From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0152
Invoice Date July 3, 2020
Total Due $2,051.73
To:
Cristian J. Vera Velez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$1,233.90
Total Due $2,051.73

Pago Manual