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ORDER SLIP: 000001

TO: DR. RAMON TEODORO DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
13 PCS 3.5 CORTICAL SCREW 200.00 2,600.00 120.00 1,560.00 1,040.00 85.00
1 PC 7 HOLES MDCP 1,700.00 1,700.00 900.00 900.00 800.00 350.00
1 PC 7 HOLES 1/3 STP 1,700.00 1,700.00 900.00 900.00 800.00 350.00
TOTAL 6,000.00 2,640.00 785.00

ORDER SLIP: 000002

TO: JOSE MAGUAD (BONG) DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC #46 AM PROSTHESIS 6,000.00 6,000.00 4,500.00 4,500.00 1,500.00 3,500.00
TOTAL 6,000.00 1,500.00 3,500.00
ORDER SLIP: 000003

TO: DR. GIL TENEFRANCIA DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
13 PCS 4.5 CORTICAL SCREW 200.00 2,600.00 120.00 1,560.00 1,040.00 85.00
1 PC 6 HOLES NDCP 3,000.00 3,000.00 900.00 900.00 2,100.00 480.00
1 PC 8 HOLES NDCP 3,000.00 3,000.00 1,100.00 1,100.00 1,900.00 640.00
TOTAL 8,600.00 5,040.00 1,205.00

ORDER SLIP: 000004


TO: DR. SIMEON DU DATE: 4/1/16
TERMS:
ALL RETURNED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS #42 AMNP 6,000.00 12,000.00 4,500.00 9,000.00 3,000.00
2 PCS #43 AMNP 6,000.00 12,000.00 4,500.00 9,000.00 3,000.00
2 PCS #44 AMNP 6,000.00 12,000.00 4,500.00 9,000.00 3,000.00
2 PCS #45 AMNP 6,000.00 12,000.00 4,500.00 9,000.00 3,000.00
TOTAL

ORDER SLIP: 000005

TO: EDDIE BATAD DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
3 PCS HYBRID TIBIA 4,800.00 14,400.00 4,600.00 13,800.00 600.00 4,200.00
1 PC 11 HOLES BDCP 1,600.00 1,600.00 1,200.00 1,200.00 400.00 825.00
1 PC 12 HOLES BDCP 1,700.00 1,700.00 1,300.00 1,300.00 400.00 900.00
TOTAL 17,700.00 16,300.00 1,400.00 5,925.00

ORDER SLIP: 000006

TO: DR. ARNEL ANGELES DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS 6.5 X 40 F/T CANCELOUS 500.00 1,000.00 350.00 700.00 300.00 162.00
2 PCS 6.5 X 45 F/T CANCELOUS 500.00 1,000.00 350.00 700.00 300.00 162.00
2 PCS 6.5 X 50 F/T CANCELOUS 500.00 1,000.00 350.00 700.00 300.00 162.00
2 PCS 6.5 X 55 F/T CANCELOUS 500.00 1,000.00 350.00 700.00 300.00 162.00
2 PCS 6.5 X 60 F/T CANCELOUS 500.00 1,000.00 350.00 700.00 300.00 162.00
2 PCS 6.5 X 65 F/T CANCELOUS 500.00 1,000.00 350.00 700.00 300.00 162.00
TOTAL 6,000.00 4,200.00 1,800.00 972.00

ORDER SLIP: 000007

TO: TRINITY MEDICAL SUPPLIES DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC FEMUR EXFIX 1,500.00 1,500.00 1,400.00 1,400.00 100.00 900.00
1 PC HUMEROUS EXFIX 1,500.00 1,500.00 1,400.00 1,400.00 100.00 900.00
TOTAL 3,000.00 2,800.00 200.00 1,800.00

ORDER SLIP: 000008

TO: EDDIE BATAD DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC #38 AMPN OLTEN 4,500.00 4,500.00 4,000.00 4,000.00 500.00 3,500.00
1 PC #39 AMPN OLTEN 4,500.00 4,500.00 4,000.00 4,000.00 500.00 3,500.00
TOTAL 9,000.00 8,000.00 1,000.00 7,000.00

ORDER SLIP: 000009

TO: DR. GABRIEL SEMBRANO DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 6 HOLES NDCP 1,600.00 1,600.00 900.00 900.00 700.00 480.00
1 PC 7 HOLES NDCP 1,700.00 1,700.00 1,000.00 1,000.00 700.00 560.00
1 PC 8 HOLES NDCP 1,800.00 1,800.00 1,100.00 1,100.00 700.00 640.00
10 PCS 3.5X16MM CORTICAL 200.00 2,000.00 120.00 1,200.00 800.00 85.00
TOTAL 7,100.00 4,200.00 2,900.00 1,765.00

ORDER SLIP: 000010

TO: DR. ROMMEL ESTILLORE DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 4 HOLES CHS PLATE 9,700.00 9,700.00 6,000.00 6,000.00 3,700.00 3,450.00
1 PC 70MM LAG SCREW 2,500.00 2,500.00 1,500.00 1,500.00 1,000.00 800.00
4 PCS 4.5 CORTICAL SCREW 200.00 800.00 120.00 480.00 320.00 85.00
1 PC 7 HOLES MDCP 1,600.00 1,600.00 900.00 900.00 700.00 350.00
1 PC 8 HOLES MDCP 1,600.00 1,600.00 1,000.00 1,000.00 600.00 400.00
14 PCS 3.5 CORTICAL 200.00 2,800.00 120.00 1,680.00 1,120.00 85.00
TOTAL 19,000.00 11,560.00 7,440.00 5,170.00

ORDER SLIP: 000011

TO: ORTHOMEDICS DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 BXS BONE CEMENT REG. 3,000.00 6,000.00 2,800.00 5,600.00 400.00 2,500.00
TOTAL 6,000.00 400.00 2,500.00

ORDER SLIP: 000012

TO: DR. MARCELO JAEN DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS POWER DRILL BATTERY 7,000.00 14,000.00 6,700.00 13,400.00 600.00 6,000.00
TOTAL 14,000.00 600.00 6,000.00
ORDER SLIP: 000013

TO: DR. HUBERT SALAZAR DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
10 PCS 4.5 X 30 MM CORTICAL 100.00 1,000.00 90.00 900.00 100.00 85.00
10 PCS 4.5 X 32 MM CORTICAL 100.00 1,000.00 90.00 900.00 100.00 85.00
10 PCS 4.5 X 34 MM CORTICAL 100.00 1,000.00 90.00 900.00 100.00 85.00
10 PCS 4.5 X 36 MM CORTICAL 100.00 1,000.00 90.00 900.00 100.00 85.00
10 PCS 4.5 X 38 MM CORTICAL 100.00 1,000.00 90.00 900.00 100.00 85.00
5 PCS #10 K-NAIL 500.00 2,500.00 450.00 2,250.00 250.00 350.00
5 PCS 6 HOLES NDCP 700.00 3,500.00 600.00 3,000.00 500.00 480.00
5 PCS 1/3 STP 5 HOLES 500.00 2,500.00 400.00 2,000.00 500.00 250.00
TOTAL 13,500.00 1,750.00 1,505.00

ORDER SLIP: 000014

TO: DR. JOSEPH CHAN DATE: 4/1/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
40 PCS 3.5 X 16MM CORTICAL 160.00 6,400.00 120.00 4,800.00 1,600.00 85.00
20 PCS 3.5 X 18MM CORTICAL 160.00 3,200.00 120.00 2,400.00 800.00 85.00
4 PCS 7 HOLES MDCP 1,120.00 4,480.00 700.00 2,800.00 1,680.00 350.00
6 PCS 6 HOLES MDCP 1,040.00 6,240.00 600.00 3,600.00 2,640.00 300.00
TOTAL 20,320.00 6,720.00 820.00

ORDER SLIP: 000016

TO: ORTHOMEDICS DATE: 4/5/16


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 BXS BONE CEMENT REG. 3,000.00 6,000.00 2,800.00 5,600.00 400.00 2,500.00
TOTAL 6,000.00 400.00 2,500.00

ORDER SLIP: 000017

TO: DR. GUALBERTO BASCO DATE: 4/4/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
5 PCS 4.0 MINI CANCELOUS 500.00 2,500.00 400.00 2,000.00 500.00 162.00
TOTAL 2,500.00 500.00 162.00

ORDER SLIP: 000018

TO: EDDIE BATAD DATE: 4/4/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
20 PCS 3.5 X 26 MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
20 PCS 3.5 X 28 MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
20 PCS 3.5 X 32 MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
20 PCS 3.5 X 34 MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
20 PCS 3.5 X 36 MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
TOTAL 10,000.00 9,000.00 1,000.00 425.00

ORDER SLIP: 000019

TO: DR. NICK SUERO DATE: 4/4/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC EXFIX HYBRID FEMUR 5,500.00 5,500.00 5,000.00 5,000.00 500.00 4,200.00
2 PCS EXFIX FEMUR 1,500.00 3,000.00 1,300.00 2,600.00 400.00 900.00
TOTAL 8,500.00 7,600.00 900.00 5,100.00

ORDER SLIP: 000020

TO: DR. GUALBERTO BASCO DATE: 4/7/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC HYBRID TIBIA 5,500.00 5,500.00 5,000.00 5,000.00 500.00 4,200.00
TOTAL 5,500.00 500.00 4,200.00

ORDER SLIP: 000021

TO: TRAUMA MEDICA DATE: 4/8/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
20 PCS 3.5 X 16MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
TOTAL 2,000.00 200.00 85.00

ORDER SLIP: 000022

TO: DR. RAMON TEODORO DATE: 4/12/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC THOMPSON 45 LEFORT 8,500.00 8,500.00 7,500.00 7,500.00 1,000.00 6,500.00
2 BXS BONE CEMENT 3,500.00 7,000.00 3,000.00 6,000.00 1,000.00 2,500.00
1 PC DRAIN 1,500.00 1,500.00 1,000.00 1,000.00 500.00 650.00
TOTAL 17,000.00 14,500.00 2,500.00 9,650.00
ORDER SLIP: 000023

TO: TRAUMA MEDICA ENT. DATE: 4/12/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
30 PCS 3.5 X 14MM CORTICAL 100.00 3,000.00 90.00 2,700.00 300.00 85.00
30 PCS 3.5 X 16MM CORTICAL 100.00 3,000.00 90.00 2,700.00 300.00 85.00
5 PCS 4.5 X 28MM CORTICAL 120.00 600.00 90.00 450.00 150.00 85.00
10 PCS 4.5 X 40MM CORTICAL 120.00 1,200.00 90.00 900.00 300.00 85.00
3 PCS 6 HOLES MDCP 600.00 1,800.00 550.00 1,650.00 150.00 300.00
2 PCS 7 HOLES MDCP 700.00 1,400.00 650.00 1,300.00 100.00 350.00
3 PCS 8 HOLES MDCP 800.00 2,400.00 750.00 2,250.00 150.00 400.00
TOTAL 13,400.00 1,450.00 1,390.00

