From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0141
Invoice Date December 18, 2017
Total Due $0.00
To:
Christian Lopez Burgos
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHOPEDIC $395.000.00%$395.00
Sub Total $395.00
Tax $0.00
Paid -$395.00
Total Due $0.00

Pago Manual