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  • Thomas Braces

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    Family Braces sent an invoice to Mr. Steven Brunet detailing orthodontic treatment fees for patient Rage Pierce. The invoice shows an initial fee of $250 paid by debit card on November 28, 2022 and a scheduled contract fee of $200 paid by credit card on January 2, 2023. The total amount due was $450, which has been paid in full, leaving a remaining contract balance of $1,950 out of the total $2,400 contract amount.

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    Thomas braces

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    Family Braces sent an invoice to Mr. Steven Brunet detailing orthodontic treatment fees for patient Rage Pierce. The invoice shows an initial fee of $250 paid by debit card on November 28, 2022 and a scheduled contract fee of $200 paid by credit card on January 2, 2023. The total amount due was $450, which has been paid in full, leaving a remaining contract balance of $1,950 out of the total $2,400 contract amount.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views1 page

    Thomas Braces

    Uploaded by

    amie
    Family Braces sent an invoice to Mr. Steven Brunet detailing orthodontic treatment fees for patient Rage Pierce. The invoice shows an initial fee of $250 paid by debit card on November 28, 2022 and a scheduled contract fee of $200 paid by credit card on January 2, 2023. The total amount due was $450, which has been paid in full, leaving a remaining contract balance of $1,950 out of the total $2,400 contract amount.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Phone: (403) 202-9220

    Fax: (403) 202-9227


    Email: info@familybraces.ca
    Web: www.familybraces.ca

    INVOICE
    PRINTED DATE: 2023-01-06

    OUR INFORMATION BILLED TO


    Family Braces Mr. Steven Brunet
    #89, 4307-130th Ave SE 77 Douglasdale Point SE
    Calgary, AB Calgary, AB T2Z 3B5
    T2Z 3V8 780-238-5541
    403-202-9220

    ORTHODONTIST ID: 09 07437 50


    PATIENT: Rage Pierce

    Date Fee/Payment Type Fee Paid

    2022-11-28 Debit Card (DEB 8307) 250.00


    2022-12-05 Initial Fee 250.00
    2023-01-02 Scheduled Contract Fee 200.00
    2023-01-02 Credit Card Payment 200.00

    Totals: 450.00 450.00


    Previous Past Due Amount: 0
    Current New Balance: 0

    Total Account Holder Contract Amount: 2,400.00


    Total Account Holder Balance Remaining: 1,950.00

    Note: There is no GST charged on orthodontic treatment. 35% of the total orthodontic fee represents the cost of fabricating the appliances (lab fee).

    Your New Smile Starts Here!

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