ZAMÓWIENIE no.: 07/09/2015/ZAM Put on display on 22-09-2015
SELLER
BUYER
Centrum Słuchu i Mowy Sp. z o.o. ul. Mokra 7, Kajetany, 05-830 Nadarzyn Tax ID: 522-259-53-96 Telephone 22 887 86 12, Fax: 22 887 60 21 e-mail address
[email protected], www.csim.pl
Daniluk Denis , Belarus
Date of sale 22-09-2015 Mode of payment Transfer Payment deadline 30 days (22-10-2015) To this account Pekao S.A. SWIFT:PKOPPLPW PL36124010401978001006644809 SN Name of goods or service 1 Cochlear Implantation
PKWiU symbol
Wey
32.50.23.0
szt
Total amount 29 500.01 €
In words
Qty
Unit price 1
Value without tax
27 314.82
27 314.82
Total
27 314.82
Including
27 314.82
VAT VAT amount % 8%
8%
2 185.19
29 500.01
2 185.19
29 500.01
2 185.19
29 500.01
( twenty-nine thousand five hundred euro and one c.) Comments
THANK YOU AND PLEASE COME AGAIN!
Signature of the person authorised to receive the invoice
Signature of the person authorised to issue the invoice
This document was generated by Faktura VAT 2013 START www.rafsoft.net
Value with input tax