From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0099
Invoice Date November 13, 2020
Total Due $2,355.69
To:
Bryan Vazquez Cotto
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$929.94
Total Due $2,355.69

Pago Manual