From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0114
Invoice Date February 17, 2020
Total Due $1,517.77
To:
Carlos Cuevas Carrasquillo
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.630.00%$2,775.63
Sub Total $2,775.63
Tax $0.00
Paid -$1,257.86
Total Due $1,517.77

Pago Manual