Invoice Dentist in Brazil São Paulo –Free Word Template Download with AI
INVOICE
São Paulo Advanced Dental Clinic
Rua Augusta, 1234, Consolação
São Paulo, SP - 01305-100
Brazil
CNPJ: 12.345.678/0001-90
Phone: +55 (11) 3456-7890
Email: [email protected] Bill To:
João Silva
Rua das Flores, 567
Vila Mariana, São Paulo, SP
Brazil
CPF: 123.456.789-00 Invoice Number: INV-2024-00123
Date: January 15, 2024
Due Date: February 15, 2024
Payment Terms: Net 30 Days
Subtotal: R$ 4,700.00
Discount (5%): -R$ 235.00
Total Due: R$ 4,465.00
Payment Instructions:
Please make payment via bank transfer to:
Bank: Banco do Brasil
Agency: 1234
Account: 56789-0
Account Holder: São Paulo Advanced Dental Clinic Ltda.
Important Notes:
This invoice is issued in accordance with Brazilian tax regulations and is valid for accounting purposes. All services were performed at our clinic located in São Paulo, Brazil. If you have any questions regarding this invoice or the dental services provided, please contact our billing department. Late payments may incur a penalty of 2% per month as per Brazilian law. Thank you for choosing São Paulo Advanced Dental Clinic for your oral health needs. ⬇️ Download as DOCX Edit online as DOCX
Rua Augusta, 1234, Consolação
São Paulo, SP - 01305-100
Brazil
CNPJ: 12.345.678/0001-90
Phone: +55 (11) 3456-7890
Email: [email protected] Bill To:
João Silva
Rua das Flores, 567
Vila Mariana, São Paulo, SP
Brazil
CPF: 123.456.789-00 Invoice Number: INV-2024-00123
Date: January 15, 2024
Due Date: February 15, 2024
Payment Terms: Net 30 Days
| Description | Code | Quantity | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|---|
| Comprehensive Dental Examination and Consultation | D0150 | 1 | 250.00 | 250.00 |
| Full Mouth Panoramic X-Ray | D0330 | 1 | 300.00 | 300.00 |
| Professional Dental Cleaning (Prophylaxis) | D1110 | 1 | 400.00 | 400.00 |
| Composite Filling - Upper Right Molar | D2391 | 1 | 600.00 | 600.00 |
| Root Canal Therapy - Lower Left Premolar | D3330 | 1 | 1,200.00 | 1,200.00 |
| Dental Crown - Porcelain-Fused-to-Metal | D2750 | 1 | 1,800.00 | 1,800.00 |
| Follow-Up Consultation | D0120 | 1 | 150.00 | 150.00 |
Please make payment via bank transfer to:
Bank: Banco do Brasil
Agency: 1234
Account: 56789-0
Account Holder: São Paulo Advanced Dental Clinic Ltda.
Important Notes:
This invoice is issued in accordance with Brazilian tax regulations and is valid for accounting purposes. All services were performed at our clinic located in São Paulo, Brazil. If you have any questions regarding this invoice or the dental services provided, please contact our billing department. Late payments may incur a penalty of 2% per month as per Brazilian law. Thank you for choosing São Paulo Advanced Dental Clinic for your oral health needs. ⬇️ Download as DOCX Edit online as DOCX
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