Syria

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SALES ‘N’ SERVICE 17 / 501 Q9, KANCHAS BUILDING, RAJAJI ROAD, CALICUT, KERALA– 673004, INDIA

TEL / FAX: 91-495-2721514 / 3042514 MOBILE: 919847069684 PROFORMA INVOICE NO: 452 DATED: 08/12/2009

MR.BASSEL ALRAYES MORAMED MEDICAL EQUIPMENT & TECHNOLOGY DIRECTORY OF HEALTH OF DAMASCUS - SUBURBANS BUILDING ALMAZRAA – SHAHBANDAR Sq. DAMASCUS, SYRIA PH:963933788692 Description

Qty

SIEMENS VERSA PRO DELAY MIXER REV-2 ( 3G402130-2)

1 no

Amount

1000 U$

Include Grand Total 1000 U$

Air Freight Charges

Amount in words : Thousand Only Wire Transfer Details Bank: State Bank of Travancore, Mavoor Road, Calicut, Kerala – 673004, India Beneficiary: Sales ‘N’ Service, Kanchas Building, Rajaji Road, Calicut, Kerala – 673004, India Account No: 67072922945 Swift Code: SBT RINBB FED Corresponding Bank: Standard Chartered Bank, JP Morgan Chase Bank New York Swift: CHASUS33 Swift: SCBLUS33 Nostro A/c: 001-1-406 493 Nostro A/c: 3582088754001 Place of Receipt Country Of Origin Landing Airport / Final Destination Flight / Courier Details For Sales ‘N’ Service

Calicut, Kerala, India India Damascus/Syria Fedex

Authorized Signatory www.probeclinic.net www.indiaultrasound.com www.dotmed.com/webstore/57209/

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