ORDER CONFIRMATION

Supplier : Erba Lachema s.r.o. Document No. : 650 190533

Karásek 2219/1d
621 00 Brno Date of issue : 12.3.2019
Czech Republic Your Order No. : PO 03/2019
Reg. No. 26918846 Vat No. CZ26918846
Entered in the Commercial Register at the Reg.Commercial Court in Brno,
Section C, Riger 45458
Reference No. :

Phone : Fax : E-mail :

Bank: CITIBANK, PRAHA Account No.: 2063370403/2600 IBAN: CZ43 2600 0000 0020 6337 0403 BIC: CITICZPX

Destination : TEQUIRLAB S.R.L. Customer : TEQUIRLAB S.R.L.

Calle Rosendo Gutiérrez No 694 Zona Calle Rosendo Gutiérrez No 694 Zona
Sopocachi Sopocachi
* La Paz * La Paz
BOLIVIA BOLIVIA
Shipment date : Cust No.: 2264
Terms of delivery : CIP La Paz Incoterms 2010 Reg. No. Vat No.
Shipping conditions : by air
Terms of payment : Payment in advance
Currency USD
Pos. Material Description Quantity Unit Price unit Total
Cat.code EM
1 12000084 XL WASH 10,00 PCS 17,32 173,20
4 x 100 ml
XSYS0066
Should be available: 1.4.2019

2 52000123 ERBA LYTE CL ELECTRODE 1,00 PCS 94,50 94,50

INS00017
Batch: 190112 Expiration: 31.1.2020

3 52000124 ERBA LYTE CA ELECTRODE 1,00 PCS 94,50 94,50

INS00018
Batch: 190111 Expiration: 31.1.2020

4 52000130 ERBA LISA SCAN II 1,00 PCS 2 474,98 2 474,98

INS00031
Batch: 120746 Expiration: 24.8.2028

5 52000137 ERBA LYTE K ELECTRODE 1,00 PCS 94,50 94,50

INS00015
Batch: 190111 Expiration: 31.1.2020

6 52000138 ERBA LYTE Na ELECTRODE 1,00 PCS 94,50 94,50

INS00016
Batch: 190111 Expiration: 31.1.2020

7 00156 Freight charge 1,00 440,00 440,00

Total amount without tax 3 466,18

Issued by : Simona Weingärtnerová

Order confirmation : 650190533 Page: 1 / 1