Invoice

1. Ivanna Dmytryk
28/6 bulvar D. Galytskogo
- 46011 Ternopil, Ukraine
Proforma Invoice no 9087
Your order : 11.10.2011 Date : 11. Oktober 2011 / MP
Your client no : M2698 Our ref. : Monika Fuchs
Payment : Payment before delivery
Delivery : 21.10.2011
Article Description Qty. Unit Price Total
SOT-PRO-4826 Ureteral Stent Set Longlife 1.00 pcs. 23.00 23.00
CH4.8 26cm
LOT-Nr.: 6844
SOT-PRO-626 Ureteral Stent Set Longlife 1.00 pcs. 23.00 23.00
CH6 26cm
LOT-Nr.: 1300
GTHS-150-35 Titanium Hydrophilic Superguidewire 1.00 pcs. 34.00 34.00
150cm , 0,035", straight
LOT-Nr.: H220622
GTHS-150-32 Titanium Hydrophilic Superguidewire 2.00 pcs. 34.00 68.00
150cm , 0,032, straigth
LOT-Nr.: H220806
Total (Export) EUR 148.00
Thank you for your order.
Bank
CREDIT SUISSE (4) Account : 0879-514977-42-1
Paradeplatz 8 Swift : CRESCHZZ80L
8070 Zürich IBAN : CH9004835051497742001
Mar Flow AG Soodstrasse 57 CH-8134 Adliswil/Zürich Switzerland
Tel. +41 44 709 01 10 Fax +41 44 710 21 36 e-mail: marflow@bluewin.ch
www.marflow.ch