bioactiva diagnostica GmbH · Louisenstr.
137 · D-61348 Bad Homburg · Germany
Louisenstr. 137
BioTec Medical Corp. D-61348 Bad Homburg
Dr. RAOOF ATEAH Germany
P.O. Box: 12535. @@ NM R 0 0 9 6 7 1 2 79 68 8@ @
Tel. +49 6172 171020
ZUBAIRI STREET- NEAR JAMIL TRADING CENTER. Fax: +49 6172 1710229
SANA'A
YEMEN
Proforma Invoice
internal no. 15240
Document no. 2022-32287
Date 29.09.2022
Customer no. 10303
Editor Mousa Bayyari
Please state for all questions !
Telefon 00967 1 297680
FAX 00967 1 279688
Dispatch type Airfreight Reference Our VAT-no. DE258352575
Delivery cond. ex-works Your sign Our Tax-no. 00322950037
Your document no. Your VAT-no.
Pos Cat. no. Description Quantity Unit Unit price Total SC
1 CC02150 Copper 5 Kit 31,50 157,50 3
30.11.2023
2 CC02750 Zinc 20 Kit 25,50 510,00 3
30.06.2024
3 BRUG0050 Brucella IgG 96 wells 10 Kit 71,00 710,00 3
31.10.2023
4 BRUM0050 Brucella IgM 96 wells 20 Kit 71,00 1.420,00 3
31.10.2023
5 CHLG0070 Chlamydia trachomatis IgG 96 wells 2 Kit 94,00 188,00 3
31.08.2023
6 CHLM0070 Chlamydia trachomatis IgM 96 wells 2 Kit 94,00 188,00 3
31.10.2023
7 DENG0120 Dengue IgG 96 wells 1 Kit 71,00 71,00 3
31.10.2023
8 DENM0120 Dengue IgM 96 wells 5 Kit 71,00 355,00 3
9 DNOV004 17 OH Progesterone 2 Kit 70,00 140,00 3
31.07.2023
10 DNOV009 Free Testosterone 2 Kit 77,00 154,00 3
10-2023
11 DNOV012 Aldosterone 2 Kit 68,00 136,00 3
12 DNOV030 LH 1 Kit 43,00 43,00 3
balance 4.072,50
bioactiva diagnostica GmbH Nassauische Sparkasse Deutsche Bank AG Managing Director: Adnan Dawoud
Louisenstr. 137 Euro Konto IBAN: DE28 5105 0015 0159 0578 43 Louisenstraße 52 VAT DE258352575
61348 Bad Homburg BIC (SWIFT-Code): NASSDE55XXX 61348 Bad Homburg Tax No.: 00322950037
Germany USD Konto IBAN: DE10 5105 0015 0645 0648 33 IBAN: DE91 5007 0024 0370 6140 00 Trade register: HRB10851
www.bioactiva.de BIC (SWIFT-Code): NASSDE55XXX BIC (SWIFT): DEUTDEDBFRA Place of jurisdiction: Bad Homburg v.d.H
EN ISO 13485:2016
Proforma Invoice 2022-32287 Page 2 from 5
Pos Cat. no. Description Quantity Unit Unit price Total SC
13 DNOV031 FSH 1 Kit 43,00 43,00 3
1 mIU/ml, 1-100 mIU/ml
14 DNOV032 PROLACTIN 5 Kit 43,00 215,00 3
1 ng/ml; 5-200 ng/ml
05/2023
15 EBVG0150 Epstein Barr virus (EBV-VCA) IgG 96 wells 2 Kit 71,00 142,00 3
30.09.2023
16 EBVM0150 Epstein Barr virus (EBV-VCA) IgM 96 wells 2 Kit 71,00 142,00 3
30.11.2023
17 VZVG0490 Varizella-Zoster virus (VZV) IgG 96 wells 1 Kit 59,00 59,00 3
29.02.2024
