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UNION VISION SDN BHD

Compony Reg No :(898431-K)


GST No: 001821745152
Lot F-48, First Floor, KL Festival City, Danau Kota, Jalan Genting Klang, 53300 Kuala Lumpur.
Tel: 03-41317088

TAX INVOICE
Customer
Customer
Customer
Customer

Name:
Contact No: 01129474521
Code:
AF11MBR-005392
Address:

Invoice No:
AF11CS-006727
Date:
18/08/2016 14:37:47
Salesman:
UV0006T
Shop Name: A-LOOK SETAPAK CENTRAL

Item Code
Item Name
Qty
___________________________________________________________________________________________________
_________
Frame Roxy 28
Roxy 28-Code 25666908
1
LESS-129-1.56-01
ESSENTIAL CRIZAL 1.56 EASY
1
LESS-129-1.56-01
ESSENTIAL CRIZAL 1.56 EASY
1

___________________________________________________________________________________
________
Pay Type
Deposit

No.

Amount
AF11DP-003080

Refraction No.: AF11RF-004488


SPH
CYL
AXIS

Change Amount
610.00
0.00

ADD

P.Hight

Total: 3

Total Amt: RM 573.40


GST (6%): RM 36.60
Net Amt : RM 610.00

Delivery Date: 20/08/2016


PD (D)
PD (N)
Remark
s

Old RX
(R)
Old RX
(L)
New RX (R)
-1.00
0.00
0.00
31.5
New RX (L)
-1.00
0.00
0.00
30.5
Remarks: F.O.P Deposit No.: AF11DP-003080 Deposit Date: 18/08/2016 14:36:49

Thank you for your kind support and look forward to your continued patronage.
Non-payment or settlement of balance within 60 days of receipt date will result in forfeiture of
deposit.
I have read and understood the terms of privacy policy statement and consent to handling of my
personal
== information as described herein.
Customer s Signature and
Date________________________________

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