Invoice Chemist in Brazil Brasília –Free Word Template Download with AI
Farmácia Quimica Central — Chemist & Pharmaceutical Services
Brasília, Distrito Federal — Brazil
OFFICIAL INVOICE — BRASILIA, BRAZILChemist / Pharmacy Details
Name: Farmácia Quimica Central Ltda.
CNPJ: 12.345.678/0001-90
Address: Quadra 1, Bloco B, Loja 45, Asa Sul
Brasília — DF — CEP 70300-000 — Brazil
Phone: +55 (61) 3344-5566
Email: [email protected]
ANVISA Registration: DF-1234567-2024
Invoice Information
Invoice Number: INV-BSB-2025-004872
Issue Date: 15 June 2025
Due Date: 30 June 2025
Payment Terms: Net 15 Days
Currency: Brazilian Real (BRL / R$)
City of Origin: Brasília, DF, Brazil
Billed To
Client: Hospital Regional de Brasília
CNPJ: 98.765.432/0001-10
Address: SHL, Quadra 1, Bloco A
Brasília — DF — CEP 70300-000 — Brazil
Contact: Procurement Department
Phone: +55 (61) 3234-1000
Reference
Purchase Order: PO-HRB-2025-3321
Contract: CT-QUIMICA-2025-0089
Delivery Date: 12 June 2025
Delivery Location: Brasília, DF, Brazil
Chemist Representative: Dr. Ana Paula Ferreira
CRF-DF: 12345
| # | Description of Chemist / Pharmaceutical Item | ANVISA Code | Quantity | Unit Price (R$) | Total (R$) |
|---|---|---|---|---|---|
| 1 | Amoxicillin 500mg Capsules — Chemist-Dispensed Antibiotic (28 capsules per box) | ANV-2024-118234 | 150 boxes | R$ 42.80 | R$ 6,420.00 |
| 2 | Ibuprofen 600mg Tablets — Chemist-Prepared Analgesic (30 tablets per blister) | ANV-2024-229451 | 200 blisters | R$ 18.50 | R$ 3,700.00 |
| 3 | Insulin Glargine 100UI/mL — Chemist-Handled Cold Chain Product (10mL vial) | ANV-2024-331078 | 80 vials | R$ 185.00 | R$ 14,800.00 |
| 4 | Paracetamol 750mg Syrup 150mL — Chemist-Compounded Pediatric Formulation | ANV-2024-445210 | 120 bottles | R$ 28.90 | R$ 3,468.00 |
| 5 | Chemist Professional Consultation & Medication Review Service (per patient) | SVC-2025-001 | 45 sessions | R$ 120.00 | R$ 5,400.00 |
| 6 | Custom Compounding Service — Chemist-Prepared Topical Cream (50g tube) | ANV-2024-556789 | 60 tubes | R$ 95.00 | R$ 5,700.00 |
| 7 | Delivery & Cold Chain Logistics within Brasília, DF, Brazil | LOG-2025-BSB | 1 service | R$ 850.00 | R$ 850.00 |
| Description | Amount (R$) |
|---|---|
| Subtotal | R$ 40,338.00 |
| ICMS (18%) — Brasília, DF Tax | R$ 7,260.84 |
| ISS (5%) — Brasília Service Tax | R$ 270.00 |
| PIS / COFINS (3.65%) | R$ 1,472.34 |
| Discount (Contractual 3%) | -R$ 1,210.14 |
| GRAND TOTAL | R$ 48,131.04 |
Payment Instructions
Bank: Banco do Brasil S.A.
Account Name: Farmácia Quimica Central Ltda.
Account Number (Agência/Conta): 1234-5 / 67890-1
PIX Key: 12.345.678/0001-90
Reference: INV-BSB-2025-004872
Please ensure that the full amount of R$ 48,131.04 is remitted by the due date of 30 June 2025. Late payments are subject to a 2% penalty plus interest calculated at the Selic rate as per Brazilian federal regulations applicable in Brasília, DF.
Notes & Terms
1. This Invoice is issued by Farmácia Quimica Central Ltda., a registered Chemist and pharmaceutical establishment operating in Brasília, Distrito Federal, Brazil, in full compliance with ANVISA (Agência Nacional de Vigilância Sanitária) regulations and the Federal Pharmacy Council (CRF-DF) standards.
2. All pharmaceutical products listed in this Invoice have been dispensed, compounded, or prepared by a licensed Chemist (Pharmacist) registered with the Conselho Regional de Farmácia do Distrito Federal. The Chemist responsible for quality assurance of this shipment is Dr. Ana Paula Ferreira, CRF-DF 12345.
3. Cold chain products (Item 3) were transported under monitored temperature conditions (2°C to 8°C) from our Brasília, DF facility to the delivery address. Temperature logs are available upon request and are retained for 12 months in accordance with Brazilian pharmaceutical storage regulations.
4. This Invoice is valid for 30 calendar days from the issue date. After this period, the Chemist reserves the right to reissue the document with updated pricing if applicable.
5. All transactions are subject to the commercial terms established in Contract CT-QUIMICA-2025-0089, governed by the laws of the Federative Republic of Brazil, with jurisdiction in the courts of Brasília, DF.
6. For any discrepancies or questions regarding this Invoice, please contact our billing department at [email protected] or +55 (61) 3344-5566, Monday through Friday, 08:00 to 18:00 BRT (Brasília Time).
7. This document constitutes a fiscal invoice (Nota Fiscal Eletrônica — NF-e) and has been transmitted to the SEFAZ-DF (Secretaria de Fazenda do Distrito Federal) electronic system. The access key and XML file are available at our Brasília office or via the SEFAZ-DF portal.
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