MediSource

Diagnostics

Invoice

INV-2026-0144

Pending

From

MediSource Diagnostics

1420 Harbor Industrial Way, Oakland, CA 94607

sales@medisource.io

+1 (415) 555-0100

Bill to

Riverside Clinical Labs

Ms. Grace Adeyemi

grace@riversideclinical.net

Houston, TX

Issued

Jul 15, 2026

Due

Aug 14, 2026

DescriptionQtyUnit priceAmount
Vacuum Blood Collection Tubes 4 mL60$42.00$2,520.00
Micropipette Tips — Universal28$28.00$784.00
Glucose GOD-PAP Kit12$86.00$1,032.00
Subtotal
$4,336.00
Tax (8.5%)
$368.56
Total due
$4,704.56

Notes

Bulk consumables contract — Q3.

Payment terms: net 30 days from invoice date. Please quote the invoice number with your remittance. MediSource Diagnostics · ISO 13485:2016 certified distributor. This is a demo document generated from mock data.