TAX INVOICE

Public Soft Corporation India Invoce No. Dated

33 SCO , Sector -23, First Floor 90/2010-11 12 April' 10
Gurgaon (Haryana) 122017 Delivery Note Terms of Payment

Toll Free No. : 1800 103 4009 Supplier's Ref. Other Reference(s)
Consignee I.D.No.: 20091016015
Jain Medical & Gen Store Buyer's Order No. Dated
C-155&166,Palam Vyapaar Kendra Verbal 12 April' 10
Palam Vihar (Tin No. 06791924922 Despatch Document No. Dated
Gurgaon(Haryana) Mobile No-9810682580
Buyer (If other than consignee) Despatch through Destination

Terms of Delivery

Description of Goods Quantity Rate per Discount % Amount

1) Aaron 3 Test Glucometer with 10 lacets, 1 1199.77 No's 0.00 1199.77

1 vial of 10 strips
(Item No: 3TM678GH)

2) Aaron 3 Test Vail Strips For 51 tests 1 500.00 No's 0 500

(Item No: 3TM678GH)

1699.77
CST / VAT@5% 85.2285

Total 2 1785.00
Amount Chargeable (in words) E & O.E
Rs.One thousand Seven hundred Eighty five rupees

Warranty : Life Time Warranty (Please quote I.D.No.for any Support issues on this Product)

Remarks :
Company's VAT TIN No. :06861930170
Declaration
We declare that this invoice shows the actual price of the goods for Public Soft Corporation India
described and that all particulars are true and correct.

Authorised Signatory