Invoice Speech Therapist in Russia Saint Petersburg –Free Word Template Download with AI
Professional Speech Therapy & Language Development Center
191023, Russia, Saint Petersburg
Nevsky Prospekt, 120, Office 45
Tax ID (INN): 7801234567
Registration Number (KPP): 780101001
Email: [email protected]
Phone: +7 (812) 555-01-99
Invoice Number: INV-SPB-2024-0892
Date of Issue: October 24, 2024
Due Date: November 07, 2024
Payment Terms: Net 14 Days
Bill To
Client Name: Elena Volkova
Organization: Private Client / Individual
Address: 197110, Russia, Saint Petersburg
Vasileostrovsky District, 6th Line, 42, Apt 15
Contact Phone: +7 (921) 555-88-77
Email: [email protected]
Service Location
Location: NeuroSpeech Pro Clinic
Nevsky Prospekt, 120, Office 45
Saint Petersburg, Russia
Service Period: October 01, 2024 - October 31, 2024
Primary Therapist: Dr. Alexei Petrov, Ph.D.
Licence No: LO-78-01-001234
| # | Description of Speech Therapy Services | Quantity | Unit Price (RUB) | Total (RUB) | VAT (20%) |
|---|---|---|---|---|---|
| 1 |
Initial Comprehensive Speech Assessment Detailed evaluation of articulation, phonology, and language comprehension for pediatric client. Includes standardized testing and diagnostic report preparation in accordance with Russian medical standards. |
1 | 8,500.00 | 8,500.00 | 1,700.00 |
| 2 |
Individual Articulation Therapy Sessions One-on-one sessions focused on correcting speech sound disorders. Includes personalized exercises, home practice materials, and progress monitoring. Conducted at our Saint Petersburg clinic. |
8 | 4,200.00 | 33,600.00 | 6,720.00 |
| 3 |
Language Development & Fluency Training Specialized therapy for improving vocabulary, sentence structure, and speech fluency. Includes interactive activities and cognitive-linguistic exercises tailored to the client's developmental stage. |
6 | 4,500.00 | 27,000.00 | 5,400.00 |
| 4 |
Parent Consultation & Home Program Guidance Educational sessions for parents/caregivers on supporting speech development at home. Includes demonstration of techniques, provision of resources, and strategy planning. |
2 | 3,000.00 | 6,000.00 | 1,200.00 |
| 5 |
Progress Evaluation Report Comprehensive written report detailing client progress, achieved milestones, and recommendations for continued therapy. Prepared by licensed Speech Therapist in Saint Petersburg. |
1 | 5,000.00 | 5,000.00 | 1,000.00 |
Amount in words: Ninety-six thousand one hundred twenty Russian Rubles only.
Payment Instructions
Please make payment within 14 days of the invoice date to avoid late fees.
Bank Name: Sberbank of Russia
Account Name: NeuroSpeech Pro LLC
Account Number: 40702810938000123456
BIC: 044525225
Correspondent Account: 30101810400000000225
Reference: INV-SPB-2024-0892
For card payments or alternative methods, please contact our billing department at [email protected].
Important Notes & Terms
1. This invoice is issued in accordance with the Civil Code of the Russian Federation and applicable tax regulations in Saint Petersburg.
2. All Speech Therapy services provided are performed by licensed professionals registered with the Ministry of Health of the Russian Federation.
3. Payment is due within 14 days from the date of invoice. Late payments may incur a penalty of 0.1% per day on the outstanding amount.
4. Any disputes regarding this invoice must be raised within 7 days of receipt. Please contact our billing department for clarification.
5. This document serves as an official record of services rendered by NeuroSpeech Pro in Saint Petersburg, Russia. Please retain for your records.
6. All personal data processed in connection with this invoice is handled in compliance with Federal Law No. 152-FZ "On Personal Data".
Authorized by:
Dr. Maria IvanovaClinic Director
NeuroSpeech Pro
Received by:
Client SignatureDate: _______________ ⬇️ Download as DOCX Edit online as DOCX
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