From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0164
Invoice Date June 14, 2018
Total Due $703.91
To:
Daneliz Alamo Garica
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,285.630.00%$3,285.63
Sub Total $3,285.63
Tax $0.00
Paid -$2,581.72
Total Due $703.91

Pago Manual