ORDER SLIP: 000024

TO: DR. DANILO OLEGARIO DATE: 4/13/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC #42 OLTEN AMP 8,500.00 8,500.00 6,000.00 6,000.00 2,500.00 3,500.00
1 BOX PALACOS CEMENT W/ GENTA 7,000.00 7,000.00 6,500.00 6,500.00 500.00 2,500.00
TOTAL 15,500.00 3,000.00 6,000.00

ORDER SLIP: 000025

TO: DR. ROGELIO ABITONG DATE: 4/11/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
50 PCS 3.5 X 18MM 100.00 5,000.00 90.00 4,500.00 500.00 85.00
TOTAL 5,000.00 500.00 85.00
ORDER SLIP: 000026

TO: TOTAL ORTHO DATE: 4/12/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS RECON PLATE 30 HOLES 7,500.00 15,000.00 5,000.00 10,000.00 5,000.00 3,000.00
TOTAL 15,000.00 5,000.00 3,000.00

ORDER SLIP: 000027

TO: DR. MARCIANO FORONDA DATE: 4/13/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS RECON PLATE 30 HOLES 4,500.00 9,000.00 4,000.00 8,000.00 1,000.00 3,000.00
30 PCS 3.5 X 16MM CORT 100.00 3,000.00 90.00 2,700.00 300.00 85.00
20 PCS 3.5 X 20MM CORT 100.00 2,000.00 90.00 1,800.00 200.00 85.00
30 PCS 4.5 CORT ASSTD 120.00 3,600.00 90.00 2,700.00 900.00 85.00
6 PCS K-NAIL #11 500.00 3,000.00 450.00 2,700.00 300.00 350.00
6 PCS K-NAIL #12 500.00 3,000.00 450.00 2,700.00 300.00 350.00
TOTAL 23,600.00 3,000.00 3,955.00

ORDER SLIP: 000028

TO: DR. ROLEX GONZALES DATE: 4/13/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
6 PCS 10MM K-NAIL 500.00 3,000.00 450.00 2,700.00 300.00 350.00
2 PCS 9MM K-NAIL 500.00 1,000.00 450.00 900.00 100.00 350.00
4 PCS 11MM K-NAIL 500.00 2,000.00 450.00 1,800.00 200.00 350.00
100 PCS 3.5 CORTICAL 110.00 11,000.00 90.00 9,000.00 2,000.00 85.00
2 PCS EXFIX RU 1,100.00 2,200.00 1,000.00 2,000.00 200.00 700.00
100 PCS 0.62 K-WIRE 100.00 10,000.00 80.00 8,000.00 2,000.00 50.00
TOTAL 29,200.00 24,400.00 4,800.00 1,885.00

ORDER SLIP: 000029

TO: TRAUMA MEDICA ENT. DATE: 4/14/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
8 PCS 4.0 X 18 MM CANCELOUS 280.00 2,240.00 250.00 2,000.00 240.00 162.00
8 PCS 4.0 X 20 MM CANCELOUS 280.00 2,240.00 250.00 2,000.00 240.00 162.00
TOTAL 4,480.00 480.00 324.00

ORDER SLIP: 000030

TO: DR. ROMEO TAN DATE: 4/14/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
12 PCS 6 HOLES MDCP 600.00 7,200.00 550.00 6,600.00 600.00 300.00
8 PCS 7 HOLES MDCP 700.00 5,600.00 650.00 5,200.00 400.00 350.00
30 PCS 3.5 X 16 MM 110.00 3,300.00 90.00 2,700.00 600.00 85.00
30 PCS 3.5 X 18 MM 110.00 3,300.00 90.00 2,700.00 600.00 85.00
30 PCS 3.5 X 20 MM 110.00 3,300.00 90.00 2,700.00 600.00 85.00
TOTAL 22,700.00 2,800.00 905.00

ORDER SLIP: 000031

TO: PANAY ORTHOPEDIC SUPPLY INC DATE: 4/14/16


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS 3X3 SMALL T-PLATE 1,000.00 2,000.00 900.00 1,800.00 200.00 400.00
2 PCS 3X6 SMALL T-PLATE 1,000.00 2,000.00 900.00 1,800.00 200.00 700.00
2 PCS 3X3 ANGLED MINI T-PLATE 1,200.00 2,400.00 1,000.00 2,000.00 400.00 700.00
2 PCS 3X4 ANGLED MINI T-PLATE 1,200.00 2,400.00 1,000.00 2,000.00 400.00 700.00
2 PCS 3X5 ANGLED MINI T-PLATE 1,200.00 2,400.00 1,000.00 2,000.00 400.00 700.00
2 PCS 3X6 ANGLED MINI T-PLATE 1,200.00 2,400.00 1,000.00 2,000.00 400.00 700.00
3 PCS 6 HOLES 1/3 STP 600.00 1,800.00 550.00 1,650.00 150.00 300.00
3 PCS 7 HOLES 1/3 STP 700.00 2,100.00 650.00 1,950.00 150.00 350.00
2 PCS 9 HOLES 1/3 STP 900.00 1,800.00 850.00 1,700.00 100.00 450.00
2 PCS 10 HOLES 1/3 STP 1,000.00 2,000.00 950.00 1,900.00 100.00 500.00
1 PCS 11 HOLES 1/3 STP 1,100.00 1,100.00 1,050.00 1,050.00 50.00 550.00
1 PCS 12 HOLES 1/3 STP 1,200.00 1,200.00 1,150.00 1,150.00 50.00 600.00
30 PCS 3/32 PINS 100.00 3,000.00 80.00 2,400.00 600.00 50.00
11 PCS 5/32 PINS 100.00 1,100.00 80.00 880.00 220.00 50.00
10 PCS 5/64 PINS 100.00 1,000.00 80.00 800.00 200.00 50.00
10 PCS 7/64 PINS 120.00 1,200.00 100.00 1,000.00 200.00 80.00
9 PCS 9/64 PINS 120.00 1,080.00 100.00 900.00 180.00 80.00
10 PCS 0.62 K-WIRE 100.00 1,000.00 80.00 800.00 200.00 50.00
10 PCS 9MM K-NAIL 500.00 5,000.00 450.00 4,500.00 500.00 350.00
10 PCS 10MM K-NAIL 500.00 5,000.00 450.00 4,500.00 500.00 350.00
500 PCS 3.5 CORTICAL 100.00 50,000.00 90.00 45,000.00 5,000.00 85.00
150 PCS 4.5 CORTICAL 100.00 15,000.00 90.00 13,500.00 1,500.00 85.00
1 PC CERCLAGE WIRE #18 500.00 500.00 450.00 450.00 50.00 280.00
TOTAL 107,480.00 11,750.00 8,160.00

ORDER SLIP: 000032

TO: JOSE MAGUAD (BONG) DATE: 4/9/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC #44 A.M PROSTHESIS 6,000.00 6,000.00 4,500.00 4,500.00 1,500.00 3,500.00
TOTAL 6,000.00 1,500.00 3,500.00

ORDER SLIP: 000033

TO: JOSE MAGUAD (BONG) DATE: 4/15/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
10 PCS 3.5 X 14MM CORTICAL 110.00 1,100.00 90.00 900.00 200.00 85.00
10 PCS 3.5 X 16MM CORTICAL 110.00 1,100.00 90.00 900.00 200.00 85.00
10 PCS 3.5 X 18MM CORTICAL 110.00 1,100.00 90.00 900.00 200.00 85.00
2 PCS 8 HOLES 1/3 TUBULAR 800.00 1,600.00 90.00 180.00 1,420.00 400.00
TOTAL 4,900.00 2,020.00 655.00

ORDER SLIP: 000034

TO: ALLAN (ELIXIR) DATE: 4/15/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00 400.00 2,500.00
TOTAL 6,000.00 400.00 2,500.00

ORDER SLIP: 000035

TO: DR. ROGELIO ABITONG DATE: 4/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 7 HOLES MDCP 700.00 700.00 650.00 650.00 50.00 350.00
5 PCS 6 HOLES MDCP 600.00 3,000.00 550.00 2,750.00 250.00 300.00
5 PCS 6 HOLES 1/3 STP 600.00 3,000.00 550.00 2,750.00 250.00 300.00
1 PC 8 HOLES BDCP 900.00 900.00 800.00 800.00 100.00 640.00
25 PCS 4.5 CORTICAL 110.00 2,750.00 95.00 2,375.00 375.00 85.00
2 PC #18 CERCLAGE WIRE 250.00 500.00 400.00 800.00 - 300.00 280.00
TOTAL 10,850.00 725.00

ORDER SLIP: 000036

TO: DR. RHEENEIL JUYAD DATE: 4/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
5 PC 7 HOLES NDCP 700.00 3,500.00 600.00 3,000.00 500.00 560.00
10 PCS 6 HOLES MDCP 600.00 6,000.00 550.00 5,500.00 500.00 300.00
30 PCS 4.5 CORTICAL SCREWS 110.00 3,300.00 95.00 2,850.00 450.00 85.00
4 PC 8 HOLES BDCP 900.00 3,600.00 800.00 3,200.00 400.00 640.00
50 PCS 3.5 CORTICAL 100.00 5,000.00 90.00 4,500.00 500.00 85.00
TOTAL 21,400.00 2,350.00 1,670.00

ORDER SLIP: 000037

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 4/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS 3 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 550.00
2 PCS 4 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 600.00
2 PCS 5 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 650.00
2 PCS 6 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 700.00
2 PCS 7 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 750.00
2 PCS 8 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 800.00
2 PCS 9 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 850.00
2 PCS 10 HOLES T-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 900.00
2 PCS 7 HOLES MDCP 700.00 1,400.00 650.00 1,300.00 100.00 350.00
1 PCS 8 HOLES MDCP 800.00 800.00 750.00 750.00 50.00 400.00
4 PCS 9 HOLES MDCP 900.00 3,600.00 850.00 3,400.00 200.00 450.00
2 PCS 4 HOLES RECON STR 800.00 1,600.00 600.00 1,200.00 400.00 400.00
2 PCS 5 HOLES RECON STR 1,000.00 2,000.00 800.00 1,600.00 400.00 500.00
2 PCS 6 HOLES RECON STR 1,200.00 2,400.00 1,000.00 2,000.00 400.00 600.00
4 PCS 7 HOLES RECON STR 1,400.00 5,600.00 1,200.00 4,800.00 800.00 700.00
4 PCS 8 HOLES RECON STR 1,600.00 6,400.00 1,400.00 5,600.00 800.00 800.00
1 PC 12 HOLES RECON STR 2,400.00 2,400.00 2,000.00 2,000.00 400.00 1,200.00
1 PC 10 HOLES RECON STR 2,000.00 2,000.00 1,700.00 1,700.00 300.00 1,000.00
1 PC 11 HOLES RECON STR 2,200.00 2,200.00 1,800.00 1,800.00 400.00 1,100.00
3 PCS 4 HOLES 1/3 STP 400.00 1,200.00 350.00 1,050.00 150.00 200.00
2 PCS 6 HOLES 1/3 STP 600.00 1,200.00 550.00 1,100.00 100.00 300.00
20 PCS 1/8 PINS 120.00 2,400.00 100.00 2,000.00 400.00 80.00
150 PCS 4.5 CORTICAL SCREWS 100.00 15,000.00 90.00 13,500.00 1,500.00 85.00
10 PCS .062 K-WIRE 100.00 1,000.00 80.00 800.00 200.00 50.00
3 PCS 8 HOLES NDCP 900.00 2,700.00 50.00 150.00 2,550.00 640.00
30 PCS 4.0 CANCELLOUS F/T 250.00 7,500.00 230.00 6,900.00 600.00 162.00
TOTAL 85,400.00 14,550.00 14,817.00

