COMMERCIAL INVOICE

Exporter : Invoice No : 9089007294 Date: 27.02.2024

BHARAT SERUMS AND VACCINES LTD.
3RD FLOOR, LIBERTY TOWER, PLOT NO. K-10,BEHIND RELIABLE PO No : PI NO.20004588 Date: 19.01.2024
PLAZA,KALWA INDUSTRIAL ESTATE, AIROLI NAVI MUMBAI, THANE,
MAHARASHTRA, 400708, INDIA.
Other Reference(S) :

Consignee: Buyer:
FERTISALUD S.R.L. FERTISALUD S.R.L.
Zona: ALTO OBRAJES, Calle: JOSÉ MONTERO, Zona: ALTO OBRAJES, Calle: JOSÉ MONTERO,
Nro. 995, Edificio: s/d, Piso: s/d, Nro. 995, Edificio: s/d, Piso: s/d,
A MEDIA CUADRA , DE LA AV. RAÚL GAMARRA, MURILLO, A MEDIA CUADRA , DE LA AV. RAÚL GAMARRA, MURILLO,
LA PAZ 02010220,Bolivia LA PAZ 02010220,Bolivia
Email: tricia_pacheo@hotmail.com tricia_pacheo@hotmail.com
Tel : +591 78515019 Tel : +591 78515019

Pre-Carriage By Place of receipt by Pre-Carrier Country of Final Destination Country of Origin of Goods
BOLIVIA INDIA

Vessel / Flight No. Port of Loading Terms of Payment

BY AIR MUMBAI, INDIA Advance Payment

Port of Discharge Final Destination Shipping Terms

LA PAZ BOLIVIA CIF LA PAZ, BOLIVIA

Marks & Nos / No. & kind of Description of Goods Qty CIF rate in USD Total USD
Container No. Pakage
AS ADD --08- Amphonex 50mg (Lyophilized) [Liposomal 120 VIAL 131.760 15811.20
08 / 08 Amphotericin B Injection]#
TO [ EIGHT ] BATCH NO. : A18024004
08 / 08 CORRUGATED MFG. DT. :02.2024
BOX EXP. DT. :01.2027

AMPHOTRET 50MG [Amphotericin B for 200 VIAL 10.650 2130.00

Injection U.S.P.]
BATCH NO. : A03023032
MFG. DT. :12.2023
EXP. DT. :11.2025

Hucog 5000HP (Lyophilized) [Chorionic 200 VIAL 14.660 2932.00

Gonadotrophin Inj B.P.] [Highly
Purified]

BATCH NO. : B08223014

MFG. DT. :06.2023
EXP. DT. :05.2026

BSV HUMOG 75 IU HP [Menotrophin for 800 VIAL 13.560 10848.00

Injection B.P.- Freeze Dried]
BATCH NO. : B14124001
MFG. DT. :01.2024
EXP. DT. :12.2026

THYMOGAM 250MG #[Antithymocyte Globulin - 30 VIAL 144.710 4341.30

Equine]
BATCH NO. : A19724001
MFG. DT. :02.2024
EXP. DT. :01.2026

FREE SAMPLES OF NO COMMERCIAL VALUE 12 VIAL 0.000 0.00

Amphonex 50mg (Lyophilized) [Liposomal
Amphotericin B Injection]#
BATCH NO. : A18024004
MFG. DT. :02.2024
EXP. DT. :01.2027

FREE SAMPLES OF NO COMMERCIAL VALUE 20 VIAL 0.000 0.00

AMPHOTRET 50MG [Amphotericin B for
Injection U.S.P.]
BATCH NO. : A03023032
MFG. DT. :12.2023
EXP. DT. :11.2025

FREE SAMPLES OF NO COMMERCIAL VALUE 20 VIAL 0.000 0.00

Hucog 5000HP (Lyophilized) [Chorionic
Gonadotrophin Inj B.P.] [Highly
Purified]

Page : 1 of 2
 COMMERCIAL INVOICE
Exporter : Invoice No : 9089007294 Date: 27.02.2024
BHARAT SERUMS AND VACCINES LTD.
3RD FLOOR, LIBERTY TOWER, PLOT NO. K-10,BEHIND RELIABLE PO No : PI NO.20004588 Date: 19.01.2024
PLAZA,KALWA INDUSTRIAL ESTATE, AIROLI NAVI MUMBAI, THANE,
MAHARASHTRA, 400708, INDIA.
Other Reference(S) :

Consignee: Buyer:
FERTISALUD S.R.L. FERTISALUD S.R.L.
Zona: ALTO OBRAJES, Calle: JOSÉ MONTERO, Zona: ALTO OBRAJES, Calle: JOSÉ MONTERO,
Nro. 995, Edificio: s/d, Piso: s/d, Nro. 995, Edificio: s/d, Piso: s/d,
A MEDIA CUADRA , DE LA AV. RAÚL GAMARRA, MURILLO, A MEDIA CUADRA , DE LA AV. RAÚL GAMARRA, MURILLO,
LA PAZ 02010220,Bolivia LA PAZ 02010220,Bolivia
Email: tricia_pacheo@hotmail.com tricia_pacheo@hotmail.com
Tel : +591 78515019 Tel : +591 78515019

Pre-Carriage By Place of receipt by Pre-Carrier Country of Final Destination Country of Origin of Goods
BOLIVIA INDIA

Vessel / Flight No. Port of Loading Terms of Payment

BY AIR MUMBAI, INDIA Advance Payment

Port of Discharge Final Destination Shipping Terms

LA PAZ BOLIVIA CIF LA PAZ, BOLIVIA

Marks & Nos / No. & kind of Description of Goods Qty CIF rate in USD Total USD
Container No. Pakage

BATCH NO. : B08223014

MFG. DT. :06.2023
EXP. DT. :05.2026

FREE SAMPLES OF NO COMMERCIAL VALUE 80 VIAL 0.000 0.00

BSV HUMOG 75 IU HP [Menotrophin for
Injection B.P.- Freeze Dried]
BATCH NO. : B14124001
MFG. DT. :01.2024
EXP. DT. :12.2026

FREE SAMPLES OF NO COMMERCIAL VALUE 3 VIAL 0.000 0.00

THYMOGAM 250MG #[Antithymocyte Globulin -
Equine]
BATCH NO. : A19724001
MFG. DT. :02.2024
EXP. DT. :01.2026

Amount Chargeable ( In Words ) :TOTAL CIF US DOLLARS THIRTY-SIX THOUSAND TOTAL CIF VALUE 36062.50
SIXTY-TWO AND FIFTY CENTS ONLY
Mfg. By : BHARAT SERUMS AND VACCINES LIMITED,
PLOT NO. K-27, ANAND NAGAR,ADDITIONAL M.I.D.C AMBARNATH (E),INDIA
Mfg. LIC : KD - 360, KD -4
SPECIAL INSTRUCTION : PLEASE STORE BETWEEN 2 DEG C TO 8 DEG C. AT ALL TIME
''Status Holder - TWO STAR EXPORT HOUSE''
Declaration : WE HEREBY, CERTIFY THAT THE GOODS ARE OF INDIAN ORIGIN.
WE INTEND TO CLAIM REWARDS UNDER REMISSION OF DUTIES AND TAXES ON EXPORTED PRODUCTS (RoDTEP).
WE DECLARE THAT THIS INVOICE SHOWS THE ACTUAL PRICE OF THE GOODS DESCRIBED AND THAT ALL PARTICULARS
ARE TRUE AND CORRECT.
Stamp & Date : For BHARAT SERUMS AND VACCINES LIMITED

27.02.2024

AUTHORIZED SIGNATORY

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