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OUR PROFORMA INVOICE MBLI/04/10/M-1300

October 12, 2004

FOR

URDANETA SACRED HEART HOSPITAL

ATTENTION

MR. BONG NAGUIT

Urdaneta City, Pangasinan

Chief Executive Officer

REFERENCE

As per your request dated September 15, 2004

_______________________________________________________________________________________________

We are pleased to submit our proposal for your perusal.

1 UNIT

STEPHAN pediatric, ventilator HF CRISTINA


with respiratory function monitor
ventilation unit for the neonatale and
perinatale intensive care

Made in Germany
Consisting of:
1-ea Basic unit pediatric, ventilator HF300-Christina
with 10.4 TFT-Colour display screen
1-ea

Patient component P3
autoclavable to 134oC,
with heated humidity 30-37oC,
Relative humidity 95-98%,
temperature sensor integrated return system
inspiration valve and expiration valve with manual
ventilation, Patient component easily removable

1-ea

heated patient hose system P3 with Y-piece,


pressure measuring line and connection plug, for closed
incubator, for temperature stabilization, prevention of
condensation water and safety shut-off at 41 oC.

1-ea

temperature sensors P3

1-ea

oxygen sensor unit, complete

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MBLI04/10/M-1297
Urdaneta Sacred heart hospital

1-ea Pneumotachograph neonatology-Type B


with plug and silicon hoses, autoclavable 134oC
1-ea

connection hose O2
with outlet coupling Bristish Standard
and DIN screw coupling length 3 m

1-ea

connection hose A/R


with outlet coupling Bristish Standard
and DIN screw coupling length 3 m

ADDITIONAL ACCESSORIES:
1-ea Mobile stand powder-coated, RAL 9006, with 4 swivel wheels antistic 2 of
which are lockable. Stand of aluminium, eloxed with lateral grooves, for
mounting of additional accessories
1-ea

Spare patient component P3

1-ea

Spare heated patient hose system P3 with Y-place, for closed incubator

1-ea

Spare temperature sensors P3 for closed incubator

1-ea

Spare pneumotachograph neonatology-Type B with plug and silicon hoses,


autoclavable 134oC

1-ea

Mounting rail for mobile stand


------------------------------------------------------------------------------------------

UNIT PRICE

Ps 1,840,000.00

---------------------------------------------------------------------------------------------------

OPTIONAL ACCESSORIES
1-UNIT

STEPHAN Super high frequency Generator


Model SHF 3000
For generating an oscillating sinus shape oscillation, frequency adjustable
from 500-3000 min-1 (8-50Hz)
-----------------------------------------------------------------------------------------------------------

Unit Price

Ps 341,000.00

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MBLI04/10/M-1297
Urdaneta Sacred heart hospital
_______________________________________________________________________________________

PRICE
:
DELIVERY
:
WARRANTY :

Valid for thirty (30) days.


Approximate 60-90days upon receipt of PO
12 Months after installation, parts and service

Thank you for giving us the opportunity to submit our proposal. We are looking forward to your
favorable decision.
Sincerely,

MICRO-BIOLOGICAL LABORATORY, INC.

ROMEL B. LINGAD
Sales Representative
Medical Department
Noted By:

DADS D. ESPINOZA
Sales Manager
Medical Department

VICENTE P. MERCADO
Executive Vice-President

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