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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 Bocage

38 Rue de Poitiers

79700 Mauléon

PATIENT(E) : CUNHA Marie Françoise

CODE :

REFERENCE : ROSA-2648-CUNHA

Tel : 0668873096

Date d'émission 30/04/2022

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

27.79

5.5%

29.32 €

Supplement FOREHEIGHT 201.E03.01

1

10.10

5.5%

10.10 €

Supplement PELVIC CIRCUMFERENCE 201.E03.03

1

5.5%

8.48 €

Code

Reduced

Base HT

17.49 €

Rate

5.50%

Amount

0.96 €

Payment

18.45 € au

August 19, 2022

Total (excluding VAT)

45.93 €

Discount

- 28.44 €

Total (excluding tax)

17.49 €

VAT

Total (including VAT)

0.96 €

18.45 €

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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