From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0150
Invoice Date February 12, 2018
Total Due $550.51
To:
Coralee Estrada Conde
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $1,963.000.00%$1,963.00
Sub Total $1,963.00
Tax $0.00
Paid -$1,412.49
Total Due $550.51

Pago Manual