From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0144
Invoice Date January 7, 2020
Total Due $1,334.85
To:
Christina M. Roldan Guzman
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.750.00%$2,775.75
Sub Total $2,775.75
Tax $0.00
Paid -$1,440.90
Total Due $1,334.85

Pago Manual