PEPPOL BIS INVOICE
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Issue date:
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Invoice Number:
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Document currency SEK |
Invoicing period From: 2015-04-01 To: 2015-04-30 |
Buyer's order number |
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Supplier/Seller Försäkringsbolaget vård AB
Handelsvägen 1 11122 Storstaden SE PartyID: 5555556666 [SE:ORGNR] Company LegalID: 5555556666 [SE:ORGNR] VAT no.: SE555555666601 [SE:VAT] |
Supplier's contact information Inga Jansson
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Customer/Buyer Kundpoolen AB
Kundstigen 1 11133 Storstaden SE PartyID: 9933441122 [SE:ORGNR] Company LegalID: 9933441122 [SE:ORGNR] |
Customer's contact information Måns Svanström
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Additional information Vid frågor angående fakturan ring 0771-76324198673 och ange organisationsnummer |
Contract document reference - ID: 74231 ( Document type: Avtal vård) |
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Tax information (VAT on document) | |||||||
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Document totals | |||||||
Document lines' total amount | Amount excl.VAT | Total VATamount | Amount incl.VAT | Payable amount | |||
750.00 SEK | 750.00 SEK | 750.00 SEK | 750.00 SEK | ||||
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Payment means: | |||||||
Means code | Paym. channel | Account no. | Financial institution/operator | Payment reference/OCR | Due date | ||
31 | 8889997 (LOCAL) | BGABSESS ( BIC ) | 24501 | 2015-03-31 |
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Line | Item number | Name | Quantity | Unit | Net unit price | Tax details | Allowance/Charge(line) | Line amount |
1 | 6653457899 | Arne Andersson 19680808-1111 | 1 | C62 | 300.00 SEK | VAT: E, 0% | 300.00 SEK | |
Description: ASSURE Vård Stor Item property: Forsakrad-PNR: 19680808-1111 Item property: Formansvarde: 9.00 Additional information: Löpande premie Item classification: Premie [SVLIV:Radtyp] Item classification: Sjukvard [SVLIV:Formanstyp] Item classification: Ingen [SVLIV:Skatteklass] Item classification: Tjanste [SVLIV:Pensionslager] Item classification: Lopande [SVLIV:Premietyp] Invoicing period From: 2015-04-01 To: 2015-04-30 |
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3 | 6700986574 | Lena Larsson 19770808-2222 | 1 | C62 | 200.00 SEK | VAT: E, 0% | 200.00 SEK | |
Description: ASSURE Vård Bas Item property: Forsakrad-PNR: 19770808-2222 Item property: Formansvarde: 6.00 Additional information: Löpande premie Item classification: Premie [SVLIV:Radtyp] Item classification: Sjukvard [SVLIV:Formanstyp] Item classification: Ingen [SVLIV:Skatteklass] Item classification: Tjanste [SVLIV:Pensionslager] Item classification: Lopande [SVLIV:Premietyp] Invoicing period From: 2015-04-01 To: 2015-04-30 |
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4 | 6700986500 | Medförsäkrad Tom Larsson | 1 | C62 | 250.00 SEK | VAT: E, 0% | 250.00 SEK | |
Description: ASSURE Vård Item property: Forsakrad-PNR: 19791122-3333 Item property: Huvudforsakrad-PNR: 19770808-2222 Item property: Formansvarde: 250.00 Additional information: Löpande premie Item classification: Premie [SVLIV:Radtyp] Item classification: Sjukvard [SVLIV:Formanstyp] Item classification: Ingen [SVLIV:Skatteklass] Item classification: Tjanste [SVLIV:Pensionslager] Item classification: Lopande [SVLIV:Premietyp] Invoicing period From: 2015-04-01 To: 2015-04-30 |
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Technical information: The above represents one way of visualizing this PEPPOL BIS INVOICE transaction. The stylesheet is offered as a neutral, solution independent reference stylesheet for verification purposes. It has been prepared by SFTI (http://www.sfti.se) based on work by OIOUBL. The version number of this stylesheet is 1.0. Technical references to this profile and transaction format are: - UBLVersionID: 2.1 - Profil Name: PEPPOL BIS 4a, Invoice Only - Profil ID: urn:www.cenbii.eu:profile:bii04:ver2.0 - CustomizationID: urn:www.cenbii.eu:transaction:biitrns010:ver2.0:extended:urn:www.peppol.eu:bis:peppol4a:ver2.0 |
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