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Looking for more? Our collection of financial documents, templates, forms, and spreadsheets includes templates designed specifically for small business owners, private individuals, or Finance Staff. Find financial projections to calculate your startup expenses, payroll costs, sales forecast, cash flow, income statement, balance sheet, break-even analysis, financial ratios, cost of goods sold, amortization and depreciation for your company. These financial templates also work with OpenOffice and Google Spreadsheets, so if you are operating your business on a very tight budget, hopefully, you'll be able to make these financial templates work for you as well.
THOMPSON, DDS, MS 4851 West 134th Street Leawood, Kansas 66209 Phone: 913.681.8300 Email: info jeffthompsonortho.com www.JeffThompsonOrtho.com Patient/Parent Name Address CityStateZip Re: Orthodontic Records, Diagnostic Evaluation and Consultation Orthodontic treatment Fee Anticipated Insurance Adjustment Anticipated Insurance Payment Ceramic or Gold Brackets iBrace Lab Fee Paid in Full Reduction Less Initial Payment Unpaid Balance of Fee Finance Charge none Patient hereby agrees to pay the unpaid balance of fee to be payed in equal installments of..
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