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B. BRAUN MEDICAL SUPPLIES SDN. BHD.

(Co. Reg. No. 198001002641(56425-H))

Crown Penthouse, Plaza IBM, 8 First Avenue, Persiaran Bandar Utama,


47800 Petaling Jaya, Selangor Darul Ehsan, Malaysia.
Tel: 603-7841 4200 (Hunting Line)
Fax: 603-7729 7491

Sold-to Ship-to INVOICE


Columbia Asia Hospital - Seremban Columbia Asia Hospital - Seremban ***** Repeat print *****
Columbia Asia Sdn. Bhd. Columbia Asia Sdn. Bhd. Document No : 91403205 Page: 1/ 2
No. 292 & Lot PT 1904 No. 292 & Lot PT 1904 Document Date : 01.04.2023
Jalan Haruan 2 Jalan Haruan 2 Sales Order No : 1810338384
Oakland Commercial Centre Oakland Commercial Centre Delivery Order No : 801206388
Negeri Sembilan Negeri Sembilan Your Order No : SIOW WAN MOI&SIOW KON FONG
70300 Seremban 70300 Seremban Your Order Date : 29.03.2023
Account No : 20042807 Account No : 20042807

PT : SIOW WAN MOI&SIOW KON FONG


KP & MRN : 480128-05-5170 / SRBN-0000013146
OP DATE : 29.03.2023
SURGEON : DR CHRISTOPHER KHOO CHEE HAN
USAGE DO : 12311

_______________________________________________________________________________________________________________________________________
ITEM QTY PKG UNIT MATERIAL DESCRIPTION UNIT PRICE/UOM AMOUNT DISC%/VALUE AMOUNT EXL.TAX TAX AMOUNT AMOUNT INCL.TAX
_______________________________________________________________________________________________________________________________________
10 1 PC NX053K VEGA PS TIBIAL PLATEAU CEMENTED T2
Batch No. 52800669 /Exp. 17.11.2032
20 1 PC NX120 VEGA PS GLIDING SURFACE T2/2+ 10MM
Batch No. 52803553 /Exp. 29.11.2027
30 1 PC NN261K TIBIAL OBTURATOR D12 MM
Batch No. 52804186 /Exp. 27.11.2032
40 1 PC NX031K VEGA PS FEMORAL COMPONENT CEMENTED F5N R
Batch No. 52799434 /Exp. 09.11.2032

_________________________________________________________________________________________________________

BANKERS : DEUTSCHE BANK (M) BHD


LEVEL 18-20, MENARA IMC,
8, JALAN SULTAN ISMAIL,
50250 KUALA LUMPUR.
ACCOUNT NO: 0004333-00-0
B. BRAUN MEDICAL SUPPLIES SDN. BHD.
(Co. Reg. No. 198001002641(56425-H))

Crown Penthouse, Plaza IBM, 8 First Avenue, Persiaran Bandar Utama,


47800 Petaling Jaya, Selangor Darul Ehsan, Malaysia.
Tel: 603-7841 4200 (Hunting Line)
Fax: 603-7729 7491

INVOICE
***** Repeat print *****
Document No : 91403205 Page: 2/ 2
Document Date : 01.04.2023

_______________________________________________________________________________________________________________________________________
ITEM QTY PKG UNIT MATERIAL DESCRIPTION UNIT PRICE/UOM AMOUNT DISC%/VALUE AMOUNT EXL.TAX TAX AMOUNT AMOUNT INCL.TAX
_______________________________________________________________________________________________________________________________________
Total Item Amount (MYR) , 8,700.00 8,700.00 0.00 8,700.00
_________________________________________________________________________________________________________

Terms of Payment : 60 d. until 10th of next month


Terms of Delivery : DDP Seremban, Negeri Sembilan

This computer generated statement requires no signature

PREPARED BY : LAWYOKMY
BANKERS : DEUTSCHE BANK (M) BHD
LEVEL 18-20, MENARA IMC,
8, JALAN SULTAN ISMAIL,
50250 KUALA LUMPUR.
ACCOUNT NO: 0004333-00-0

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