SHIPPING ADVICE

FUJ�-FILM Commercial lnvoice llll lllllllll llllllllilllll llll llll ll lllm

Seller Page 1
FUJIFILM Corporation Invoice date : 2021/12/08 ( 1215/1853 )
26-30,NISHIAZABU 2-CHOME MINATO-KU TOKYO Invoice no. , 95938962
106-8620 JAPAN Customer no. : FBCA21

Ship-to Bill-to
GRIENSU S.A. GRIENSU S.A.
AV.JULIO A.ROCA N0.636 AV.JULIO A.ROCA N0.636
PISOS 10, 11Y12 C1067ABO PISOS 10, 11Y12 C1067ABO
BUENOS AIRES ARGENTINA BUENOS AIRES ARGENTINA

Sold-to Payer
GRIENSU S.A. GRIENSU S.A.
AV.JULIO A.ROCA N0.636 AV.JULIO A.ROCA N0.636
PISOS 10, 11Y12 Cl067ABO PISOS 10, 11Y12 C1067ABO
BUENOS AIRES ARGENTINA BUENOS AIRES ARGENTINA

Goods Description Terma of delivery and payment:

$PARE PARTS FOR MEDICAL EQUIPMENT Price : FOB JAPAN
Payment : REMITTANCE IN ADVANCE
L/C no. :
Shipment : By Air Freight
On/About : 2021/12/17
Port of loading : TOKYO (NARITA) ,JAPAN
Port of discharge : BUENOS AIRES,ARGENTINA
Place of delivery : BUENOS AIRES,ARGENTINA
Final destination :
Specification of commodities EL C/0 Quantity Unit price Amount

Our FCS no.:6131807 Your order no.:78/2021 Delivery no. :X069855

PANEL UNIT, F898Y101616G (852Y100071) JP lPCE 51,011.000 51,011.00
CD-SOFTWARE de INSTALACION JP lPCE 100.000 100.00

Currency ( USD)
Total amount 51,111.00

Total Q'ty : 1 PCE

Shipping marks:

DEL-X069855
78/2021

BUENOS AIRES
CASE NO. 1

Total : 1 PALLET

Ref.: TAX ID : 30-52649846-8

SN:J12 7013

HAWB NO. 0171995

MAWB NO. 074-4881 7252
FLT NO. KL862/17 (NRT-AMS)
KL701/18 (AMS-EZE)

Note: FUJIFILM - CODIGO DE IDENTIFICACION TRIBUTARIA:NO ASIGNADO.

FUJIFILM - TAX IDENTIFICATION NUMBER:NOT ASSIGNED.

WE DECLARE UNDER OATH THAT GOODS DETAILED/INCLUDED IN THE PRESENT

INVOICE DOES NOT CONTAIN ASBESTOS/PCB.
DECLARAMOS BAJO JURAMENTO QUE LA MERCADERIA INCLUIDA EN EL PRESENTE
FACTURA NO CONTIENE ASBESTOS/PCB. FUJIFILM Corporatiou