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Willakenzie Animal Clinic, P.C. <br />1745 Coburg Rd. <br />Eugene, OR 97401 <br />541- 686-1942 <br />Our goal is to always give your pet the very best of care. <br />Printed: 03- 19 -14 -at 2:23p <br />FOR. James Wiota Date- 03- 19 -14 <br />1020 Cinnamon Ave. Account: 6424 <br />Eugene, OR 97404 invoice: 92563 <br />Date For Qty Description <br />Price <br />Services by Jon B. Duncan DVM <br />02 -20 -14 Molly 1 OFA forms <br />0:00 <br />03 -03 -14 Cora 1 Annual Health Exam <br />55.00 ** <br />03- 03-14 1 Ear Cytology <br />35.50 <br />03 -03 -14 1 BNT Ear Treatment Both Ears <br />66.50 <br />03 -19 -14 1 BNT Ear Treatment One Ear Follow Up <br />34.50 ** <br />03 -19 -14 Molly 1 BNT Ear Treatment One Ear Follow Up <br />34.50 ** <br />Total charges, this invoice_.. <br />226. 00 <br />— Total discount included: 74.50 <br />Your old balance... <br />0.00 <br />Total payment(s) received... <br />151.50 <br />03 -19 -14 Debit payment 151.50 <br />Merchant ID: 17403823, Approval code- Transaction ID: 912378891 <br />Ref #: 6784, Act #: ». *: - 8684, Exp: XX/XX, Entry: SWIPED, Card: DEBIT <br />Your card balance is not available <br />I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT <br />Your new balance... <br />0.00 <br />Your invoice total reflects our Senior Citizens discount. <br />Reminders for: Molly (Weight: 38.4 Ibs - 3y) Last done <br />0511E DHPP3 05 -23 -13 <br />07115 Rabies Vaccine 3 Yr 07 -30 -12 <br />12114 Annual Health Exam 10 -05 -11 <br />Reminders for:- Cora (Weight: 43.8 lb - 3y) Last dons <br />