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Resident Information

John Doe

Room: 101A

[email protected]

(555) 123-4567

Invoice Details

INV-2025-08-001

Issue Date: August 21, 2025

Due Date: September 1, 2025

Unpaid

Billing Period

July 21, 2025 - August 20, 2025

Fixed Charges
Room Rate$3,500.00
Standard Level of Care$1,500.00
Fixed Charges Subtotal:$5,000.00
Ancillary Charges
Guest Meal(Qty: 3 × $15.00)
$45.00
Salon Services(Qty: 1 × $45.00)
$45.00
Laundry Service(Qty: 2 × $12.00)
$24.00
Ancillary Charges Subtotal:$114.00
Invoice Summary
Fixed Charges:$5,000.00
Ancillary Charges:$114.00

Total Amount Due:$5,114.00
Payment Information

This invoice is processed through Melio payment platform.

• ACH transfers: No fees

• Credit cards: 2.9% fee applies

• Checks accepted by mail