Invoice
From:
P.O. Box 848
Hamburg, NY 14075
| Invoice Number | INV-INV-0435 |
| Invoice Date | June 1, 2017 |
| Due Date | July 20, 2017 |
| Total Due | $225.00 |
To:
Lakeshore Primary Care Associates
Attn: Accounts Payable
4855 Camp Road, Suite 100
Hamburg, NY 14075
Level 2 Renewal
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Membership Renewal Invoice Level 2 Renewal |
$225.00 | 0.00% | $225.00 |
| Sub Total | $225.00 |
| Tax | $0.00 |
| Total Due | $225.00 |
|
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