From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0107
Invoice Date April 16, 2021
Total Due $2,735.64
To:
Camilla Febres Martinez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$549.99
Total Due $2,735.64

Pago Manual