Thorlabs, Inc.

56 Sparta Avenue
Newton, NJ 07860-2402, US

Telephone 973-300-3000
Fax 973-300-3600
Email sales@thorlabs.com

Proforma Invoice
Bill to: Number TQ0237465-3
Indian Institute of Technology Madras Created date 4/18/2017
Department of Engineering Design Date 4/20/2017
Tamil Nadu Quotation deadline 6/17/2017
Chennai 600 036
Purchase order SUJATHA/QUOTE
India
Terms of payment Prepay
Invoice account 136161
Sales Contact AMY BETH BENNETT
Ship Via FedEx International Economy
Ship to: Terms of delivery FCA Origin
Indian Institute of Technology Madras Page 1 of 3
Department of Applied Mechanics
Tamilnadu
Chennai 600036
India
Attention N. Sujatha
Phone +91-44-22574067

Line Item number Description Quantity Price Each Amount Ship date
1 LP635-SF8 635nm, 8mW, 5A Pin 1.00 599.00 599.00 USD 4/18/2017
SM Pigtailed Laser
Diode, FC/PC
Country of origin: USA

REACH: ROHS: Compliant

2 LP520-SF15 520 nm, 15 mW, 9E Pin 1.00 663.00 663.00 USD 4/18/2017
Code, SM Pigtailed
Laser Diode, FC/PC
Country of origin: USA
REACH: ROHS: Compliant
3 M35L01 Ø1000 µm, 0.39 NA, 1.00 89.25 89.25 USD 4/18/2017
SMA-SMA Fiber Patch
Cable, 1 Meter
Country of origin: USA
REACH: ROHS: A (compliant 2011/65/EU)

4 M53L01 Fiber 1.00 75.75 75.75 USD 4/18/2017

Cable,MM,SMA,600µm,
0.50,1m,400 - 2200
nm,FT038
Country of origin: USA
REACH: ROHS: Compliant
 Thorlabs, Inc.
56 Sparta Avenue
Newton, NJ 07860-2402, US

Telephone 973-300-3000
Fax 973-300-3600
Email sales@thorlabs.com

Proforma Invoice
Bill to: Number TQ0237465-3
Indian Institute of Technology Madras Created date 4/18/2017
Department of Engineering Design Date 4/20/2017
Tamil Nadu Quotation deadline 6/17/2017
Chennai 600 036
Purchase order SUJATHA/QUOTE
India
Terms of payment Prepay
Invoice account 136161
Sales Contact AMY BETH BENNETT
Ship Via FedEx International Economy
Ship to: Terms of delivery FCA Origin
Indian Institute of Technology Madras Page 2 of 3
Department of Applied Mechanics
Tamilnadu
Chennai 600036
India
Attention N. Sujatha
Phone +91-44-22574067

Line Item number Description Quantity Price Each Amount Ship date
5 M92L01 Ø200 µm, 0.22 NA, 1.00 90.25 90.25 USD 4/18/2017
SMA-SMA Fiber Patch
Cable, 1 Meter
Country of origin: USA
Ø200 µm, 0.22 NA, SMA-SMA Fiber Patch Cable, 1 Meter
REACH: ROHS: A (compliant 2011/65/EU)

6 F220SMA-B λ=633nm, f =10.99 mm, 2.00 148.00 296.00 USD 4/18/2017

NA=0.25 SMA Fiber
Collimation Pkg.
Country of origin: USA
REACH: ROHS: A (compliant 2011/65/EU)

7 F230FC-B Fiber Collimation 1.00 148.00 148.00 USD 4/18/2017

Package, λ=633 nm,
f=4.43 mm, FC/PC
Country of origin: USA
REACH: 173 ROHS: A (compliant 2011/65/EU)
Thorlabs, Inc.
56 Sparta Avenue
Newton, NJ 07860-2402, US

Telephone 973-300-3000
Fax 973-300-3600
Email sales@thorlabs.com

Proforma Invoice
Bill to: Number TQ0237465-3
Indian Institute of Technology Madras Created date 4/18/2017
Department of Engineering Design Date 4/20/2017
Tamil Nadu Quotation deadline 6/17/2017
Chennai 600 036
Purchase order SUJATHA/QUOTE
India
Terms of payment Prepay
Invoice account 136161
Sales Contact AMY BETH BENNETT
Ship Via FedEx International Economy
Ship to: Terms of delivery FCA Origin
Indian Institute of Technology Madras Page 3 of 3
Department of Applied Mechanics
Tamilnadu
Chennai 600036
India
Attention N. Sujatha
Phone +91-44-22574067

Please note that any changes may affect your pricing. Estimated shipping charges & Subtotal 1,961.25 USD
freight charges for the heavyweight items may not appear here but will be added upon Total discount 0.00 USD
receipt of order. Release fees & custom taxes are not included in the shipping fee. Please Shipping & Handling 122.62 USD
pay in US funds by check, credit card, or wire to Thorlabs, Inc Acct# 205000754, bank Sales tax 0.00 USD
routing#021205376 C/O Lakeland Bank, 615Rt.206N, Newton, NJ, 07860, EIN: 22-2873153 2,083.87 USD
Grand total
For international wires use Wellsfargo Bank, N.A. 420 Montgomery, San Francisco, CA,
94104, Account#2000039124913, SWIFT code WFBIUS6S, ABA#121000248. Acceptance of
customers purchase order is conditional on Thorlabs' Terms and Conditions
(www.thorlabs.com) which shall control and supersede any other terms and conditions.

US Export Administration Regulations and European Export Laws may apply to the sale,
destination and end use of these items and any related technical data. Any diversion
contrary to US and European export control regulations is strictly prohibited:
www.bis.doc.gov. Title passes to the buyer at the point of shipment, Thorlabs facility
unless stated otherwise by Thorlabs