Province Of Iloilo Tender

Description Price Schedule / Bid Tender Name Of Bidder: _____________________________________________ Bid No.: Rth-24-619-b Complete Bid / Partial Bid 1 2 3 4 5 6 7 8 9 10 11 12 Item Description Quantity Unit Estimated Unit Cost Brand Name (indicate Model Number If Equipment) (indicate N/a If No Brand) Unit Price Per Item Transportation And All Other Costs Incidental To Delivery, Per Item Sales And Other Taxes Payable If Contract Is Awarded, Per Item Cost Of Incidental Services, If Applicable, Per Item Total Unit Price (col 7+8+9+10) Total Price Delivered Final Destination (col 11) X (col 3) 1 Lidocaine Hd 2%, 1.8 Ml., 50's 20 Boxes 1,250.00 2 Dental Needle, Long G-27, 100's Sterile 10 Boxes 400.00 3 Dental Needle, Short G-27, 100's Sterile 10 Boxes 400.00 4 Dental Sterilizer, Table Top 1 Unit 15,000.00 5 Topical Anesthesia, 30 Gms. 5 Jars 1,250.00 Abc: Forty-nine Thousand Seven Hundred Fifty Pesos (php49,750.00). _______________________________________________ Name Of Establishment ______________________________________________ Signature Over Printed Name Of Proprietor Or Authorized Representative