PLOT 1828,GOGONYA ROAD,NSAMBYA - P.O.

BOX 4501,KAMPALA,UGANDA Page : 1 (2)

Tel : 0800340340 Toll Free : 0800 203018 Fax : Print Date : 19/01/2024

VAT Reg. No : 23073-R eTAX TIN No : 1000028849 Print Time : 01:45:51

CENTENARY (UGX) A/C NO : 3100003710

STANBIC (UGX) A/C NO : 9030005711141
STANCHART (UGX) A/C NO : 0102012418800
ABSA BANK (UGX) A/C NO : 0341173248 OR (USD) A/C NO: 0344025592

Proforma Invoice
Delivery Address Invoice Address
CORSU HOSPITAL CORSU HOSPITAL Order No : J554625
P.O. BOX 46, KAMPALA P.O. BOX 46, KAMPALA Sell To Cust No : KAM1126
KISUBI KISUBI Bill To Cust No : KAM1126
ENTEBBE ROAD ENTEBBE ROAD Salesperson : Bitamazire
Currency Code : UGX
Contact : Barbara Kobusingye
Reference :
SUTURES Telephone : 0794900174
Quotation No : J696559 Your Reference :

Part No Part Description Qty UOM Unit Price Am't Vat Excl.Disc.% VAT Gross Amount
VAT Incl.
SUNLIGA006F POLYGLYCOLIC ACID 50 BP12 68,267.21 3413360.5 0.00 0.00 3,413,360.50
(PGA) M4(1) 3140RC,
90CM THREAD LENGTH
SUNLIGA013 POLYGLYCOLIC ACID 15 BP12 42,565.51 638482.65 0.00 0.00 638,482.65
(PGA) M1(5/0) 3516RC,
45CM THREAD LENGTH
SUNLIGA034F POLYGLYCOLIC ACID 30 BP12 65,305.62 1959168.6 0.00 0.00 1,959,168.60
(PGA) M1.5(4/0) 3419RC,
45CM THREAD LENGTH
SUNLIGA027F SUTURE 120 BP12 30,599.08 3671889.6 0.00 0.00 3,671,889.60
C MONOFILAMENT
POLYAMIDE (NYLON),
BLUE, 2-0, 45CM, 3/8
CIRCLE REVERSE
CUTTING, 26MM
NEEDLE (NYLUS)

Total UGX VAT Excl. : 9,682,901.35

Total Discount : 0.00
VAT : 0.00
Total UGX VAT Incl. : 9,682,901.35

* The following items will not be supplied as requested due to the reasons given below.

Order Confirmed By :

Name : Signature :

Date : Tel :

Terms and Conditions :

1. Full payement with order.
2. This Proforma invoice is valid for 7 days.
3. Cheque payments in favour of Joint Medical Store.
4. All necessary precaution should be taken to maintain cold chain for items requiring cold storage.
5. Orders that include Narcotics must bear both the official stamp and signature of the facility and facility head.
6. JMS will not be responsible for cold chain, after goods have left our premises.
7. JMS Products have a minimum shelf life of 3 months.
 PLOT 1828,GOGONYA ROAD,NSAMBYA - P.O.BOX 4501,KAMPALA,UGANDA Page : 2 (2)

Tel : 0800340340 Toll Free : 0800 203018 Fax : Print Date : 19/01/2024

VAT Reg. No : 23073-R eTAX TIN No : 1000028849 Print Time : 01:45:51

CENTENARY (UGX) A/C NO : 3100003710

STANBIC (UGX) A/C NO : 9030005711141
STANCHART (UGX) A/C NO : 0102012418800
ABSA BANK (UGX) A/C NO : 0341173248 OR (USD) A/C NO: 0344025592

Proforma Invoice
Delivery Address Invoice Address
CORSU HOSPITAL CORSU HOSPITAL Order No : J554625
P.O. BOX 46, KAMPALA P.O. BOX 46, KAMPALA Sell To Cust No : KAM1126
KISUBI KISUBI Bill To Cust No : KAM1126
ENTEBBE ROAD ENTEBBE ROAD Salesperson : Bitamazire
Currency Code : UGX
Contact : Barbara Kobusingye
Reference : SUTURES Telephone : 0794900174
Quotation No : J696559 Your Reference :

8. JMS IS EXEMPT FROM WITHHOLDING TAX.