Free Medical Records Invoice Template
Medical Records Invoice
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Invoice Details: |
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Bill To: |
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Description: |
Quantity: |
Unit Price: |
Total: |
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Patient Record Copy |
3 |
$15.00 |
$45.00 |
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Research Service Fee |
1 |
$25.00 |
$25.00 |
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Subtotal: |
$70.00 |
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Tax (5%): |
$3.50 |
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Total Amount Due: |
$73.50 |
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Thank you for choosing [YOUR COMPANY NAME]! Please make the payment by the due date to avoid any late fees.