ORDER SLIP: 000038

TO: DR. RICHILLO DAGUMAN DATE: 4/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
10 PCS EXFIX TIBIA 1,200.00 12,000.00 1,100.00 11,000.00 1,000.00 900.00
12 PCS EXFIX HUMEROUS 1,100.00 13,200.00 1,000.00 12,000.00 1,200.00 700.00
10 PCS EXFIX R/U 1,100.00 11,000.00 1,000.00 10,000.00 1,000.00 700.00
10 PCS 7 HOLES 1/3 STP 700.00 7,000.00 650.00 6,500.00 500.00 350.00
5 PCS RECON 7 HOLES 1,000.00 5,000.00 900.00 4,500.00 500.00 700.00
10 PCS 7 HOLES NDCP 800.00 8,000.00 700.00 7,000.00 1,000.00 560.00
10 PCS 7 HOLES MDCP 700.00 7,000.00 650.00 6,500.00 500.00 350.00
10 PCS 1/8 PINS 120.00 1,200.00 100.00 1,000.00 200.00 80.00
10 PCS 10MM K-NAIL 500.00 5,000.00 450.00 4,500.00 500.00 350.00
TOTAL 69,400.00 6,400.00 4,690.00

ORDER SLIP: 000039

TO: DR. PAOLO CASTRO DATE: 4/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC CAST CUTTER BLADE 2,500.00 2,500.00 2,000.00 2,000.00 500.00 1,500.00
TOTAL 2,500.00 500.00 1,500.00

ORDER SLIP: 000040

TO: VETERANS MEDICAL CENTER DATE: 4/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC #45 OLTEN AMP 4,500.00 4,500.00 4,300.00 4,300.00 200.00 3,500.00
1 PC #47 OLTEN AMP 4,500.00 4,500.00 4,300.00 4,300.00 200.00 3,500.00
TOTAL 9,000.00 400.00 7,000.00

ORDER SLIP: 000041

TO: ORTHO EAST AVE MED CTR DATE: 4/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00 400.00 2,500.00
TOTAL 6,000.00 400.00 2,500.00

ORDER SLIP: 000042

TO: TRINITY MED ENT DATE: 4/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 75MM LAG SCREWS 1,500.00 1,500.00 1,200.00 1,200.00 300.00 700.00
1 PC 80MM LAG SCREWS 1,500.00 1,500.00 1,200.00 1,200.00 300.00 700.00
1 PC 85MM LAG SCREWS 1,500.00 1,500.00 1,200.00 1,200.00 300.00 700.00
1 PC 5 HOLES CHS 4,500.00 4,500.00 3,800.00 3,800.00 700.00 2,250.00
TOTAL 9,000.00 1,600.00 4,350.00

ORDER SLIP: 000043

TO: DR. RICHILLO DAGUMAN DATE: 4/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
180 PCS 3.5 X 20MM CORT SCREWS 100.00 18,000.00 90.00 16,200.00 1,800.00 85.00
70 PCS 4.5 X 30MM CORT SCREWS 100.00 7,000.00 90.00 6,300.00 700.00 85.00
2 PCS #18 CERCLAGE WIRE 500.00 1,000.00 400.00 800.00 200.00 280.00
15 PCS 0.62 K-WIRE 100.00 1,500.00 80.00 1,200.00 300.00 50.00
15 PCS 5/64 S-PINS 100.00 1,500.00 80.00 1,200.00 300.00 50.00
TOTAL 29,000.00 3,300.00 550.00

ORDER SLIP: 000044

TO: DR. ROMMEL ESTILLORE DATE: 4/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 6 HOLES 1/3 STP 2,500.00 2,500.00 2,000.00 2,000.00 500.00 300.00
2 PCS 4.0 CANCELLOUS 700.00 1,400.00 600.00 1,200.00 200.00 162.00
6 PCS 3.5 CORTICAL 250.00 1,500.00 200.00 1,200.00 300.00 85.00
TOTAL 5,400.00 1,000.00 547.00
ORDER SLIP: 000045

TO: ITRMC C/O SURGICOM DATE: 4/17/16


TERMS:
PT: AGOSTO KIWAS
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC EXFIX TIBIA 11,000.00 11,000.00 9,000.00 9,000.00 2,000.00 6,000.00
TOTAL 11,000.00 2,000.00 6,000.00

ORDER SLIP: 000046

TO: ITRMC C/O SURGICOM DATE: 4/17/16


TERMS:
PT: REYNALDO RAQUIDAN
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC EXFIX TIBIA 6,072.00 6,072.00 5,000.00 5,000.00 1,072.00 6,000.00
TOTAL 6,072.00 1,072.00 6,000.00

ORDER SLIP: 000047

TO: DANILO BUCCAT DATE: 4/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC EXFIX TIBIA 6,072.00 6,072.00 5,000.00 5,000.00 1,072.00 6,000.00
TOTAL 6,072.00 1,072.00 6,000.00

ORDER SLIP: 000048

TO: TRINITY MED. ENT. DATE: 4/18/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 80MM LAG SCREW 1,500.00 1,500.00 1,200.00 1,200.00 300.00 700.00
2 PCS 4 HOLES CHS PLATE 4,500.00 9,000.00 3,800.00 7,600.00 1,400.00 2,100.00
TOTAL 10,500.00 1,700.00 2,800.00

ORDER SLIP: 000049

TO: TOTAL ORTHO DATE: 4/18/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 30 HOLES RECON PLATE 7,500.00 7,500.00 4,500.00 4,500.00 3,000.00 3,000.00
TOTAL 7,500.00 3,000.00 3,000.00

ORDER SLIP: 000050

TO: ASK A VET DATE: 4/20/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
3 PCS 3.5 X 14MM CORTICAL 200.00 600.00 120.00 360.00 240.00 85.00
1 PC 5 HOLES 1/3 STP 1,100.00 1,100.00 700.00 700.00 400.00 250.00
1 PC #18 CERCLAGE WIRE 700.00 700.00 500.00 500.00 200.00 280.00
2 PCS 0.62 K-WIRE 200.00 400.00 120.00 240.00 160.00 50.00
1 PC EXFIX FINGER 1,000.00 1,000.00 800.00 800.00 200.00 500.00
TOTAL 3,800.00 1,200.00 1,165.00

ORDER SLIP: 000051

TO: EDDIE BATAD DATE: 4/20/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
3 PCS HYBRID EXFIX 4,800.00 14,400.00 4,600.00 13,800.00 600.00 4,200.00
2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00 400.00 2,500.00
TOTAL 20,400.00 1,000.00 6,700.00

ORDER SLIP: 000052

TO: ORTHO DEPT ITRMC DATE: 4/21/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
8 PCS EXFIX TIBIA 1,500.00 12,000.00 1,200.00 9,600.00 2,400.00 900.00
2 PCS EXFIX FEMUR 1,500.00 3,000.00 1,200.00 2,400.00 600.00 900.00
1 PC EXFIX R/U 1,500.00 1,500.00 1,200.00 1,200.00 300.00 700.00
2 PC EXFIX HUMEROUS 1,500.00 3,000.00 1,200.00 2,400.00 600.00 700.00
TOTAL 19,500.00 3,900.00 3,200.00

ORDER SLIP: 000053

TO: HAMLET PAZ DATE: 4/22/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS HEMOVAC 750.00 1,500.00 700.00 1,400.00 100.00 650.00
TOTAL 1,500.00 100.00 650.00

ORDER SLIP: 000054

TO: DR. GIL TENEFRANCIA DATE: 4/22/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 13 H DISTAL FEMUR LP 11,000.00 11,000.00 9,000.00 9,000.00 2,000.00 7,000.00
8 PCS 5.0 LOCKING SCREW 1,500.00 12,000.00 1,100.00 8,800.00 3,200.00 750.00
16 PCS 4.5 CORTICAL 200.00 3,200.00 120.00 1,920.00 1,280.00 85.00
1 PC 9 H DISTAL FEMUR LP 10,000.00 10,000.00 8,500.00 8,500.00 1,500.00 6,000.00
1 PC 6 HOLES NDCP 1,600.00 1,600.00 1,200.00 1,200.00 400.00 480.00
TOTAL 37,800.00 8,380.00 14,315.00

ORDER SLIP: 000055

TO: TOTAL ORTHO DATE: 4/22/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS 30 HOLES RECON PLATE 7,500.00 15,000.00 5,000.00 10,000.00 5,000.00 3,000.00
TOTAL 15,000.00 5,000.00 3,000.00

ORDER SLIP: 000056

TO: DR. OLEGARIO DATE: 4/22/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
41MM AUSTIN MOORE
1 PC NARROW 8,500.00 8,500.00 6,500.00 6,500.00 2,000.00 3,500.00
44MM AUSTIN MOORE
1 PC NARROW 8,500.00 8,500.00 6,500.00 6,500.00 2,000.00 3,500.00
1 PC BONE CEMENT GENTA 7,000.00 7,000.00 6,500.00 6,500.00 500.00 2,500.00
TOTAL 24,000.00 4,500.00 9,500.00

ORDER SLIP: 000057

TO: VETERANS MEMORIAL CENTER DATE: 4/23/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
10 PCS DRAIN 750.00 7,500.00 700.00 7,000.00 500.00 650.00
4 PCS #40 XLO AMP 3,333.33 13,333.32 3,200.00 12,800.00 533.32 3,000.00
4 PCS #41 XLO AMP 3,333.33 13,333.32 3,200.00 12,800.00 533.32 3,000.00
6 PCS #42 XLO AMP 3,333.33 19,999.98 3,200.00 19,200.00 799.98 3,000.00
5 PCS #43 XLO AMP 3,333.33 16,666.65 3,200.00 16,000.00 666.65 3,000.00
3 PCS #44 XLO AMP 3,333.33 9,999.99 3,200.00 9,600.00 399.99 3,000.00
3 PCS #45 XLO AMP 3,333.33 9,999.99 3,200.00 9,600.00 399.99 3,000.00
2 PCS #46 XLO AMP 3,333.33 6,666.66 3,200.00 6,400.00 266.66 3,000.00
1 PCS #47 XLO AMP 3,333.33 3,333.33 3,200.00 3,200.00 133.33 3,000.00
1 PCS #48 XLO AMP 3,333.33 3,333.33 3,200.00 3,200.00 133.33 3,000.00
1 PCS #49 XLO AMP 3,333.33 3,333.33 3,200.00 3,200.00 133.33 3,000.00
15 BXS BONE CEMENT 2,500.00 37,500.00 2,500.00 37,500.00 - 2,500.00
TOTAL 144,999.90 4,499.90

