Laserfiche WebLink
Client Information <br />Julian Kycia <br />6300 160th Lane NW <br />Ramsey, MN 55303 <br />Invoice Number. 126851 <br />763.754.9434 Fax: 763.754.5731 <br />INVOICE <br />. 3/4/2008 944 -.Emergency Exani <br />3/4/2008 944 - Hydromorphone inj 2mg /mI <br />• 3/4/2008 944 -Clip /Clean Wound <br />3/4/2008 944 - Ciavamox Tabs 375mg • <br />3/4/2008 944 - Carprofen (Novox) 25mg Tab <br />3/4/2008 944 Payment - Cash <br />Current 0.00 Over 30: 0.00 Over 60: <br />0.00 <br />3/4/2008 <br />Patient Information <br />"Cody" <br />Lhasa Apso, neutered male <br />Weight: 24.00 Ibs, 10.909 kgs <br />Date: 3/4/2008 <br />1.00 • 99.00 0.00 <br />0.55 21.40 0.00 <br />1.00 30.50 0.00 <br />10.00 47.13 3.06 <br />14.00 32.50 2.11 <br />1.00 - 235.70 0.00 <br />Previous Balance: <br />Subtotal: <br />Sales Tax: <br />Payments: <br />Discounts: <br />Ending Balance: <br />0.00 Over 90: 0.00 Over 120: <br />0.00 <br />230.53 <br />5.17 <br />235.70 <br />0.00 <br />0.00 <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 />-215- <br />