Patient Account Receipt

Dr Scott Fell City Chiropractic Care Suite 506/66 Hunter Street SYDNEY NSW 2000 Phone 02 9221 0771 Fax 02 9231 2706 City Chiropractic Care BSc MChiro Suite 506/66 Hunter Street SYDNEY NSW 2000 Phone 02 9221 0771 Fax 02 9231 2706 Chiropractor Provider No. 2111928T Paul Liddell Paul Liddell Printed: 6-Apr-2017 Printed: 6-Apr-2017 R E C E I P T (Tax Invoice) (Health fund / 3rd Party Payee copy) Date Item Description 06/04/2017 1005 Consultation standard 15 mins - City Payment Received 6/4/2017 RECEIPT ABN 51446721540 Payment Fee $72.00 $72.00 (Please retain for your personal records) Date Item Payment 06/04/2017 1005 Fee $72.00 $72.00 No GST included. CCard $72.00 Paid $72.00 Billed $72.00 Next Appointment: Thu 27 Apr 2017 12:30 pm Paid $72.00 Billed $72.00