Cleveland Clinic London Ltd

Suite 1, 3rd Floor

11-12 St. James's Square
London
SW1Y 4LB

Any Questions, please contact:

Jodi Reindle, +1-216-636-7436, REINDLJ@ccf.orgx

Bill-to Invoice Date Invoice #

UK Test Customer 21 May 2020 3000029
20 Barclay Ave
London, W1J 5AX Purchase Order Customer #
United Kingdom
21003

No. Description Quantity UOM Unit Price Amount VAT Rate VAT Amount

1 AFFILIATION FEES 1 1,000.00 £1,000.00 EXEMPT £0.00

Line Total £1,000.00

VAT Total £0.00
Grand Total £1,000.00
Payment £0.00
Credits £0.00

Payment Terms: 30 Net Due Date Currency Balance Due

20 June 2020 GBP £1,000.00

Special Instructions Payment Instructions

Bank: Barclays Bank Plc
Account Name: Cleveland Clinic London Ltd
Account Number: 53681645
Sort Code: 20-00-00
SWIFT: BARCGB22

Please include the Customer and Invoice Number as your payment reference. Thank You.

Cleveland Clinic London Ltd is a limited liability company registered in England & Wales under Number 09915684. VAT Registration Number is GB284749944

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