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INVOICE

No. DS-001/INVD/III/2022

Bill to: Date:


Mr. Harry Ardiyanto 23 March 2022
Passio Dental Clinic
Jl. Petogogan II No.22a, RW.5,
Pulo, Kec. Kby. Baru, Kota Jakarta Selatan,
DKI Jakarta, 12160

No. Description Unit Price Total


1. 3D Design Fee (4 view) Rp 2.000.000/view Rp 8.000.000,-

Sub Total Rp 8.000.000, -

Total Rp 8.000.000,-
Instructions:
For Payment confirmation please call Finance 0812 6500 5092
Account Number : 5260378491
(Rek. Bank BCA a.n. Dewi Sartika Simamora)

Signed

Finance

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