El Verde Dental

Invoice
From:
El Verde Dental

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0110
Invoice Date February 21, 2019
Total Due $440.00
To:
Carla C. Martinez Ayarde
Hrs/Qty Service Rate/PriceAdjustSub Total
1 RETAINERS $500.000.00%$500.00
Sub Total $500.00
Tax $0.00
Paid -$60.00
Total Due $440.00

Pago Manual

Payment is due within 30 days from date of invoice. Late payment is subject to fees of 5% per month.

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