Invoice
From:
P.O. Box 848
Hamburg, NY 14075
| Invoice Number | INV-INV-0595 |
| Invoice Date | December 1, 2017 |
| Due Date | January 1, 2018 |
| Total Due | $199.00 |
To:
Religioso Physical Therapy Services
Attn: Accounts Payable
6029 Pinehurst Court
Lake View, NY 14085
Level 1 Renewal
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Membership Renewal Invoice Level 1 Renewal |
$199.00 | 0.00% | $199.00 |
| Sub Total | $199.00 |
| Tax | $0.00 |
| Total Due | $199.00 |
|
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