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table BILL_TO Dr. Antonio Maxwell DDS 06651 Bennett Ramp Jameston, DC 20000 US Tel +(546)724-9871 Email frazierjose@example.com Site https //www.wells.com/ Date 27-Jan-2022 DISCOUNT(3.85%) (-) 8.05 Due Date 27-May-1995 Invoice number 1Y5M6d-974 Address 938 Gonzalez Key Suite 573 New Anitaport, MN 04941 US Email susan62@example.com www.PaulGibsonandAnderson.com SUB_TOTAL 209.05 $ TAX VAT (4.70%) 9.82 $ COMMERCIAL INVOICE TOTAL 213.54 $ logo