From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0145
Invoice Date November 12, 2019
Total Due $1,319.80
To:
Clara M. De Jesus Heredia
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.630.00%$2,775.63
Sub Total $2,775.63
Tax $0.00
Paid -$1,455.83
Total Due $1,319.80

Pago Manual