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Invoice Chemist in Canada Montreal –Free Word Template Download with AI

Professional Chemist & Pharmaceutical Services

1450 Boulevard Saint-Laurent, Suite 300

Montreal, Quebec, Canada H2X 2Y4

Phone: (514) 555-0187 | Fax: (514) 555-0188

Email: [email protected]

QRC License No. QRC-2024-00873

Invoice No.: INV-2024-08731

Invoice Date: June 15, 2025

Due Date: July 15, 2025

Payment Terms: Net 30 Days

PENDING PAYMENT

Billed To

Montreal General Hospital

Department of Clinical Pharmacy

1650 Rue Ducharme

Montreal, Quebec, Canada H3H 2P4

Attn: Dr. Marie-Claire Tremblay, Head Pharmacist

Account No.: MGH-CLIN-2025-4471

Shipped To

Montreal General Hospital

Central Pharmacy Warehouse

1650 Rue Ducharme, Loading Dock B

Montreal, Quebec, Canada H3H 2P4

Attn: Warehouse Manager, Jean-Pierre Lavoie

# Description of Chemist Services & Products Product Code Quantity Unit Price (CAD) Amount (CAD)
1 Amoxicillin 500mg Capsules – Bulk Pharmaceutical Supply (Chemist-Grade, 10,000 units) CHM-AMX-500 10,000 $0.0850 $850.00
2 Metformin HCl 850mg Tablets – Chemist Formulated, Hospital Grade (5,000 units) CHM-MET-850 5,000 $0.0620 $310.00
3 Atorvastatin 20mg Tablets – Chemist Compounded, Montreal Batch (3,000 units) CHM-ATV-20 3,000 $0.1150 $345.00
4 Professional Chemist Consultation – Drug Interaction Review & Formulation Advisory (4 hours) CHM-SVC-001 4 hrs $185.00 $740.00
5 Custom Chemist Compounding Service – Sterile Ophthalmic Solution (250 mL batches, x6) CHM-CMP-250 6 $220.00 $1,320.00
6 Pharmaceutical Quality Assurance Testing – Chemist Laboratory Analysis Panel (Montreal Lab) CHM-LAB-007 1 $1,450.00 $1,450.00
7 Refrigerated Cold-Chain Delivery – Montreal Metro Area (Chemist-Approved Transport) CHM-DEL-001 1 $175.00 $175.00
8 Regulatory Compliance Documentation – Health Canada & QRC Filing (Chemist Certification) CHM-REG-003 1 $320.00 $320.00
Subtotal $5,510.00
GST (5% – Federal, Canada) $275.50
QST (9.975% – Quebec, Montreal) $549.62
Discount – Institutional Account (5%) -$275.50
TOTAL DUE (CAD) $6,059.62

Payment Instructions

Method: Electronic Funds Transfer (EFT) / Interac e-Transfer / Cheque

Bank: Banque Nationale du Canada – Montreal Branch

Account Name: Pharmacie du Chemist Inc.

Transit No.: 00012 | Institution No.: 604 | Account No.: 44829173

Reference: Please include Invoice No. INV-2024-08731 with all payments.

Due Date: This invoice is payable within thirty (30) calendar days from the invoice date. Late payments are subject to a 1.5% monthly interest charge as per the Commercial Sales Tax Act applicable in the Province of Quebec, Canada.

Important Notes & Chemist Disclaimer

All pharmaceutical products listed on this invoice have been sourced, compounded, and quality-assured by a licensed Chemist in accordance with the regulations set forth by Health Canada and the Quebec College of Pharmacists (Ordre des pharmaciens du Québec). All chemist-graded formulations have undergone rigorous batch testing prior to dispatch from our Montreal facility.

This invoice covers professional chemist services rendered in the City of Montreal, Province of Quebec, Canada. All tax calculations reflect the current federal Goods and Services Tax (GST) rate of 5% and the Quebec Sales Tax (QST) rate of 9.975% as applicable to commercial pharmaceutical transactions in Montreal.

Please verify all line items against your purchase order. Any discrepancies must be reported to our billing department within ten (10) business days of the invoice date. This invoice constitutes a legal financial document under the Civil Code of Quebec and the federal Canada Business Corporations Act.

Pharmacie du Chemist Inc. is a registered corporation in the Province of Quebec, Canada, and operates under full compliance with all federal and provincial pharmaceutical regulations. Our Montreal facility is certified under ISO 9001:2015 for pharmaceutical quality management systems.

Pharmacie du Chemist Inc. – A Licensed Chemist & Pharmaceutical Provider in Montreal, Quebec, Canada

QRC License No. QRC-2024-00873 | Health Canada Establishment No. MC-2024-118734

1450 Boulevard Saint-Laurent, Suite 300, Montreal, Quebec, Canada H2X 2Y4

This invoice was generated electronically and is valid without a physical signature. For questions regarding this invoice, please contact our Montreal billing office at (514) 555-0187.

© 2025 Pharmacie du Chemist Inc. All rights reserved. | Invoice INV-2024-08731 | Page 1 of 1

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