ORDER SLIP: 000058

TO: DR. ALEXANDER JARATA DATE: 4/23/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS 11 K-NAIL 800.00 1,600.00 650.00 1,300.00 300.00 350.00
TOTAL 1,600.00 300.00 350.00

ORDER SLIP: 000059

TO: DR. JUSTINIANO BAI DATE: 4/24/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
20 PCS 3.5 X 14 CORTICAL 180.00 3,600.00 120.00 2,400.00 1,200.00 85.00
20 PCS 3.5 X 18 CORTICAL 180.00 3,600.00 120.00 2,400.00 1,200.00 85.00
10 PCS 3.5 X 26 CORTICAL 180.00 1,800.00 120.00 1,200.00 600.00 85.00
10 PCS 3.5 X 24 CORTICAL 180.00 1,800.00 120.00 1,200.00 600.00 85.00
3 PCS 3.5 X 48 CORTICAL 180.00 540.00 120.00 360.00 180.00 85.00
3 PCS 3.5 X 42 CORTICAL 180.00 540.00 120.00 360.00 180.00 85.00
4.0 X H/T CANCELLOUS
4 PCS (LEFORT) 540.00 2,160.00 600.00 2,400.00 - 240.00 500.00
2 PCS 6 HOLES MDCP 1,080.00 2,160.00 800.00 1,600.00 560.00 300.00
2 PCS 7 HOLES MDCP 1,170.00 2,340.00 900.00 1,800.00 540.00 350.00
2 PCS 8 HOLES MDCP 1,260.00 2,520.00 1,000.00 2,000.00 520.00 400.00
1 PC 6 1/3 TUB 1,080.00 1,080.00 800.00 800.00 280.00 300.00
1 PC 7 1/3 TUB 1,170.00 1,170.00 900.00 900.00 270.00 350.00
2 PCS 8 1/3 TUB 1,260.00 2,520.00 1,000.00 2,000.00 520.00 400.00
TOTAL 25,830.00 - 6,410.00 3,110.00

ORDER SLIP: 000060

TO: ST. VICTORIA HOSP DATE: 4/25/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
3 PCS GIGLI SAW 700.00 2,100.00 600.00 1,800.00 300.00 290.00
1 PC SATTERLEE SAW 2,500.00 2,500.00 2,000.00 2,000.00 500.00 1,350.00
TOTAL 4,600.00 - 800.00 1,640.00

ORDER SLIP: 000061

TO: EDDIE BATAD DATE: 4/25/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 40 XLO AMP 4,300.00 4,300.00 4,000.00 4,000.00 300.00 3,500.00
1 PC 41 XLO AMP 4,300.00 4,300.00 4,000.00 4,000.00 300.00 3,500.00
1 PC 42 XLO AMP 4,300.00 4,300.00 4,000.00 4,000.00 300.00 3,500.00
1 PC 43 XLO AMP 4,300.00 4,300.00 4,000.00 4,000.00 300.00 3,500.00
1 PC 44 OLTEN AMP 4,300.00 4,300.00 4,000.00 4,000.00 300.00 3,500.00
TOTAL 21,500.00 - 1,500.00 17,500.00
ORDER SLIP: 000062

TO: ORTHOGEN DATE: 4/26/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 BX BONE CEMENT 2,800.00 2,800.00 2,700.00 2,700.00 100.00 2,500.00
2 PCS DRAIN 850.00 1,700.00 800.00 1,600.00 100.00 650.00
TOTAL 4,500.00 - 200.00 3,150.00

ORDER SLIP: 000063

TO: JOSE MAGUAD (BONG) DATE: 4/26/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
10 PCS CANCELLOUS SCREW H/T 350.00 3,500.00 300.00 3,000.00 500.00 162.00
5 PCS CANCELLOUS SCREW F/T 350.00 1,750.00 300.00 1,500.00 250.00 162.00
TOTAL 5,250.00 750.00 324.00

ORDER SLIP: 000064

TO: DR. WANSON DATE: 4/27/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 13 HOLES MDCP 2,300.00 2,300.00 1,500.00 1,500.00 800.00 650.00
TOTAL 2,300.00 800.00 650.00

ORDER SLIP: 000065

TO: JKOS MED SUPPLIES & EQUIPT INC. DATE: 4/27/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
30 PCS 3/32 PINS 80.00 2,400.00 70.00 2,100.00 300.00 50.00
30 PCS 5/64 PINS 80.00 2,400.00 70.00 2,100.00 300.00 50.00
30 PCS 7/64 PINS 100.00 3,000.00 90.00 2,700.00 300.00 80.00
30 PCS 9/64 PINS 100.00 3,000.00 90.00 2,700.00 300.00 80.00
9 PCS 1/8 PINS 100.00 900.00 90.00 810.00 90.00 80.00
TOTAL 11,700.00 1,290.00 340.00

ORDER SLIP: 000066

TO: WESTECH DATE: 4/27/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
2 PCS XLO AMP #43 5,500.00 11,000.00 4,500.00 9,000.00 2,000.00 3,500.00
2 PCS XLO AMP #44 5,500.00 11,000.00 4,500.00 9,000.00 2,000.00 3,500.00
TOTAL 22,000.00 4,000.00 7,000.00

ORDER SLIP: 000067

TO: VETERANS MEMORIAL MED CTR DATE: 4/28/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC 3 H OBLIQUE T-PLATE 2,500.00 2,500.00 1,600.00 1,600.00 900.00 700.00
TOTAL 2,500.00 900.00 700.00

ORDER SLIP: 000068

TO: TRAUMA MEDICA DATE: 4/28/16


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
5 PCS DRAIN 900.00 4,500.00 850.00 4,250.00 250.00 650.00
TOTAL 4,500.00 250.00 650.00

ORDER SLIP: 000069

TO: JOSE MAGUAD (BONG) DATE: 4/29/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
1 PC OLTEN AMP #40 4,000.00 4,000.00 3,500.00 3,500.00 500.00 3,500.00
3 PCS OLTEN AMP #41 4,000.00 12,000.00 3,500.00 10,500.00 1,500.00 3,500.00
3 PCS OLTEN AMP #42 4,000.00 12,000.00 3,500.00 10,500.00 1,500.00 3,500.00
2 PCS OLTEN AMP #43 4,000.00 8,000.00 3,500.00 7,000.00 1,000.00 3,500.00
1 PC OLTEN AMP #44 4,000.00 4,000.00 3,500.00 3,500.00 500.00 3,500.00
2 PCS OLTEN AMP #45 4,000.00 8,000.00 3,500.00 7,000.00 1,000.00 3,500.00
1 PC OLTEN AMP #46 4,000.00 4,000.00 3,500.00 3,500.00 500.00 3,500.00
TOTAL 52,000.00 6,500.00 24,500.00

ORDER SLIP: 000070

TO: JOSE MAGUAD (BONG) DATE: 4/29/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT REBATE CGS
20 PCS 3.5 X 16MM CORTICAL 100.00 2,000.00 90.00 1,800.00 200.00 85.00
TOTAL 2,000.00 200.00 85.00

TOTAL 1,157,353.90 168,638.90


TOTAL DELIVERY CHARGE 5,650.00
TOTAL SALES 1,163,003.90
TOTAL CGS REMARKS DATE
TOTAL CAPITAL NET SALES
1,105.00 1,495.00
350.00 1,350.00
350.00 1,350.00
1,805.00 4,195.00 PAID 4/4/2016

REMARKS DATE

TOTAL CAPITAL NET SALES


3,500.00 2,500.00
3,500.00 2,500.00 PAID 4/4/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
1,105.00 1,495.00
480.00 2,520.00
640.00 2,360.00
2,225.00 6,375.00 PAID 4/4/2016
REMARKS DATE
TOTAL CAPITAL NET SALES

ALL RETURNED 4/27/16

REMARKS DATE
TOTAL CAPITAL NET SALES
12,600.00 1,800.00
825.00 775.00
900.00 800.00
14,325.00 3,375.00

REMARKS DATE
TOTAL CAPITAL NET SALES
324.00 676.00
324.00 676.00
324.00 676.00
324.00 676.00
324.00 676.00
324.00 676.00
1,944.00 4,056.00

REMARKS DATE
TOTAL CAPITAL NET SALES
900.00 600.00
900.00 600.00
1,800.00 1,200.00 PAID 4/29/16

REMARKS DATE
TOTAL CAPITAL NET SALES
3,500.00 1,000.00
3,500.00 1,000.00
7,000.00 2,000.00

REMARKS DATE
TOTAL CAPITAL NET SALES
480.00 1,120.00
560.00 1,140.00
640.00 1,160.00
850.00 1,150.00
2,530.00 4,570.00 PAID 12/5/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
3,450.00 6,250.00
800.00 1,700.00
340.00 460.00
350.00 1,250.00
400.00 1,200.00
1,190.00 1,610.00
6,530.00 12,470.00 PAID 4/4/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
5,000.00 1,000.00
5,000.00 1,000.00 PAID 4/4/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
12,000.00 2,000.00
12,000.00 2,000.00 PAID 2/5/2016
REMARKS DATE
TOTAL CAPITAL NET SALES
850.00 150.00
850.00 150.00
850.00 150.00
850.00 150.00
850.00 150.00
1,750.00 750.00
2,400.00 1,100.00
1,250.00 1,250.00
9,650.00 3,850.00 PAID 04/14/16

REMARKS DATE
TOTAL CAPITAL NET SALES
3,400.00 3,000.00
1,700.00 1,500.00
1,400.00 3,080.00
1,800.00 4,440.00 BAL. 620.00
8,300.00 12,020.00 PAID- 20,000 04/13/16
REMARKS DATE
TOTAL CAPITAL NET SALES
5,000.00 1,000.00
5,000.00 1,000.00 PAID 5/4/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
810.00 1,690.00
810.00 1,690.00 PAID 4/19/16

REMARKS DATE
TOTAL CAPITAL NET SALES
1,700.00 300.00
1,700.00 300.00
1,700.00 300.00
1,700.00 300.00
1,700.00 300.00
8,500.00 1,500.00

REMARKS DATE
TOTAL CAPITAL NET SALES
4,200.00 1,300.00
1,800.00 1,200.00
6,000.00 2,500.00 PAID 4/18/16

REMARKS DATE
TOTAL CAPITAL NET SALES
4,200.00 1,300.00
4,200.00 1,300.00 PAID 4/19/16

REMARKS DATE
TOTAL CAPITAL NET SALES
1,700.00 300.00
1,700.00 300.00 PAID 3/5/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
6,500.00 2,000.00
5,000.00 2,000.00
650.00 850.00
12,150.00 4,850.00 PAID 4/28/16
REMARKS DATE
TOTAL CAPITAL NET SALES
2,550.00 450.00
2,550.00 450.00
425.00 175.00
850.00 350.00
900.00 900.00
700.00 700.00
1,200.00 1,200.00
9,175.00 4,225.00 PAID 3/5/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
3,500.00 5,000.00
2,500.00 4,500.00
6,000.00 9,500.00 PAID 4/20/16

