PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION# --------------------------------- SOLD TO: IMMUNEREGEN BIOSCIENCES, INC. 20593694 --------------------------------- 4021 N. 75TH ST/ STE 201 SIGMA- ALDRICH DATE ---------------------------------...
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PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION#
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SOLD TO: IMMUNEREGEN BIOSCIENCES, INC. 20593694
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0000 X. 00XX XX/ XXX 000 SIGMA-XXXXXXX DATE
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XXXXXXXXXX XX 00000-0000 INQUIRIES TO: 4/7/2005
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SIGMA-XXXXXXX INC VALID UNTIL
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SHIP TO: XXXXXXX PHARMACEUTICAL 0000 XXXXXX XX 5/7/2005
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SOLUTIONS, LLC XXXXX XXXXX XX 00000 XX SOLD TO CUSTOMER NUMBER
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ATTN: Xxxxx X. Xxxxxxxxxx 49671794
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555 FOX CHASE/STE 102 Phone: 000-000-0000 CUSTOMER REFERENCE NUMBER
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XXXXXXXXXXX XX 00000 Fax: 000-000-0000
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Email: XXXXXXXXXX@XXXX.XXX INCO TERMS
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CONTACT: XXXXXXX XXXXXXX FCA/SHIPPING POINT
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TELEPHONE: 000-000-0000
FAX: NOT AVAILABLE
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LINE MATERIAL NUMBER DESCRIPTION QUANTITY UOM UNIT PRICE EXTENDED PRICE PROPOSED ROUTE
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001 SAFC-QC-BIO Analytical Method Transfer & Testing 56.00 EA 135.00 7560.00
Others Shipped from SAINT LOUIS
002 SAFC-RD-BIO Technology Transfers & Estimated Labor 136.00 EA 175.00 23800.00 Shipped From SAINT LOUIS
Others
003 S8693-SPEC (SAR, MET(02)11-SUBSTANCE P CUSTOM 100.00 MG 836.40 83640.00 AIRBORNE OVERNIGHT
NON-HAZARDOUS / Dry Ice Required Shipped From SAINT LOUIS
Items Total 115,000.00 USD
Trans/Handling 35.53 USD
Total Tax 6902.13 USD
Total Due 121,937.66 USD
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