Invoice

From:

717 S Zero st
Fort Smith, AR 72901

Sales@Humimic.com

Invoice Number INV-0003
Invoice Date December 11, 2017
Total Due $125.98
To:
DexCom

6290 Sequence Dr

San Diego, CA 92121

Hrs/Qty Service Rate/PriceAdjustSub Total
10 Custom Gel#4 @ .05 increments
$12.600.00%$125.98
Sub Total $125.98
Tax $0.00
Total Due $125.98