Erba’ INVOICE ‘Supplier: Erba Lachema s.r.o. DocumentNe. : 250170232 Karasek 2219/14 Order confirmation: 650170097 62100 Brno Czech Republic Customer No. 1994 IDNo, 26918846 Vato. CZ26918846 ‘Your Order No entered nthe Commercial Register athe Reg Commercial Coutin Bo, Section C, Riger 45458 Reference No. ; EOPV010/2017 11.14.2017 Telephone Fax Email ‘Bank CITIBANK, PRARA eam na oasara3eT as) BAN: Gzx6gen00000002069970%07 B/C: CICA ‘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 1D No. VAT No ID No. VAT No Payment 14.2017 Payment method : Date of issue 173.2017 Terms of delivery: CIP Abidjan Incoterms Tax point 473.2017 Transport by air Terms of payment 2 Pos Material ‘Descapton Catcode EM Unt Total DiscounvSurcnarge Pree agust. VAT rate TOTAL Commoaty code __Quantty Unit price price ie tt Tecbase —_% _ including VAT Delivery note 510170234 7 42000003.«=«=«:HOL C160 xsvs0043 Ri 420ml + R24 10M 36220000 500 Pcs 68.40 342.00 sazg0 0 342,00 2 12000007 LOL 80 xsvs0044 Rt: 2x 30mn1+ RZ: 2x 10 ml 138220000, 200 Pcs 6840 126,80 135809 136,80 5 12000009 ——-HOLILOL CAL xs¥S0061 2x1m 30029010 zoorcs 33.72 ora ors 0 ora 4 rzogo010 = XL MULTICAL xs¥s0034 43m 38220000 500 pcs 31.68 158.40 150400 158,40 5 12000012“ ERBANORM aL To008® Rj: x Sen + R21 20-1 30029010 topo Pos 21.60 216,00 2600 8 6 r2000013.-:ERBAPATH BL T00081 idx mi R21 20m 30028010 4000 FCS 21.60 21800 216000 216,00 7 ra0000t6 ALP 110 xsys0002 Ba 2x44 mis R221 mL Tssued by :Zuzana Uniifova invoice: 250170232 Page: 1/6 eeINVOICE ‘upplier; Erba Lachema s.r.0. 62100 Bmo DocumentNo. : 250170232 Pos. Material Desatipton Catcode EM Unit Total Discounv’Surcharge Price adjust VAT ate TOTAL Gommocity code Quantity Unit price pice +t Wm Taxbase ‘including VAT Delivery note 510170234 30220000 2.00 PCS 9.36 1872 se72 0 1872 8 r2000017 AMY 110 x3¥S0003, Ri: 5x22 36220000 200 Pcs 33.36 e672 e672 0 66,72 8 12000018 CREA 275 xsvso02 Ri: 5x46 mi + R2: Sx 11m 38220000 00 Pcs. ate 40,90 9 0 40.90 10 12000019 GGT 110 xs¥s0ott R129 44 mie RO: 2x 11 ml 38220000 200 PCS 1298 25,92 wer 0 2582 12000020 © CHOL 440 xs¥50009, RI 10x44 ml 38720000 500 PCS (2t.24 105,20 10520 0 108,20 42 42000021 LOH 110 xs¥s0013 RI: 2 «Ab m+ 2:2 11 38220000 4190 PCs 788 788 7680 7,88 43 12000028 © UREA 275 xs¥s00z0 RI: 5x44 mie R2:5x 11 ml 38220000 500 PCS 1392 69.80 9600 69,80 14 12000032 BILD 330 xsvs0028 Rt: 6 44 m+ R23 22M 36220000 400 Pcs. 11.40 1140 11400 1140 15 12000034 BIL T330 xsvs0023 RI: €x 44 mle RQ: 3x22 38220000 soo pcs 11.40 1140 400 1140 16 12000038 © CA'120 xs¥s0007 Ri 0x12! 