13007 E Mission Ave, 06/28/2023 00D5F67BC55 Spokane valley, WA, 99216 509-922-6552 www.spokanehyperbarics.com INVOICE TO Byron Claflin 1728 E Olympic Ave, Spokane, WA 99207 509-655-1704 claflinbyron@gmail.com
D. O. S. BIRTH DATE PAYMENT TERMS DUE DATE
June 26th 2023 12/06/1955 Due within 30 days of service July 25th 2023 id d
QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL
1 Topical Wound Oxygen $255.62 $255.62
(TWO2®) therapy 2 G2077 HBOt full body chamber $375.35 $750.70 /30 mins 1 0631T Tc vis lit hyperspectral $368.45 $368.45 img. Subtotal $1374.77 Discount -$37.48 Total $1337.29