REMARKS DATE
TOTAL CAPITAL NET SALES
4,250.00 750.00
4,250.00 750.00 PAID 4/18/16
REMARKS DATE
TOTAL CAPITAL NET SALES
6,000.00 9,000.00
6,000.00 9,000.00 PAID 5/17/16

REMARKS DATE
TOTAL CAPITAL NET SALES
6,000.00 3,000.00
2,550.00 450.00
1,700.00 300.00
2,550.00 1,050.00
2,100.00 900.00
2,100.00 900.00
17,000.00 6,600.00 PAID 04/15/16

REMARKS DATE
TOTAL CAPITAL NET SALES
2,100.00 900.00
700.00 300.00
1,400.00 600.00
8,500.00 2,500.00
1,400.00 800.00
5,000.00 5,000.00
19,100.00 10,100.00 PAID 3/5/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
1,296.00 944.00
1,296.00 944.00
2,592.00 1,888.00 PAID 3/5/2016

TOTAL CAPITAL NET SALES REMARKS DATE


3,600.00 3,600.00
2,800.00 2,800.00
2,550.00 750.00
2,550.00 750.00
2,550.00 750.00
14,050.00 8,650.00 PAID 4/19/16
TOTAL CAPITAL NET SALES REMARKS DATE
800.00 1,200.00
1,400.00 600.00
1,400.00 1,000.00
1,400.00 1,000.00
1,400.00 1,000.00
1,400.00 1,000.00
900.00 900.00
1,050.00 1,050.00
900.00 900.00
1,000.00 1,000.00
550.00 550.00
600.00 600.00
1,500.00 1,500.00
550.00 550.00
500.00 500.00
800.00 400.00
720.00 360.00
500.00 500.00
3,500.00 1,500.00
3,500.00 1,500.00
42,500.00 7,500.00
12,750.00 2,250.00
280.00 220.00 PAID 4/23/16
79,900.00 27,580.00

REMARKS DATE
TOTAL CAPITAL NET SALES
3,500.00 2,500.00
3,500.00 2,500.00 PAID 04/15/16

REMARKS DATE
TOTAL CAPITAL NET SALES
850.00 250.00
850.00 250.00
850.00 250.00
800.00 800.00
3,350.00 1,550.00 PAID 04/15/16

TOTAL CAPITAL NET SALES


5,000.00 1,000.00
5,000.00 1,000.00 PAID 4/8/2016

REMARKS DATE
TOTAL CAPITAL NET SALES
350.00 350.00
1,500.00 1,500.00
1,500.00 1,500.00
640.00 260.00
2,125.00 625.00
560.00 - 60.00
6,675.00 4,175.00 PAID 5/30/16

REMARKS DATE
TOTAL CAPITAL NET SALES
2,800.00 700.00
3,000.00 3,000.00
2,550.00 750.00
2,560.00 1,040.00
4,250.00 750.00
15,160.00 6,240.00 PAID 6/24/16

REMARKS DATE
TOTAL CAPITAL NET SALES
1,100.00 1,900.00
1,200.00 1,800.00
1,300.00 1,700.00
1,400.00 1,600.00
1,500.00 1,500.00
1,600.00 1,400.00
1,700.00 1,300.00
1,800.00 1,200.00
700.00 700.00
400.00 400.00
1,800.00 1,800.00
800.00 800.00
1,000.00 1,000.00
1,200.00 1,200.00
2,800.00 2,800.00
3,200.00 3,200.00
1,200.00 1,200.00
1,000.00 1,000.00
1,100.00 1,100.00
600.00 600.00
600.00 600.00
1,600.00 800.00
12,750.00 2,250.00
500.00 500.00
1,920.00 780.00
4,860.00 2,640.00
49,630.00 35,770.00 PAID 5/26/16

REMARKS DATE
TOTAL CAPITAL NET SALES
9,000.00 3,000.00
8,400.00 4,800.00
7,000.00 4,000.00
3,500.00 3,500.00
3,500.00 1,500.00
5,600.00 2,400.00
3,500.00 3,500.00
800.00 400.00 BAL. 49,100 5/23/16
3,500.00 1,500.00
44,800.00 24,600.00 21,000.00 4/29/16

REMARKS DATE
TOTAL CAPITAL NET SALES
1,500.00 1,000.00
1,500.00 1,000.00 PAID 5/23/16

TOTAL CAPITAL NET SALES REMARKS DATE


3,500.00 1,000.00
3,500.00 1,000.00
7,000.00 2,000.00 PAID 5/26/16

REMARKS DATE
TOTAL CAPITAL NET SALES
5,000.00 1,000.00
5,000.00 1,000.00 PAID 04/21/16
REMARKS DATE
TOTAL CAPITAL NET SALES
700.00 800.00
700.00 800.00
700.00 800.00
2,250.00 2,250.00
4,350.00 4,650.00 PAID 4/29/16

TOTAL CAPITAL NET SALES REMARKS DATE


15,300.00 2,700.00
5,950.00 1,050.00
560.00 440.00
750.00 750.00
750.00 750.00
23,310.00 5,690.00 PAID 4/29/16

REMARKS DATE
TOTAL CAPITAL NET SALES
300.00 2,200.00
324.00 1,076.00
510.00 990.00
1,134.00 4,266.00 PAID 04/18/16
REMARKS DATE
TOTAL CAPITAL NET SALES
6,000.00 5,000.00
6,000.00 5,000.00

REMARKS DATE
TOTAL CAPITAL NET SALES
6,000.00 72.00
6,000.00 72.00 PAID 7/26/16

REMARKS DATE
TOTAL CAPITAL NET SALES
6,000.00 72.00
6,000.00 72.00 PAID 7/26/16

REMARKS DATE
TOTAL CAPITAL NET SALES
700.00 800.00
4,200.00 4,800.00
4,900.00 5,600.00 PAID 4/29/16

REMARKS DATE
TOTAL CAPITAL NET SALES
3,000.00 4,500.00
3,000.00 4,500.00 PAID 5/17/16

TOTAL CAPITAL NET SALES REMARKS DATE


255.00 345.00
250.00 850.00
280.00 420.00
100.00 300.00
500.00 500.00
1,385.00 2,415.00 PAID 04/20/16

TOTAL CAPITAL NET SALES REMARKS DATE


12,600.00 1,800.00
5,000.00 1,000.00
17,600.00 2,800.00

TOTAL CAPITAL NET SALES REMARKS DATE


7,200.00 4,800.00
1,800.00 1,200.00
700.00 800.00
1,400.00 1,600.00
11,100.00 8,400.00 PAID 3/6/2016

TOTAL CAPITAL NET SALES REMAKS DATE


1,300.00 200.00
1,300.00 200.00 PAID 1/9/2016

TOTAL CAPITAL NET SALES REMARKS DATE


7,000.00 4,000.00
6,000.00 6,000.00
1,360.00 1,840.00
6,000.00 4,000.00
480.00 1,120.00
20,840.00 16,960.00 PAID 4/22/16

TOTAL CAPITAL NET SALES REMARKS DATE


6,000.00 9,000.00
6,000.00 9,000.00 PAID 5/17/16

TOTAL CAPITAL NET SALES REMARKS DATE

3,500.00 5,000.00

3,500.00 5,000.00
2,500.00 4,500.00
9,500.00 14,500.00 PAID 4/29/16

TOTAL CAPITAL NET SALES REMARKS DATE


6,500.00 1,000.00
12,000.00 1,333.32
12,000.00 1,333.32
18,000.00 1,999.98
15,000.00 1,666.65
9,000.00 999.99
9,000.00 999.99
6,000.00 666.66
3,000.00 333.33
3,000.00 333.33
3,000.00 333.33
37,500.00 -
134,000.00 10,999.90 PAID 3/5/2016

TOTAL CAPITAL NET SALES REMARKS DATE


700.00 900.00
700.00 900.00 PAID 4/5/2016

TOTAL CAPITAL NET SALES REMARKS DATE


1,700.00 1,900.00
1,700.00 1,900.00
850.00 950.00
850.00 950.00
255.00 285.00
255.00 285.00

2,000.00 160.00
600.00 1,560.00
700.00 1,640.00
800.00 1,720.00
300.00 780.00
350.00 820.00
800.00 1,720.00
11,160.00 14,670.00 PAID 2/5/2016

TOTAL CAPITAL NET SALES REMARKS DATE


870.00 1,230.00
1,350.00 1,150.00
2,220.00 2,380.00 PAID 4/25/16

TOTAL CAPITAL NET SALES REMARKS DATE


3,500.00 800.00
3,500.00 800.00
3,500.00 800.00
3,500.00 800.00
3,500.00 800.00
17,500.00 4,000.00
TOTAL CAPITAL NET SALES REMARKS DATE
2,500.00 300.00
1,300.00 400.00
3,800.00 700.00 PAID 4/26/16

TOTAL CAPITAL NET SALES REMARKS DATE


1,620.00 1,880.00
810.00 940.00
2,430.00 2,820.00 PAID 4/28/16

TOTAL CAPITAL NET SALES REMARKS DATE


650.00 1,650.00
650.00 1,650.00 PAID 4/27/16
TOTAL CAPITAL NET SALES REMARKS DATE
1,500.00 900.00
1,500.00 900.00
2,400.00 600.00
2,400.00 600.00
720.00 180.00
8,520.00 3,180.00 PAID 11/5/2016

TOTAL CAPITAL NET SALES REMARKS DATE


7,000.00 4,000.00
7,000.00 4,000.00
14,000.00 8,000.00 PAID 1/6/2016

TOTAL CAPITAL NET SALES REMARKS DATE


700.00 1,800.00
700.00 1,800.00 PAID 4/29/16
TOTAL CAPITAL NET SALES REMARKS DATE
3,250.00 1,250.00
3,250.00 1,250.00 PAID 10/6/2016

TOTAL CAPITAL NET SALES REMARKS DATE


3,500.00 500.00
10,500.00 1,500.00
10,500.00 1,500.00
7,000.00 1,000.00
3,500.00 500.00
7,000.00 1,000.00
3,500.00 500.00
45,500.00 6,500.00 PAID 6/28/16

TOTAL CAPITAL NET SALES REMARKS DATE


1,700.00 300.00
1,700.00 300.00 PAID 4/5/2016

783,200.00 374,153.90
DATE OS# AMOUNT
04/1-14/16 1 2,640.00
2 1,500.00
3 5,040.00
10 7,440.00
11 400.00
14 6,720.00
16 400.00
TOTAL REBATE 24,140.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


04/15-29/16 13 1,750.00
17 500.00
19 900.00
20 500.00
25 500.00
27 3,000.00
30 2,800.00
32 1,500.00
33 2,020.00
44 1,000.00
41 400.00
24 3,000.00
50 1,200.00
54 8,380.00
31 11,750.00
60 800.00
62 200.00
64 800.00
22 2,500.00
63 750.00