18 VZVM0490 Varizella-Zoster virus (VZV) IgM 96 wells 1 Kit 59,00 59,00 3
31.12.2023
19 ECHG0130 Echinococcus IgG (Echinococcosos, 3 Kit 71,00 213,00 3
Hydatidosis)
96 wells
11-2023
20 HELG0220 Helicobacter pylori IgG 96 wells 1 Kit 71,00 71,00 3
21 EC143A00 Helicobactor IgA 2 Kit 81,00 162,00 3
22 HSVG0250 Herpes simplex virus Type 1+2 IgG mixed 5 Kit 59,00 295,00 3
antigen
(HSV-1+2) 96 wells
2024-01
23 HSVM0250 Herpes simplex virus IgM Type 1+2 (HSV-1 5 Kit 59,00 295,00 3
+2)
IgM mixed antigen 96 wells
2023-11
24 LEIG0310 Leishmania IgG (Leishmaniosis) 96 wells 3 Kit 83,00 249,00 3
25 SCHG0410 Schistosoma mansoni IgG (Bilharziosis) 96 30 Kit 94,00 2.820,00 3
wells
31.08.2023
26 TSH1030 TSH Elisa 2 Kit 50,00 100,00 3
31.12.2023
27 EIA-3483 Helicobacter Pylori IgA 2 Kit 90,00 180,00 3
2023/11
28 EIA-3484 Helicobacter Pylori IgG ELISA 1 Kit 90,00 90,00 3
2023/07
29 3100 ANA-8S 10 Kit 92,88 928,80 3
31.03.24
30 3100 ANA-8S 1 Kit 92,88 92,88 3
less 100,00 % -92,88
31.03.24
31 3102 ENA-6S Elisa 1 Kit 92,88 92,88 3
31.07.24
32 3103 ENA-6pro Elisa 1 Kit 92,88 92,88 3
out of stock lead time 4-8 weeks
balance 10.322,06
Proforma Invoice 2022-32287 Page 3 from 5
Pos Cat. no. Description Quantity Unit Unit price Total SC
33 3140 dsDNA check 10 Kit 93,00 930,00 3
out of stock lead time 4-8 weeks
34 3140 dsDNA check 1 Kit 93,00 93,00 3
less 100,00 % -93,00
out of stock lead time 4-8 weeks
35 3204 Cardiolipin-GM 5 Kit 93,00 465,00 3
out of stock lead time 4-8 weeks
36 3224 Phospholipid-8S-GM 10 Kit 103,20 1.032,00 3
out of stock lead time 4-8 weeks
37 3224 Phospholipid-8S-GM 1 Kit 103,20 103,20 3
less 100,00 % -103,20
out of stock lead time 4-8 weeks
38 3302 PR3 sensitive 2 Kit 93,00 186,00 3
exp 07-2024
39 3303 MPO 2 Kit 93,00 186,00 3
exp 06-2024
40 3402 Tg Elisa 1 Kit 102,20 102,20 3
out of stock lead time 4-8 weeks
41 3501 Glia-A Elisa 1 Kit 93,00 93,00 3
exp 06-2024
42 3502 Glia-G Elisa 1 Kit 103,20 103,20 3
exp 04-2024
43 3516 tTG New Generation - GA 10 Kit 104,00 1.040,00 3
out of stock lead time 4-8 weeks
44 3516 tTG New Generation - GA 1 Kit 104,00 104,00 3
less 100,00 % -104,00
out of stock lead time 4-8 weeks
45 3703 LKM1 Elisa 1 Kit 103,20 103,20 3
exp 05-2024
46 3707 AMA- 2M Check 3 Kit 124,00 372,00 3
exp 07-2023
47 3801 beta-2-Microglobulin 5 Kit 124,00 620,00 3
out of stock lead time 4-8 weeks
48 3901 Protein C Elisa 2 Kit 279,00 558,00 3
out of stock lead time 4-8 weeks
49 3902 Protein S Elisa 2 Kit 279,00 558,00 3
