Paid

Invoice

From:

6144 Pleasant Dream St.
North Richland Hills, TX 76180
817.797.7475
Sharon R. Price, Ph.D., CN

Invoice Number INV-0021
Invoice Date May 10, 2018
Total Due $0.00
To:
Alysha Bond

6324 Mystic Falls Dr.
Fort Worth, TX 76179

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT83015

Heavy Toxic Metal Screening - Hair Analysis

$140.000.00%$140.00
Sub Total $140.00
Tax $0.00
Paid -$140.00
Total Due $0.00