Paid

From:

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

digital@abstraktmg.com

Invoice Number INV-0038
Invoice Date August 4, 2021
Total Due $798.6
To:
Susan G Lazar, MD
Hrs/Qty Service Rate/PriceAdjustSub Total
1 onetime
$0.00.00%$0.0
1 Total Charge
$726.00.00%$726.0
Sub Total $726.0
Tax $72.6
Total Due $798.6