Invoice

From:

P.O. Box 848
Hamburg, NY 14075

Invoice Number INV-INV-0571
Invoice Date November 1, 2017
Due Date December 1, 2017
Total Due $225.00
To:
Steven P. Herman, M.D.

Attn: Accounts Payable
5893 Camp Road, Suite 4
Hamburg, NY 14075

Level 2 Renewal

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

Level 2 Renewal

$225.000.00%$225.00
Sub Total $225.00
Tax $0.00
Total Due $225.00