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<br />:E.::3:.f.-_,. '". ..:"~---:-"):-~_:.-."-"- <br /> <br />Client Information <br /> <br />---.. ..-J""'O_-' ....... -- .-- <br />763.754.9434 Fax: 763.754.5731 <br /> <br />INVOICE <br /> <br />Patient Information <br /> <br />Julian Kycia <br />6300 160th Lane NW <br />Ramsey, MN55303 <br /> <br />"Cody" <br />Lhasa Apso, neutered male <br />Weight: 24.00 Ibs, 10.909 kgs <br /> <br />Invoice Number: 126851 <br /> <br />Date: 3/4/2008 <br /> <br /> <br />~.,...- <br />3/4/2008 <br />3/4/2008 <br />3/4/2008 <br />3/4/2008 <br />3/4/2008 <br />3/4/2008 <br /> <br />Current: <br />0.00 <br /> <br />944 -Emergency Exam <br />944 -Hydromorphone Inj 2mg/ml <br />944 -Clip/Clean Wound <br />944 -Clavamox Tabs 375mg <br />944 -Carprofen (Novox) 25mg Tab <br />944 Payment - Cash <br /> <br />1.00 <br />0.55 <br />1.00 <br />10.00 <br />14.00 <br />1.00 <br />Previous Balance: <br />Subtotal: <br />Sales Tax: <br />Payments: <br />Discounts: <br />Ending Balance: <br /> <br />99.00 <br />21.40 <br />30.50 <br />47.13 <br />32.50 <br />-235.70 <br />0.00 <br />230.53 <br />5.17 <br />235.70 <br />0.00 <br />0.00 <br /> <br />0.00 <br />0.00 <br />0.00 <br />3.06 <br />2.11 <br />0.00 <br /> <br />Thank you for trusting us with your pet's care. If you have any questions or concerns about your visit to <br />our facility, please give our office a call any time. <br /> <br />.3/4/2008 <br /> <br />12 <br /> <br />0.00 Over 30: <br /> <br />0.00 Over 60: <br /> <br />0.00 Over 90: <br /> <br />0.00 Over 120: <br /> <br />1 <br />