Invoice

From:

P.O. Box 848
Hamburg, NY 14075

Invoice Number INV-INV-0334
Invoice Date June 1, 2017
Due Date July 28, 2017
Total Due $225.00
To:
MooreKidsSmile Pediatric Dentistry

Attn: Barbara Moore
169 Main Street
Hamburg, NY 14075

Level 2 Renewal

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Membership Renewal Invoice

Level 2 Renewal

$225.000.00%$225.00
Sub Total $225.00
Tax $0.00
Total Due $225.00