TOTAL REBATE 44,250.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO


DATE OS# AMOUNT
5/1-14/16 7 200.00
42 1,600.00
48 1,700.00
43 3,300.00
56 4,500.00
59 6,410.00
12 600.00
21 200.00
23 1,450.00
29 480.00
28 4,800.00
57 4,499.90
70 200.00
82 200.00
67 900.00
58 300.00
65 1,290.00
9 2,900.00
97 500.00
72 1,000.00

TOTAL REBATE 37,029.90

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


5/15-30/16 71 860.00
78 1,700.00
84 500.00
88 400.00
104 3,300.00
106 500.00
107 300.00
108 50.00
109 200.00
110 1,150.00
111 1,300.00
113 2,470.00
114 1,100.00
115 2,200.00
122 800.00
123 3,100.00
127 200.00
129 600.00
134 100.00
136 6,000.00
139 2,730.00
49 3,000.00
39 500.00
38 6,400.00
26 5,000.00
55 5,000.00
131 1,500.00
143 1,200.00
144 400.00
135 250.00
40 400.00
37 14,550.00
117 1,000.00
105 1,400.00
95 1,200.00
35 1,225.00
147 200.00

TOTAL REBATE 72,785.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


6/1-14/16 66 4,000.00
52 3,900.00
77 300.00
156 9,380.00
161 6,500.00
162 3,000.00
121 800.00
166 240.00
167 9,000.00
83 2,500.00
102 1,125.00
76 1,250.00
68 250.00
96 12,500.00
180 2,380.00
181 4,000.00
103 600.00
126 1,000.00
158 600.00
175 100.00
184 370.00
124 5,000.00
TOTAL REBATE 68,795.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


6/15-29/16 118 3,950.00 *
132 1,000.00 *
74 1,000.00 *
177 3,000.00 *
191 1,500.00 *
192 600.00 *
194 2,400.00 *
148 1,000.00
196 1,000.00
198 300.00
197 42,000.00
36 2,350.00
116 5,700.00
209 4,020.00
195 800.00
69 6,500.00
85 1,000.00
89 2,400.00
157 3,500.00
203 7,000.00
207 200.00

TOTAL REBATE 91,220.00


PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


7/1-14/16 212 7,800.00
219 1,800.00
231 1,250.00
233 750.00
239 2,000.00
242 2,560.00
221 1,600.00
210 1,150.00
240 3,000.00
238 4,500.00
247 1,500.00
120 1,400.00
214 600.00
216 200.00
TOTAL REBATE 30,110.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


7/15-30/16 223 6,000.00
232 2,900.00
252 1,680.00
150 1,200.00
254 980.00
255 3,560.00
208 200.00
256 200.00
257 800.00
274 200.00
253 2,100.00
98 5,400.00
101 1,000.00
128 2,000.00
248 3,000.00
46 1,072.00
47 1,072.00
276 200.00
278 1,000.00
279 3,600.00
295 4,220.00
119 8,800.00
244 1,200.00
237 980.00
176 400.00
TOTAL REBATE 53,764.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


08/1-14/16 206 6,000.00
280 160.00
218 445.00
215 200.00
201 500.00
190 1,000.00
189 200.00
183 500.00
165 9,500.00
151 1,300.00
146 400.00
141 600.00
160 4,000.00
199 22,500.00
217 2,000.00
193 1,500.00
142 4,500.00
311 550.00
280 160.00
206 6,000.00
322 3,000.00
302 760.00
273 2,200.00
258 1,045.00
172 1,600.00
321 1,600.00
202 2,000.00
204 7,000.00
327 1,100.00

TOTAL REBATE 82,320.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


08/15-30/2016 265 6,850.00
164 3,400.00
281 5,250.00
336 500.00
323 1,000.00
130 1,600.00
315 4,100.00
316 2,400.00
345 5,750.00
329 450.00
80 250.00
330 2,900.00
234 1,200.00
236 200.00
241 500.00
243 400.00
246 650.00
249 1,950.00
250 500.00
284 500.00
285 900.00
286 150.00
290 750.00
222 2,100.00
251 4,000.00
269 2,100.00
358 4,110.00
340 300.00
362 7,700.00
363 4,780.00
368 1,000.00
370 950.00
371 1,000.00
372 1,400.00
375 11,300.00
376 1,400.00
378 600.00
379 100.00
380 6,000.00
382 2,500.00
383 200.00
TOTAL REBATE 93,690.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


09/01-14/16 394 600.00
395 200.00
396 100.00
397 50.00
87 500.00
245 500.00
306 100.00
305 100.00
307 100.00
403 9,000.00
370 950.00
303 2,000.00
261 3,000.00
409 500.00
398 200.00
361 1,600.00
351 1,950.00
339 5,000.00
400 1,250.00
367 3,000.00
412 2,930.00
262 1,800.00
411 4,400.00
359 500.00
364 1,740.00
357 600.00
366 11,000.00
391 8,400.00
53 100.00
426 1,380.00
404 300.00
429 10,000.00
430 3,500.00
TOTAL REBATE 77,350.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


09/16-30/16 317 600.00
319 375.00 note:
320 1,000.00 9/30/16 #512657 25,000.00
333 500.00 9/30/16 #512658 5,000.00
337 540.00 10/10/2016 #512690 15,000.00
352 700.00 11/10/2016 #512692 5,000.00
353 1,300.00 10/21/16 #512716 10,000.00
355 500.00 10/26/16 #512731 10,000.00
385 700.00 10/28/16 #512734 10,000.00
436 1,500.00 2/11/2016 #512737 535.00
437 560.00 TOTAL 80,535.00
435 6,000.00
338 600.00
421 1,820.00
427 1,000.00
445 3,500.00
446 2,040.00
346 5,000.00
448 500.00
377 3,500.00
453 3,580.00
434 11,580.00
443 4,900.00
439 1,040.00
442 4,000.00
454 2,500.00
424 16,500.00
458 4,200.00
TOTAL REBATE 80,535.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


10/1-14/2016 308 300.00
309 200.00 NOTE:
318 100.00 2/11/2016 #512738 5,465.00
342 100.00 7/11/2016 #528051 42,425.00
428 700.00 47,890.00
455 2,100.00
390 1,900.00
354 1,600.00
465 1,000.00
470 500.00
468 5,050.00
469 5,000.00
270 9,300.00
263 3,600.00
464 1,000.00
471 1,960.00
433 450.00
401 550.00
482 3,480.00
484 2,000.00
481 400.00
298 1,600.00
488 400.00
463 400.00
472 1,500.00
410 2,500.00
456 200.00

TOTAL REBATE 47,890.00

PREPARED BY: IVIE ATILANO


RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


10/16-31/2016 491 4,120.00 9/11/2016 #528059 10,000.00
420 900.00 10/11/2016 #528062 1,980.00
415 1,250.00 11/11/2016 #528066 7,000.00
416 1,800.00 11/21/2016 #528078 3,580.00
450 440.00 22,560.00
451 500.00
474 1,450.00
475 100.00
501 300.00
499 600.00
498 2,200.00
503 600.00
324 2,000.00
509 600.00
510 1,300.00
506 400.00
375 2,300.00
414 1,700.00

TOTAL REBATE 22,560.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT 11/11/2016 #528070 5,000.00 DENTIST


11/1-15/2016 518 1,000.00 11/21/2016 #528078 12,420.00
447 6,200.00 11/24/2016 #528093 10,000.00
459 600.00 11/28/2016 #528099 5,000.00
271 3,000.00 1/12/2016 #528105 11,000.00
297 1,700.00 2/12/2016 #528106 1,868.51
304 2,000.00 5/12/2016 #528110 1,900.00
341 1,000.00 47,188.51
349 1,500.00
527 3,000.00
211 600.00
517 2,400.00
520 1,200.00
523 1,200.00
529 4,000.00
413 4,000.00
496 2,500.00
524 1,300.00
508 5,700.00
519 1,400.00
550 2,800.00
548 2,000.00
549 1,400.00
564 700.00
489 3,000.00
526 3,000.00
438 6,800.00
528 3,000.00

TOTAL REBATE 67,000.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


11/16-30/2016 576 1,000.00
565 400.00
587 4,100.00
586 1,100.00
556 1,850.00
462 200.00
476 2,500.00
494 930.00
543 800.00
502 500.00
507 700.00
516 400.00
477 6,230.00
490 800.00
584 1,000.00
582 3,000.00
585 2,400.00
544 400.00
497 1,380.00
388 700.00
515 4,400.00
485 3,000.00
514 1,000.00
578 7,500.00
571 1,500.00
547 800.00
591 1,550.00
580 5,000.00
590 4,400.00
593 1,700.00
598 1,185.00
TOTAL REBATE 62,425.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


12/1-15/2016 603 4,000.00
583 600.00
573
568
570
566
609
567
387
614
617
618
622
610 600.00
600
588
423
605

TOTAL REBATE 5,200.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO

DATE OS# AMOUNT


12/16-31/2016 575
616
623 700.00
632
635
608
638
589
641
645
612
125
8
652
272 16,300.00
631
630
629

TOTAL REBATE 17,000.00

PREPARED BY: IVIE ATILANO

RECEIVED BY: IC ATILANO


ORDER SLIP: 000071 STOP 127

TO: DR. GIL TENEFRANCIA DATE: 5/02/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC AUTOCLAVABLE TRAY 8X12X2 1/2 2,500.00 2,500.00 2,000.00
3 PCS 4.0 CANCELLOUS H/T 500.00 1,500.00 380.00
1 PC 4.5 SCREW DRIVER (FREE) -
TOTAL 4,000.00

ORDER SLIP: 000072

TO: DR. DANILO OLEGARIO DATE: 5/02/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS CEMENT WITH GENTA 7,000.00 14,000.00 6,500.00
TOTAL 14,000.00

ORDER SLIP: 000073

TO: DR. WONG DATE: 5/02/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


12 PCS 0.62 K-WIRE 120.00 1,440.00
12 PCS 5/64 K-WIRE 120.00 1,440.00
10 PCS ADULT STEINMAN 130.00 1,300.00
TOTAL 4,180.00

ORDER SLIP: 000074

TO: DR. JENSY ONG DATE: 5/02/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 BXS BONE CEMENT 3,000.00 15,000.00 2,800.00
TOTAL 15,000.00

ORDER SLIP: 000075

TO: BONEFIX METAL CRAFT DATE: 5/02/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS #18 CERCLAGE WIRE 500.00 1,000.00 500.00
TOTAL 1,000.00

ORDER SLIP: 000076

TO: TRAUMA MEDICA ENT. DATE: 5/03/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 4.5X26MM CORTICAL 100.00 1,000.00 95.00
10 PCS 4.5X28MM CORTICAL 100.00 1,000.00 95.00
10 PCS 4.5X34MM CORTICAL 100.00 1,000.00 95.00
10 PCS 4.5X36MM CORTICAL 100.00 1,000.00 95.00
10 PCS 4.5X38MM CORTICAL 100.00 1,000.00 95.00
2 PCS 6 HOLES NDCP 800.00 1,600.00 700.00
2 PCS 4 HOLES MDCP 500.00 1,000.00 300.00
1 PC #48 XLO AMP 4,000.00 4,000.00 3,800.00
1 PC #50 XLO AMP 4,000.00 4,000.00 3,800.00
TOTAL 15,600.00

