You are on page 1of 1

Alliance Wellness Corporation

827 Hamilton Street, Vancouver, BC, V6B 2R7


Tel: (604) 687-7678 Fax: 604-737-1176 Email: info@alliancewellness.ca

Karen Delgado
6614 Vivian Street, Vancouver, BC, V5S2T4
Tel: +16047041713
Receipt
**Please note we are only able to direct bill to your Primary extended
health plan.**

Items

Items Details Subtotal Tax Total

October 4, 2023 - 4:15pm, Registered Massage Invoice #221638-P01 $184.76 $9.24 $194.00
Therapy (90 minutes)
Erica Morsky, License #RMT - 011239

Manulife (TELUS eClaims) #136 / 0078505 1x 2.ZZ.02 - Initial visit


assessment
Amount not covered: $194.00

Subtotal $184.76

GST $9.24

Total $194.00

Payments
Wednesday October 4, 2023 - Payment #258907 - Karen Delgado, VISA 25663230 -$194.00
5:50pm

Summary As of Wednesday October 4, 2023 at 5:50pm

Total Invoiced Total Paid Balance

$194.00 $194.00 $0.00

Alliance Wellness Corporation - GST# 807426408 - (604) 687-7678 - info@alliancewellness.ca - Printed at: October 4, 2023 - 5:50pm

You might also like