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WINTER HAVEN

HOSPITAL
200 Avenue F NE
Winter Haven, FL
33881
United States

MEDICAL INVOICE

BILL TO: INVOICE #

Mary K Davis 00003681


DATE
1300 Washington Ave
Miami Beach, FL 33119 01/12/23
United States INVOICE DUE DATE
01/12/23

ITEMS DESCRIPTION PRICE TAX AMOUNT

Office visit $180.00 1% $181.80

Full body check $509.00 1% $514.09

Total
$697.69

NOTE: This invoice should be present when paying

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This invoice was generated with the help of InvoiceOwl
To learn more, and create your own free account visit www.invoiceowl.com

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