ORDER SLIP: 000077

TO: DR. ANTHONY KHO DATE: 5/03/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


30 PCS 3.5X 16MM CORTICAL 100.00 3,000.00 95.00
30 PCS 3.5X 18MM CORTICAL 100.00 3,000.00 95.00
TOTAL 6,000.00

ORDER SLIP: 000078

TO: DR. RUEL CASINO DATE: 5/03/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #43 XLO AMP 6,000.00 6,000.00 4,500.00
1 PC BONE CEMENT 3,000.00 3,000.00 2,800.00
TOTAL 9,000.00

ORDER SLIP: 000079

TO: DR. BAUTISTA /PGH EENT DEPT DATE: 5/03/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS DRAIN 1,500.00 3,000.00
TOTAL 3,000.00
ORDER SLIP: 000080

TO: DR. HUBERT SALAZAR DATE: 5/04/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS K-NAIL 11MM 500.00 2,500.00 450.00
TOTAL 2,500.00

ORDER SLIP: 000081

TO: EDDIE BATAD DATE: 5/04/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS TIBIA 1,200.00 6,000.00 1,100.00
3 PCS R/U 1,100.00 3,300.00 1,000.00
TOTAL 9,300.00

ORDER SLIP: 000082

TO: JOSE MAGUAD (B0NG) DATE: 5/04/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


4 PCS HEMOVAC 900.00 3,600.00 800.00
TOTAL 3,600.00

ORDER SLIP: 000083

TO: TRAUMA MEDICA DATE: 5/05/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC AM STANDARD #40 4,500.00 4,500.00 4,000.00
1 PC AM STANDARD #41 4,500.00 4,500.00 4,000.00
1 PC AM STANDARD #42 4,500.00 4,500.00 4,000.00
1 PC AM STANDARD #44 4,500.00 4,500.00 4,000.00
1 PC AM STANDARD #45 4,500.00 4,500.00 4,000.00
1 PC XLO AMP #45 4,000.00 4,000.00 4,000.00
TOTAL 26,500.00

ORDER SLIP: 000084

TO: DR. TENEFRANCIA DATE: 5/05/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS GIGLI SAW 600.00 3,000.00 500.00
TOTAL 3,000.00

ORDER SLIP: 000085

TO: PANAY ORTHOPEDIC SUPPLIES INC DATE: 5/05/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS BONE CEMENT 2,800.00 28,000.00 2,700.00
TOTAL 28,000.00

ORDER SLIP: 000086

TO: ALLAN ( ELIXIR) DATE: 5/06/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00
TOTAL 3,000.00

ORDER SLIP: 000087

TO: ORTHOGEN DATE: 5/07/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #46 AMP STANDARD OLTEN 4,500.00 4,500.00 4,000.00
TOTAL 4,500.00

ORDER SLIP: 000088

TO: TERESA CORUA DATE: 5/10/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS DOUBLE ACTION PARALLEL PLIERS 6 1/2" 3,500.00 7,000.00 3,300.00
TOTAL 7,000.00

ORDER SLIP: 000089

TO: PANAY ORTHOPEDIC DATE: 5/10/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS 7 HOLES MINI T-PLATES 1,500.00 4,500.00 1,100.00
3 PCS 8 HOLES MINI T-PLATES 1,500.00 4,500.00 1,100.00
TOTAL 9,000.00
ORDER SLIP: 000090

TO: DR. TEC/PGH DATE: 5/10/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #46 AMP 6,000.00 6,000.00 4,500.00
1 PC DRAIN 1,000.00 1,000.00
TOTAL 7,000.00

ORDER SLIP: 000091

TO: DR. VISPERAS DATE: 5/11/16 EDSEL


TERMS: RETURNED

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC BONE CEMENT 3,000.00 3,000.00
TOTAL

ORDER SLIP: 000092

TO: DR. RUANTO DATE: 5/11/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6 HOLES MDCP 1,000.00 1,000.00
1 PC 7 HOLES MDCP 1,000.00 1,000.00
12 PCS 3.5 CORTICAL SCREWS 120.00 1,440.00
TOTAL 3,440.00

ORDER SLIP: 000093

TO: DR. MIKO VER DATE: 5/11/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


4 PCS 3.5 CORTICAL SCREWS 120.00 480.00
1 PC 4 HOLES MDCP 1,000.00 1,000.00
TOTAL 1,480.00

ORDER SLIP: 000094

TO: DR. RUANTO DATE: 5/11/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 7 HOLES MDCP 1,000.00 1,000.00
6 PCS 3.5 CORTICAL SCREWS 120.00 720.00
TOTAL 1,720.00

ORDER SLIP: 000095


TO: DR. ROGELIO ABITONG DATE: 5/11/16
TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 10 HOLES RECON STRAIGHT 2,000.00 4,000.00 1,600.00
10 PCS 3.5X32 MM CORTICAL 120.00 1,200.00 100.00
10 PCS 3.5X20 MM CORTICAL 120.00 1,200.00 100.00
TOTAL 6,400.00

ORDER SLIP: 000096

TO: TOTAL ORTHO DATE: 5/11/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS 30 HOLES RECON PLATE 7,500.00 37,500.00 5,000.00
TOTAL 37,500.00

ORDER SLIP: 000097

TO: JKOS MED SUPPLIES & EQUIPT INC DATE: 5/11/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


25 PCS 1/8 PINS 100.00 2,500.00 80.00
TOTAL 2,500.00

ORDER SLIP: 000098

TO: DR. RANNIE AGUILAR DATE: 5/12/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #40 AMNP 6,000.00 6,000.00 4,500.00
1 PC #43 AMNP 6,000.00 6,000.00 4,500.00
10 PCS 3.5X24 CORTICAL 200.00 2,000.00 120.00
10 PCS 3.5X26 CORTICAL 200.00 2,000.00 120.00
10 PCS 3.5X28 CORTICAL 200.00 2,000.00 120.00
TOTAL 18,000.00

ORDER SLIP: 000099

TO: PGH DATE: 5/11/16 EDSEL


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
1 PC 6 HOLES MDCP 1,000.00 1,000.00 4,500.00
1 PC 7 HOLES MDCP 1,000.00 1,000.00 4,500.00
13 PCS CORTICAL 120.00 1,560.00 120.00
TOTAL 3,560.00

ORDER SLIP: 00100

TO: DR. RUANTO DATE: 5/11/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6 HOLES MDCP 1,000.00 1,000.00
5 PCS CORTICAL 120.00 600.00
TOTAL 1,600.00

ORDER SLIP: 00101

TO: DR. RANNIE AGUILAR DATE: 5/13/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 30 HOLES RECON PLATE 6,000.00 6,000.00 5,000.00
TOTAL 6,000.00

ORDER SLIP: 00102

TO: TRAUMA MEDICA DATE: 5/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 5 HOLES NDCP 700.00 700.00 600.00
1 PC 6 HOLES NDCP 800.00 800.00 700.00
1 PC 7 HOLES NDCP 900.00 900.00 800.00
2 PCS 8 HOLES NDCP 1,000.00 2,000.00 900.00
2 PCS 9 HOLES NDCP 1,100.00 2,200.00 1,000.00
2 PCS 10 HOLES NDCP 1,200.00 2,400.00 1,100.00
1 PC 11 HOLES NDCP 1,300.00 1,300.00 1,200.00
10 PCS 4.5 X 26 CORTICAL 100.00 1,000.00 95.00
15 PCS 4.5 X 24 CORTICAL 100.00 1,500.00 95.00
TOTAL 12,800.00

ORDER SLIP: 00103

TO: DR. GIL TENEFRANCIA DATE: 5/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 7 HOLES NDCP 1,800.00 1,800.00 1,200.00
TOTAL 1,800.00

ORDER SLIP: 00104

TO: DR. RAMON TEODORO DATE: 5/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 7 HOLES DISTAL FEMUR 13,000.00 13,000.00 11,500.00
6 PCS LOCKING SCREW 1,500.00 9,000.00 1,200.00
1 PC 4.5 CORTICAL 300.00 300.00 300.00
TOTAL 22,300.00

ORDER SLIP: 00105

TO: DR. ROGELIO ABITONG DATE: 5/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 8 HOLES BDCP 1,800.00 1,800.00 1,200.00
20 PCS 4.5 X 40 CORTICAL 150.00 3,000.00 110.00
TOTAL 4,800.00

ORDER SLIP: 00106

TO: DR. MARQUEZ DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC MAYO NEEDLE HOLDER 1,500.00 1,500.00 1,200.00
1 PC CURETTE #4 900.00 900.00 700.00
TOTAL 2,400.00

ORDER SLIP: 00107

TO: DR. GASPAR DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC MAYO NEEDLE HOLDER 1,500.00 1,500.00 1,200.00
TOTAL 1,500.00

ORDER SLIP: 00108

TO: DR. MARCIANO FORONDA DATE: 5/16/16 CONVENTION


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
1 PC CERCLAGE WIRE 500.00 500.00 450.00
TOTAL 500.00

ORDER SLIP: 00109

TO: DR. MANISH DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC CURETTE 900.00 900.00 700.00
TOTAL 900.00

ORDER SLIP: 00110

TO: DR. CARAG DISCOUNTED 7,500 DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS K-NAIL FEMUR 11X 44 500.00 1,500.00 400.00
3 PCS K-NAIL 10X44 500.00 1,500.00 450.00
3 PCS 6 HOLES MDCP 600.00 1,800.00 500.00
3 PCS 6 HOLES 1/3 TUBULAR 600.00 1,800.00 500.00
2 PCS CERCLAGE WIRE #16 500.00 1,000.00 450.00
TOTAL 7,600.00

ORDER SLIP: 00111

TO: DR. BONG TAPIA DATE: 5/16/16 CONVENTION


TERMS: DISCOUNTED 9,500

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC COBB(SPINAL ELEVATOR) 2,500.00 2,500.00 2,000.00
1 PC GIGLEE SAW WIRE 500.00 500.00 450.00
1 PC KERN 9 1/2 2,800.00 2,800.00 2,700.00
1 PC HOMAN 9 1 /2 1,200.00 1,200.00 900.00
10 PCS 3.5X24 CORTICAL 100.00 1,000.00 95.00
1 PC 6 HOLES MDCP 600.00 600.00 500.00
2 PCS 6 HOLES 1/3 TUBULAR 600.00 1,200.00 500.00
TOTAL 9,800.00

ORDER SLIP: 00112

TO: DR. ARNEL ANGELES DATE: 5/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


30 PCS 3.5 X 16 CORTICAL 200.00 6,000.00 150.00
30 PCS 3.5 X 18 CORTICAL 200.00 6,000.00 150.00
5 PCS 6 HOLES MDCP 1,200.00 6,000.00 900.00
TOTAL 18,000.00

ORDER SLIP: 00113

TO: DR. ARNEL ANGELES DATE: 5/16/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 7 HOLES DISTAL FEMUR LOCK PLATE 10,000.00 10,000.00 9,000.00
4 PCS LOCKING SCREW 1,500.00 6,000.00 1,200.00
3 PCS 4.5 CORTICAL SCREW 250.00 750.00 160.00
TOTAL 16,750.00

