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ΕΛΛΗΝΙΚΗ ∆ΗΜΟΚΡΑΤΙΑ ΗΜ/ΝΙΑ ΕΚΤΥΠΩΣΗΣ : 24/08/21 1η Υ.ΠΕ. ΑΤΤΙΚΗΣ ΩΡΑ ΕΚΤΥΠΩΣΗΣ : 11:46 −−−−−−−−−−−−−−−−−−−−−−−−− Ε Ν Τ Α Λ Μ Α Π Λ Η Ρ Ω Μ Η Σ ΓΕΝΙΚΟ ΝΟΣΟΚΟΜΕΙΟ ΑΘΗΝΑΣ ΙΠΠΟΚΡΑΤΕΙΟ ΕΞΟ∆ΩΝ ΠΡΟΥΠΟΛΟΓΙΣΜΟΥ Α/Α ΧΡΗΜ. ΕΝΤ/ΤΟΣ : 2072 ΥΠΟ∆/ΝΣΗ : ΟΙΚΟΝΟΜΙΚΟΥ Π Ρ Ο Σ Ετος Χρήσης : 2021 ΤΜΗΜΑ : ΛΟΓΙΣΤΗΡΙΟ ΤΟ ΤΑΜΕΙΟ ΤΟΥ ΝΟΣΟΚΟΜΕΙΟΥ Ημ/νια Εκδοσης ΑΘΗΝΑ : 28−07−2021 Πληρώσατε το ποσό των ευρώ: # 37,348.54 # τριάντα επτά χιλιάδες τριακόσια σαράντα οκτώ ευρώ και πενήντα τέσσερα λεπτά Στον ∆ικαιούχο : ΑΝΦΑΡΜ ΕΛΛΑΣ Α.Ε. ΠΕΡΙΚΛΕΟΥΣ & ΚΛΕΙΣΘΕ 53−7 6831632 ΑΦΜ: 094036383 ΣΧΟΛΙΑ.........: ∆ΙΑΓΩΝΙΣΜΟΣ ΕΠΥ4/ΕΠΥ1/ΕΠΥ2/ΕΠΥ3 ΑΡΙΘΜ 02/2020 ΣΥΜΦΩΝΙΑΣ ΠΛΑΙΣΙΟ : ΕΘΝΙΚΗ FACTORS Σελίδα : 1

ΑΑΚΩ∆.ΛΟΓΑΡΙΑΣΜΟΥ(∆ΗΜΟΣ)Α Ι Τ Ι Ο Λ Ο Γ Ι ΑΠ Ο Σ ΟΣ Υ Ν Η Μ Μ Ε Ν Α
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101−8900250312 −41312ΒΦΑΡΜΑΚΑ ΤΙΜΟΛΟΓΟΥΜΕΝΑ ΣΤΟΥΣ ΑΣΘΕΝΕΙΣ ΑΓΟΡΕΣ4,280.7015 ΤΙΜΟΛΟΓΙΑ Κ.
201−8906131201 −41312ΒΦΑΡΜΑΚΑ ΑΓΟΡΕΣ ΜΗ ΤΙΜΟΛ.ΣΕ ΑΣΘΕΝΕΣ33,067.8415 ∆ΕΛΤΙΑ ΠΑΡΑΓ/ΛΙΑΣ
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ΓΕΝΙΚΟ ΣΥΝΟΛΟ ΧΡΗΜ/ΚΟΥ ΕΝΤ/ΤΟΣ : 37,348.54|ΣΥΜΒ.Φ99/20 ΧΕ839/21 |

=======================================================================================================ΣΥΜΒ.Φ100/20 ΧΕ865/21
Κ Ρ Α Τ Η Σ Ε Ι ΣΣΥΜΒ.Φ186/20 ΧΕ2491/20
−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−−ΑΝΑΚΛ.ΑΠΟΦ 2393/20
ΑΑΚΩ∆.ΛΟΓΑΡΙΑΣΜΟΥ(∆ΗΜΟΣ.)Ο Ν Ο Μ ΑΠΟΣΟΣΤΟΠ Ο Σ ΟΑΠΟΦ.ΑΝΑΛ 871/892/21
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101−5320000006 −35291∆ΗΜΟΣΙΟ ΑΡ.3 Ν 3580/072.000000704.19
201−5320000012 −35296ΑΡΘΡ.4 Ν.4013/2011 ΥΠΕΡ ΕΑ∆Σ 01/04/2019.07000024.67
301−5409140002 −35291ΑΡ.24 Ν2198/94 4%4.0000001,380.23

ΣΥΝΟΛΟ ΚΡΑΤΗΣΕΩΝ : 2,109.09| | ΠΟΣΟ ΣΤΟΝ ∆ΙΚΑΙΟΥΧΟ : 35,239.45| |

−−−−−−−−−−−−−−−−−−−−−−−−− Ε Π Ι Τ Α Γ Ε Σ −−−−−−−−−−−−−−−−−−−−−−−−− ΥΠΟΚΑΤΑΣΤΗΜΑ / ΕΠΙΤΑΓΗ −−−−−−−−−−−−−−−−−−−−−−−−− −−−−−−−−−−−−−−−−−−−−−−−−−

