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Bill To (Client)
Line Items (3)
Item #1 • $295.00
Item #2 • $220.00
Item #3 • $375.00
Payment Instructions & QR Code
Notes, Terms & Signature
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Acme Creative Studio
Registered Dietitian Nutritionist (RDN, LD — License #DT-9481)
[email protected] • +1 (555) 234-5678
742 Evergreen Terrace, Suite 200 Austin, TX 78701
INVOICE
# INV-2026-001
Issued: 2026-01-01
Due Date: 2026-01-15
Bill To
Sarah Jenkins
Horizon Ventures LLC
Project / Reference
Clinical Nutrition Therapy & Comprehensive Metabolic Coaching Program
| Description | Qty | Rate | Amount |
|---|---|---|---|
Comprehensive 90-Minute Clinical Nutrition Intake & Metabolic Assessment Detailed medical history review, GI health evaluation, lipid panel interpretation, nutrient deficiency audit 1 × $295.00 | 1 | $295.00 | $295.00 |
Personalized Anti-Inflammatory Meal Plan & Micronutrient Protocol 7-day customized culinary recipes, macro breakdown, portion sizing, and brand-specific grocery guide 1 × $220.00 | 1 | $220.00 | $220.00 |
Bi-Weekly Follow-Up Nutrition Consultations & Accountability (3 Sessions) 3x 45-minute coaching sessions, symptom tracking, lab re-evaluation, and lifestyle habit coaching 3 × $125.00 | 3 | $125.00 | $375.00 |
Subtotal$890.00
Amount Due$890.00
Payment Instructions
ACH Bank Transfer / Stripe / PayPal
Bank: Mercury Business Checking
Routing: 021000021 • Acct: ****8492
Scan QR or tap to pay online:
https://buy.stripe.com/test_payment_linkNotes
Personalized anti-inflammatory meal protocol and functional lab recommendations uploaded to your client portal.
Terms & Conditions
Payment due upon receipt. Medical nutrition services may be eligible for HSA/FSA health reimbursement.