Invoice

From:

P.O. Box 848
Hamburg, NY 14075

Invoice Number INV-INV-0116
Invoice Date January 1, 2018
Due Date February 1, 2018
Total Due $199.00
To:
Bell Chiropractic

Attn: Accounts Payable
4535 Southwestern Blvd., Suite 204
Hamburg, NY 14075

Level 1 Renewal

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

Level 1 Renewal- February 1, 2018 - January 31, 2019

$199.000.00%$199.00
Sub Total $199.00
Tax $0.00
Total Due $199.00