Medical Assistant 2
Resume:
Order Service Date: 6/10/2016
Order Invoice Date: 6/10/2016
Order Completed By: Seth F
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Order # : 32479658
ORDER INFORMATION:
CUSTOMER INFORMATION:
Lawless Mitchell
1745 MONTBATTEN DR
MARRERO, LA 70072
SKU #/Part # Description Line Status Services Products Discount Total Price 6932408 DEVICE SETUP Complete $99.99 $0.00 $99.99
037*-****-**-** 44 6127
ServicesProductsDiscount
Total
Price
Sub Total $99.99 $0.00 $0.00 $99.99
Sales Tax $0.00 $0.00 $0.00
Amount Due $99.99
Amount Paid $99.99
Balance Due $0.00
PAYMENT DETAILS
Payment Type Card/check# Date Authorization Code Amount IN STORE 6/8/2016 $99.99
Total $99.99
I have received and am satisfied with the goods and/or services in the amount shown above and I agree to pay for this in accordance with my existing credit card agreement. By my signature below, I also agree to the terms and conditions provided in the accompanying document.
NOTICE TO CUSTOMER: PLEASE READ IMPORTANT INFORMATION ON THE ACCOMPANYING PAGES Customer Signature * Receipt printed in duplicate Date NEED A PART?
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