Invoice Speech Therapist in Peru Lima –Free Word Template Download with AI
RUC: 20587432190
Av. Javier Prado Este 1245, San Isidro
Peru Lima, 15081
Phone: +51 1 445-6789
Email: [email protected]
Licensed Speech Therapist PracticeBill To (Client)
María Elena Quispe Rodríguez
CE: 45872319
Calle Los Álamos 312, Dpto. 4B
Surco, Peru Lima, 15008
Phone: +51 987-654-321
Email: [email protected]
Service Provider
Dr. Carlos Mendoza Huamán
Speech Therapist – RNP: 123456
Specialist in Pediatric & Adult Logopedics
Centro de Logopedia Lima
Peru Lima, San Isidro
Phone: +51 1 445-6789
| # | Description of Speech Therapy Service | Date | Qty | Unit Price (PEN) | Amount (PEN) |
|---|---|---|---|---|---|
| 1 | Individual Speech Therapy Session – Articulation Disorder Treatment (Child, age 7) | May 02, 2025 | 1 | S/ 180.00 | S/ 180.00 |
| 2 | Individual Speech Therapy Session – Articulation Disorder Treatment (Child, age 7) | May 09, 2025 | 1 | S/ 180.00 | S/ 180.00 |
| 3 | Individual Speech Therapy Session – Articulation Disorder Treatment (Child, age 7) | May 16, 2025 | 1 | S/ 180.00 | S/ 180.00 |
| 4 | Individual Speech Therapy Session – Articulation Disorder Treatment (Child, age 7) | May 23, 2025 | 1 | S/ 180.00 | S/ 180.00 |
| 5 | Individual Speech Therapy Session – Articulation Disorder Treatment (Child, age 7) | May 30, 2025 | 1 | S/ 180.00 | S/ 180.00 |
| 6 | Comprehensive Speech Assessment & Diagnostic Report (Initial Evaluation) | May 01, 2025 | 1 | S/ 350.00 | S/ 350.00 |
| 7 | Parent Consultation & Home Exercise Program Guidance (Speech Therapist Session) | May 15, 2025 | 1 | S/ 120.00 | S/ 120.00 |
| 8 | Therapeutic Materials & Customized Articulation Exercises Kit | May 01, 2025 | 1 | S/ 85.00 | S/ 85.00 |
| Subtotal | S/ 1,475.00 |
| IGV (18% VAT – Peru) | S/ 265.50 |
| TOTAL DUE | S/ 1,740.50 |
Payment Terms & Instructions
Payment Due: Within 15 calendar days from the date of this Invoice (by June 30, 2025).
Accepted Payment Methods: Bank transfer, Yape, Plin, or cash at our Peru Lima office.
Bank Details: BCP – Cta. Cte. Soles: 191-18765432-01 – Titular: Centro de Logopedia Lima S.A.C.
Reference: Please include Invoice No. INV-2025-00487 as the payment reference.
Late Payment: A late fee of 2% per month will be applied to overdue balances in accordance with Peruvian commercial regulations.
Important Notes
This Invoice covers all Speech Therapist services rendered during the month of May 2025 at our Peru Lima clinic located in San Isidro. All sessions were conducted by Dr. Carlos Mendoza Huamán, a licensed and certified Speech Therapist registered with the Peruvian National Registry of Professionals (RNP).
The diagnostic assessment and progress reports included in this Invoice are confidential medical documents. They may be shared with the client's pediatrician or any other healthcare professional upon written authorization from the parent or legal guardian.
Should the client require additional Speech Therapy sessions beyond the scheduled monthly plan, a supplementary Invoice will be issued separately. Cancellations must be made at least 24 hours in advance to avoid being charged for the full session fee.
This Invoice is valid for 90 days from the date of issue. After this period, the client is requested to contact our billing department in Peru Lima to confirm the outstanding balance and arrange payment.
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