ORIGINAL INVOICE

ATTN: (Customer Name) Reference No.: INV 2020-08-04-01-R0

(Address)

(Sub District, District)

(Province, Zipcode) Date: 04 August 2020

Item Description Qty(s) Unit Amount Total Amount

10

11

12

13

14

15

Grand Total Amount -

CONDITIONS VAT 7% -

1. Grand Total Amount included VAT -

2.

3.

(Name)

Authorized Signature

Date