Tax Invoice

Invoice Number 9220033884

VAT # 4840211942
Invoice Date 12.05.2022
Order Date 11.05.2022
Cepheid (Proprietary) Limited
Payment Due Date 12.05.2022
Building 3 Culross on Main, Phone 0027 11 234 9636
Ship Date 12.05.2022
corner Main Road and Culross Road Fax 0027 11 234 9640 Sales Order 1010146469
Bryanston Email order.sa@cepheid.com Purchase Order 00714
2191
South Africa
Manhica Health Research Centre-CISM Manhica Health Research Centre
Fundacao Manhica Fundacao Manhica
Nuit: 700075435 Nuit 70075435
Bairro Cambeve-Manhica Rua 12
1929 Maputo 1929 Maputo
Mozambique Mozambique

Bill To Ship To
Customer ID 1000004067 Customer ID 2000016222

Line Item Number Qty Qty Unit Price Disc Net Price Extended Price
Invoiced Backordered
10 GXMTB/RIF- 20,0 0,0 499,00 0,00 499,00 9 980,00
ULTRA-50
XPERT MTB/RIF ULTRA,50-TEST KIT,CE-IVD

Lot/Serial QTY Expire Country of Origin HS Code

1000393892 20 08.10.2023 USA
Subtotal 9 980,00
VAT Rate Freight Charges 0,00

Total USD 9 980,00

Incoterm EXW Ex Works Ship Via XEON Tracking 80380253

Payment Terms Prepaid Shipper 83360279

Bank
Citibank
Account 202-008011-
Branch Code
Swift Code : CITIZAJX
Johannesburg (sandton)
ZA

Customer is responsible for reporting applicable discounts or rebates to any governmental or regulatory body through which it seeks
reimbursement in compliance with all applicable federal and state laws.

https://www.cepheid.com/Documents/Legal/Terms%20of%20Sale/CGV%20Cepheid%20-%20RSA.pdf

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