Invoice

From:

P.O. Box 848
Hamburg, NY 14075

Invoice Number INV-INV-0611
Invoice Date January 1, 2018
Due Date February 1, 2018
Total Due $225.00
To:
Omni Pain & Wellness Center

Attn: Accounts Payable
4855 Camp Road, Suite 400
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