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Republic of the.

ines
Province of Negros Oocidental e. 23-02-007
City of San Carlos February 16 202
DATE:
0037-23-02
MAKSAMIYA MEDICAL SUPPLIES & NOA
Door 1, Double D EQUIPT. TRADING
AddreSS Bldg., Cor. Acacia St. PR No 9-22-12-1865
Bacolod City, Negros Villamonte December 6 2022
hone No Occidental Date
Mode of Procurement
No January 10,202
PUBLIC BIDDING
Number: 0097-23
temen BAC Feoruary 2, 2023
Please fumish this office the RESOLUTION Date
ce of Delivery following articles subiect to the terms and
te of Delivery CITY HOSPITAL conditions contained herein
Delivery Term 15 working days
Payment Term
No Unit
LOT 2 DESCRIPTION Quantity Unit Cost Amount
tablet Metformin 500 mg Film Coated Tablet, Saphormin T500
5,000 051 2,550 00
LOT 3
armpule Metociopramide 5 mg/mL. 2 mlL Solution for Injection Ampule
Metoclosil 3,500 3 90 13.650 000

LOT 5
bottie Zinc (equiv. to 20 mg elemental zinc/5 mL), 60 mL Syrup Bottle 500
Zinlum 204 10.240 00

LOT6
nebule pratropium Salbutamol 500 mcg 2 5 mg, 25 mL Respiratory 10,000 15.116
Soluton, Hivent Plus 151.600 00
LOT 8
Ceftriaxone 1 g Powder for Injection Vial+ 10 mL Diluent,
11,900 27 30
Peftrin 324.870 O0
x-x-x-X-x-x-x-X-*-x-X-x-X
PURPOSE For the use of San Carlos City Hospital, this city

NOTE Product Oftered has at least (18) Months expiration


date trom the dete of delivery

Amoure orda)Five Hundred Two Thousand Nine Hundred Ten Pesos Only
Cabe aure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one
502,910.000
tor every day of de ay shall be imposed
percent (ST
Very truly yours

Cortarme
tMaUKBAMerY A MEDNCAL HUPPLES & EQuIPT. TRADING RENATO Y. GUSTILO
9y Cy Mayor
Authonzed Official
Signeture Over Printed Name)

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