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DRAFT Standard Purchase Order 18, 0

Neotia Healthcare Initiative Ltd Type Standard Purchase Order


Vishwakarma Order 18
86C Topsia Road (S) Revision 0
700046 Order Date 24-MAY-2017
India Created By Srinivas, Mr. T
Revision Date
Current Buyer Srinivas, Mr. T
Supplier: 3M INDIA LIMITED
RAHEJA PARAMOUNT,
138, RESIDENCY ROAD,
BANGALORE, Karnataka
India

Ship To: Vishwakarma


86C Topsia Road (S)
700046
India

Bill To: Vishwakarma


86C Topsia Road (S)
700046
India

Customer Account No. Supplier No. Payment Terms Freight Terms FOB Transportation Ship Via
1375 45 Days
Confirm To/Telephone Requester/Deliver To
Srinivas, Mr. T / NHIL Neotia
()

Notes: All prices and amounts on this order are expressed in INR

Line Part Number / Description Delivery Date/Time Quantity UOM Unit Price Tax Amount
(INR) (INR)

1 M-N-PH-3001-00001 Needed: 100 STRIP10 80 N 8000.00


22-JUN-2017 17:19:00
POVIDONE IODINE-SOLUTION-5% 500ML-3M SKIN PREP-

This line references Contract Agreement15

1-1 Ship To:


Use the ship-to address at the top of page 1
Deliver To: NHIL Neotia

Total: 8000.00 (INR)

Proprietary and Confidential Page 1 of 1

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