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 Injection 50 Ampule 2 Risperidone, 2mg Tablet, 100's 10 Boxes 3 Haloperidol 50mg, Ampule 10 Ampule 4 Clozapine, 100mg Tablet, 100's 4 Boxes 5 Olanzapine, 10mg Tablet, 30's 5 Boxes 6 Carbamazepine, 200mg Tablet, 100's 10 Boxes 7 Biperiden Hydrochloride , 2mg Tablet', 100's 10 Boxes Brand Name: _________________ 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