Invoice Dentist in Israel Jerusalem –Free Word Template Download with AI
123 Jaffa Road, Jerusalem, Israel
Phone: +972-2-123-4567
Email: [email protected]
INVOICEInvoice Number: INV-2023-001
Date: October 15, 2023
Due Date: November 15, 2023
Bill To:John Doe
456 King George Street, Jerusalem, Israel
ID Number: 123456789
Description of Services:This invoice is issued by Jerusalem Dental Clinic, a leading dental practice located in the heart of Jerusalem, Israel. Our clinic is dedicated to providing high-quality dental care to our patients, ensuring their oral health and well-being. The services listed below were provided to the patient named above on the dates specified.
| Date | Service Description | Quantity | Unit Price (ILS) | Total (ILS) |
|---|---|---|---|---|
| October 10, 2023 | Comprehensive Dental Examination | 1 | 300 | 300 |
| October 10, 2023 | Full Mouth X-Rays | 1 | 500 | 500 |
| October 12, 2023 | Professional Teeth Cleaning (Scaling and Polishing) | 1 | 400 | 400 |
| October 15, 2023 | Composite Filling (Tooth #14) | 1 | 600 | 600 |
| October 15, 2023 | Root Canal Treatment (Tooth #19) | 1 | 2500 | 2500 |
| October 18, 2023 | Dental Crown (Tooth #19) | 1 | 3000 | 3000 |
| October 20, 2023 | Follow-up Consultation | 1 | 200 | 200 |
Subtotal: 7500 ILS
VAT (17%): 1275 ILS
Total Amount Due: 8775 ILS
Payment Instructions:Please make your payment by the due date to avoid any late fees. Payments can be made via bank transfer, credit card, or cash at our clinic in Jerusalem, Israel. For bank transfer, please use the following details:
Bank Name: Bank Hapoalim
Account Number: 123-456-789
SWIFT Code: HAPoil22
Terms and Conditions:1. All services provided are subject to the terms and conditions of Jerusalem Dental Clinic.
2. Payment is due within 30 days of the invoice date.
3. Late payments may incur a fee of 1.5% per month.
4. Any disputes regarding this invoice must be raised within 14 days of receipt.
5. This invoice is issued in accordance with the laws of Israel and is valid for tax purposes.
Additional Information:Jerusalem Dental Clinic is committed to providing exceptional dental care in a comfortable and professional environment. Our team of experienced dentists and staff are dedicated to ensuring that each patient receives personalized attention and the highest standard of care. We use state-of-the-art technology and follow the latest dental practices to achieve the best possible outcomes for our patients.
If you have any questions about this invoice or the services provided, please do not hesitate to contact us. We are here to assist you and ensure your satisfaction with our dental services in Jerusalem, Israel.
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