OUR PROFORMA INVOICE MBLI/04/08/M-1049

August 16, 2004

FOR
CENTER

ATTENTION

JOSE B.LINGAD MEMORIAL MEDICAL

Dolores, San Fernando City, Pampanga

VENANCIO BANZON, M.D.

Medical Center Chief

THRU

VENUS GALANG, M.D.

Chief of Clinics

MS. FLORDELIZA ILAGAN

Hospital Administrator

REFERENCE

As per request of Dr. Giovanni Yap dated August 16, 2004.

_______________________________________________________________________________________________

We are pleased to submit our proposal for your perusal.

Equipment For Ophthalmology

Option No.1
1 Unit

New Ophthalmic Surgical Microscope

With new Superlux Eye-Xenon Illumination
Deep-View, the integrated micro-processor controlled

aperture
Diaphragm / new X-Y coupling and Built-in Assistants

Scope with 5-Step Magnification Changer& Hand-Grips.

Inclusive of Auto-Clean-Line Regulator.

On S88 Floor Stand. For 220 to 240 VAC 50/60 Hz.

Model

Brand
Made in Germany

OPMI VISU 210

:

CARL ZEISS

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MBLI/04/08/M-1049
Jose b. Lingad Memorial Medical Center

Consisting Of:
-

OPMI VISU 210 (including Assistants Scope & X-Y

Coupling)
Dust Cover for OPMI
Asepsis Set 12 mm for OPMI comprising 2-sterilizable
caps
Asepsis Set 22 mm for OPMI comprising 6-sterilizable
caps
Asepsis Set for handgrips for OPMI
Asepsis Set for Eyepieces for OPMI Assistants Scope
Xenon illumination Superlux Eye for OPMI VISU
210
180-deg. Tiltable Tube (including Grips & Asepsis)
(2x) Wide-field push-in eyepieces, 12.5x asph.(for Main
Surgeon)
(2x) Wide-field push-in eyepieces, 10x (for Assistants
Scope)
Objective Lens f= 200 mm., Apo-Chromatic Lens
Floor Stand S88, complete with Foot Control Panel

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Total Lot Price

6,500,000.00

Ps

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Additional Accessory for Video

Documentation (If Needed) :
-----------------------------------1 Set

Medilive 1CCD Compact Camera (Mono / NTSC), 100-240V

Medilive Image Box NTSC, 100-240V, including S-VHS
cables
And set of CD-R 12x (50pcs.)
Sony Wega-Flat Screen Monitor (21-inch)
VHS with Recorder / Video Cart

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Set Price

Ps 1,295,500.00

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_______________________________________________________________________________________________

PRICE
DELIVERY

:
:

Valid for thirty (30) days.

Approximately 60 to 90 days upon receipt of P.O.

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MBLI/04/08/M-1049
Jose B. Lingad Memorial Medical Center

Thank you for giving us the opportunity to submit our proposal. We look 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