From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0148
Invoice Date October 2, 2020
Total Due $2,431.68
To:
Claydeliz Hernandez Pagan
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$853.95
Total Due $2,431.68

Pago Manual