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INVOICE

COMMERCIAL
Invoice No. & Date :

Supplier :
GKB Rx Lens Pvt. Ltd.
Plot No. A-15, Infocity, Sector 34
Gurgaon 122001

Supplier's Ref.

EGRXEM/03589/16-17 dt.28.07.2016

Buyer's Order No. & Date :

Ph : 0124 4689300
Other Reference(s) : Buyers Orders by xml
Buyer (If other than consignee) :

Consignee:

Vision Rx Lab Canada Inc.,


2378 Dunwin Dr.
Mississauga, Ontario
L5L 1J9
Canada
Kind Attn: Mr. David Mcgrath
Ph : 001 416 4569147
Pre Carriage by :
AIR
Vessel / Flight No.
Port of Discharge :
Ontario
Marks & Nos./
Container No.
Address
Carton Nos. 1

Place of Receipt by Pre-carrier : Gurgaon


Port of Loading :
New Delhi
Final Destination :
Mississauga, Ontario
No. & Kind of Pkgs.

Country of Origin of Goods :


INDIA
Terms of Delivery and Payment
CIF
Payment 90 Days at Sight
CITI BANK
Description of Goods

1 No.
Cardboard Package

Ophthalmic Lenses

Country of Final Destination :


CANADA

Quantity
(Pcs.)

Rate
(CAD)

Amont
(CAD)

479

18.16196

8,699.58

479

(HS CODE 9001 5000)


Net Wt :8.0Kg
Gross Wt 9.0Kg
Dims : 44x44x22 cm

CAD

8,699.58

Add : Freight Charge

CAD

383.20

Add : Insurance Charge

CAD

36.48

TOTAL CIF

CAD

9,119.26

TOTAL FOB

Amount Chargable (in words)

Canadian Dollar Nine Thousand One Hundred Nineteen


and Cents Two Six Only.
This export is being made from our 100% EOU at Infocity Sector 34 ,
Gurgaon
IE Code
: 0288049306
Green Card No.
LOP No.

: 40
: 80(1995)/EOB/684/94

CIN

U33201WB1985PTC039759

Full Backside Products


Manufactured using technology covered
by a royalty bearing license to US Patent

Declaration :
We declare that this invoice shows the actual price of the goods described and that all particulars
are true and correct

No 6,089,713 and its foreign counterparts

Signature & Date

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