Municipality Of Catarman, Camiguin Tender

Description Lgu - Catarman _________________________ Project Reference Number Standard Form Number: Sf-good- 60 _________________________ Name Of Project Revised On: May 24, 2004 _________________________ Location Of The Project Standard From Title: Request For Quotation Date: ____________________ ________________________________________ Quotation:________________ Company Name ________________________________________ Address Please Quote Your Lowest Price On The Item/s Listed Below, Subject To The General Conditions On The Last Page, Stating The Shortest Time Of Delivery And Submit Your Quotation Duly Signed By Your Representative Not Later Than _____________________________________________________________ In The Return Envelope Attached Herewith. __________________________________________ Engr. Rodney Thaddeus V. Babael Bac Chairman Item No. Item And Description Qty. Unit Unit Price 1 Fluphenazine Decanoate, 25mg/ml, Solution For Injection, 5's 40 Ampule 2 Haloperidol 5 Mg/ml Solution For Injection 20 Ampule 3 Carbamazepine 200mg, Tablet, 100's 10 Box 4 Risperidone, 2mg Tablet, 100's 10 Box 5 Clozapine, 100mg Tablet, 100's 5 Box Delivery Period: _______________ Warranty: ____________________ Price Validity: ________________ After Having Carefully Read And Accepted Your General Conditions, I/we Quote You On The Item At Price Noted Above. Price Noted Above. ______________________ Printed Name/signature ______________________ Tel. No./cellphone No. ______________________ Date