From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0151
Invoice Date November 12, 2019
Total Due $1,385.79
To:
Coralys Del Mar Santiago Torres
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.630.00%$2,775.63
Sub Total $2,775.63
Tax $0.00
Paid -$1,389.84
Total Due $1,385.79

Pago Manual