From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0170
Invoice Date March 26, 2021
Total Due $2,506.77
To:
Dayaishnelly Santiago Torres
Hrs/Qty Service Rate/PriceAdjustSub Total
1 ORTHODONTIC $3,165.750.00%$3,165.75
Sub Total $3,165.75
Tax $0.00
Paid -$658.98
Total Due $2,506.77

Pago Manual