Invoice Optometrist in Ethiopia Addis Ababa –Free Word Template Download with AI
Professional Eye Care Services
Bole Road, Near Friendship Park
Addis Ababa, Ethiopia
Tel: +251 11 618 5555 | Email: [email protected]
TIN: 1002345678 | License No: AA-OPT-2023-045
Invoice Number: INV-2024-0892
Date Issued: October 24, 2024
Due Date: November 07, 2024
Payment Status: Pending
Bill To:
Mr. Kebede Tadesse
Customer ID: CUST-45892
Phone: +251 911 234 567
Email: [email protected]
Address: Piassa District, Addis Ababa, Ethiopia
Service Location:
Addis Vision Optometry Center
Bole Sub-City, Woreda 03
Addis Ababa, Ethiopia
Optometrist: Dr. Selamawit Bekele
License: EO-2019-112
| # | Description of Optometry Services & Products | Qty | Unit Price (ETB) | Total (ETB) | Notes |
|---|---|---|---|---|---|
| 1 | Comprehensive Eye Examination (Refraction, Visual Acuity, Eye Health Assessment) | 1 | 1,500.00 | 1,500.00 | Performed by licensed Optometrist |
| 2 | Digital Retinal Imaging (Fundus Photography) | 1 | 800.00 | 800.00 | For diabetic screening |
| 3 | Prescription Eyeglass Lenses (Anti-Reflective Coating, UV Protection) | 1 Pair | 3,200.00 | 3,200.00 | High-index polycarbonate |
| 4 | Designer Eyeglass Frames (Titanium Alloy) | 1 | 2,800.00 | 2,800.00 | Model: AV-Titan-2024 |
| 5 | Contact Lens Fitting & Trial Set (Daily Disposables) | 1 | 1,200.00 | 1,200.00 | Includes follow-up consultation |
| 6 | Eye Health Consultation (Glaucoma Risk Assessment) | 1 | 600.00 | 600.00 | Specialized Optometrist service |
| 7 | Prescription Documentation & Official Certificate | 1 | 200.00 | 200.00 | Valid in Ethiopia Addis Ababa |
| Subtotal: | 10,300.00 ETB |
| Discount (5% Loyalty Member): | -515.00 ETB |
| VAT (15%): | 1,464.75 ETB |
| TOTAL AMOUNT DUE: | 11,249.75 ETB |
Payment Instructions
Please make payment within 14 days of the invoice date. Payments can be made via bank transfer, cash, or mobile money (Telebirr, CBE Birr).
Bank Transfer Details:
Bank: Commercial Bank of Ethiopia
Branch: Bole Branch, Addis Ababa
Account Name: Addis Vision Optometry Center PLC
Account Number: 1000123456789
SWIFT Code: COMBEADD
Mobile Money:
Telebirr: +251 911 618 5555
CBE Birr: +251 911 618 5556
Terms and Conditions
1. This invoice is issued by Addis Vision Optometry Center, a licensed optometry practice operating in Addis Ababa, Ethiopia, in accordance with the Ethiopian Food and Drug Authority regulations.
2. All optometry services provided are performed by certified Optometrists registered with the Ethiopian Optometric Association.
3. Payment is due within 14 days. Late payments may incur a 2% monthly interest charge.
4. Eyeglass lenses and frames are subject to a 30-day warranty against manufacturing defects. This warranty does not cover damage due to misuse or accidents.
5. Contact lens fittings include a 7-day adaptation period. If discomfort persists, please return for a free re-evaluation.
6. This invoice serves as an official receipt for tax purposes in Ethiopia. Please retain this document for your records.
7. Any disputes regarding this invoice should be resolved through direct communication with our billing department in Addis Ababa before escalating to legal authorities.
8. All prices are quoted in Ethiopian Birr (ETB) and are subject to change without prior notice.
Authorized Signature and Official Stamp:
[Official Stamp Area]
Dr. Selamawit Bekele
Lead Optometrist
Addis Vision Optometry Center
Addis Ababa, Ethiopia
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