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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

La pharmacie du Progrès

1 Rue Ernest Perochon

79300 Bressuire

PATIENT(E) : JOLLY Maryse

CODE :

REFERENCE : ROSA-1050-JOLLY

Tel : 0603846317

Date d'émission 13/03/2022

Abdominal-lumbar support belt (CMAL)

STRAPS 201 E02.02

Additional side stapling 201.E02.071

Inner strap 201.E02.16

1

101.06

5.5%

106.62 €

1

41.32

5.5%

43.59 €

2

17.54

5.5%

37.01 €

1

51.37

5.5%

54.20 €

UNDER THIGHS 201.E02.17

1

6.36

5.5%

6.71 €

Crotch strap (201.E02.12)

1

0.00

5.5%

0.00 €

Supplement WRAP-AROUND FORM 201.E03.02

1

17.68

5.5%

18.66 €

Supplement FOREHEIGHT 201.E03.01

1

5.05

5.5%

5.05 €

Supplement PELVIC CIRCUMFERENCE 201.E03.03

1

5.5%

2.12 €

Code

Reduced

Base HT

213.95 €

Rate

5.50%

Amount

30.28 €

Payment

244.23 € au

August 19, 2022

Total (excluding VAT)

242.39 €

Discount

- 28.44 €

Total (excluding tax)

213.95 €

VAT

Total (including VAT)

30.28 €

244.23 €

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

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