Ο/Η ΣΥΝΤΑΞΑΣ Ο/Η ΛΟΓΙΣΤΗΣ Ο/Η ΠΡΟΙΣΤ.ΟΙΚΟΝ.ΥΠΗΡΕΣ. ΕΛΕΓΚΤΙΚΟ ΣΥΝΕ∆ΡΙΟ ΥΠΗΡΕΣΙΑ ΕΠΙΤΡΟΠΟΥ Ο/Η ΥΠΟ∆/ΝΤΗΣ ΟΙΚ/ΚΟΥ Ο/Η ∆ΙΕΥΘΥΝΤΗΣ Ο/Η ∆ΙΟΙΚΗΤΗΣ Θ Ε Ω Ρ Η Θ Η Κ Ε23−08−2021 Αθήνα,.............. Ο/Η ΕΠΙΤΡΟΠΟΣ ΗΜ/ΝΙΑ ΕΞΟΦΛΗΣΗΣ : Ο/Η ΤΑΜΙΑΣ Ο ΛΑΒΩΝ

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ΕΛΛΗΝΙΚΗ ∆ΗΜΟΚΡΑΤΙΑ ΗΜ/ΝΙΑ ΕΚΤΥΠΩΣΗΣ : 24/08/21 1η Υ.ΠΕ. ΑΤΤΙΚΗΣ ΩΡΑ ΕΚΤΥΠΩΣΗΣ : 11:46 −−−−−−−−−−−−−−−−−−−−−−−−− ΓΕΝΙΚΟ ΝΟΣΟΚΟΜΕΙΟ ΑΘΗΝΑΣ ΙΠΠΟΚΡΑΤΕΙΟ Α/Α ΧΡΗΜ. ΕΝΤ/ΤΟΣ : 2072 ΥΠΟ∆/ΝΣΗ : ΟΙΚΟΝΟΜΙΚΟΥ Ετος Χρήσης : 2021 ΤΜΗΜΑ : ΛΟΓΙΣΤΗΡΙΟ Σελίδα : 2 ΣΥΝΗΜΜΕΝΗ ΚΑΤΑΣΤΑΣΗ ΠΡΩΤΟΚΟΛΛΩΝ−ΤΙΜΟΛΟΓΙΩΝ Ο ∆ικαιούχοs : ΑΝΦΑΡΜ ΕΛΛΑΣ Α.Ε. ΠΕΡΙΚΛΕΟΥΣ & ΚΛΕΙΣΘΕ 53−7 6831632 ΑΦΜ: 094036383

Π Ρ Ω Τ Ο Κ Ο Λ Λ ΑΤ Ι Μ Ο Λ Ο Γ Ι Α
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Α/ΑΑΡΙΘΜΟΣΗΜ/ΝΙΑ ΠΑΡΑΛΑΒΗΣΑΡΙΘΜΟΣΗΜ/ΝΙΑ ΕΚ∆ΟΣΗΣΚΑΘΑΡΟ ΠΟΣΟΠΟΣΟ Φ.Π.Α.Π Ο Σ Ο
1ΦΑ009− 328401−10−20206517430−09−20205,130.97307.865,438.83
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2ΦΑ009− 328101−10−20206517530−09−2020216.1912.97229.16
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3ΦΑ009− 328601−10−20206517930−09−20201,225.0773.511,298.58
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4ΦΑ009− 349219−10−20206569616−10−20205,027.68301.665,329.34
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5ΦΑ009− 351820−10−20206572919−10−2020532.2431.93564.17
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6ΦΑ009− 355523−10−20206581122−10−202054.053.2457.29
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7ΦΑ009− 355323−10−20206581222−10−20201,893.06113.592,006.65
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8ΦΑ009− 355423−10−20206581322−10−2020364.4021.86386.26
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9ΦΑ009− 369302−11−20206604330−10−20202,185.54131.132,316.67
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10ΦΑ009− 369402−11−20206604530−10−20207,073.64424.437,498.07
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11ΦΑ009− 369602−11−20206604630−10−2020281.0416.86297.90
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12ΦΑ009− 369502−11−20206604830−10−20203,591.20215.473,806.67
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13ΦΑ009− 385811−11−20206644710−11−20206,271.22376.276,647.49
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14ΦΑ009− 385711−11−20206644810−11−2020154.429.27163.69
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15ΦΑ009− 385611−11−20206646210−11−20201,233.7574.021,307.77

Σ Υ Ν Ο Λ Α : 35,234.47 2,114.07 37,348.54 ΕΚΚΑΘΑΡΙΖΕΤΑΙ ΚΑΙ ΕΓΚΡΙΝΕΤΑΙ ΓΙΑ ΠΟΣΟ : # 37,348.54# τριάντα επτά χιλιάδες τριακόσια σαράντα οκτώ ευρώ και πενήντα τέσσερα λεπτά ΑΘΗΝΑ : 28−07−2021 Ο/Η ΠΡΟΙΣΤ.ΟΙΚΟΝ.ΥΠΗΡΕΣ. Ο/Η ∆ΙΕΥΘΥΝΤΗΣ

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