Application Proforma

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NIT: 79.381.

102-4

Bogot, January 31, 2012

Sirs: TSO Sales Contacts

Dear Sirs:

Application Proforma for payment or transfer of BRITHIS Pharmacopoeia 2012. Please confirm Swift Code, general information regarding payment.

Thank you

Sincerely,

WILLIAM MEDINA RUIZ. Commercial Manage

CARRERA 5 Este N. 21A-96 Sur TEL: 3676316. CEL. 3158317615 -3103105785206

[email protected] [email protected]

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