Proforma Invoice

Supplier:

Reg. OR KS Ostrava, odd. C, vl. 94343
Klinova 620/1, 709 00 Ostrava-M.Hory, Czech Republic
IC: 19949618

No VAT registration



Bank account detail:
Bank Name: Komercni banka a.s. Na Prikope 969/33, 114 07,
Prague 1, Czech republic
Account No. 131-3170530227/0100
IBAN: CZ3201000001313170530227
BIC SWIFT: KOMBCZPPXXX

Variable symbol: 2024104301
Constant symbol: 0308
Total Price 430.00 Eur
Customer:
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81 fiske st

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Bank transfer
Way of payment: Bank transfer
Date of issue: 15/11/2024
Proforma invoice was delivered to: thomas.gregory@coxhealth.com
Qty Service PriceSub Total
1 Registration fee

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430.00 Eur430.00 Eur
0 Additional journal article

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190.00 Eur0.00 Eur
0 Accompanying person

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300.00 Eur0.00 Eur
Sub Total 430.00 Eur
Total Price 430.00 Eur