Invoice Chemist in Brazil Rio de Janeiro –Free Word Template Download with AI
Rua da Assembleia, 1247 – Centro
Rio de Janeiro, RJ – 20011-001, Brazil
CNPJ: 12.345.678/0001-90
Phone: +55 (21) 3456-7890
Email: [email protected]
Nº INV-2025-04872
Date: June 14, 2025
Due Date: July 14, 2025
Billed To (Client)
Dr. Mariana Costa Ferreira
Clínica Saúde Plena Ltda.
Av. Atlântica, 3500 – Copacabana
Rio de Janeiro, RJ – 22070-001, Brazil
CNPJ: 98.765.432/0001-10
Phone: +55 (21) 99876-5432
Issued By (Chemist)
Química Rio Chemist & Pharmacy
Responsible Pharmacist: Farm. Carlos Eduardo Lima
CRF-RJ Nº 45.678
Av. Rio Branco, 210 – Sala 45
Rio de Janeiro, RJ – 20040-003, Brazil
CNPJ: 12.345.678/0001-90
Line Items – Chemist & Pharmacy Products| Ref | Description | ANVISA Code | Qty | Unit Price (R$) | Subtotal (R$) |
|---|---|---|---|---|---|
| 001 | Amoxicillin 500mg Capsules – 21 caps (Prescription required) | 1.0023.4567 | 10 | 38.90 | 389.00 |
| 002 | Ibuprofen 400mg Tablets – 30 tabs (OTC Chemist product) | 1.0034.5678 | 25 | 22.50 | 562.50 |
| 003 | Metformin 850mg Tablets – 60 tabs (Prescription required) | 1.0045.6789 | 15 | 45.80 | 687.00 |
| 004 | Saline Solution 0.9% – 500ml IV bags (Hospital-grade) | 1.0056.7890 | 40 | 12.30 | 492.00 |
| 005 | Sterile Gauze Pads 10x10cm – Box of 100 (Chemist supply) | 1.0067.8901 | 20 | 28.70 | 574.00 |
| 006 | Hand Sanitizer 70% Alcohol – 500ml Pump (Chemist hygiene) | 1.0078.9012 | 30 | 18.40 | 552.00 |
| 007 | Pharmaceutical Compounding Service – Custom Formulation (Chemist lab) | SVC-2025-0891 | 5 | 120.00 | 600.00 |
| 008 | Delivery & Cold-Chain Logistics within Rio de Janeiro Metro Area | SVC-2025-0902 | 1 | 85.00 | 85.00 |
| Subtotal | R$ 3,941.50 |
| ICMS (State Tax – RJ 18%) | R$ 709.47 |
| ISS (Service Tax – Rio de Janeiro 5%) | R$ 34.25 |
| Discount (Corporate Agreement 5%) | - R$ 197.08 |
| TOTAL DUE | R$ 4,488.14 |
Important Notes – Chemist & Pharmacy Compliance
1. All prescription medications listed in this invoice were dispensed in accordance with Brazilian Federal Law Nº 13.021/2014 and ANVISA RDC Nº 44/2009. Original prescriptions have been retained by the responsible chemist (pharmacist) at our Rio de Janeiro facility for a minimum of five (5) years as required by the State Pharmacy Council of Rio de Janeiro (CRF-RJ).
2. This invoice is issued by a registered chemist and pharmacy operating under the jurisdiction of the city of Rio de Janeiro, State of Rio de Janeiro, Brazil. All products comply with ANVISA (Agência Nacional de Vigilância Sanitária) registration and quality standards.
3. Cold-chain products (Ref 004) were transported at controlled temperatures between 2°C and 8°C throughout the delivery route within the Rio de Janeiro metropolitan area. Temperature logs are available upon request.
4. Payment is due within thirty (30) calendar days from the invoice date. Late payments are subject to a 2% penalty plus interest calculated at the Selic rate per month, in accordance with Brazilian commercial law (Código Civil, Art. 412).
5. For any discrepancies or questions regarding this invoice, please contact our billing department at Química Rio Chemist & Pharmacy within fifteen (15) business days. This document serves as the official fiscal record for both the purchasing entity and the chemist's pharmacy in Rio de Janeiro, Brazil.
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