38220000 20,00 PCS 11,28, 225.60 225600 225,80 47 ‘2000040 © cK 110 xs¥s0022 Rt: 244 en-+ RQ: 2 11 38220000 2,00 PCE 2382 47,04 aoa 4708 18 12000042 CK MB 110 xsyso029 Ri: 244 mis RO: 2x11 mi 38720000 2.00 PC: 295 8592 ss 0 95.92 19 12000084 CREA 200 ‘aL T00020 Rt: 2x 50mi+ R2: 2x50 mi+ RISTO: 1xSeal 30220000 5,00 PCS 5.18 2580 2600 25,80 Issued by “Zuzana Uhlifova Invoice 250170232 Page: 2/6INVOICE ‘Supplier; Erba Lachema s.r.0. 62100 Bro DocumentNo. : 250170232 Pos Materl ‘Desenpton Gatoode EM unt Total DiscounvSurcharge Pree agus. VAT ate TOTAL Gommodity code __Quentty Unt pce pe ae EEE sextase ot inetuaing VAT Deiiverynote 510170234 20 12000088 GLUS0D eLT00025 RA: 24.260 mi +R STD: 2x5 m1 38220000 soo pcs 10,80 £400 54000 54,00 21 2000051 GLU 440 xsys0012 Rt; 103-44 ml 38220000 sooPcs 1200 60.00 e000 0 8000 22 12000085 © CHOL 5x50 BLTOD036 Rt 5x80 mi* R2STD: 1x3 ml 36220000 300 PCS 10.80 3240 s24o 0 3240 23. 12000062 «PHOS 120 xsyso0%s R110 «12m 38220000 2.00 PCS 932 10.24 18260 4024 24 12000065 —ASTIGOT 250 BL Ta00s0 I-44 500ml + R2: 150m 38220000 500 PCS 900 48.00 48000 48,00 25 12000087 ASTIGOT 330, xsyso0%8 RI: 6 44 ml + R2: 3x22 ml 38720000 500 PCS 1308 65.40 e400 65.40 26 12000068 ALTIGPT 250 BLT00052 Rts 580 mi RO: 1x50 ml 36220000 5.00 PCS 960 48,00 48000 27 12000070 ALTIGPT 330 xsysoo17 R18 c44 mis P2322 mi 38220000 800 PCS 13,08 5.40 e540 0 65.40 28 12000074 TG 100 BLT00057 BY 250 m+ R2STD: 1x3. 138220000 300PcS 1020 30.60 x60 0 2080 28 12000077 TG440 xsvs0041 RY 144ml 38220000 500 PCS 38.08 19020 190200 190,20 30 12000079 UREA 250 BL T00061 Rt: 4x50 ml RO: 1501+ RS STD: 1x5 ml 36220000 500 PCS 11001 55.05 55050 5505 31 12000080 —-UASINGLE 200 BLTo0082 14x 50ml+ R2 STD 1 x8 ml 38220000 2,00 PCS 960 1920 1920 0 19.20 32 1000081 «UA a0 xsvso042 Rts 0x44 ml Issued by :Zuzana Unilfova Invoice 250170232 Page 3/6INVOICE ‘Supplier; Erba Lachema s.r.0. L 62100 Bmo DocumentNo. : 250170232 Pos Materal Description Cateoce EM Unit Total Discount’Surcharge Price aqiust \VaT ate TOTAL Commodity code __Quantty Unt ice price eh Tem taxvase —_% _ including VAT Delivery note__ 510170234 38220000 00 PCS 27.36 13680 136800 33 1200064 = XL WASH xs¥s0066 4x 100 mt 38220000 2000 PCS (1848 369,60 e600 369,60 24 12000135 SOCAL SH xs¥s005t axiom 138720000 400 PCS 18,00 1800 18000 18,00 35 12000136 CRPCAL SH xs¥s0053 txt 38220000 400 Pcs 2,40 26.40 26400 26,40 38 12000137 [Link] xS¥S0082 txt nl 38220000, 400 PCS 18.00 1800 