From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0134
Invoice Date December 1, 2020
Total Due $1,845.81
To:
Chaira Claudio Delgado
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.750.00%$2,775.75
Sub Total $2,775.75
Tax $0.00
Paid -$929.94
Total Due $1,845.81

Pago Manual