ORIGINAL FACTURA Serie HDMKC nr. 01298Furnizor ...S.C. FARM-INA SRL..

Cump SC COZECOR PHARMA SRL Nr.ord.reg.com./an..J20/1202/1993..

Nr.ord.reg.com/an.......J05/30/2012......

C.I.F.......RO4373533.......................

C.I.F. .................RO29550010................

Sediul.....Petrila, Republicii 299A/2.

Str. Beiusului nr.26, Hotel PoienitaJudetul........Hundoara.......................

Com Sanmartin, sat Baile Felix jud BihorCapital social.....200 Lei...................

IBAN- RO23BACX0000000811114000

IBAN-RO79BACX0000000535387000 Cota T.V.A .........9............. % Banca UniCredit Tiriac Bank Banca: UniCredit Tiriac - Ag. Petrosani

Nr ctDenumirea produselor sau a serviciilorU.M.CantitateaPretul unitarValoarea -lei-Valoare

T.V.A.

1

2

3

4

5

678910CRESTOR 20 mg x 28 cpr

lot KK474 bbd 09.2016DUPHASTON 10mg x 20 cpr

lot 345370 bbd 03.2018FLIXOTIDE DISKUS 500mcg/doza x 1 fl

lot 1202/1 bbd 04.2015FLIXOTIDE NEBULES 2mg/2ml x 10

lot MG0221 bbd 08.2016

JANUVIA 100 mg x 28 cpr film

lot A001620 bbd 01.2016

KEPPRA 500 mg x 30 cpr

lot 119043 bbd 08.2016 NOVORAPID PENFILL 100U/ml x 5 fl

lot CK70333 bbd 07.2015SUTENT 50 mg x 30 cps

lot V439F bbd 07.2016PROGRAF 0,5 mg x 50 cps

lot 0D5824 bbd 06.2015ZINERYT 40 mg/12mg/ml x 1 fl

lot 13G18/73 bbd 07.2016DISCOUNT CT

CT

CT

CT

CT

CT

CT

CT

CT

CT

50

20

72210

30

20

3

5

60137,05

19,79

125,91

83,17

180,04

80,03

146,23

20114,72

230,04

29,826852,50

395,80

881,37

1829,74

1800,40

2400,90

2924,60

60344,16

1150,20

1789,2080368,87- 7188,75616,7335,62

79,32

164,68

162,04

216,08

263,21

5430,97

103,52161,037233,20- 646,99

Reisz Ioan - 1550609205034

BI/CI - HD 337800 Masina - HD-55-HER

Data: 30.01.2014 Semnaturi:

x73180,126586,21

Semnatura

79766,33

Nr. Facturii...........01298.........

Data (ziua, luna, anul) 30.01.2014

Aviz de insotire a marfii...........

(daca este cazul)