Receipt REC-CLCOTB

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Payment status: Paid

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Peak Performance Physical Therapy

License #: PT-2023-7716

(555) 555-0100

mike@spark-electric.linkconomy.com

880 Rehab Drive Suite 110

RECEIPT

REC-CLCOTB

Sep 19, 2026

Paid

Bill To:

(Sample) Susan Park

susan.park@email.test

(555) 203-0002

Service Date Amount Tax Total
Balance & Fall Prevention
Stability and gait training program
Sep 19, 2026 $110.00 $8.80 (8.00%) $118.80
Subtotal: $110.00
Tax: $8.80
Total: $118.80
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