BID ANALYSIS WORKSHEET

15/7/2008 DATE: Purchase Request No.: LOG-A-0247

Supplier A # Item 1 PARACETAMOL 500 MG CO/BTE 2 KOFAREST LOZENGE/BTE 3 PANSEMENTS/BTE 4 MICONAZOL/UNITE 5 BANDAGE ELASTIC/RL 6 DICLOFENAC CO/BTE DE 100 7 ADHESIVE/RLX 8 GANT PROPRE/BTE 9 GANT STERILE/PAIRE 10 SULFATE DE MAGNESIUM CO/BTE 11 ASPIRINE 100 MG/FLC 12 HIDREX 25 MG/FLC 13 BUSCOPAN 20 MG/ BTE 14 Qty 5 5 1 10 15 5 5 2 6 1 1 1 1 35 45 30 65 200 35 PU 45 150 AMOUNT 225 750 0 300 975 1000 175 0 0 0 35 45 0 0 3505
110 175 45 395 130 395 250 35

Supplier B PU
40

Supplier C PU AMOUNT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PU

Supplier D AMOUNT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
A A A A B A B

AMOUNT 200 0 0 350 0 650 1975 500 0 110 175 45 395 0 4400

Recommended Supplier
B A

TOTAL GDES
Terms of Payment Other Information Remarks: TWO SUPPLIERS AVAILABLE Justification for Selection: PRICE ET DISPONIBILITE DE STOCK Supplier A: AGREPHARM Supplier B: APROPHAR S.A Supplier C: Supplier D:

CHEQUES GOURDES / CASH A LA LIVRAISON

Form Prepared by (Procurement Officer):

Wollking Elvariste
Analysis Carried out by: Supporting Documentation: 15/7/2008 Verified by (Finance): 15/7/2008 Source Code Applied? Yes No Approved by (FOD): 15/7/2008 Origin Code Applied? Yes No