Application form
THE HEAD REMITTANCE,
REMITTANCE DEPARTMENT,
DEBT RECONCILIATION COMMITTEE,
GARKI ABUJA.
PLEASE FILL THE TEXT FORM BELOW AND SEND BACK A COPY TO US.
TYPE (TEXT A) ON YOUR LETTER HEAD PAPER (A)
THE HEAD REMITTANCE,
REMITTANCE DEPARTMENT,
DEBT RECONCILIATION COMMITTEE,
GARKI ABUJA.
ATTENTION: MR V...O.....
DEAR SIR,
CONTRACT NO. N.N.P.C/PED/2035-X/97
SUPPLY, INSTALLATION AND COMMISSIONING OF HOSPITAL EQUIPMENT FOR GOVERNMENT OWNED HOSPITALS NATION WIDE.
WITH REFERENCE TO YOUR LETTER N.N.P.C/PED VOL/03225 DATED 11TH JANUARY, 2000 AND ARTICLE 9.0 OF OUR SUPPLEMENTARY AGREEMENT WE TAKE THE LIBERTY TO SUBMIT TO YOU THE ATTACHED INVOICE NO_______ FOR THE AMOUNT OF US$ 26,500,000:00. (TWENTY SIX MILLION FIVE HUNDRED THOUSAND DOLLARS ONLY) BEING PAYMENT DUE TO US ON THE COMPLETION OF THE ABOVE MENTIONED CONTRACT.
IN ACCORDANCE WITH THE AFOREMENTIONED ARTICLES OF AGREEMENT AND ALL OTHER RELEVANT AMENDMENTS THERETO, WE WOULD BE PLEASED IF THIS AMOUNT IS REMITTED IN FULL TO OUR UNDERMENTIONED BANK ACCOUNT.
BANK NAME:___________________________
BANKERS ADDRESS:___________________
BANK TEL N0:__________.
TELEX:______________
FAX:___________
BANK ACCOUNT N0__________
SWIFTCODE: ___________________
YOUR PROMPT SETTLEMENT OF THIS BILL WILL BE HIGHLY APPRECIATED.
THANKS FOR YOUR CO-OPERATION.
YOURS FAITHFULLY,
STAMP AND SIGN.
TYPE (TEXT B) ON YOUR PROFORMA INVOICE
THE HEAD REMITTANCE
REMITTANCEDEPARTMENT, INVOICE N0:_____________________
DEBT RECONCILIATION COMMITTEE,
GARKI, ABUJA.
DATE:_____________________
ATTENTION: MR V..... O........
CONTRACT NO. N.N.P.C/PED/2035-X/97
SUPPLY INSTALLATION AND COMMISSIONING OF HOSPITAL EQUIPMENT FOR GOVERNMENT OWNED HOSPITALS NATION WIDE.
CONTRACT CODE:_______. 89 /FGN/N.N.P.C./97 CONTRACT AMOUNT: US$ 26, 500,000:00. (TWENTY SIX MILLION FIVE HUNDRED THOUSAND DOLLARS ONLY)
SIGN AND STAMP
