Simarro Brothers Dental
Care
(925) 723-9090
5201 Deer Valley Road,
Suite #3B
Antioch, CA 94531
U.S.A INVOICE
Invoice# : INV-0000018568
Invoice Date : Sep 20, 2024
Due Date : Sep 20, 2024
Bill To:
Steve Hines
5104 Homestead CT
Antioch, CA 94531
U.S.A
# Item Description Qty Rate TAX Amount
1 tooth implant 2 4800.00 480.00 9600.00
Notes Sub Total 9600.00
It was great doing business with you. TAX (5%) 480.00
TOTAL $10,080.00
Terms & Conditions
Please make the payment by the due date.
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