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table Date 25-Feb-1996 DISCOUNT(3.0%) (-) 4.95 Due Date 04-Oct-2021 INVOICE # 1Y3M5d-480 Address 840 Anderson Locks Mariatown, AL 01838 US Montgomery, Harrison and Vaughan SUB_TOTAL 165.04 $ TAX VAT (6.33%) 10.45 $ COMMERCIAL INVOICE TOTAL 171.00 $ SHIP_TO Jamie Daniels DDS 5079 Darlene Walk Apt. 456 East Christopher, WY 59066 US Tel +(544)365-2047 Email jenniferwilson@example.org Site https //www.galvan-watson.biz/ DUE_AMOUNT 171.00 $ logo