From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0156
Invoice Date July 29, 2020
Total Due $1,979.70
To:
Dahiana Medina Rivera
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $2,775.630.00%$2,775.63
Sub Total $2,775.63
Tax $0.00
Paid -$795.93
Total Due $1,979.70

Pago Manual