OUR PROFORMA INVOICE MBLI/04/10/M-1297

October 12, 2004

FOR

JOSE B. LINGAD MEMORIAL REGIONAL

AND MEDICAL CENTER HOSPITAL
Mc. Arthur Highway, San Fernando City

ATTENTION

VENANCIO S. BANZON, M.D.

Chief of Hospital III

VENUS O. GALANG, M.D.

Chief of Med. & Staff

MS. FLORDELINA R. ILAGAN

Hospital Administrator

REFERENCE

As per your request to our Mr. Romel B. Lingad

_______________________________________________________________________________________________

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.

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Jose B. Lingad Memorial Hospital

1-ea

temperature sensors P3

1-ea

oxygen sensor unit, complete

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

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UNIT PRICE

Ps 1,840,000.00

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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)

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Unit Price

Ps 341,000.00

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Jose B. Lingad Memorial Hospital

Item # 2
3 UNITS

"New" Mobile Suction Machine (Heavy Duty)

complete with standard accessories
For 220 Vac, 50/60 Hz.

Model
Brand

:
:

VAC 45
OTOPRONT

Made in Germany
Suction Capacity
Container Capacity
-

: 95% maximum vacuum, 45 liters/minute

: Reusable 1.5 liters to 5 liters

Steel casing on 4-rubber castors

0 - 0.9 bar maximum vacuum
Vacuum indicator
Vacuum is adjustable
Silently motorized
Double overflow fuse, operated via footswitch
System is adaptable to ordinary disposable container systems.

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Unit Price

Ps

353,000.00

TOTAL PRICE

Ps

1,059,000.00

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_______________________________________________________________________________________

PRICE
DELIVERY
WARRANTY
TERMS

:
:
:
:

Valid for thirty (30) days.

Approximate 60-90days upon receipt of PO
12 Months after installation, parts and service
30 Days After completion of delivery

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

MICRO-BIOLOGICAL LABORATORY, INC.

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Jose B. Lingad Memorial Hospital

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ROMEL B. LINGAD
Sales Representative
Medical Department
Noted By:

DADS D. ESPINOZA
Sales Manager
Medical Department

VICENTE P. MERCADO
Executive Vice-President