Erba Entered in the Commercial Register a the Reg. Commercial Court in Brno Section C, Riger 45488 PROFORMA INVOICE Supplier: Erba Lachema s.r.0. DocumentNo. : 270190302 Karssskez2ieid Order confirmation 650191503 62100 Bmo Czech Republic Customer No. 1994 IDNo. 26918845 Vat No. 6226918848 ‘| Your Order No. Reference No. Transport Telephone Fax Email ‘Bank: UniGrediBank Czech Republic as, Pr Account No. 01387685418/2700 BAN: GZ3627000000001387686415 BIC: BACXGZPP Delivery address : DISTRITECH ‘Customer: DISTRITECH 26 BP 177 Abidjan 26 26 BP 177 Abidjan 26 Centre TALIA Rue Pierre et Marie CURIE Centre TALIA Rue Pierre et Marie CURIE . ‘Abidjan . Abidjan IVORY COAST IVORY COAST ID No. VAT No ID No VAT No Payment 16.10.2019 Payment method : Date of issue 14.10.2018 Terms of delivery : CPT Abidjan by air - DHL Express ‘Terms of payment : Payment in advance Pos. Material Description Catcode EM Unit ‘Total DiscountSurenarge Price adjust. VAT rate TOTAL Commodity code Quanity Unit price pice 6% % —Taxbase _% _ Including VAT Order Confirmation 650191502 1 80003095 «ELITE SHGB HEAD Js aaa 90278050 300 PCS 80.88 182.58 1082580 102,58 2 50004028 ELITE SO RING FOR MEASURING CHAMBER ASE 90278050 : 5,00 PCS at 555 555 0 5.55 350004032 ELITE § OPTS WBC CHAMBER (ASSEMBLED) OPTSWaC 90279050 00PCS 143.84 143.80 143880 143.84 4 00186 Freight charge 4,00 150,00 150,00 150,00 10,00 481,97 TOTAL EUR 481,97 Issued by Profor ‘Exchange rate: 25,8150 Petr Marsalek rma Invoice : 270180302 Page: 1/1