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Invoice

PT Good Doctor Technology Indonesia Date 27/10/2022


Invoice # INVGDTI11822
Cohive 101 Building 12Bth Floor
Jl. Mega Kuningan Barat Blok E4-7 No.1 PO #
Kel Kuningan Timur, Kec. Setiabudi
Jakarta Selatan
Indonesia 12950
Tax ID # 91.654.365.5-063.000

Bill To
LGI - JP Morgan
JP Morgan
Energy Building, Lantai 5
Jl. Jend. Sudirman Kav. 52-53
Jakarta
Indonesia

Item Price Qty Total


Reimbursement of Vaksin Flu Quadrivalent 330.000 50 16.500.000
Reimbursement of Transport 250.000 1 250.000

Total Rp16.750.000

Payment notes:

1. Term of Payment 14 days

2. Please make your payment into our account bank:

Account Name : PT Good Doctor Technology Indonesia


Bank : BANK OCBC NISP
Account Number : 577800006618
Bank Address : Bank OCBC NISP Cab Rawamangun
Swift Code : NISPIDJA

Finance Department

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