Paid

Invoice

From:

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

Invoice Number INV-0016
Invoice Date April 19, 2018
Total Due $0.00
To:
Claire Engstrom

333 Austin St.
Keller, TX 76248

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97802

Medical Nutrition Therapy - Initial Assessment - Recvd $150 cash. This invoice is balance due of total $275.

$125.000.00%$125.00
Sub Total $125.00
Tax $0.00
Paid -$125.00
Total Due $0.00