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table Bill to Stephanie Mendoza DDS 98852 Foley Keys Suite 239 Williamsfort, NC 67931 US Tel +(426)758-0540 Email dbarker@example.com Site https //peterson-carter.com/ Date 05-Nov-2011 Invoice number INV38146494 Bank Name State Bank of Texas Branch Name Raf CAMP Bank Account Number 16822375 Bank Swift Code SBININBB250 Address 07924 Daniel View North Austinhaven, AK 96663 US Email wilsonadrienne@example.net Patton, Ortiz and Moore www.PattonOrtizandMoore.org TAX INVOICE TOTAL 932.43 USD logo