Factura/Invoice Serie/Series: FASM Numar/Invoice No.

: 101866
Data (Z, L, A)/Date (D, M, Y) 07-06-2023
Furnizor/Supplier: FASMIL SCIENCE AND TECHNOLOGY SA Cumparator(denumire, forma juridica)/Buyer (name,
C.I.F./UIC (Unique Identification Code): 13947707816 legal form)
Cod TVA/VAT No: FR13947707816 Ana Anton
Capital social subscris si varsat/Subscribed and paid CNP/Personal identification number: -
capital: 200 Tara/Country: RO
Cont/Account: IE35CHAS93090301211581 Adresa/Address: Strada Unirii nr.2, Zalau, Salaj
Banca/Bank: J.P. MORGAN BANK LUXEMBOURG S.A., DUBLIN Cont/Account:
BRANCH Banca/Bank:
Tara/Country: Franta
Sediul/Headquarter: 73-75 rue de la Plaine 75020 Paris

Nr.crt Produse/Descriere servicii UM Cantitate Valoare per Rata TVA Valoare Valoare TVA
No. Products/Services Description Quantity unitate (fara -%- Value VAT Value
TVA) VAT Rate
Unit Value -%-
(without VAT)
0 1 2 3 4 5 6(3x4) 7
1 Bratara model Tennis, 4mm, pietre din buc 1 15,82 20 15,82 3,16
zirconiu alb, unisex, argintie [FML083-SI] pcs

Semnatura si Date privind expeditia / Delivery data Total din 20% 15,82 RON 3,16 RON
stampila Numele delegatului / Delegate name care accize:
furnizorului / Total of Total 15,82 RON 3,16 RON
Supplier ............................................................................. which
signature and B.I./C.I. seria / ID series ..... nr. / no ................... excises:
stamp eliberat(a) / issued .............................................. Semnatura
Mijlocul de transport / Delivery method ............... de primire
nr / no .................................................................. Receival
signature
Expedierea s-a efectuat in prezenta noastra la
data de / The delivery was made in our presence Total de plata
on ............................ ora / hour ........................... (col 6 + col 7)
Semnaturile / Signatures ..................................... Total
(col 6 + col 7) 18,98 RON

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