PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION #

SOLD-TO:
22246133
Charles University DATE
First Faculty of Medicine
Katerinska 32 02/14/2017
12108 PRAHA 2 VALID UNTIL
CZECH REPUBLIC
05/30/2017
SOLD TO CUSTOMER NUMBER
SHIP-TO:
99999000
CUSTOMER REFERENCE NUMBER

INQUIRIES TO: 2176500013/158

SIGMA-ALDRICH CORPORATION INCO TERMS
3050 SPRUCE ST
CONTACT: SAINT LOUIS MO 63103 US FCA/SHIPPING POINT
PAGE
TELEPHONE:
Phone: 314-286-7750 Page 1 of 5
FAX: NOT AVAILABLE
Fax: 314-286-7807
EMail: SARQUOTE@[Link]

LINE MATERIAL NUMBER DESCRIPTION QUANTITY UOM UNIT PRICE EXTENDED PRICE PROPOSED ROUTE

001 295116-50L 1,00 EA 286,00 286,00 TRUCK

CARBON MONOXIDE, 99.0+%
TRUCK/OCEAN ONLY UN1016
Shipped From MILWAUKEE

002 A3785-1G 1,00 EA 200,50 200,50 FEDEX OVERNIGHT

5-AMINOLEVULINIC ACID HYDROCHLORIDE, >=98%
NON-HAZ
Shipped From MILWAUKEE

003 S8625-500G 1,00 EA 52,10 52,10 FEDEX OVERNIGHT

SODIUM ACETATE TRIHYDRATE, REAGENTPLUS TM, 99.0%
NON-HAZ
Shipped From MILWAUKEE

004 B4501-1G 1,00 EA 67,20 67,20 FEDEX OVERNIGHT

BIOTIN
NON-HAZ
Shipped From MILWAUKEE

005 T2885-1G 1,00 EA 59,60 59,60 FEDEX OVERNIGHT

3,3',5,5'-TETRAMETHYLBENZIDINE
NON-HAZ
PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION #

SOLD-TO:
22246133
Charles University DATE
First Faculty of Medicine
Katerinska 32 02/14/2017
12108 PRAHA 2 VALID UNTIL
CZECH REPUBLIC
05/30/2017
SOLD TO CUSTOMER NUMBER
SHIP-TO:
99999000
CUSTOMER REFERENCE NUMBER

INQUIRIES TO: 2176500013/158

SIGMA-ALDRICH CORPORATION INCO TERMS
3050 SPRUCE ST
CONTACT: SAINT LOUIS MO 63103 US FCA/SHIPPING POINT
PAGE
TELEPHONE
Phone: 314-286-7750 Page 2 of 5
FAX: NOT AVAILABLE
Fax: 314-286-7807
EMail: SARQUOTE@[Link]

LINE MATERIAL NUMBER DESCRIPTION QUANTITY UOM UNIT PRICE EXTENDED PRICE PROPOSED ROUTE

Shipped From MILWAUKEE

006 95039-5KG-F 1,00 EA 443,00 443,00 FEDEX OVERNIGHT

TRYPTONE ENZYMATIC DIGEST FROM CASEIN
NON-HAZ
Shipped From MILWAUKEE

007 C2506-50MG 1,00 EA 78,90 78,90 FEDEX OVERNIGHT

CYTOCHROME C FROM HORSE HEART
NON-HAZ
Shipped From MILWAUKEE

008 V9378-250MG 1,00 EA 94,30 94,30 FEDEX OVERNIGHT

VITAMIN K2
NON-HAZ
Shipped From MILWAUKEE

009 PHR1441-1G 1,00 EA 63,50 63,50 FEDEX OVERNIGHT

SPECTINOMYCIN SULFATE
NON-HAZ
Shipped From MILWAUKEE

010 A91906-25G-A 1,00 EA 61,10 61,10 FEDEX OVERNIGHT

L-ARABINOSE, 98%
NON-HAZ
Shipped From MILWAUKEE

011 61345-1KG 1,00 EA 48,80 48,80 FEDEX OVERNIGHT

D-LACTOSE MONOHYDRATE >= 98.0% (HPLC)
NON-HAZ
 PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION #

SOLD-TO:
22246133
Charles University DATE
First Faculty of Medicine
Katerinska 32 02/14/2017
12108 PRAHA 2 VALID UNTIL
CZECH REPUBLIC
05/30/2017
SOLD TO CUSTOMER NUMBER
SHIP-TO:
99999000
CUSTOMER REFERENCE NUMBER

