From:

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

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0001
Invoice Date April 3, 2019
Total Due $1,468.02
To:
Victor Torres Rubio
Hrs/Qty Service Rate/PriceAdjustSub Total
1 Ortho $2,000.000.00%$2,000.00
Sub Total $2,000.00
Tax $0.00
Paid -$531.98
Total Due $1,468.02

Pago Manual