OUR PROFORMA INVOICE MBLI/04/10/M-1313

October 15, 2004

FOR

:
PRESIDENT DIOSDADO MACAPAGAL
MEDICAL CENTER
Mabini St., Caloocan City

ATTENTION

RAQUEL SO-SAYO, M.D.

Medical Director

REFERENCE

As per your request to quote

___________________________________________________________________________

We are pleased to submit our proposal for your perusal.

1 UNIT

"New" MOBILE ANAESTHESIA MACHINE

With two (2) vaporizers to choose (Halothane / Enflurane
/ Isoflurane / Sevoflurane). Complete with standard
accessories.

Model
:
Brand
:
Made in Germany

PORTEC
STEPHAN

Consisting Of :
1
1
1
2
2
1
1
1
1
1
1
1
1
1

- Basic frame PORTEC

Drawer with safety catch
- Anesthesia gas mixing unit GME 3/4
- Selectatec mounting for vaporizer
- Vaporizers with interlock system
key-filler and key-fill adapter
- Breathing circuit ISO
- Anaesthesia set for adults (Silicon)
- Anaesthesia set for pedia (Silicon)
- Volumeter-mechanical threaded mounting
- Heating for Volumeter
Drawer cabinet with 3-drawer & lateral mounting rail
Mobile Stand / Trolley
Connection hose O2 complete with DIN threaded
connection and angle plug
Connection hose N2O complete with DIN threaded

connection and plug

1 Connection hose AIR complete with DIN threaded
connection and angle plug
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UNIT PRICE

Ps

1,950,000.00

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Page 2

MBLI/04/10/M-1313
Pres. Diosdado Macapagal Medical Center

___________________________________________________________________________

PRICE
DELIVERY

:
:

Valid for thirty (30) days

60 - 90 days upon receipt of Purchase Order.

Thank you for giving us the opportunity to submit our proposal. We are
looking forward to your favorable decision.
Sincerely,

MICRO-BIOLOGICAL LABORATORY, INC.

ROMEL B. LINGAD
Sales Representative
Medical Department

DADS D. ESPINOZA
Sales Manager
Medical Department

Noted By:

VICENTE P.
MERCADO

Executive Vice-President