Purchase of Medicine and Drugs For Use as Emergency

MUNICIPAL GOVERNMENTOFMAMBAJAO Mambajao, Camiguin Standard Form Number: SF-GOOD-60 Revised on: May 24, 2004 Project Reference No. : _________ NameofProject: Purchase of Medicine and Drugs For Use as Emergency Mambajao, Camiguin REQUESTFORQUOTATION Supplier : ____________________________________ Address: _____________________________________ Date: __________________ Quotation No. :____________ Please quote your lowest price on the items listed below, subject to the General Conditions hereunder, stating the shortest time of delivery, and submit your quotation duly signed by your representative not later than October 14, 2026. SGD. TEDDYV. GALAGAR Procurement Officer ITEM NO. ITEM ANDDESCRIPTION QTY. UNIT UNIT PRICE 1 Oxytocin 10IU/ML 50 amp 2 Phytomenadione 10mg/ml 50 amp 3 Atropine sulfate 1mg/MI 10 amp 4 Calcium Gluconate 100mg/ml 20 vials 5 Magnesium Sulfate 250mg/ml 20 vials 6 Tranexmic Acid 100mg/ml 10 amp 7 Hydralazine 20mg/ml 10 amp 8 Dexamethasone Na Phos.5mg/ml 10 amp After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above. _____________________ Printed Name/ Signature Canvasser: SGD. EARLINDOS. GAMAO Supply Officer III ______________________________ Tel. No./Cellphone No./Email address Date