Paid

From:

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

digital@abstraktmg.com

Invoice Number INV-1103
Invoice Date August 10, 2022
Total Due $589.9
To:
Terry Alan Teplitz M.D. P.A.
Hrs/Qty Service Rate/PriceAdjustSub Total
1 onetime
$0.00.00%$0.0
1 Total Charge
$536.30.00%$536.3
Sub Total $536.3
Tax $53.6
Total Due $589.9