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Purchase Order Ophthalmologist in Germany Frankfurt –Free Word Template Download with AI

Frankfurt Ophthalmology Center GmbH

Seckenheimer Landstraße 245, 60389 Germany Frankfurt am Main

Phone: +49 69 4455 7800 | Email: [email protected]

USt-IdNr.: DE 312 456 789 | HRB 87654 Frankfurt am Main

Purchase Order No.: PO-2025-OFK-00472

Date of Issue: 14 June 2025

Valid Until: 14 July 2025

Delivery Location: Germany Frankfurt, Seckenheimer Landstraße 245

Delivery Date Required: 01 August 2025

Payment Terms: Net 30 days from invoice date

BUYER INFORMATION (Ophthalmologist Practice)
Company Name: Frankfurt Ophthalmology Center GmbH
Practice Type: Specialist Ophthalmologist Clinic – Comprehensive Eye Care
Address: Seckenheimer Landstraße 245, 60389 Germany Frankfurt am Main
Authorized Ophthalmologist: Dr. med. Katharina Weiss, Fachärztin für Augenheilkunde
Procurement Contact: Mr. Thomas Berger, Head of Procurement
Bank Details: IBAN: DE89 3704 0044 0532 0130 00 | BIC: COBADEFFXXX
SUPPLIER INFORMATION
Supplier Name: MedTech Ophthalmic Solutions AG
Address: Industriestraße 12, 70565 Stuttgart, Germany
Contact Person: Ms. Anna Richter, Sales Director – Ophthalmic Division
Phone / Email: +49 711 2233 4455 / [email protected]
LINE ITEMS – Ophthalmologist Equipment & Supplies
Item No. Description Qty Unit Unit Price (EUR) Total (EUR)
1 Zeiss Visucam 500 Digital Fundus Camera – for Ophthalmologist diagnostic use in Germany Frankfurt clinic 1 Unit 18,500.00 18,500.00
2 Topcon iOpCare OCT-X2 Optical Coherence Tomography System 1 Unit 42,000.00 42,000.00
3 Haag-Streit M400 Microscope – Ophthalmologist surgical suite upgrade 2 Units 35,750.00 71,500.00
4 Alcon Centurion Phacoemulsification System with handpiece 1 Unit 28,900.00 28,900.00
5 Penlight Ophthalmoscope Set (12-piece) – for Ophthalmologist patient examinations 10 Sets 89.00 890.00
6 Disposable Intraocular Lenses (IOL) – 20.0D, 22.0D, 24.0D (mixed lot) 500 Pcs 42.00 21,000.00
7 Viscoelastic Ophthalmic Solution (OVD) – 10ml vials, sterile 200 Vials 18.50 3,700.00
8 Slit Lamp Biomicroscope – Topcon SL-18D for Ophthalmologist anterior segment assessment 3 Units 6,200.00 18,600.00
9 Automated Refractor – Nidek ARK-530A for Ophthalmologist vision testing 2 Units 4,850.00 9,700.00
10 Annual Maintenance & Calibration Service Contract – all Ophthalmologist diagnostic equipment 1 Year 12,400.00 12,400.00
Subtotal: 228,190.00 EUR
VAT (19% – Germany): 43,356.10 EUR
Shipping & Installation (Germany Frankfurt): 3,200.00 EUR
GRAND TOTAL: 274,746.10 EUR
TERMS AND CONDITIONS
  1. This Purchase Order is issued by Frankfurt Ophthalmology Center GmbH, a registered specialist Ophthalmologist practice located in Germany Frankfurt am Main, and constitutes a binding procurement request for all items listed above.
  2. All ophthalmic equipment and consumables referenced in this Purchase Order must comply with the European Medical Devices Regulation (EU) 2017/745 and must carry valid CE marking prior to delivery at the Germany Frankfurt clinic premises.
  3. The supplier acknowledges that the end-user is a licensed Ophthalmologist (Facharzt für Augenheilkunde) operating under the medical regulations of the State of Hesse, Germany. All surgical instruments and diagnostic devices must be certified for use in a German ophthalmology practice.
  4. Delivery of all items under this Purchase Order shall be made to the Ophthalmologist practice address in Germany Frankfurt (Seckenheimer Landstraße 245, 60389 Frankfurt am Main) no later than 01 August 2025. Late delivery shall incur a penalty of 0.5% of the total order value per calendar day of delay.
  5. Installation, calibration, and operator training for all major ophthalmic systems (Items 1–4 and 8–9) shall be performed by certified supplier technicians at the Germany Frankfurt facility. Training sessions must be conducted in German and English for the Ophthalmologist team and nursing staff.
  6. Payment shall be made via bank transfer (SEPA) within thirty (30) calendar days of receipt of a valid invoice referencing this Purchase Order number (PO-2025-OFK-00472). The invoice must include the supplier's USt-IdNr. and reference the Ophthalmologist practice name as the recipient.
  7. All goods are warranted for a minimum of twenty-four (24) months from the date of installation at the Germany Frankfurt clinic. The warranty covers parts, labor, and on-site service by the supplier's authorized Ophthalmologist equipment technicians.
  8. This Purchase Order is governed by the laws of the Federal Republic of Germany. Any disputes arising from this procurement shall be subject to the exclusive jurisdiction of the competent courts in Germany Frankfurt am Main.
  9. The supplier shall maintain full confidentiality regarding the Ophthalmologist practice's patient data, operational procedures, and proprietary clinical workflows observed during installation and training at the Germany Frankfurt location, in accordance with the GDPR (EU) 2016/679.
  10. Any modifications, cancellations, or amendments to this Purchase Order must be made in writing and signed by both the authorized representative of the Ophthalmologist practice and the supplier. Verbal agreements are not binding.
AUTHORIZATION & ACCEPTANCE

For and on behalf of the Buyer (Ophthalmologist Practice):

Frankfurt Ophthalmology Center GmbH, Germany Frankfurt

Dr. med. Katharina Weiss
Fachärztin für Augenheilkunde (Ophthalmologist)
Date: _______________    Signature: _______________

For and on behalf of the Supplier:

MedTech Ophthalmic Solutions AG

Ms. Anna Richter
Sales Director – Ophthalmic Division
Date: _______________    Signature: _______________

This Purchase Order (PO-2025-OFK-00472) was generated for the Ophthalmologist practice Frankfurt Ophthalmology Center GmbH, Germany Frankfurt am Main. Document reference: Procurement Dept. / Ophthalmic Equipment Division. Page 1 of 1.

© 2025 Frankfurt Ophthalmology Center GmbH. All rights reserved. This document is confidential and intended solely for the named parties.

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