BILL TO:
Date :
Customer Name
Order No.
Customer Address
TRN (If Registered Customer)
1234567890123456
ITEM
PARTICULARS
UNITS
UNIT PRICE (USD)
GROSS AMOUNT(USD)
1
Liscensee Fees
1
500
2
Additional Users
3
1200
Total Amount
17000
Currency Conversion Rate
Amount in AED
Total Amount in Words:
Paid through card ending_______