Paid

Invoice

From:

100 moo 5, Fa Ham
Muang Chiang Mai
Chiang Mai 50000
THAILAND

TAT Licence: 21/01155
Tax ID: 0503561005522

** TAX INVOICE **

Invoice Number TOUR0018
Invoice Date November 5, 2023
Due Date November 17, 2023
Total Due B6,420.00
To:
Shane Liddle

Passport (Australia) PA7586804
Date of Birth 21/02/1973

Hrs/Qty Service Rate/PriceSub Total
1 Special Transport (post-accident) - Shane Liddle

Special transport from Mae Chaem Hospital to Chiang Mai city for Shane Liddle following motorcycle accident 01/11/2023 (customer injured and unable to ride motorcycle). Hilux Revo with driver.

B4,000.00B4,000.00
1 Crutches x 2 for Shane Liddle

Crutches x 2 for Shane Liddle following diagnosis of suspected non-displaced fracture of the femur at Mae Chaem Hospital on 01/11/2023. Two crutches @ 800 baht each.

B1,600.00B1,600.00
1 Special transport from Kate & Hasu Hotel, Chiang Mai, to Bangkok Hospital, Chiang Mai + return

Transport to Bangkok Hospital, Chiang Mai for further investigation of suspected nondisplaced fracture of the femur, per recommendation of doctor at Mae Chaem Hospital. Return transport from hospital to hotel. 02/11/2023

B400.00B400.00
Sub Total B6,000.00
VAT B420.00
Total Due B6,420.00