Paid
Invoice
From:
1207 Sycamore St.
Ashland, KY 41101
Tax ID: 47-3917946
george@saintgeorgedesign.com
| Invoice Number | INV-183000167 |
| Invoice Date | May 6, 2021 |
| Due Date | May 7, 2021 |
| Total Due | $0.00 |
To:
Texas Healthcare Neck and Back Clinics, P.A.
6301 Gaston Avenue, Suite 200W
Dallas 75214
https://gotexashealthcare.com/
sanderson@gotexashealthcare.com
| Hrs/Qty | Service | Rate/Price | Adjust | Sub Total |
|---|---|---|---|---|
| 1 | Custom Programming for new 'conditional' form with photo-upload feature | $500.00 | 0.00% | $500.00 |
| Sub Total | $500.00 |
| Tax | $0.00 |
| Paid | -$500.00 |
| Total Due | $0.00 |