90
Sub Total $1,387.90
Tax $0.00
Paid -$1,590.09
Total Due $-202.19

Pago Manual