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StockCode Description UOM Quantity Unit Price Excl. Gross Amount TO/Discount Amount *FED 17% Amount Incl. FED
FED Excluding FED of R.P
4000000269 DCO 10 LTR CAN (10 x 2) Cs 15 3,599.05 53,985.75 186.75- 53,799.00 9,894.86 63,693.86
(FORTIFIED)
4000000429 CORN OIL 1 LTR BOTTLE Cs 1 1,788.64 1,788.64 0.00 1,788.64 344.36 2,133.00
(1 x 6)(FORTIFIED)
4000000430 CORN OIL 3 LTR BOTTLE Cs 1 5,365.92 5,365.92 0.00 5,365.92 1,033.08 6,399.00
(3x6)(FORTIFIED)
4000000433 CORN OIL 3 LTR TIN (3 x Cs 1 5,365.92 5,365.92 0.00 5,365.92 1,033.08 6,399.00
6) (FORTIFIED)
4000000434 CORN OIL 5 LTR TIN (5 x Cs 1 5,811.20 5,811.20 0.00 5,811.20 1,118.80 6,930.00
4) (FORTIFIED)
4000000431 CORN OIL 4.5LTR Cs 1 5,237.62 5,237.62 0.00 5,237.62 1,008.38 6,246.00
BOTTLE(4.5x4)(FORTIFIE
D)
Grand Total 77,555.05 186.75- 77,368.30 14,432.56 91,800.86
Gross Value 77,555.05
Less: TO/Discount 186.75-
Amount after Discount 77,368.30
Claim Adjustment 0.00
Add FED Amount 14,432.56
Net Amount 91,800.86
CLAIM SUMMRY
REFERENCE AMOUNT
TOTAL 0.00