BANCO: 237 2 NOSSO NÚMERO:
CNPJ 01518211/0005-07
DEZ/2022 CONTA: 0053428 5 09/90805352120-1
CÓDIGO NOME DA EMPRESA VENCIMENTO VALOR
80535 DHIEGO HENRIQUE NUNES DE SOUZA 13342004754 05/12/2022 2.732,90
-Caso o boleto não seja recebido em até 5 dias antes do vencimento, retire a segunda via através do Portal [Link] ou no
Aplicativo Golden Cross Clientes. Se o seu boleto de pagamento tem até 60 dias de atraso, atualize-o diretamente no site do banco emissor.
Você poderá atualizar seu boleto vencido, já com o cálculo de juros e multa, com pagamento para o mesmo dia, no Banco de sua preferência.
-Identificamos em nosso sistema que existe(m) mensalidade(s) em aberto. Desconsidere esta mensagem caso o pagamento já tenha sido efetuado.
-A Golden Cross está dispensada de emissão de Nota Fiscal por beneficiário conforme Regime Especial - Processo nº 046362/10
-Em atendimento à Lei nº 12.741/2012, informamos que os tributos e respectivas alíquotas incidentes sobre o seu plano de saúde são:
Tributos Federais PIS - 0,65% e COFINS - 4,00%; Tributo Municipal: ISS - 2,00%.
BRADESCO
CNPJ 60746948/0001-12
237 2 23793.11406 99080.535216 20005.342801 1 91900000273290
LOCAL DE PAGAMENTO VENCIMENTO
ATÉ O VENCIMENTO PAGÁVEL EM QUALQUER BANCO, PREFERENCIALMENTE NO BRADESCO 05/12/2022
BENEFICIÁRIO AG/COD BENEFICIÁRIO
SUPERMED ADM DE BENEFICIOS LTDA CNPJ: 30.489.359/0001-35 ANS-nº40.3911 3114-3/0053428-5
DATA DO DOCUMENTO NÚMERO DO DOCUMENTO ESPÉCIE DOCTO. ACEITE DATA PROCESSAMENTO NOSSO NÚMERO
17/11/2022 0000080535 RC N 17/11/2022 09/90805352120-1
USO BANCO CARTEIRA ESPÉCIE QUANTIDADE VALOR (=) VALOR DO DOCUMENTO
9 R$ 2.732,90
INSTRUÇÕES CÓ[Link] VALOR DE DESCONTO ATÉ [Link]ÊNCIA P/DIA (-) DESCONTO
**********
(-) OUTRAS DEDUÇÕES
Pagável unicamente na rede bancária. A Golden Cross não possui cobradores domiciliares. 725 **********
O pagamento desta mensalidade não quita possíveis débitos anteriores. (+) MORA MULTA
Após vencimento, multa de R$ 54,65 (2%) + juros de R$ 0,91 ao dia (1% a.m). Não receber após 60 dias de atraso. (+) OUTROS ACRÉSCIMOS
(=) VALOR COBRADO
PAGADOR
DHIEGO HENRIQUE NUNES DE SOUZA 13342004754 CNPJ: 27.823.594/0001-97 EMPRESA 80535 3114-3/0053428-5
AV NOSSA SENHORA DE COPACABANA 256
COPACABANA/RIO DE JANEIRO RJ CEP: 22020 001 0100 / DA TICKC 09/90805352120-1
SACADOR / AVALISTA Vision Med Assist. Medica Ltda CNPJ: 01518211/0005-07
Av. Brig. Lima e Silva, 1807, Jd. 25 de Agosto, D. Caxias/RJ [Link]
AUTENTICAÇÃO MECANICA
RECIBO DO PAGADOR
BRADESCO 60746948/0001-12
237 2 23793.11406 99080.535216 20005.342801 1 91900000273290
CNPJ
LOCAL DE PAGAMENTO VENCIMENTO
ATÉ O VENCIMENTO PAGÁVEL EM QUALQUER BANCO, PREFERENCIALMENTE NO BRADESCO 05/12/2022
BENEFICIÁRIO AG/COD BENEFICIÁRIO
SUPERMED ADM DE BENEFICIOS LTDA CNPJ: 30.489.359/0001-35 ANS-nº40.3911 3114-3/0053428-5
DATA DO DOCUMENTO NÚMERO DO DOCUMENTO ESPÉCIE DOCTO. ACEITE DATA PROCESSAMENTO NOSSO NÚMERO
17/11/2022 0000080535 RC N 17/11/2022 09/90805352120-1
USO BANCO CARTEIRA ESPÉCIE QUANTIDADE VALOR (=) VALOR DO DOCUMENTO
9 R$ 2.732,90
INSTRUÇÕES CÓ[Link] VALOR DE DESCONTO ATÉ [Link]ÊNCIA P/DIA (-) DESCONTO
**********
(-) OUTRAS DEDUÇÕES
Pagável unicamente na rede bancária. A Golden Cross não possui cobradores domiciliares. 725
**********
O pagamento desta mensalidade não quita possíveis débitos anteriores. (+) MORA MULTA
Após vencimento, multa de R$ 54,65 (2%) + juros de R$ 0,91 ao dia (1% a.m). Não receber após 60 dias de atraso.
(+) OUTROS ACRÉSCIMOS
(=) VALOR COBRADO
PAGADOR
DHIEGO HENRIQUE NUNES DE SOUZA 13342004754 CNPJ: 27.823.594/0001-97 EMPRESA 80535 3114-3/0053428-5
AV NOSSA SENHORA DE COPACABANA 256
COPACABANA/RIO DE JANEIRO RJ CEP: 22020 001 0100 / DA TICKC 09/90805352120-1
SACADOR / AVALISTA Vision Med Assist. Medica Ltda CNPJ: 01518211/0005-07
[Link]
Av. Brig. Lima e Silva, 1807, Jd. 25 de Agosto, D. Caxias/RJ
AUTENTICAÇÃO MECANICA [Link]
<NWn wnNnWw NnNw NnNwn WWnn WWnnNw N Nnw nWnNwN w nWn Wn WNwnWnWnNnwWnNnWwnWwNn Nwn WnwN wn WWnWNwn NwnWwnNWn> FICHA DE COMPENSAÇÃO
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PARA USO DO CORREIO
( ) Mudou-se ( ) Não procurado Data: Assinatura e Número
( ) Endereço Insuficiente ( ) Ausente do Entregador
( ) Não existe no indicado ( ) Falecido Reintegrado ao serviço
( ) Desconhecido ( ) Informação escrita Postal em:
( ) Recusado pelo porteiro ou zelador
22020 001
RJ COPACABANA/RIO DE JANEIRO
AV NOSSA SENHORA DE COPACABANA 256
80535 DHIEGO HENRIQUE NUNES DE SOUZA 13342004754
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VISION MED ASSIST. MEDICA LTDA
Av. Brig. Lima e Silva, 1807
Jd. 25 de Agosto - D. Caxias - RJ
CEP 25071-181
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