Invoice #1004
Sep 16, 2026, 5:50 PM
Summary
Paid
| Item | Qty | Price | Amount |
|---|---|---|---|
| Crown | 1 | $1,475.00 | $1,475.00 |
Total$1,475.00
Paid$1,475.00
Patient
Name
Email
malik.coleman@example.com
Phone
(630) 555-0134
Payment
Status
Paid
Due
Sep 30, 2026
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Sep 16, 2026, 5:50 PM
| Item | Qty | Price | Amount |
|---|---|---|---|
| Crown | 1 | $1,475.00 | $1,475.00 |