From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0132
Invoice Date January 8, 2021
Total Due $2,583.66
To:
Carynette Peluyera Flores
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$701.97
Total Due $2,583.66

Pago Manual