Medicon eG Postfach 44 55 78509 Tuttlingen
EVRO TIM
Bul. Jane Sandanski 86 / 1-20 Proforma-Invoice RV19-001185 Original
1000 Skopje Date 1.February 2019
Mazedonien Customer 32875
Zoran Titiev Order type Normal
Shipping Fedex
Page 1
*RV19-001185*
Medicon eG Customer Service Angelika Hiestand Our VAT Reg. No. DE142927505
Gänsäcker 15 Telephone No. +49 (0)7462 2009 66 Supplier No.
Fax No. +49 (0)7462 2009 9966 Your VAT Reg. No.
78532 Tuttlingen e-mail [email protected] Your inquiry
Supply of goods, tax-free according to Article 4 no. 1 a UStG.
1 parcel Medicon # 1367
gross weight: 0,500 kg net weight: 0,400 kg
measurements: 31x15x9 cm
Country of origin: Federal Republic of Germany ( European Community)
Shipment to
EVRO TIM
Bul. Jane Sandanski 86 / 1-20
1000 Skopje
Mazedonien
Zoran Titiev
Pos. Cat. No. Description Quantity Unit Unit Price Total
10 60.75.02 Castroviejo corneal scrs 11cm 2 piece 133,11 266,22
rt
Serial No. Quantity Lot No. Expiration Date
2,00 292AA
20 60.75.03 Castroviejo corneal scrs 11cm 2 piece 133,11 266,22
Transferred
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532,44
All our deliveries of goods and services are subject to our General Terms of Delivery and Payment conditions
relating to international business transactions as of February 2016.
Place of performance and jurisdiction: Tuttlingen / FRG
If not mentioned otherwise the performance will be provided in the month of invoicing.
Aufsichtsratsvorsitzender: Peter Wenzler Vorstand: Joachim Schmid, Heiko Sailer Sitz der Genossenschaft: Tuttlingen Gen.-Register Nr. 450082 Amtsgericht Stuttgart
Bank IBAN BIC
Commerzbank AG, Filiale Villingen-Schwenningen DE77 6944 0007 0240 3004 00 COBADEFF694
Deutsche Bank AG, Filiale Tuttlingen DE36 6537 0075 0219 1500 00 DEUTDESS653
Kreissparkasse Tuttlingen DE94 6435 0070 0000 0252 05 SOLADES1TUT
Postbank Stuttgart DE74 6001 0070 0001 0757 00 PBNKDEFF600
Volksbank Schwarzwald-Donau-Neckar eG DE29 6439 0130 0001 1230 09 GENODES1TUT
7025_F / Rev. 12 / 2018-10-30
Proforma-Invoice RV19-001185 Original
Page 2
Supply of goods, tax-free according to Article 4 no. 1 a UStG.
Pos. Cat. No. Description Quantity Unit Unit Price Total
Transferred
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532,44
lf
Serial No. Quantity Lot No. Expiration Date
2,00 292AA
30 60.34.80 Wilder lacrymal dilator set/3 1 piece 20,4255 20,43
Serial No. Quantity Lot No. Expiration Date
7732 1,00
40 26.64.13 raspatory 3mm 18.5cm 1 piece 39,8565 39,86
Serial No. Quantity Lot No. Expiration Date
1,00 22AA
PORTOE shipping charges 1 132,41 132,41
VERSE insurance 1 1,26 1,26
VERPE packing 1 3,50 3,50
Total EUR 729,90
Term of delivery DAP (Incoterms 2010)
Term of payment payment in advance
Payment until 01.02.19 without discount: 729,90 EUR
"The exporter of the products covered by this document , declares that,
except where otherwise clearly indicated, these products are
of EEC preferential origin. Goods without proved preferential
origin are marked with • after description of goods."
Tuttlingen, 04.02.2019
M E D I C O N eG
i.A. Susanne Butze
Medicon eG
All our deliveries of goods and services are subject to our General Terms of Delivery and Payment conditions
relating to international business transactions as of February 2016.
Place of performance and jurisdiction: Tuttlingen / FRG
If not mentioned otherwise the performance will be provided in the month of invoicing.
Aufsichtsratsvorsitzender: Peter Wenzler Vorstand: Joachim Schmid, Heiko Sailer Sitz der Genossenschaft: Tuttlingen Gen.-Register Nr. 450082 Amtsgericht Stuttgart
Bank IBAN BIC
Commerzbank AG, Filiale Villingen-Schwenningen DE77 6944 0007 0240 3004 00 COBADEFF694
Deutsche Bank AG, Filiale Tuttlingen DE36 6537 0075 0219 1500 00 DEUTDESS653
Kreissparkasse Tuttlingen DE94 6435 0070 0000 0252 05 SOLADES1TUT
Postbank Stuttgart DE74 6001 0070 0001 0757 00 PBNKDEFF600
Volksbank Schwarzwald-Donau-Neckar eG DE29 6439 0130 0001 1230 09 GENODES1TUT
7025_F / Rev. 12 / 2018-10-30
Medicon eG Postfach 44 55 78509 Tuttlingen
EVRO TIM
Bul. Jane Sandanski 86 / 1-20 Proforma-Invoice RV19-001185 Copy
1000 Skopje Date 1.February 2019
Mazedonien Customer 32875
Zoran Titiev Order type Normal
Shipping Fedex
Page 1
*RV19-001185*
Medicon eG Customer Service Angelika Hiestand Our VAT Reg. No. DE142927505
Gänsäcker 15 Telephone No. +49 (0)7462 2009 66 Supplier No.
