Invoice Chemist in Venezuela Caracas –Free Word Template Download with AI
Chemist & Pharmaceutical Services
Av. Francisco de Miranda, Torre Empresarial, Piso 3, Ofic. 305
Chacao, Venezuela Caracas, 1060
RIF: J-45872319-K
Phone: +58 (212) 555-7842 | Email: [email protected]
Ministerio del Poder Popular para la Salud - Registro Sanitario No. 2019-0456
Chemist / Supplier
Farmacia Quimica del Este C.A.
Av. Francisco de Miranda, Torre Empresarial
Piso 3, Oficina 305, Chacao
Venezuela Caracas, 1060
Representante Legal: Dr. Carlos Mendoza R.
License No. C-2019-004567
Billed To / Client
Clínica San Rafael S.A.
RIF: J-32984561-L
Calle 14, Torre Médica, Piso 7
El Rosal, Venezuela Caracas, 1081
Attn: Lic. María Fernández (Procurement)
Phone: +58 (212) 445-9910
| Ref | Description of Pharmaceutical Item / Service | Product Code | Qty | Unit Price (USD) | Subtotal (USD) | Expiration / Validity |
|---|---|---|---|---|---|---|
| 01 | Amoxicillin 500mg Capsules (Box of 20) – Antibiotic, Chemist Grade | AMX-500-20 | 50 | $12.50 | $625.00 | Dec 2026 |
| 02 | Ibuprofen 400mg Tablets (Box of 30) – Analgesic, Chemist Supply | IBU-400-30 | 80 | $8.75 | $700.00 | Aug 2026 |
| 03 | Metformin 850mg Tablets (Box of 60) – Antidiabetic, Chemist Formulation | MET-850-60 | 40 | $15.20 | $608.00 | Mar 2027 |
| 04 | Normal Saline Solution 0.9% (1000ml IV Bags) – Chemist Sterile Product | NSL-09-1000 | 120 | $4.30 | $516.00 | Jun 2026 |
| 05 | Paracetamol 500mg Syrup 120ml – Pediatric, Chemist Dispensed | PAR-500-120 | 60 | $6.80 | $408.00 | Nov 2025 |
| 06 | Surgical Gloves (Medium, Box of 100) – Chemist Medical Supply | GLV-MED-100 | 30 | $18.00 | $540.00 | N/A |
| 07 | Insulin Glargine 100IU/ml (Vial 10ml) – Chemist Cold Chain Product | INS-GLA-100 | 25 | $32.50 | $812.50 | Feb 2026 |
| 08 | Pharmaceutical Compounding Service – Custom Formulation by Licensed Chemist | SVC-COMP-001 | 5 | $45.00 | $225.00 | N/A |
| 09 | Delivery & Cold Chain Logistics within Venezuela Caracas Metropolitan Area | SVC-DEL-CC | 1 | $75.00 | $75.00 | N/A |
| Subtotal (USD) | $4,509.50 |
| Discount – Corporate Agreement (5%) | -$225.48 |
| Net Amount (USD) | $4,284.02 |
| IVA – Value Added Tax (16%) | $685.44 |
| GRAND TOTAL (USD) | $4,969.46 |
Payment Instructions
This Invoice must be settled within fifteen (15) calendar days from the date of issue. Payment may be made via bank transfer to the following account held by Farmacia Quimica del Este C.A. in Venezuela Caracas:
Bank: Banco Mercantil, S.A. | Branch: Chacao, Venezuela Caracas
Account No.: 0105-0045-8723-19004567 | IBAN: VE01010500045872319004567
SWIFT Code: BCRSVCVX | RIF: J-45872319-K
Please reference Invoice No. FQE-2024-08731 in all payment communications. Late payments are subject to a 2% monthly interest charge as per Venezuelan commercial law (Código de Comercio, Art. 1105).
Important Notes & Terms
1. All pharmaceutical products listed in this Invoice are dispensed and verified by a licensed Chemist in compliance with the regulations of the Ministerio del Poder Popular para la Salud (MPPS) of Venezuela.
2. Cold chain products (Ref. 07) must be stored between 2°C and 8°C. The Chemist guarantees integrity of the cold chain from warehouse to delivery point within Venezuela Caracas.
3. This Invoice constitutes a legal fiscal document under the tax regulations of the Servicio Nacional Integrado de Administración Aduanera y Fiscal (SENIAR) of Venezuela. A copy of the Factura Fiscal is attached.
4. Returns or exchanges of pharmaceutical products are only accepted within 48 hours of delivery, provided the product is unopened, in original packaging, and within its expiration date. The Chemist reserves the right to inspect returned items.
5. This Invoice is valid for a period of thirty (30) days from the date of issue. After this period, pricing may be subject to revision due to currency fluctuations in the Venezuelan market.
6. All transactions conducted by this Chemist in Venezuela Caracas are subject to the applicable Venezuelan pharmaceutical regulations, including but not limited to the Ley de Medicamentos and the regulations of the Instituto Nacional de Alimentos y Medicamentos (INLAFI).
PAID – VERIFIED BY CHEMIST ⬇️ Download as DOCX Edit online as DOCXCreate your own Word template with our GoGPT AI prompt:
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