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    Docklands Dental issued an invoice to Wanderson Rodrigues Guimarães for $300 for various dental procedures including an extraction of an erupting tooth for $200, a provisional crown for $50, and a comprehensive oral evaluation for $50 with payment due within 5 days to avoid a 0.5% late fee per day.

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    Docklands Dental issued an invoice to Wanderson Rodrigues Guimarães for $300 for various dental procedures including an extraction of an erupting tooth for $200, a provisional crown for $50, and a comprehensive oral evaluation for $50 with payment due within 5 days to avoid a 0.5% late fee per day.

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    © All Rights Reserved
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    24 views1 page

    Dente PDF

    Uploaded by

    Cauã Soares
    Docklands Dental issued an invoice to Wanderson Rodrigues Guimarães for $300 for various dental procedures including an extraction of an erupting tooth for $200, a provisional crown for $50, and a comprehensive oral evaluation for $50 with payment due within 5 days to avoid a 0.5% late fee per day.

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    © All Rights Reserved
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    of 1

    DENTAL INVOICE

    Bill From Bill To Invoice No. 5479320


    Name: Docklands Dental____ Name: Wanderson Rodrigues
    Company Name: ______________ Guimarães Invoice Date: 18/10/2022
    Street Address: 1 Forbes St____ Company Name: ______________
    City, ST ZIP Code: D02XN79 Street Address: 107 Dorset Street Due Date: 27/10/2022
    Phone: _+353 1 636 0192__ Upper
    City, ST ZIP Code: D01 F6F8 D1
    Phone: __+353 830385550_____

    Appointment
    Description Price ($) Total ($)
    Time/Date
    Extraction-surgical/erupt tooth 2x 100 200

    Provisional Crown 50 50

    Comprehensive oral evaluation 50 50

    Subtotal 300

    Sales Tax

    Other

    Total 300

    Terms and Conditions

    Thank you for your business. Please send payment within _5 days of receiving this invoice. There will be
    a 0,5% per _day_ on late invoices.

    Page 1 of 3

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