Fax No. +49 (0)7462 2009 9966 Your VAT Reg. No.
78532 Tuttlingen e-mail [email protected] Your inquiry
Supply of goods, tax-free according to Article 4 no. 1 a UStG.
1 parcel Medicon # 1367
gross weight: 0,500 kg net weight: 0,400 kg
measurements: 31x15x9 cm
Country of origin: Federal Republic of Germany ( European Community)
Shipment to
EVRO TIM
Bul. Jane Sandanski 86 / 1-20
1000 Skopje
Mazedonien
Zoran Titiev
Pos. Cat. No. Description Quantity Unit Unit Price Total
10 60.75.02 Castroviejo corneal scrs 11cm 2 piece 133,11 266,22
rt
Serial No. Quantity Lot No. Expiration Date
2,00 292AA
20 60.75.03 Castroviejo corneal scrs 11cm 2 piece 133,11 266,22
Transferred
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532,44
All our deliveries of goods and services are subject to our General Terms of Delivery and Payment conditions
relating to international business transactions as of February 2016.
Place of performance and jurisdiction: Tuttlingen / FRG
If not mentioned otherwise the performance will be provided in the month of invoicing.
Aufsichtsratsvorsitzender: Peter Wenzler Vorstand: Joachim Schmid, Heiko Sailer Sitz der Genossenschaft: Tuttlingen Gen.-Register Nr. 450082 Amtsgericht Stuttgart
Bank IBAN BIC
Commerzbank AG, Filiale Villingen-Schwenningen DE77 6944 0007 0240 3004 00 COBADEFF694
Deutsche Bank AG, Filiale Tuttlingen DE36 6537 0075 0219 1500 00 DEUTDESS653
Kreissparkasse Tuttlingen DE94 6435 0070 0000 0252 05 SOLADES1TUT
Postbank Stuttgart DE74 6001 0070 0001 0757 00 PBNKDEFF600
Volksbank Schwarzwald-Donau-Neckar eG DE29 6439 0130 0001 1230 09 GENODES1TUT
7025_F / Rev. 12 / 2018-10-30
Proforma-Invoice RV19-001185 Copy
Page 2
Supply of goods, tax-free according to Article 4 no. 1 a UStG.
Pos. Cat. No. Description Quantity Unit Unit Price Total
Transferred
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 532,44
lf
Serial No. Quantity Lot No. Expiration Date
2,00 292AA
30 60.34.80 Wilder lacrymal dilator set/3 1 piece 20,4255 20,43
Serial No. Quantity Lot No. Expiration Date
7732 1,00
40 26.64.13 raspatory 3mm 18.5cm 1 piece 39,8565 39,86
Serial No. Quantity Lot No. Expiration Date
1,00 22AA
PORTOE shipping charges 1 132,41 132,41
VERSE insurance 1 1,26 1,26
VERPE packing 1 3,50 3,50
Total EUR 729,90
Term of delivery DAP (Incoterms 2010)
Term of payment payment in advance
Payment until 01.02.19 without discount: 729,90 EUR
"The exporter of the products covered by this document , declares that,
except where otherwise clearly indicated, these products are
of EEC preferential origin. Goods without proved preferential
origin are marked with • after description of goods."
Tuttlingen, 04.02.2019
M E D I C O N eG
i.A. Susanne Butze
Medicon eG
All our deliveries of goods and services are subject to our General Terms of Delivery and Payment conditions
relating to international business transactions as of February 2016.
Place of performance and jurisdiction: Tuttlingen / FRG
If not mentioned otherwise the performance will be provided in the month of invoicing.
Aufsichtsratsvorsitzender: Peter Wenzler Vorstand: Joachim Schmid, Heiko Sailer Sitz der Genossenschaft: Tuttlingen Gen.-Register Nr. 450082 Amtsgericht Stuttgart
Bank IBAN BIC
Commerzbank AG, Filiale Villingen-Schwenningen DE77 6944 0007 0240 3004 00 COBADEFF694
Deutsche Bank AG, Filiale Tuttlingen DE36 6537 0075 0219 1500 00 DEUTDESS653
Kreissparkasse Tuttlingen DE94 6435 0070 0000 0252 05 SOLADES1TUT
Postbank Stuttgart DE74 6001 0070 0001 0757 00 PBNKDEFF600
Volksbank Schwarzwald-Donau-Neckar eG DE29 6439 0130 0001 1230 09 GENODES1TUT
7025_F / Rev. 12 / 2018-10-30