You are on page 1of 1

INVOICE

At.: TP HOLDINGS (Dole PLC)

Ref: Service Fees – D&O

 Payment related to: Consultancy Fee for business in relation to Insurance placements for.

 Total Due = USD 1000 (one thousand dollars), payable to.

 Payment Deadline: June 18th 2022

 Remittance Details:

Intermediary Institution (or Correspondent Bank, Field 56):

Beneficiary Bank (Field 57):

Beneficiary Customer (Field 59):

- 01419-913
Beneficiary Country: BRASIL

If possible, include more details on field 70 as invoice number, contract number, etc.

Date: May 18th 2022

1 Gallagher Brasil Corretora de Seguros Ltda. – Alameda Santos, 415 / conj. 101 e 102, Cerqueira Cesar – São Paulo/SP
© 2021 Arthur J. Gallagher & Co.

You might also like