From:

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

mdpadua@yahoo.com

Invoice Number INV-0004
Invoice Date April 14, 2021
Total Due $110.00
To:
Dr. Michael Carlos

Calzada Cetys #2901-C, Colonia Rivera
Mexicali, Baja California, 21259

Test

Hrs/Qty Service Rate/PriceAdjustSub Total
1 Stem Cell Invoice Test $100.000.00%$100.00
Sub Total $100.00
Tax $10.00
Total Due $110.00