Medical Therapy Invoice February 2026

## INVOICE **Date:** February 15, 2026 **Invoice #:** IP-2026-001 **Period:** February 4 - 14, 2026 --- ### FROM **Iuliia Prokopeva** Dubai, UAE ### TO **Johan Jongsma** 851 Brightwaters Blvd NE Saint Petersburg, FL 33704 --- **Patient:** Sophia Helena Jongsma (DOB: January 1, 2017) --- ## Services | Description | Qty | Rate (USD) | Amount (USD) | |-------------|-----|------------|--------------| | Therapy sessions — full day | 15 | $600.00 | $9,000.00 | | Therapy sessions — half day | 2 | $300.00 | $600.00 | | Tickets | 1 | $1,371.00 | $1,371.00 | | Tickets change | 1 | $25.00 | $25.00 | | **Subtotal:** | | | **$10,996.00** | --- ## Deductions (received in kind) | Description | Qty | Rate (USD) | Amount (USD) | |-------------|-----|------------|--------------| | Peptides | 17 | $25.00 | -$425.00 | | Peptides | 2 | $10.00 | -$20.00 | | Syringes (box) | 1 | $17.50 | -$17.50 | | **Total deductions:** | | | **-$462.50** | --- ## AMOUNT DUE: $10,533.50 --- ## Payment Details - **Account Holder:** Iuliia Prokopeva - **Bank:** Mashreq Bank - **Account Number:** 019101369369 - **IBAN:** AE210330000019101369369 - **SWIFT/BIC:** BOMLAEAD - **Bank Address:** Al Ghurair City, 339-C, AGC, Al Riqqa Street, Dubai, UAE