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table Bill to Lisa Ayala MD 271 Kylie Mission Port Michaelborough, AZ 84583 US Tel +(456)335-4511 Email jacob45@example.com Site http //www.garcia-hines.com/ Invoice Date 05-Dec-2005 Due Date 15-Nov-1993 GSTINO4ARCPD98743125 INVOICE ID 7730-315 Address 5776 Whitney Meadow West Adriennebury, ID 40049 US Berg, Ward and Wright SUB_TOTAL 103.31 $ TAX VAT (3.70%) 3.83 $ COMMERCIAL INVOICE TOTAL 104.43 $ Total in words one hundred and fo- ur point four three GSTIN O4AROPO98743125, logo