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INVOICE

Date:
#L6 Prek Eng, Chhbar Ompov, Phnom Penh Invoice #
Email: dresearch61220@gmail.com Customer ID
Phone: 017 69 69 83 / 070 97 77 83

Customer:
CHO REY PHNOM PENH HOSPITAL
National road No.1 Phum Tangov, Sangkat Niroth
Khan Chbar Ampov, Phnom Penh.
Email:
Phone:

No. Description Quantity Unit Price Amount

Sub Total: $ -
OTHER COMMENTS Tax: $ -
1. Total payment due in 30 days Balance Due: $ -
2. Please include the invoice number on your check

Signature

Hong Vanna
Chief Operating Officer
Date:
INVOICE INVOICE
#L6 Prek Eng, Chhbar Ompov, Phnom Penh Date: #L6 Prek Eng, Chhbar Ompov, Phnom Penh Date:
Email: dresearch61220@gmail.com Invoice # Email: dresearch61220@gmail.com Invoice #
Phone: 017 69 69 83 / 070 97 77 83 Phone: 017 69 69 83 / 070 97 77 83

No. Description Quantity Unit Price Amount No. Description Quantity Unit Price Amount

Sub Total: Sub Total:


OTHER COMMENTS OTHER COMMENTS
1. Total payment due in 30 days 1. Total payment due in 30 days
2. Please include the invoice number on your check 2. Please include the invoice number on your check

Buyer Seller Buyer Seller

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