From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0120
Invoice Date August 5, 2020
Total Due $1,975.74
To:
Carlos Pomales Vazquez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$1,309.89
Total Due $1,975.74

Pago Manual