From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0102
Invoice Date September 9, 2020
Total Due $0.00
To:
Bryanna S. Orellana Fontanez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 BROKEN BRACKETS $65.000.00%$65.00
Sub Total $65.00
Tax $0.00
Paid -$65.00
Total Due $0.00

Pago Manual