Invoice Template
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INVOICE
Post Trauma Psychological Services Victoria J. Sloan, Ph.D. Clinical Psychologist P.O. Box 1778, Sugar Land, TX 77487 Office: 713-521-2155, Fax: 713-266-2067 E-mail: [email protected]
Bill To:
William Glen Hudson 1 Hermann Museum Circle Drive Houston, Texas 77004
Patient: William G. Hudson
Date: January 14, 2008
Date
Service
Charges
Payme nts
Insurance Payments
Curre nt Balan ce
8/24/058/8/06
Psychotherapy Services
$3,300.0 0
$0
$0
$3,300. 00
6/7/06
Trauma Assessment/Research
$2,000.0 0
$0
$ 0
$2,000. 00
Expert Witness (Court Appearance – Anticipated Fee)
$1,200.0 0
$0
$ 0
$1,200. 00
6/7/06
Please make checks payabl
t ota l
Post Trauma Psychological Services Victoria J. Sloan, Ph.D. Clinical Psychologist P.O. Box 1778, Sugar Land, TX 77487 Office: 713-521-2155, Fax: 713-266-2067 E-mail: [email protected]
Bill To:
William Glen Hudson 1 Hermann Museum Circle Drive Houston, Texas 77004
Patient: William G. Hudson
Date: January 14, 2008
Date
Service
Charges
Payme nts
Insurance Payments
Curre nt Balan ce
8/24/058/8/06
Psychotherapy Services
$3,300.0 0
$0
$0
$3,300. 00
6/7/06
Trauma Assessment/Research
$2,000.0 0
$0
$ 0
$2,000. 00
Expert Witness (Court Appearance – Anticipated Fee)
$1,200.0 0
$0
$ 0
$1,200. 00
6/7/06
Please make checks payabl
t ota l
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