INQUIRIES TO: 2176500013/158

SIGMA-ALDRICH CORPORATION INCO TERMS
3050 SPRUCE ST
CONTACT: SAINT LOUIS MO 63103 US FCA/SHIPPING POINT
PAGE
TELEPHONE:
Phone: 314-286-7750 Page 3 of 5
FAX: NOT AVAILABLE
Fax: 314-286-7807
EMail: SARQUOTE@[Link]

LINE MATERIAL NUMBER DESCRIPTION QUANTITY UOM UNIT PRICE EXTENDED PRICE PROPOSED ROUTE

Shipped From MILWAUKEE

012 S7907-500G 1,00 EA 118,00 118,00 FEDEX OVERNIGHT

SODIUM PHOSPHATE DIBASIC BIOXTRA
NON-HAZ UN3077
Shipped From MILWAUKEE

013 P8833-100MG 1,00 EA 261,50 261,50 FEDEX OVERNIGHT

PUROMYCIN DIHYDROCHLORIDE FROM FROM STREPTOMYCES ALBONIGER BIOREAGENT, POWDER, >= 98% (TLC), SUITABLE FOR CELL CULTURE
NON-HAZ
Shipped From MILWAUKEE
_______________________________________________________________________________________________________________________________________________________________________________
Items Total 1.834,50 USD
Trans / Handling 159,94 USD
Total Tax 119,73 USD
Total Due 2.114,17 USD

Prepayment is required in the form of wire transfer or credit card. Once the prepayment is received and the order is created, our screening group will send you an account questionnaire that needs to be completed
and returned before they will release the order.
PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION #

SOLD-TO:
22246133
Charles University DATE
First Faculty of Medicine
Katerinska 32 02/14/2017
12108 PRAHA 2 VALID UNTIL
CZECH REPUBLIC
05/30/2017
SOLD TO CUSTOMER NUMBER
SHIP-TO:
99999000
CUSTOMER REFERENCE NUMBER

INQUIRIES TO: 2176500013/158

SIGMA-ALDRICH CORPORATION INCO TERMS
3050 SPRUCE ST
CONTACT: SAINT LOUIS MO 63103 US FCA/SHIPPING POINT
PAGE
TELEPHONE:
Phone: 314-286-7750 Page 4 of 5
FAX: NOT AVAILABLE
Fax: 314-286-7807
EMail: SARQUOTE@[Link]

LINE MATERIAL NUMBER DESCRIPTION QUANTITY UOM UNIT PRICE EXTENDED PRICE PROPOSED ROUTE

Shipment of this order can be made upon receipt of your pre-payment.

The following methods of payment may be used:
Credit Card
We accept payment via Mastercard, Visa or American Express.
Please indicate the following information when submitting your order:
1. The type of card.
2. Your credit card number.
3. The expiration of your credit card.
Check or Money Orders
Please submit it to the following address:
Wells Fargo Bank
PO Box 535182
ATLANTA GA 30353-5182
Wire Transfers
Sigma-Aldrich Inc.
C/O US Bank
PROFORMA INVOICE/QUOTATION PROFORMA INV/QUOTATION #

SOLD-TO:
22246133
Charles University DATE
First Faculty of Medicine
Katerinska 32 02/14/2017
12108 PRAHA 2 VALID UNTIL
CZECH REPUBLIC
05/30/2017
SOLD TO CUSTOMER NUMBER
SHIP-TO:
99999000
CUSTOMER REFERENCE NUMBER

INQUIRIES TO: 2176500013/158

SIGMA-ALDRICH CORPORATION INCO TERMS
3050 SPRUCE ST
CONTACT: SAINT LOUIS MO 63103 US FCA/SHIPPING POINT
PAGE
TELEPHONE:
Phone: 314-286-7750 Page 5 of 5
FAX: NOT AVAILABLE
Fax: 314-286-7807
EMail: SARQUOTE@[Link]

LINE MATERIAL NUMBER DESCRIPTION QUANTITY UOM UNIT PRICE EXTENDED PRICE PROPOSED ROUTE

One US Bank Plaza

St Louis MO 63101
SWIFT code: USBKUS44IMT
Acct # 1001627627
ABA # 081 000 210
PLEASE REFERENCE THE PROFORMA INVOICE NUMBER ON ALL CORRESPONDENCE.

CHARKEY