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Camille Renard
Speech therapist, INAMI no. 6-00000-05-111
Rue de la Démonstration 1, 1000 Bruxelles
Tel. 0400 00 00 00 · demonstration@exemple.be
Enterprise no. 0123.456.749
To the parents of Pirard Emma
For the attention of Parent de Emma
Rue de l'Exemple 1
1000 Bruxelles
Bruxelles, on 25 October 2026

Payment reminder

Invoice no. 2026-010 of 25/10/2026

Sessions of September 2026

Dear Sir or Madam,

Unless we are mistaken, invoice no. 2026-010 of 25/10/2026, for the speech therapy sessions of September 2026, has not yet been paid in full.

Personal share payable by you6,00 €
Left to pay6,00 €

Please pay this amount into account BE71 0961 2345 6769 in the name of Camille Renard, with the structured reference +++202/6000/01004+++, or settle it at your next session.

Or scan this code with your banking app: everything fills in by itself.

If you have paid in the meantime, please disregard this reminder.

Yours faithfully,

Camille Renard