Receipt REC-C6F9NQ

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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-C6F9NQ

Aug 27, 2026

Paid

Bill To:

(Sample) Michael Reeves

michael.reeves@email.test

(555) 203-0003

Service Date Amount Tax Total
Balance & Fall Prevention
Stability and gait training program
Aug 27, 2026 $110.00 $8.80 (8.00%) $118.80
Dry Needling
Trigger point therapy with fine needles
Aug 27, 2026 $125.00 $10.00 (8.00%) $135.00
Follow-Up Session
Ongoing treatment and exercise progression
Aug 27, 2026 $125.00 $10.00 (8.00%) $135.00
Subtotal: $360.00
Tax: $28.80
Total: $388.80
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