Invoice Speech Therapist in Russia Moscow –Free Word Template Download with AI

Legal Entity: Individual Entrepreneur Ivanov A.S.

Address: 123001, Russia, Moscow, Tverskaya Street, Building 15, Office 402

Phone: +7 (495) 123-45-67

Email: [email protected]

INN (Tax ID): 770123456789

KPP: 770101001

OGRNIP: 318774600123456

Invoice Number: INV-2023-10-045

Date of Issue: October 24, 2023

Due Date: November 07, 2023

Service Period: October 01, 2023 - October 31, 2023

Bill To

Client Name: Petrova Elena Sergeevna

Address: 119049, Russia, Moscow, Arbat Street, House 10, Apt 5

Phone: +7 (916) 555-01-99

Email: [email protected]

Passport Details: Series 4500 № 123456

Service Location

Location: Articula Clinic, Moscow

Address: 123001, Russia, Moscow, Tverskaya Street, Building 15

Patient Name: Petrova Maria E.

Diagnosis Code (ICD-10): F80.9 (Unspecified Speech Disorder)

#	Description of Speech Therapy Services	Qty	Unit Price (RUB)	Total (RUB)	VAT
1	Initial Speech Assessment & Diagnosis Comprehensive evaluation of articulation, phonology, and language comprehension. Includes standardized testing and report generation.	1	5,000.00	5,000.00	N/A
2	Individual Speech Therapy Sessions (Articulation) One-on-one sessions focused on correcting specific sound production errors. Includes home practice materials.	8	3,500.00	28,000.00	N/A
3	Language Development Therapy Sessions aimed at expanding vocabulary, sentence structure, and narrative skills for pediatric patients.	4	4,000.00	16,000.00	N/A
4	Parental Consultation & Training Guidance for parents on supporting speech development at home. Includes strategy planning.	2	2,500.00	5,000.00	N/A
5	Progress Report Documentation Detailed written summary of patient progress, updated therapy goals, and recommendations for the next quarter.	1	2,000.00	2,000.00	N/A

Subtotal: 56,000.00 RUB Discount (Loyalty Program): -2,800.00 RUB VAT (Value Added Tax): Not Applicable (Simplified Tax System) TOTAL AMOUNT DUE: 53,200.00 RUB

Payment Instructions & Terms

Bank Details for Transfer:

Beneficiary: Individual Entrepreneur Ivanov A.S.
Bank Name: Sberbank of Russia, Moscow Branch
BIC: 044525225
Account Number: 40802810400000012345
Correspondent Account: 30101810400000000225

Terms:

Payment is due within 14 days of the invoice date.
Please include the Invoice Number (INV-2023-10-045) in the payment reference field.
Late payments may incur a penalty fee of 0.1% per day as per Russian Civil Code.
This invoice serves as a valid document for expense reporting in Russia.

Service Description & Compliance

This invoice covers professional speech therapy services rendered in Moscow, Russia. All services are provided by certified Speech Therapists licensed to practice in the Russian Federation. The therapy plans are customized to meet the specific linguistic and developmental needs of the patient, adhering to international best practices and local medical standards.

Our clinic ensures that all data regarding the patient is handled in strict accordance with Federal Law No. 152-FZ "On Personal Data." The services listed above include clinical assessment, therapeutic intervention, and educational support for the family unit.

Issued By:

Alexander Ivanov

Lead Speech Therapist & Owner

Articula Speech Therapy Center

Received By:

__________________________

Signature & Date

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