BILL TO:
Date :
Customer Name
Order No.
Customer Name
Customer Address
TRN (If Registered Customer)
| ITEM | Particulars | UNITS | UNIT PRICE (USD) | GROSS AMOUNT(USD) |
|---|---|---|---|---|
| 1 | Liscensee Fees | 1 | 500 | 500 |
| 2 | Additional Users | 3 | 400 | 1200 |
| Total Amount | 17000 | |||
| Currency Conversion Rate | |
| Amount in AED |
Total Amount in Words:
Paid through card ending_______