Paid

Invoice

From:

P.O. Box 848
Hamburg, NY 14075

Invoice Number INV-INV-0326
Invoice Date June 1, 2017
Due Date July 29, 2017
Total Due $275.00
To:
Mercy Hospital of Buffalo

Attn: Accounts Payable
565 Abbott Road
Buffalo, NY 14220

Level 3 Renewal

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

Level 3 Renewal

$275.000.00%$275.00
Sub Total $275.00
Tax $0.00
Total Due $275.00