REPUBLIC OF THE PHILIPPINES City of Toledo ‘DATE | CANVASS SHEET REF. NG, 072362071 NAME OF SUPPLIER: ADDRESS TELNO.: +1) Please quote and INDICATE BRAND ofeach speci item. 2.) Quotation i subject to 5% Percentage Withholding Tx and 2% Expanded Value Added Tax 3.) Printed name and signature of bide is impodant. 4) Enlose price quotation in an envelope, then seal ay | unr TTEM DESCRIPTION ‘Uniremice | Tora] avenoven 120 | rece _| ood muon st (branded) 10.00 40 | Piece _| errube size 20,25 00.00 3 | Piece | Hor water bag sma medi, age 17000 20 | Tube _| tesa! plaster noapal 320 00000 20 | eo | MEDICAL SUPPLIES Blood Gicose tat stp 0s 0.00 20 | box | MEDICAL SUPPLIES Blood gcse ncn 08 21000 s0_| Peco | MEDICAL SUPPLIES - Moun Guard no. 2- orn 2500 20_| Piece _| MEDICAL SUPPLIES Non Rebreather Mask at 20000 20 | Pisce | MEDICAL SUPPLIES - Non Rebreather Mask newbom 150.00 20_| Piece | MEDICAL SUPPLIES - Non Rebreather Mok pela 150.00 20 | Rot | MEDICAL SUPPLIES - sure Gauze (24x28 mes) 1400.00 100 | Peco | Spina needle G25 140.00 40 Piece _| Suction Catheter fr. 5 & 12 | 2000 =—t 3 Box ‘Suture, Synthetic absorbable polyglycolic! polyglactin , 19mm reverse 10,000.00 cuting 28. w20 4.0 75am 4 | ox | svar, sytetc absorbable payyote poyglectn,4onm, 126 srond 1270000 size 800m, 3 | box | sure, Syneneabeoabie polypycote! palin, 2m, 1726. sand “450000 se 4.0 T5em ound 4 | Bex | suture, Syetc absorbable ptryeote ajlecin4Onm, 12 strand ‘2.70000 siz 0, 90am 3 | Box | suure, Syetc abvoratle pojlyctepoylcin,18nm reverse cling 1.30000 jews) se ize 30 45cm 10 [Peco _| urna bot for men -pate e000 + 700 | Piece _| Usne bag 5000 150 | Piece | visceral pack 8 9512 py 24x 28 mesh 240.00 2 [Pace _| wrap blanket for Newborn 100.00 —NotingFolow— = Name and Signature of Bidder Canvassed By RAFOLS, CHRISTOPHER RESTAURO “General Service Department Head Page Tort