1004 Mart General Trading LLC

P.O Box No:12825,Dubai, UAE TRN: 100579012400003

Shop: + 971 4 323 4536 http://www.my1004mart.com/ Logistics Center: + 971 4 882 9882

Tax Invoice
(F&B Division)

Customer: Miyabi Sushi - La Mer Miyabi Date: 12/03/2019

Address: Palm View East,Dubai,UAE Remarks/LPO#: LA MER / MARCH
TRN: 100297560300003 Invoice #: 190311-11130
Telephone:
Sale Order Ref: SO98333

No. Code Name Brand Size Packing Box Qty Price D/C% AMT W/O VAT VAT AMT With
VAT % VAT

1 KRDGO03227 Gochujang, Red Pepper CJ 14kg 1.0 0.0 1.0 188.0 0.0 188.0 5% 9.4 197.4
Paste (Alchan)

2 CNCVG11070 Pak Choi (China) China 1 kg 25.0 0.0 7.0 10.0 0.0 70.0 5% 3.5 73.5

3 GBFIC04591 Coconut Mochi (6pcs) Little 192g 10.0 0.0 4.0 30.0 0.0 120.0 5% 6.0 126.0
Moons

4 KRFFC03687 Jubu Yubu Wang, Frozen CJ 300g 6.0 0.0 2.0 24.0 0.0 48.0 5% 2.4 50.4
Fried Tofu Skin

5 GBFIC04597 Chocolate Ganache Little 192g 10.0 0.0 3.0 30.0 0.0 90.0 5% 4.5 94.5
Mochi (6pcs) Moons

6 JPFSF04574 Gindara, Frozen Black USA 2.5- 6.0 0.0 2.7 120.0 0.0 324.0 5% 16.2 340.2
Cod (5-7lbs) (Alaska) 3kg

Total AED 19.70 AED 840.00 AED 882.00

Discount AED 0.00

Total VAT AED 42.00

Total AED 882.00

Approved By: Received By: Account 1004 Mart General Trading

Name: LLC
Delivered By: Sign:
Account No: 1002001897
Vehicle#: CASH CARD CREDIT
Swift Code: CBDUAEAD

Bank: Commercial Bank Of Dubai

IBAN: AE19023 000000

1002001897

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