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  • Invoice 11-119140

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    Braeley Sarabia
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    This invoice from a company located in Ogden, UT bills Alexander and Emily Sarabia $500 for two revisit developmental assessments of their child Sarabia at $250 each. The invoice provides the invoice number, date, billing and shipping details, and lists the services and associated costs.

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    This invoice from a company located in Ogden, UT bills Alexander and Emily Sarabia $500 for two revisit developmental assessments of their child Sarabia at $250 each. The invoice provides the invoice number, date, billing and shipping details, and lists the services and associated costs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Invoice 11-119140

    Uploaded by

    Braeley Sarabia
    This invoice from a company located in Ogden, UT bills Alexander and Emily Sarabia $500 for two revisit developmental assessments of their child Sarabia at $250 each. The invoice provides the invoice number, date, billing and shipping details, and lists the services and associated costs.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Invoice

    Invoice # 11-119140
    549 25th Street
    Ogden, UT 84401 Date 6/14/2011
    801-621-8606
    Tax ID # 33-0085422

    Bill To
    Alexander & Emily Sarabia
    17626 S Summit Canyon Dr
    Houston TX 77095
    United States

    Child Description Rate Amo...


    6674C04 Sarabia, Alexander & Emily : Sarabi... Revisit Developmental Assessment - additional family 250.00 250.00
    member

    6674C07 Sarabia, Alexander & Emily : Sarabi... Revisit Developmental Assessment - additional family 250.00 250.00
    member

    6674C01 Sarabia, Alexander & Emily : Sarabi... Revisit Developmental Assessment - Through 0.00 0.00
    Membership

    Shipping & Handling 0.00 0.00

    Total 500.00
    Amount Due $500.00

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