From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0118
Invoice Date July 3, 2020
Total Due $1,913.71
To:
Carlos Maldonado Rodriguez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.630.00%$2,775.63
Sub Total $2,775.63
Tax $0.00
Paid -$861.92
Total Due $1,913.71

Pago Manual