Invoice Optometrist in Japan Kyoto –Free Word Template Download with AI
Specialized Eye Care & Optical Services
123 Gion-Shijo Street, Higashiyama Ward
Kyoto, Japan 605-0073
Phone: +81-75-555-0199
Email: [email protected]
Corporate Number: 701000100123456
Invoice Number: INV-KYO-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Payment Terms: Net 30 Days
BILL TO:
Mr. Kenji Tanaka
45-2 Arashiyama Bamboo Grove
Ukyo Ward, Kyoto, Japan 616-8385
Japan
ATTENTION:
Department of Ophthalmology
Re: Comprehensive Vision Correction
Service Location: Kyoto Vision Clinic
| # | Description of Services / Goods | Quantity | Unit Price (JPY) | Total (JPY) |
|---|---|---|---|---|
| 1 |
Comprehensive Optometric Examination Includes refraction, visual field testing, and ocular health assessment performed by a licensed Optometrist in Kyoto. |
1 | 15,000 | 15,000 |
| 2 |
Premium Anti-Reflective Lenses High-index polycarbonate lenses with blue light filtering technology, customized for prescription. |
2 | 25,000 | 50,000 |
| 3 |
Titanium Optical Frame Lightweight, durable frame selected from the Kyoto Vision exclusive collection. |
1 | 35,000 | 35,000 |
| 4 |
Specialized Contact Lens Fitting Consultation and fitting for toric contact lenses for astigmatism correction. |
1 | 10,000 | 10,000 |
| 5 |
Monthly Toric Contact Lenses (Box of 2) Disposable soft contact lenses prescribed by the Optometrist. |
3 | 8,500 | 25,500 |
| 6 |
Digital Eye Strain Consultation Ergonomic assessment and advice for screen usage, specific to office workers in Kyoto. |
1 | 5,000 | 5,000 |
| Subtotal: | ¥140,500 |
| Consumption Tax (10%): | ¥14,050 |
| TOTAL DUE: | ¥154,550 |
Payment Instructions:
Please remit payment via bank transfer to the following account:
Bank Name: Mizuho Bank, Kyoto Main Branch
Account Type: Ordinary Account (Current)
Account Number: 1234567
Account Name: Kyoto Vision Optometry Co., Ltd.
Reference: Please include Invoice Number INV-KYO-2023-10-045 in the transfer memo.
Alternative Payment: Credit card payments (Visa, Mastercard, JCB) are accepted at our Kyoto clinic location.
Terms and Conditions:
- This invoice is issued in accordance with the laws of Japan and the regulations governing Optometrists in Kyoto Prefecture.
- Payment is due within 30 days of the invoice date. Late payments may incur a penalty interest of 1.5% per month.
- All optical goods are subject to a 7-day return policy if unused and in original packaging, provided the prescription remains valid.
- Services rendered by our licensed Optometrist are non-refundable once performed.
- Please retain this invoice for your tax records and insurance claims.
- For any discrepancies or questions regarding this invoice, please contact our billing department immediately.
Authorized Signature:
Dr. Hiroshi Yamamoto, Chief Optometrist
Hanko Stamp(Inkan) ⬇️ Download as DOCX Edit online as DOCX
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