Invoice No: 2009444

Ìnvoice Date: 9/8/2011
SOLD TO New York Presbyterian/WeiII SHIP TO New York Presbyterian/WeiII CorneII MedicaI Center
Attention: Receiving Department
PO# 9900424365 PO# 9900424365
525 East 68th Street 512 E 71st Street
New York, NY 10065 New York, NY 10021
ATT: Accounts PayabIe ATT: Receiving Department
Order date
8/29/2011
Line No: Qty Ordered Part No: Unit price
DoIIar
Qty Shipped
1 2 5420 $280.00 2
2 2 5300-2 $280.00 2
Payment DetaiIs
Bank Name & Address: NatWest, South Kensington Station Branch, Cromwell Place, London SW7 2LB, UK
Account Name: EMcision Limited Account No: 87781107
Sort Code: 51-50-01 Swift/BIC: NWBKGB2L IBAN:GB51 NWBK 51500187781107
Cheque payments:
EMcision Limited,
Dept of Surgery, Hammersmith Hospital Campus, Du Cane Road, London W12 0S, UK
Invoice Address
EMcision Limited
13-15 Wallace Way, Hitchin, Hertsforshire SG4 OSE, UK
Registered address: 21 WiIson Street London EC2M 2TD Company No 3792886 VAT reg No 855289583
Product Description DoIIar
INVOICE
Purchase order no Shipment date Tracking no Country of shipment
9900424365 8/30/2011 USA
Emcision Adapter ERBE $560.00
Emcision Adapter Rita 1500 x $560.00
Discount
Shipping $112.49
Sub TotaI
TotaI $1232.49
Tax/VAT
AdditionaI Information Adjustments

899$97009 047     .0 !   .

.

  $!%  047!708-907.3.

0.792039 !   89$97009 047   %% .0.305.-0 %% #0.03907 9903943#0.305.047300/.90 ..4:398!..792039 7/07/..

.

.8047/0734   "9 7/070/   $52039/.90 .  304   !:7.

 .

31472.943 $553 $:-%49.5907# 2.75943 2..908. 8.0 "9$550/ 4.4:39 %.843/.5907#9.794    &3957.334 4:39741852039 &$ 4.7     //943..  %7.843/.7   !74/:.  !.

9437.843290/.0 43/43$ & .20.203909.9089 $4:90383943$9.4:394  $4794/0  $19. 7420!..20 //7088.3..4:39.3.'% /:8920398 %49.     !..8 .

//7088 843$9700943/43% 425.0./ 43/43 $ & 3.20398 .4.843290/  .30#4.   06:05.34  '%704 .843290/  05941$:707 ..22078294859.0//7088 ...3 0798147870$ $ & #089070/.25:8 :. 9.

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