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  • Invoice Microbiology 01

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    Gamael Marcel
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    This invoice summarizes service fees for an Indonesian study evaluating the performance of LAM-ELISA for detecting pulmonary tuberculosis from October 2014 to January 2015. It details that 250 LAM extractions at 15,000 Rupiah each and 40 case report form inputs at 25,000 Rupiah each were conducted for a total fee of 4,750,000 Rupiah. The request is for payment to Rinaldi Panjaitan and is signed by both the co-investigator and principal investigator of the study.

    Original Description:

    MICROBIOLOGY

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    This invoice summarizes service fees for an Indonesian study evaluating the performance of LAM-ELISA for detecting pulmonary tuberculosis from October 2014 to January 2015. It details that 250 LAM extractions at 15,000 Rupiah each and 40 case report form inputs at 25,000 Rupiah each were conducted for a total fee of 4,750,000 Rupiah. The request is for payment to Rinaldi Panjaitan and is signed by both the co-investigator and principal investigator of the study.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Invoice Microbiology 01

    Uploaded by

    Gamael Marcel
    This invoice summarizes service fees for an Indonesian study evaluating the performance of LAM-ELISA for detecting pulmonary tuberculosis from October 2014 to January 2015. It details that 250 LAM extractions at 15,000 Rupiah each and 40 case report form inputs at 25,000 Rupiah each were conducted for a total fee of 4,750,000 Rupiah. The request is for payment to Rinaldi Panjaitan and is signed by both the co-investigator and principal investigator of the study.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Invoice for Service Fee

    Protocol Number: ODK-1301-EC-CLN-102


    Protocol title: Evaluation of the performance of LAM-ELISA for the detection and monitoring of
    pulmonary TB subjects in an Indonesian referral hospital

    October-2014 to January-2015

    Month:

    LAM-MB-01

    Request number:

    Unit fee
    (Rupiah, IND)

    Service number
    at this month

    LAM extraction

    15,000

    250

    3,750,000

    3600

    3350

    Case report form input

    25,000

    40

    1,000,000

    1500

    1460

    4,750,000

    Service item

    Total amount for service fee

    Total fee
    Planned service number Rest of service
    (Rupiah, IND)
    during the study
    number

    Please pay to: RINALDI PANJAITAN

    Requested by

    Signature
    Rinaldi Panjaitan, Co-investigator of ODK-1301-EC-CLN-102

    Date

    Approved by

    Signature
    Erlina Burhan, Principal Investigator of ODK-1301-EC-CLN-102

    Date

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