18000 18,00 37 12000138 -ASO xsys0046 i: 2x40 mi+ R2:2x 10m! 38220000 200 Pcs. 6500 13200 132000 13200 30 12000143 CRP xsysoo47 Rt: 2 40 ml R2:2x 10m 138220000, 10.00 PCS (36.00 360.00 360000 360,00 39 12000148 HBATC CAL SET xs¥s0057 4xC25 mi 38220000 4,90 PCE 96,00 96.00 9600 0 96,00 40 12000148 © HBATC CONH xS¥S0055 41x0.25 mi 36220000 2,90 PC! ate 4232 42320 4232 41 12000180 HBAIC CON xsyS0055 1x9.25mi 38220000 200 Pcs (24,60 4320 43200 43,20 42 12000151 Heatc xsys0054 RA 1 x26 m+ R2a: 1 x Bm), Rabe 14 mit RB: 2x50 ml 98220000 tooo Pcs. 117.60 117600 1176000 41176,00 4342000188 MAL xs¥s0063 Rt: 2x30 mi+ R2: 1 x10. 98220000 200 PCS 4080 81.60 sig0 0 81.60 44° 12000188 MULTICONL1 aL T20034 ttm! 138220000 2,00 PCS 1200 24,00 24000 24.00 Issued by :Zuzana Unlifova Invoice: 250170232 Page: 4/6INVOICE a Erba Lachema 5.1.0. 62100 Bro DocumentNo. : 250170232 Foo Matra) Deserpion Sotcoce ex Uni ‘otal DiscountSucharge Price agust vat ate TOTAL Sete de Quanity Unite ames eA as pase oe Including VAT Delivery note 51017024 “5 12000160 MULTICONL2 Lr20035 tetm 3220000 zoo Pcs 1920 eo wean 0 340 45 sao0082 RF xSYS0048 Rt 21A0 mio R2-2x8mi 39220000 zoopes 11280 «(22500 225600 22560 Delivery note __510170180 “cy s00080z1 ELITE 6 WASH HEAD S330 90279080 aoopes| 17550 «(17580 15500 175,50 48 soo04041 ELITE VALVE2/2 A508 90279050 40 pos| 12260 «49040 aoao 0 49040 49 sooodos1 ELITE VALVE 2/2 ASC4 90279050 too pcs 12260 «122.60 122000 12260 so sooosne2 ELITE VALVE 3/2 A505 90279060 goo pcs «12560 «(37880 s7eg0 0 37620 51 sooodes2 ELITE VALVE372A5)5. 90279050 aoopcs 12560 (251.20 a120 0 251,20 52 s0004260 «ELITES SAMPLE ROTOR 90278050 ao pcs e000 «800.00 s0000 0 800,00 s3 s2900075—_“ERBALYTE Ca REAGENT PACK. REGOOOI2 650 mi STD A+ 350 m/STOB 38220000 soo pcs 11040 «582,00 55200 0 552,00 Corser Confirmation 650170087 SA 00185 Freight cherae 4.00 s60.00___660.00 200000 220,00 219,00 298245 TOTAL EUR 8 982.45 Exchange rate: 27,0200 capitulation CZK vat rate“ Taxbase|vATamount] Total amount 2 722 10579 0) 762 70578 EE T0878 0.90 742 705,78 Issued by :Zuzana Unlifova Invoice: 250170232 Page: 5/6INVOICE ‘Supplier; > Erba Lachema s.r.o. 250170232 “The amount of this Invoice Is Stopped in favor of Citibank, Praha, pay exclusive by transfer to @ current account No.. [BAN €21626000000002063370307; BIC CITICZPX in Citibank, Praha." 62100 Bmo Document No. ‘Tax-exempt supply pursuant to § 66 VAT Act No. 235/2004 Coll. Erba Lachema 5.1.9 Issued by :Zuzana Uhlifova Invoice: 250170232 Page’ 6/8