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PURCHASE ORDER AND QUOTATION FORM

Please submit to: sales.UK@niox.com


If you have any questions please call: +44 (0)3303 309356

Customer Details

Bill To Name Kingston Hospital Ship To Name Kingston Hospital


Bill To Galsworthy Road Prepared By Xiaofang Luo
Kingston Upon Thames
KT2 7QB Email xiaofang.luo@niox.com
United Kingdom

Contact Name Manoj Bhandari


Phone +44 20 85467711 x2082
Email manoj.bhandari2@nhs.net

Quote Details
Product
Product Quantity List Price Sales Price Total Price
Code

CAR Carriage 1.00 GBP 75.00 GBP 75.00 GBP 75.00

GBP GBP GBP


12-1850-NH NH NIOX VERO Test Kit No Handle - 500 - Sensor 500 tests / filters 1.00
2,879.00 2,879.00 2,879.00

NIOX VERO Test Kit 500 - Sensor 500 tests / filters + breathing GBP GBP GBP
12-1850 1.00
handle 3,049.00 3,049.00 3,049.00

Total Price GBP 6,003.00


Grand Total GBP 6,003.00
****QUOTE EXCLUDES VAT****

General Information
Please provide Purchase Order Number ___________________________
Quote Expiry 12/04/2024
Quote Number 00004616

Customer signature:

Send the order to: sales.uk@niox.com

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