Invoice Optometrist in Brazil Rio de Janeiro –Free Word Template Download with AI
CNPJ: 12.345.678/0001-90
Address: Av. Atlântica, 1702, Copacabana
Rio de Janeiro, RJ - 22021-001, Brazil
Phone: +55 (21) 3333-4444
Email: [email protected]
Invoice Number: INV-2023-10-8842
Date of Issue: October 24, 2023
Due Date: November 07, 2023
PENDING PAYMENTBill To:
Mr. Carlos Eduardo Silva
CPF: 123.456.789-00
Rua das Laranjeiras, 450, Apt 302
Laranjeiras, Rio de Janeiro, RJ - 22240-000
Brazil
| # | Description of Services | Quantity | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|---|
| 1 |
Comprehensive Optometric Examination Includes visual acuity testing, refraction, and ocular health assessment. |
1 | R$ 350,00 | R$ 350,00 |
| 2 |
Advanced Retinal Imaging (OCT) Optical Coherence Tomography for detailed retinal layer analysis. |
1 | R$ 280,00 | R$ 280,00 |
| 3 |
Premium Anti-Reflective Lenses High-index 1.67 lenses with blue light filter and UV protection. |
1 | R$ 1.200,00 | R$ 1.200,00 |
| 4 |
Designer Titanium Frame Lightweight, hypoallergenic titanium frame selected in-store. |
1 | R$ 850,00 | R$ 850,00 |
| 5 |
Laboratory Processing Fee Precision cutting and edging of lenses to prescription. |
1 | R$ 150,00 | R$ 150,00 |
Terms and Conditions
This invoice represents the final calculation for the optometric services and products provided by Rio Vision Optometry, located in the heart of Rio de Janeiro, Brazil. As a licensed optometrist operating under Brazilian health regulations, we ensure all procedures meet the highest standards of care.
Payment Instructions: Payment is due within 14 days of the invoice date. Please include the invoice number (INV-2023-10-8842) as the reference for all transfers. We accept bank transfers (TED/DOC), credit cards (up to 3 installments without interest), and PIX instant payment.
Bank Details:
Bank: Banco do Brasil
Agency: 1234-5
Account: 98765-4
PIX Key: [email protected]
Warranty: All optical frames and lenses come with a 12-month warranty against manufacturing defects. This warranty does not cover damage caused by misuse, accidents, or normal wear and tear. Please retain this invoice as proof of purchase.
Privacy Policy: Your personal and health data are protected in accordance with the Brazilian General Data Protection Law (LGPD). Information is used solely for medical records and billing purposes.
Thank you for trusting Rio Vision Optometry for your eye care needs in Rio de Janeiro. We are committed to providing exceptional service and ensuring your visual health is maintained to the highest standard.
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