Page 1 of 2

Invoice
Date 12/13/2019
Invoice # 386480
Created From Sales Order #66180
PO # 057-201- Monobind
Terms Prepaid
IncoTerms CPT Lima
Ship Via Map Cargo
Cust Ship Acct No

Bill To Ship To
Comercial Importadora Sudamericana S.A.C Comercial Importadora Sudamericana S.A.C
Jr. Pallasca 1430 URB. Covida, Los Olivos Jr. Pallasca 1430 URB. Covida, Los Olivos
Lima 39 - Peru Lima 39 - Peru

Item Description Lot Number, Bin (Quantity) Quantity Rate Amount

2875-300A Ferritin Test System EIA-124K1K9,3B-24-03-3(1) 1 88.00 88.00

375-300A TSH Test System CIA-3K3J9,3B-18-01-1(3) 3 52.00 156.00

1275-300A Free T4 Test System CIA-12K2K9,3B-05-01-1(3) 3 52.00 156.00

4975-300A Estradiol Test System CIA-49K2J9,3B-06-01-1(3) 3 68.00 204.00

3775-300A TestosteroneTest System CIA-37K2J9,3B-10-01-1(1) 1 63.00 63.00

4875-300A Progesterone Test system CIA-48K2F9,3B-11-01-1(1) 1 68.00 68.00

775-300A PRL Test System CIA-7K1L9,3B-05-01-1(2) 2 52.00 104.00

675-300A LH Test System CIA-6K1K9,3B-24-03-2(2) 2 52.00 104.00

475-300A FSH Test System CIA-4K1K9,3B-06-01-1(3) 3 52.00 156.00

875-300A hCG Test System CIA-8K1J9,3B-07-02-1(2) 2 52.00 104.00

2175-300A tPSA Test System CIA-21K1H9,3B-19-01-1(7) 7 52.00 364.00

9225-300A PCT EIA-92K1H9,3B-06-02-1(2) 2 113.00 226.00

146MM Streptavidin Microplate 96 Wells - ELISA CV1J9,3B-19-03-1(100) 100 10.00 1,000.00

HPC-300 QSure Anti-H. Pylori Control - Positive & HPCPN1C9,3C-12-02-4(3) 3 52.00 156.00
Negative

1225-300 Free T4 Test System EIA-12K1K9,3B-20-01-1(50) 50 39.00 1,950.00

325-300 TSH Test System EIA-3K2L9,3B-FLR(150) 150 37.00 5,550.00

8025-300 Thyroid Quality Control Material x 192 EIA-80K1L9,3B-07-01-1(2) 2 77.00 154.00

wells
1625-300A H. Pylori Ab IgA EIA-16K2K9,3B-24-02-3(2) 2 52.00 104.00

1525-300A H. Pylori Ab IgM EIA-15K1L9,3B-20-01-1(30) 30 52.00 1,560.00

1425-300A H. Pylori Ab IgG EIA-14K3K9,3B-10-02-1(20) 20 52.00 1,040.00

8325-300 Fertility Quality Control Material x 192 EIA-83K2K9,3B-24-02-4(2) 2 88.00 176.00

wells
3325-300 hCG Test Systems EIA-33K1L9,3B-09-01-1(20) 20 26.00 520.00

825-300 hCG Test Systems EIA-8K2J9,3B-21-01-1(20) 20 33.40 668.00

3625-300A Cortisol EIA-36K2K9,3B-19-01-1(3) 3 57.00 171.00

2425-300A Insulin EIA-24K2K9,3B-19-01-1(17) 17 69.00 1,173.00

2325-300A fPSA EIA-23K2I9,3B-18-02-1(8) 8 60.00 480.00

2125-300A PSA EIA-21K4K9,3B-20-02-1(100) 100 37.00 3,700.00

3925-300A CA 19-9 EIA-39K1J9,3B-19-01-1(2) 2 98.00 196.00

3025-300A CA-125 EIA-30K2L9,3B-18-02-1(5) 5 55.00 275.00

1825-300A CEA EIA-18K2K9,3B-20-01-1(15) 15 43.00 645.00

1925-300 AFP Test System EIA-19K1K9,3B-07-02-1(15) 15 43.00 645.00

 Page 2 of 2

Invoice
Date 12/13/2019
Invoice # 386480

Item Description Lot Number, Bin (Quantity) Quantity Rate Amount

8625-300A sTfR EIA-86K1K9,3B-24-02-2(2) 2 113.00 226.00

2875-300A Ferritin Test System EIA-28K1K9,3B-21-01-1(15) 15 41.00 615.00

7525-300 Folate Test System EIA-75K1J9,3B-18-02-1(5) 5 88.00 440.00

7625-300 Vit B-12 Test System EIA-76K4K9,3B-06-02-1(15) 15 79.00 1,185.00

2525-300 IgE EIA-25K2I9,3B-18-01-1(15) 15 41.00 615.00

Thank you for your order. Changes must be made < 2 business days, otherwise the order is considered
accepted. All Monobind products must be used according to IFU by skilled individuals or trained lab
professionals. Subtotal 25,037.00
Shipping Cost (Map Cargo) 1,624.00
Country of Origin: USA Total in USD $26,661.00
Manufacturing Company : Monobind
HS Code: 3822.00.0002 Diagnostic Lab Reagents
Bank Info:
Monobind, Inc.
Account # 023-698005 (Routing #122016066)
City National Bank
18111 Von Karman Avenue
Irvine, CA 92612
All Currency $USD
SWIFT CINAUS6L

Please arrange for any prepayment now. Based on confirmation of funds, your order will be approved. Items
ship together unless you elect partial fulfillment. Should pay by credit card, we will authorize your card now
and bill you at the time of shipment.

386480