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 Bocage
38 Rue de Poitiers
79700 Mauléon
PATIENT(E) : MONGENET Loîc
CODE : 539
REFERENCE : ROSA-30-MONGE
Tel : 0609862593
Mail : loicmongenet@yahoo.fr
Date d'émission 03/09/2022
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
13.93
5.5%
14.70 €
Supplement WRAP-AROUND FORM 201.E03.02
1
48.00
5.5%
50.63 €
Supplement FOREHEIGHT 201.E03.01
1
15.16
5.5%
15.16 €
Supplement PELVIC CIRCUMFERENCE 201.E03.03
1
5.5%
28.62 €
Code
Reduced
Base HT
307.64 €
Rate
5.50%
Amount
20.44 €
Payment
328.08 € au
September 3, 2022
Total (excluding VAT)
321.86 €
Discount
- 14.22 €
Total (excluding tax)
307.64 €
VAT
Total (including VAT)
20.44 €
328.08 €
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