From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0105
Invoice Date March 17, 2017
Total Due $0.00
To:
Camila Luciano Ramirez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHOPEDIC $450.000.00%$450.00
Sub Total $450.00
Tax $0.00
Paid -$450.00
Total Due $0.00

Pago Manual