Patient Account Receipt (PDF)
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Author: Chiro H3
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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
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