OUR PROFORMA INVOICE MBLI/04/11/M-1453

November 23, 2004

FOR

LORMA MEDICAL CENTER

San Fernando, La Union

ATTENTION

MR. ROBERT KAISER

Hospital Administrator

FLORANTE LICUDINE, M.D.

Chairman Department of Ophthalmology

REFERENCE

:
As per your request during PAO Convention.
_________________________________________________________________

We are pleased to submit our proposal for your perusal.

Equipment For Ophthalmology

Option No.1
1 UNIT

New Ophthalmic Surgical Microscope

With new Superlux Eye-Xenon Illumination
Deep-View, the integrated micro-processor controlled

aperture
Diaphragm / new X-Y coupling and Built-in Assistants

Scope with 5-Step Magnification Changer/ Integrated Slit

Illumination & Hand-Grips.

Inclusive of Auto-Clean-Line Regulator.

On S88 Floor Stand. For 220 to 240 VAC 50/60 Hz.

Model

Brand
Made in Germany

OPMI VISU 210

:

CARL ZEISS

Consisting Of:
-

OPMI VISU 210 (including Assistants Scope & X-Y

Coupling)
Dust Cover for OPMI

Asepsis Set 12 mm for OPMI comprising 2-sterilizable

caps

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MBLI/04/11/M-1453
Lorma Medical Center

Asepsis Set 22 mm for OPMI comprising 6-sterilizable

caps
Asepsis Set for handgrips for OPMI
Asepsis Set for Eyepieces for OPMI Assistants Scope
Xenon illumination Superlux Eye for OPMI VISU
210
180-deg. Tiltable Tube (including Grips & Asepsis)
(2x) Wide-field push-in eyepieces, 12.5x asph.(for Main
Surgeon)
(2x) Wide-field push-in eyepieces, 10x (for Assistants
Scope)
Objective Lens f= 200 mm., Apo-Chromatic Lens
Floor Stand S88, complete with Foot Control Panel

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

TOTAL LOT PRICE

Ps 5,600,000.00

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

Option No.2
1 UNIT

New Ophthalmic Surgical Microscope

With Halogen Illumnation Deep-View, the integrated
micro-processor controlled aperture diaphragm / new
X-Y coupling and Integrated Slit Illumination & HandGrips.

Inclusive of Auto-Clean-Line Regulator.

On S7 Floor Stand. For 220 to 240 VAC 50/60 Hz.

Model

Brand
Made in Germany
Consisting Of:

OPMI VISU 160

:

CARL ZEISS

OPMI VISU 160 (including X-Y Coupling)

Dust Cover for OPMI
Asepsis Set 12 mm for OPMI comprising 2-sterilizable
caps

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MBLI/04/11/M-1453
Lorma Medical Center

Asepsis Set 22 mm for OPMI comprising 6-sterilizable

caps
Asepsis Set for handgrips for OPMI
Asepsis Set for Eyepieces for OPMI Assistants Scope
Halogen Illumination for OPMI VISU 160
180-deg. Tiltable Tube (including Grips & Asepsis)
(2x) Wide-field push-in eyepieces, 12.5x asph.
Objective Lens f= 200 mm., Apochromatic Lens
Floor Stand S7, complete with Foot Control Panel

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

TOTAL LOT PRICE

Ps 3,985,000.00

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

Option No.3
1 Unit

New Ophthalmic Surgical Microscope

With Halogen Illumination On S7 Floor Stand.
Double Iris Diaphragm / new X-Y coupling / Handgrips
Inclusive of Auto-Clean-Line Regulator.
For 220 to 240 VAC 50/60 Hz.

Model

Brand
Made in Germany

OPMI VISU 140

:

CARL ZEISS

Consisting Of:
-

OPMI VISU 140 (including X-Y Coupling)

Dust Cover for OPMI

Asepsis Set 12 mm for OPMI comprising 2-sterilizable

caps
Double Iris Diaphragm
Asepsis Set 22 mm for OPMI comprising 6-sterilizable
caps

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MBLI/04/11/M-1453
Lorma Medical Center

Asepsis Set for handgrips for OPMI

Halogen illumination for S7 Stand
S-Light guide , 2.0 m
180-deg. Tiltable Tube (including Grips & Asepsis)
(2x) Wide-field push-in eyepieces, 12.5x asph.
Objective Lens f= 200 mm., Apochromatic Lens
Floor Stand S7, complete with Foot Control Panel

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

TOTAL LOT PRICE

Ps 3,500,000.00

------------------------------------------------------------------------------------------------_______________________________________________________________________________________________

PRICE
DELIVERY

:
:

Valid for thirty (30) days.

Offer #1 Ex-stock subject to prior sale.
Offer #2 Approximately 60 to 90 days upon receipt of P.O.

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

DADS D. ESPINOZA
Sales Manager

Medical Department

Noted By :

VICENTE P. MERCADO
Executive Vice-President