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(Company Name):
______________________________
______________________________
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Please quote your lowest price(s) using this form, or your letterhead. Also, take note of the following details:
1) Quotation/s shall address to the Head of Procurement . Please indicate Solicitation or Reference No.
2) Send the said quotation/s to BCDA not later than 31 May; 9:00a.m.
3) Quotation/s submitted later than above date shall not be accepted/considered.
4) The quotation/proposal shall not be considered unless it is properly signed by the authorized representative and/or
immediate supervisor.
BCDA reserves the right to accept or reject any or all of the quotations ot waive formally therein, or to accept quotation/s
as may be considered most advantageous to the govt or to pursue appropriate legal action should the winning bidder
refuse to accept the award without justifiable reason/s.
LEONOR M. RIVERA MARILOU C. LACSINA
Canvasser Procurement Division Chief
TO: BCDA HEAD OF PROCUREMENT
Per request, below is/are the price(s) of the article(s)/service(s) as indicated under Unit Price:
QTY UNIT Code RIS # DESCRIPTION/SPECIFICATIONS BRAND UNIT PRICE TOTAL
Various Ink and Toner Cartridges, original
4
cartridge
Ink, Brother LC-47BK, black, for Brother MFC 425CN
2
cartridge
Ink, Brother LC-47C, cyan, for Brother MFC 425CN
2
cartridge
Ink, Brother LC-47M, magenta, for Brother MFC 425CN
2
cartridge
Ink, Brother LC-47Y, yellow, for Brother MFC 425CN
2
cartridge
Ink, Brother LC-57BK, black, orig for Brother Fax 1360
5
cartridge
Ink, Brother LC-67BK, black, orig for Brother MFC6490
3
cartridge
Ink, Brother LC-67C, cyan, orig for Brother MFC6490
3
cartridge
Ink, Brother LC-67M, magenta, orig for Brother MFC6490
3
cartridge
Ink, Brother LC-67Y, yellow, orig for Brother MFC6490
2
cartridge
Ink, Canon PG40, black, for orig Canon Fax Pixma
4
cartridge
Ink, Epson T007, black, for Epson Stylus Photo 1290
4
cartridge
Ink, Epson T009, color, for Epson Stylus Photo 1290
15
cartridge
Ink, HP #96, black, orig for HP inkjet printer 7210
15
cartridge
Ink, HP #97, tricolor, orig for HP inkjet printer 7210
3
cartridge
Ink, HP C4836A, cyan,orig for HP2800
3
cartridge
Ink, HP C4837A, magenta, orig for HP2800
3
cartridge
Ink, HP C4838A, yellow, orig for HP2800
We hereby certify, that we have prepared, checked and reviewed this quotation.
This quotation is valid unless revoked in writing which should be prior to our receipt of your Purchase Order or Job Order.
_____________________________ __________________________________ _______________________
Printed Name/Signature/DATE Immediate Supervisor Telephone / Fax Number
DATE
PRICE QUOTATION REQUEST
BASES CONVERSION and DEVELOPMENT AUTHORITY
2nd Floor Bonifacio Technology Center, Fort Bonifacio Taguig City
Tel. Nos. 816-6666 local 140
Fax Nos. 816-1030
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