EURL BMI 34
7, rue du bourg neuf
79350 - FAYE L'ABBESSE
SIRET: 80348806300014
Mobile: 06 48 19 65 06
Email: sarl.bmi34@gmail.com
Website: http://rosapo.fr
Pharmacie LeBlanc
176, boulevard de la petite vitesse
72100 Le Mans
PATIENT(E) : Alenda a
CODE :
REFERENCE : ROSA-928-Alend
Tel : 00651723624
Mail : gabrielleorbuenos@gmail.com
Date d'émission 21/01/2022
Abdominal-lumbar support belt (CMAL)
STRAPS 201 E02.02
Additional side stapling 201.E02.071
Inner strap 201.E02.16
1
0.00
5.5%
0.00 €
1
0.00
5.5%
0.00 €
2
0.00
5.5%
0.00 €
1
0.00
5.5%
0.00 €
UNDER THIGHS 201.E02.17
1
0.00
5.5%
0.00 €
Crotch strap (201.E02.12)
1
0.00
5.5%
0.00 €
Supplement WRAP-AROUND FORM 201.E03.02
1
42.94
5.5%
45.30 €
Supplement FOREHEIGHT 201.E03.01
1
20.21
5.5%
20.21 €
Supplement PELVIC CIRCUMFERENCE 201.E03.03
1
5.5%
33.92 €
Code
Reduced
Base HT
66.86 €
Rate
5.50%
Amount
3.69 €
Payment
70.55 € au
August 19, 2022
Total (excluding VAT)
95.30 €
Discount
- 28.44 €
Total (excluding tax)
66.86 €
VAT
Total (including VAT)
3.69 €
70.55 €
Name
IBAN
BIC
BNP Paribas
FR76 3000 4006 0700 0102 3457 931
BNPAFRPPXXX
BMI 34 - IBAN FR76 3000 4006 0700 0102 3457 931 - NAF (APE) Code 8559A - EURL with a share capital of €1 - Siret: 80348806300014
- VAT No. FR39803488063