Invoice #1034
Oct 31, 2026, 12:20 PM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Composite filling | 1 | $325.00 | $325.00 |
Total$325.00
Paid$325.00
Patient
Name
Email
ethan.brooks@example.net
Phone
(630) 555-0144
Payment
Status
Paid
Due
Nov 14, 2026
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Oct 31, 2026, 12:20 PM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Composite filling | 1 | $325.00 | $325.00 |