Ross, Cronj6 & Deysel

Ge reg istreerd e Oog ku nd ig es - Reg lstered Optometrists

Raadprees
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B.optom (RAU) F.O.A.(SA) CAS (NEWENCO)
H/v Cnr Barend & Noord Str Posbus / P.O.Box 1807
Klerksdorp Klerksdorp
2570 PR.No.7016735 2570
BTW/VAT Nr. 456O 148 373
Tel: 018 462-5433 Fax : 087 809 5789
0L8 462-777418530 E-Mail : eugene@edoog.co.za
Bank : ABSA - Kroonstad - Acc No/Rek Nr : 970 761 039 - Branch Code /Tak Code : 334 535

MEV VERONICA OBERHOLZER Account No: 3900

MOREGLANS Date of KWOTASIE: 2310512023
SANNIESHOF APREEK Medical Aid: DISCOVERY
SANNIESHOF Med.Aid No. : 278829192
2760 Tel. (W) : 0741800870
Tel. (C):0834513827
Quotation No : 2563
Date of KWOTASIE: 2310512023 Email : NONE

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Quotation
Code Qty Description ICDlO M/Aid Patient Total
PRACT EUGENE DEYSEL :7016735
Patient : MEV VERONICA OBERHOLZER (00)
lD No : 7009080122082
Date of Birth : 08/09/1970
24024 1
7000.00 0.00 7000.00
C: 0.00 , X:0 , A: 0.00

7000.00 000 7000 00

Total lnclusive of '15.00% VAT 913,04

Hierdie kwotasie is geldig lol25lQ6l2023

(a) Invoice is payable upon receipt thereofunless alternative arrangements are made with the practice.
(b) All goods remain under the ownership ofthe practice untrl the invoice is paid.
(c) This practice may charge interesl in accordance with National Credrt Act 34 o12005.
(d) A quotation shall only be accepted when it has been signed by the same client it was addressed to and returned to the practice
(c) C'ontracted medical aid short pay'ments are the accounl holder's rcsponsibilitl'.

ROSS&CRONJE&DEYSEL Member
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