31 Princess of Wales Terrace, Parktown, 2193

Postnet Suite 189, Private Bag X2600, Houghton, 2041

Tel: 011 274 9200
Fax: 011 274 9326
VAT NO. 4310171493

Tax Invoice

Sold To: Centers for Disease Control and Prevention Invoice number : AR-IN-0000542186

2939 Brandywine Road Customer code : AE46CDC001

Atlanta
30341 Date : 2020/09/17

Page: 1

Reference Syndicate Name Payment Terms

CDC Drawdown - $143 161.04 @ CDC SA - PHASE II 30 days end of month

R16.6699995 - 21 Sept 2020
Description / Comments Tax Code Amount

CDC Drawdown - $143 161.04 @ R16.6699995 - 21 Sept 2020 AE493 143 161.04

Subtotal 143 161.04

VAT @ 0% 0.00

Banking Details:
Name of account:
Bank & Branch:
Current Account Number:
Branch number:
International Branch Code
Wits Health Consortium (PTY) LTD T/A Deposit Acc Total USD 143 161.04
First National Bank - Corporate Account Services, JHB
54861165389 For any queries regarding this invoice, please contact:
210554 Debtos Department on 011 274 9200 or
debtors@witshealth.co.za
21055400

Swift Code FIRNZAJJ

Remittance advice and Proof of payment to be submitted to:

WHCDepositAcc@witshealth.co.za