Mapinduzi J682600

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PLOT 1828,GOGONYA ROAD,NSAMBYA - P.O.

BOX 4501,KAMPALA,UGANDA Page : 1 (2)

Tel : 0800340340 Toll Free : 0800 203018 Fax : Print Date : 28/07/2023

VAT Reg. No : 23073-R eTAX TIN No : 1000028849 Print Time : 12:28:23

CENTENARY (UGX) A/C NO : 3100003710


STANBIC (UGX) A/C NO : 9030005711141
STANCHART (UGX) A/C NO : 0102012418800
ABSA BANK (UGX) A/C NO : 0341173248 OR (USD) A/C NO: 0344025592

Proforma Invoice
Delivery Address Invoice Address
CASH CUSTOMER CASH CUSTOMER Quotation No : J682600
NA NA Sell To Cust No : KAM1186
KAMPALA KAMPALA Bill To Cust No : KAM1186
KAMPALA KAMPALA Salesperson : Celestine
Currency Code : UGX
Contact :
Reference : Mapinduzi 2007-2012 Telephone :
Your Reference :

Part No Part Description Qty UOM Unit Price Am't Vat Excl. Disc.% VAT Gross Amount
VAT Incl.
MEDANAL009 DEEP HEAT SPRAY 5 PC1 23,600.00 118,000.00 0.00 0.00 118,000.00
CLEANTI011E SURGICAL SPIRIT 100ML 1 PC1 1,652.00 1,652.00 0.00 0.00 1,652.00
M
INSSCIS004F SCISSORS, SURGICAL, 2 PC1 19,818.72 39,637.44 0.00 0.00 39,637.44
STRAIGHT, S/B, 145MM
(NURSE)
MEDNSAI002 DICLOFENAC 50MG TAB 1 BT100 1,203.60 1,203.60 0.00 0.00 1,203.60
VITAL
MEDNSAI073 DICLOFENAC GEL 30GM 1 BTU1 944.00 944.00 0.00 0.00 944.00
GENERIC
SUNDRES004F GAUZE BANDAGE 1 PC1 3,671.41 3,671.41 0.00 0.00 3,671.41
TRIANGULAR
(36x36x51)INCH 100%
COTTON

Total UGX VAT Excl. : 165,108.45


Total Discount : 0.00
VAT : 0.00
Total UGX VAT Incl. : 165,108.45

* The following items will not be supplied as requested due to the reasons given below.

Order Confirmed By :

Name : Signature :

Date : Tel :

Terms and Conditions :


1. Full payement with order.
2. This Proforma invoice is valid for 7 days.
3. Cheque payments in favour of Joint Medical Store.
4. All necessary precaution should be taken to maintain cold chain for items requiring cold storage.
5. Orders that include Narcotics must bear both the official stamp and signature of the facility and facility head.
6. JMS will not be responsible for cold chain, after goods have left our premises.
7. JMS Products have a minimum shelf life of 3 months.
8. JMS IS EXEMPT FROM WITHHOLDING TAX.
9. Returned goods will only be accepted by JMS if they are suitable for sale or supply and in any case not later than 30 days
PLOT 1828,GOGONYA ROAD,NSAMBYA - P.O.BOX 4501,KAMPALA,UGANDA Page : 2 (2)

Tel : 0800340340 Toll Free : 0800 203018 Fax : Print Date : 28/07/2023

VAT Reg. No : 23073-R eTAX TIN No : 1000028849 Print Time : 12:28:23

CENTENARY (UGX) A/C NO : 3100003710


STANBIC (UGX) A/C NO : 9030005711141
STANCHART (UGX) A/C NO : 0102012418800
ABSA BANK (UGX) A/C NO : 0341173248 OR (USD) A/C NO: 0344025592

Proforma Invoice
Delivery Address Invoice Address
CASH CUSTOMER CASH CUSTOMER Quotation No : J682600
NA NA Sell To Cust No : KAM1186
KAMPALA KAMPALA Bill To Cust No : KAM1186
KAMPALA KAMPALA Salesperson : Celestine
Currency Code : UGX
Contact :
Reference : Mapinduzi 2007-2012 Telephone :
Your Reference :

from the original date of receipt.


10. Cases of under supply should be reported to the Customer Relations Office within seven (7) days from the date of receipt
of goods.

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