GE HEALTHCARE PACKING SLIP

Org: DAA Delivery Name: 897581863 Status : Pending Ship Confirm

Requested Date: 28-Jun-2022

Ship To: Ship From: Checked By:
GEVENMED S.A. GE Healthcare Ship Confirm Date:
GEVENMED S.A. GEHC DISTRIBUTION CENTER
GEVENMED S.A. 3000 North Grandview Blvd
CALLE PASCUALE GIORGIO CON AV Waukesha WI 53188
DIEGO CISNEROS, LOS RUICES, United States Ì897581863FÎ
EDIFICIO Delivery Name: 897581863
PRINCIPAL I PISO 4
CARACAS Your VAT ID No:
Venezuela
1070

Commercial Invoice: 897581863

Waybill:
Total Number of Containers: 1 Ship Method: Carrier:

Gross Weight(Lbs): 120.00 Tare weight(Lbs): 24.00 Net Weight(Lbs): 96.00 Volume(Ft3 ): 34.48

Gross Weight(Kg): 54.43 Tare weight(Kg): 10.89 Net Weight(Kg): 43.54 Volume(M3 ): 0.98

Order Consolidate Information

Order Barcode Customer Barcode Sales Person Contact/CSR Deliver To
Number PO Number
5178735 OPP Barros, Brais Silverio,
2009033604 Vanessa
Ì5178735rÎ ÌOPPÂ20090336045Î

Line Information
Order# Item Number Ordered Previousl Pick Cnt# Box# UOM Back
Line# Description Qty y Qty orde
Shipped
r
Qty
5178735 M81521KA
15.1

ÌM81521KA[Î
AW Workstation
Consisting of sub components
5178735 -M81531KG 1 1 1 1 EA
15.1..1

ÌÂ-M81531KGiÎ
-AW4.7-Z4 G4-HW PLATFORM
5178735 -M81521XM 1 1 1 1 EA
15.1..2

ÌÂ-M81521XMEÎ
-Volume Viewer
5178735 -M81501CX 1 1 1 1 EA
15.1..3

ÌÂ-M81501CXOÎ
-Demo Exams Package
5178735 -M80171LE 1 1 1 1 EA
15.1..4

ÌÂ-M80171LE]Î
-CONCURRENCY ENABLER
5178735 -M81521PZ 1 1 1 1 EA
15.1..5

ÌÂ-M81521PZÃÎ
-AutoLaunch

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GE HEALTHCARE PACKING SLIP

Org: DAA Delivery Name: 897581863 Status : Pending Ship Confirm

Line Information
Order# Item Number Ordered Previousl Pick Cnt# Box# UOM Back
Line# Description Qty y Qty orde
Shipped
r
Qty
5178735 -M81531AW 1 1 1 1 EA
15.1..6

ÌÂ-M81531AWHÎ
-AW VOLUMESHARE 7-SW UPGRADE
5178735 M80281AA
16.1

ÌM80281AA$Î
AW workstation monitors
Consisting of sub components
5178735 -M80281FQ 2 2 1 1 EA
16.1..1

ÌÂ-M80281FQEÎ
-AW MVCD-1619 Barco Monitor
5178735 M81521ED 1 1 1 1 EA
18.1

ÌM81521EDIÎ
Integrated Registration - Full Fusion Package
5178735 B79821WC 1 1 1 1 EA
19.1

ÌB79821WCoÎ
Colon VCAR EC
5178735 B78121MY 1 1 1 1 EA
20.1

ÌB78121MYSÎ
Lung VCAR
5178735 B77221PZ
21.1

ÌB77221PZqÎ
CT PERF 4D COMPLETE
Consisting of sub components
5178735 -B77021QA 1 1 1 1 EA
21.1..1

ÌÂ-B77021QA7Î
-CT Perfusion 4D Multi-Organ
5178735 -B77121PZ 1 1 1 1 EA
21.1..2

ÌÂ-B77121PZ`Î
-Dynamic CT Myocardial Perfusion
5178735 B77121BK
22.1

ÌB77121BKaÎ
VesselIQ Xpress and Autobone
Consisting of sub components
5178735 -B77121WF 1 1 1 1 EA
22.1..1

ÌÂ-B77121WF>Î
-VesselIQ Xpress
5178735 -M81521FP 1 1 1 1 EA
22.1..2

ÌÂ-M81521FP(Î
-AutoBone Xpress

Container Type: ePack

Package Type: NOT DEFINED

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GE HEALTHCARE PACKING SLIP

Org: DAA Delivery Name: 897581863 Status : Pending Ship Confirm

Container Summary
Container Box Item – (Description) Picked Qty Total
(Box) Picked Qty
(Container)
1 1 B77021QA - (CT Perfusion 4D Multi-Organ) 1 1
1 1 B77121PZ - (Dynamic CT Myocardial Perfusion) 1 1
1 1 B77121WF - (VesselIQ Xpress) 1 1
1 1 B78121MY - (Lung VCAR) 1 1
1 1 B79821WC - (Colon VCAR EC) 1 1
1 1 M80171LE - (CONCURRENCY ENABLER) 1 1
1 1 M80281FQ - (AW MVCD-1619 Barco Monitor) 2 2
1 1 M81501CX - (Demo Exams Package) 1 1
1 1 M81521ED - (Integrated Registration - Full Fusion Pa...) 1 1
1 1 M81521FP - (AutoBone Xpress) 1 1
1 1 M81521PZ - (AutoLaunch) 1 1
1 1 M81521XM - (Volume Viewer) 1 1
1 1 M81531AW - (AW VOLUMESHARE 7-SW UPGRADE) 1 1
1 1 M81531KG - (AW4.7-Z4 G4-HW PLATFORM) 1 1

Container Information
Cnt# Packing Type Gross(lbs) Tare(lbs) Net(lbs) Gross(Kilo) Tare(Kilo) Net(Kilo) DIM(In)(L*W*H) DIM(Cm)(L*W*H)
1 120.00 24.00 96.00 54.43 10.89 43.54 49x32x38 124x81x97
Total : 120.00 24.00 96.00 54.43 10.89 43.54

Lot/Serial Information
Item (Description) Quantity Cnt# Serial Number Lot Number
M81521XM 1 1 NA
(Volume Viewer)

ÌNA*Î
M81531AW 1 1 NA
(AW VOLUMESHARE 7-SW
UPGRADE)
ÌNA*Î

Additional Information:

End User: GEVENMED S.A., GEVENMED S.A., CALLE PASCUALE GIORGIO CON AV DIEGO CISNEROS, LOS RUICES, EDIFICIO, PRINCIPAL I
PISO 4, CARACAS, VE - 1070
Shipped From: United States
Final Destination: Venezuela
Country of Destination: Venezuela

Date _______________________________________

Received: ___________________________________ Signature: ________________________________________

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