exp 03-2024
50 51,100 ANA HEp-2 - (12 wells) - Standard 5 Kit 97,00 485,00 3
Presentation
(1 kit with 10 slides
out of stock lead time 4-8 weeks
51 512,100 EMA - IgA (10 wells) - Standard 3 Kit 238,00 714,00 3
Presentation
(1 kit with 10 slides)
out of stock lead time 4-8 weeks
balance 17.869,66
Proforma Invoice 2022-32287 Page 4 from 5
Pos Cat. no. Description Quantity Unit Unit price Total SC
52 518,100 mLKS - mouse, separated (10 wells) 3 Kit 213,00 639,00 3
Standard Presentation (1 kit with 10 slides)
out of stock lead time 4-8 weeks
53 KR12-20 Vanillylmandelic Acid 3 Kit 78,00 234,00 3
20 tests
12 months
54 3638 Metanephrines 3 Kit 125,00 375,00 3
40 Tests
12 months
55 7072 Copper Urine 5 pcs 49,00 245,00 3
3x25 ml
12 months
56 A0700-020 TEClot LA Screen 5 pcs 205,00 1.025,00 3
12 months
57 EIA-1826 Sperm Antibody ELISA 1 Kit 128,00 128,00 3
2023/09
58 CALP0270 Calprotectin kit 2 Kit 320,00 640,00 3
min. order 20 Kits!
59 CK031K HEMOCLOT Protein C 5 Kit 145,00 725,00 3
23.11.2024
60 CK041K HEMOCLOT Protein S 5 Kit 118,00 590,00 3
Set of 3x10 tests
19.10.2024
61 CK065K HEMOCLOT Quanti. V-L 2 Kit 182,00 364,00 3
07.10.2024
62 DP010K Prothrombin Deficient Plasma 1 pcs 94,00 94,00 3
09.02.2024
63 DP020K FV Deficient Plasma 1 Kit 88,00 88,00 3
Set of 6x1 ml
28.05.2024
64 DP030K FVII Deficient Plasma 1 Kit 86,00 86,00 3
02.07.2024
65 DP040K FVIII :C Deficient Plasma 2 Kit 86,00 172,00 3
Set of 6x1 ml
05.11.2024
66 DP050K FIX Deficient Plasma 2 Kit 88,00 176,00 3
15.01.2024
67 DP060K FX Deficient Plasma 1 Kit 88,00 88,00 3
Set of 6x1 ml
13.01.2024
68 DZ117A-K Adenosine Deaminase (ADA) Test Kit 5 Kit 143,00 715,00 3
R1: 50 mL, R2: 25 mL, 250 Tests,
09-2023
69 DZ117A-CAL Adenosine Deaminase Calibrator 5 pcs 24,00 120,00 3
Cal: 1 x 1 mL vial, lyophilized L1: 50
U/L
70 EIA-3648 Calcitonin 96 T Elisa 1 Kit 252,00 252,00 3
balance 24.625,66
Proforma Invoice 2022-32287 Page 5 from 5
Pos Cat. no. Description Quantity Unit Unit price Total SC
2023/02
71 EIA-4140 IGF-I (600) ELISA 3 Kit 225,00 675,00 3
2023/08
72 3021 D-Dimer 50 Tests 10 Kit 90,00 900,00 3
12 months
Sub total EUR 26.200,66 SC
Plus Handling 35,00 3
Plus Transport 0,00 3
Plus Inner EU Transport 350,00 3
Sub total 26.585,66
plus Tax 3 0,00 % of 26.585,66 0,00
Total EUR 26.585,66
Steuerfreie Ausfuhr ins Drittland nach § 4 Nr. 1.a in Verbindung mit § 6 UStG.
Payment condition:
Payment by Prepayment
instantly due net 26.585,66 EUR
