Doc#: SOP-A-02.

F02
Rev.: A
AMPHENOL TECHNOLOGY VIETNAM CO., LTD.

PHIẾU ĐỀ NGHỊ THANH TOÁN

EXPENSES REIMBURSEMENT FORM/ ADVANCE CLEARING TRANSACTION

Tên (Name): Võ Thụy Như Quỳnh

Phòng (Position/ Dept): QA
Ngày nộp (Submission date): 4/22/2023

STT Số hóa đơn Nội dung chi trả/ Số tiền Ghi chú/
Tên nhà cung cấp/ (Supplier's name)
(No) (Inv No) (Payment description) (Amount) [USD] (Remarks)

Phí đánh giá RBA Closure - audit

Chuyển khoản
1 937.04 TUV Rheinland (Guangdong) Ltd.
Bank transfer
RBA Closure audit fee

TOTAL : 937.04

Thông tin người thụ hưởng

(Beneficiary information)

Bank Account: TUV Rheinland (Guangdong) Ltd.

Bank name: Bank of China Science City Sub-branch
Account No.: 631457760514

Ngày thanh toán (Payment date): 4/24/2023

Số tiền bằng chữ (Amount inwords): Chín trăm ba mươi bảy phẩy không bốn đô la Mỹ

Prepared by Reviewed by Approved by

Võ Thụy Như Quỳnh

INVOICE / 发票

Amphenol Technology Vietnam Co., Ltd

Client Name/ 客户名称： Công ty TNHH Amphenol Technology PI No/ 形式发票号码： DELLRBA20230418
Việt Nam Date/ 日期： 4/18/2023
N1, 1B Street, Kizuna 3 Expansion
Client Address/ 客户地址：Factory Area, K1 Client No./ 客户编号： 601237
Area, Tan Kim Expansion IP, Can Giuoc Quotation No/ 报价单号： DELLRBA20230418
Town, Can
Giuoc District, Long An Province, Order No/ 项目编号： DELLRBA20230418
Contact Person/ 联系人： Nguyen Van Thang TUV Contact Person/ 联系人：Bery Feng
E-mail address/ 电子邮箱：thang.nguyen@afop.vn E-mail address/ 电子邮箱： Bery.Feng@tuv.com
Tel No/ 联系电话： N/A Tel No/ 联系电话： +86 20 2839 1558
Fax No./ 传真： 886-4-8367490 Fax No./ 传真： +86-20-28391999

Text Amount
服务内容摘要 金额 (USD)

RBA Audit 937.04

Total Amount 937.04

Issued by: Bery Feng

重要提示/ Important Notice

1) Bank information
收款人名称/Beneficiary Name：莱茵技术监督服务（广东）有限公司/TUV Rheinland (Guangdong) Ltd.
＊＊ 人民币账户/CNY Bank account：德意志银行（中国）有限公司广州分行/ Deutsche Bank (China) Ltd., Guangzhou Branch
人民币账号/CNY Accont No.: 4501854-09-5
＊＊ 外币账户/Foreign currencies bank accounts：中国银行广州市科学城支行/Bank of China Science City Sub-branch
收款人账号Bene's A/C No HKD: 6626 5776 0469
收款人账号Bene's A/C No USD: 6314 5776 0514
收款人账号Bene's A/C No EUR: 6782 5776 0556
SWIFT Code: BKCHCNBJ42G
2) 请您在付款时务必注明报价单号/形式发票号码，并将银行电汇底单传真或发送邮件至我司。
Please quote quotation no/ PI no with your remittance or send us a copy of your T/T receipt to
Fax: 86-020-28391975; E-mail address: wing.hu@gz.chn.tuv.com
3) 税务发票将于收款后开具并邮寄给客户/ Tax invoice will be issued upon receipt of payment