ORDER SLIP: 00114

TO: DR. MAMBA DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC STAINLESS TRAY 20X16X4CM 2,000.00 2,000.00 1,800.00
1 PC STAINLESS TRAY 2,800.00 2,800.00 2,100.00
1 PC STAINLESS TRAY 20X10X4CM 1,700.00 1,700.00 1,500.00
TOTAL 6,500.00

ORDER SLIP: 00115

TO: DR. SABADO DATE: 5/16/16 CONVENTION


TERMS: DISCOUNTED 15,000

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 16 HOLES BDCP 2,000.00 2,000.00 1,700.00
1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00
1 PC TIBIA EXFIX 1,200.00 1,200.00 1,100.00
1 PC FEMUR EXFIX 1,200.00 1,200.00 1,100.00
1 PC COBB 25X290MM 2,500.00 2,500.00 2,000.00
1 PC T-BUTTRESS 6 HOLES 2,000.00 2,000.00 1,500.00
1 PC KERN 13 3,500.00 3,500.00 3,000.00
TOTAL 15,400.00

ORDER SLIP: 00116

TO: DR. ANGEL CAYETANO DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS LAGENBACK 7 1/2 1,300.00 2,600.00 1,000.00
2 PCS COBB 23X290 2,500.00 5,000.00 2,000.00
1 PC LAMBOTTE BONE CHISEL 15MM 1,200.00 1,200.00 900.00
1 PC ELEVATOR 7" 1,000.00 1,000.00 800.00
1 PC RONGEUR 9 1/4 3,000.00 3,000.00 2,800.00
1 PC CHUCK 6 1/4 CANNULATED 4,000.00 4,000.00 3,600.00
1 PC STAINLESS TRAY 20X10X4 CM 1,700.00 1,700.00 1,500.00
28 PCS 6 HOLES MDCP 600.00 16,800.00 500.00
TOTAL 35,300.00

ORDER SLIP: 00117

TO: DR. ANTHONY ABOGADO DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


20 PCS 5/64 PINS 100.00 2,000.00 80.00
10 PCS .62 PINS 100.00 1,000.00 80.00
4 PCS 8H 1/3 TUBULAR 800.00 3,200.00 700.00
TOTAL 6,200.00

ORDER SLIP: 00118

TO: DR. MARIO CASTRO DATE: 5/16/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS 6H MDCP 600.00 3,000.00 500.00
2 PCS 7H MDCP 700.00 1,400.00 600.00
2 PCS 6H 1/3 TUBULAR 600.00 1,200.00 500.00
2 PCS 6H NDCP 700.00 1,400.00 600.00
2 PCS 7H NDCP 800.00 1,600.00 700.00
1 PC CHUCK 6 1/4 4,500.00 4,500.00 4,000.00
20 PCS 3.5X16 CORTICAL 100.00 2,000.00 95.00
30 PCS 3.5X24 CORTICAL 100.00 3,000.00 95.00
1 PC COBB SPINAL ELEVATOR 11 1/2 2,500.00 2,500.00 2,000.00
1 PC VERBRUDGE SELF CENTERING FORCEP 11" 3,200.00 3,200.00 2,800.00
1 PC TIBIA EXFIX 1,200.00 1,200.00 1,100.00
2 PCS R/U EXFIX 1,100.00 2,200.00 1,000.00
20 PCS 4.5X36MM CORTICAL 100.00 2,000.00 95.00
1 PC STAINLESS TRAY 40X20X8.5CM 3,800.00 3,800.00 3,500.00
2 PCS TIBIA EXFIX 1,200.00 2,400.00 1,100.00
1 PC HUMEROUS EXFIX 1,100.00 1,100.00 1,000.00
TOTAL 36,500.00

ORDER SLIP: 00119

TO: DR. LASAM DATE: 5/16/16 CONVENTION


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
1 PC KERN 9 1/2 2,800.00 2,800.00 2,700.00
1 PC KERN 13 3,000.00 3,000.00 2,800.00
1 PC COBB 11 1/2 2,500.00 2,500.00 2,000.00
1 PC COBB 23X290 2,500.00 2,500.00 2,000.00
2 PCS FLAT NOSE PLIER 7 1/2 2,000.00 4,000.00 1,900.00
1 PC MAYO NEEDLE HOLDER 1,500.00 1,500.00 1,200.00
2 PCS VERBRUDGE 9 1/2 2,500.00 5,000.00 2,300.00
2 PCS VERBRUDGE 7 1/2 2,300.00 4,600.00 2,100.00
2 PCS VERBRUDGE 6 2,200.00 4,400.00 2,000.00
1 PC KERN 6 1/4 2,300.00 2,300.00 2,200.00
1 PC WEITLANER RETRACTOR 6 1/2 1,800.00 1,800.00 1,400.00
1 PC WEITLANER RETRACTOR 6 1/2 1,800.00 1,800.00 1,400.00
1 PC WEITLANER RETRACTOR 8 2,000.00 2,000.00 1,600.00
1 PC WEITLANER RETRACTOR 4 1/2 1,500.00 1,500.00 1,300.00
1 PC RONGEUR 9 1/4 3,000.00 3,000.00 2,800.00
1 PC LANGENBACK BONE CHISEL 7 1/2 1,300.00 1,300.00 1,100.00
8 PCS 7 HOLES MDCP 700.00 5,600.00 600.00
12 PCS 6 HOLES MDCP 600.00 7,200.00 500.00
10 PCS 3/32 PINS 120.00 1,200.00 110.00
10 PCS 9/54 K-WIRE 150.00 1,500.00 130.00
5 PCS 7/64 PINS 150.00 750.00 130.00
30 PCS 5/64 PINS 100.00 3,000.00 80.00
30 PCS .62 PINS 100.00 3,000.00 80.00
1 PC STAINLESS TRAY 40X20X8.5CM 3,800.00 3,800.00 3,500.00
TOTAL 70,050.00

ORDER SLIP: 00120

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 5/17/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS BATTERY POWER DRILL 7,500.00 15,000.00 6,800.00
TOTAL 15,000.00

ORDER SLIP: 00121

TO: DR. LASAM DATE: 5/17/16 CONVENTION


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS CURETTE 900.00 1,800.00 700.00
1 PC LANGENBECK PERIOSTEAL 1,800.00 1,800.00 1,400.00
TOTAL 3,600.00

ORDER SLIP: 00122


TO: DR. MARC BARTOLABAC DATE: 5/18/16
TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


30 PCS 3.5X42 CORTICAL 130.00 3,900.00 110.00
2 PCS 2.7 DRILLBIT 600.00 1,200.00 500.00
TOTAL 5,100.00

ORDER SLIP: 00123

TO: DR. DARYL APLA-ON DATE: 5/18/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 4 HOLES CHS PLATE 8,700.00 8,700.00 6,500.00
4 PCS 4.5 CORTICAL 200.00 800.00 150.00
1 PC #70 LAGSCREW 2,500.00 2,500.00 1,800.00
TOTAL 12,000.00

ORDER SLIP: 00124

TO: PHILIP DOROLA DATE: 5/19/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


100 PCS DRAIN 700.00 70,000.00 650.00
TOTAL 70,000.00

ORDER SLIP: 00125

TO: EDUARDO BATAD/DR. KIMPAY DATE: 5/19/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS BONE CEMENT 3,000.00 9,000.00 2,800.00
TOTAL 9,000.00

ORDER SLIP: 00126

TO: DR. GIL TENEFRANCIA DATE: 5/20/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC BATTERY FOR POWER DRILL 8,000.00 8,000.00 7,000.00
TOTAL 8,000.00

ORDER SLIP: 00127


TO: VETERANS MEDICAL CENTER DATE: 5/20/16
TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #18 CERCLAGE WIRE 800.00 800.00 600.00
TOTAL 800.00

ORDER SLIP: 00128

TO: DR. RANNIE AGUILAR DATE: 5/20/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #44 OLTEN AMP STANDARD 6,000.00 6,000.00 5,000.00
1 PC #45 OLTEN AMP STANDARD 6,000.00 6,000.00 5,000.00
TOTAL 12,000.00

ORDER SLIP: 00129

TO: DR. STEPHEN TABLADILLO DATE: 5/20/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 10 HOLES BDCP 2,200.00 2,200.00 1,600.00
TOTAL 2,200.00

ORDER SLIP: 00130

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 5/21/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 14 HOLES BDCP 2,200.00 4,400.00 1,800.00
2 PCS 16 HOLES BDCP 2,400.00 4,800.00 2,000.00
TOTAL 9,200.00

ORDER SLIP: 00131

TO: DR. JAYSON MONTANO DATE: 5/21/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 SET FEMUR ILLIZAROV 17,000.00 17,000.00 15,500.00
TOTAL 17,000.00

ORDER SLIP: 00132


TO: DR. NIXON CABUCANA DATE: 5/23/16
TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 30 HOLES RECON STRAIGHT 6,000.00 6,000.00 5,000.00
TOTAL 6,000.00

ORDER SLIP: 00133

TO: DR. DARYL APLA-ON DATE: 5/23/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE

CANCELLED

ORDER SLIP: 00134

TO: DR. BOLINTIAM DATE: 5/23/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 4.0 CANCELLOUS H/T 400.00 800.00 350.00
TOTAL 800.00

ORDER SLIP: 00135

TO: JOSE MAGUAD DATE: 5/23/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS 6.5 CANCELLOUS SCREW H/T 350.00 1,750.00 300.00
TOTAL 1,750.00

ORDER SLIP: 00136

TO: DR. ROMMEL ESTILLORE DATE: 5/23/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE

1 PC 5 HOLES DISTAL FEMUR LOCK PLATE LEFT 15,000.00 15,000.00 13,000.00


5 HOLES DISTAL FEMUR LOCK PLATE
1 PC RIGHT 15,000.00 15,000.00 13,000.00
10 PCS LOCK SCREW 1,500.00 15,000.00 1,300.00
6 PCS 4.5 CORTICAL 300.00 1,800.00 300.00
TOTAL 46,800.00

ORDER SLIP: 00137

TO: DR. PACHECO/PGH DATE: 5/24/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS .62 PINS 120.00 1,200.00
10 PCS 5/64 PINS 120.00 1,200.00
TOTAL 2,400.00

ORDER SLIP: 00138

TO: DR. GUITARTE/PGH DATE: 5/24/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


20 PCS .62 PINS 120.00 2,400.00
TOTAL 2,400.00

ORDER SLIP: 00139

TO: DR. ROMMEL ESTILLORE DATE: 5/24/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #18 CERCLAGE WIRE 800.00 800.00 600.00
1 PC .62 PINS 250.00 250.00 180.00
3 PCS 5/64 PINS 500.00 180.00
POWER DRILL RENTAL 2,500.00 2,000.00
TOTAL 4,050.00

ORDER SLIP: 00140

TO: DR. DIMAYUGA DATE: 5/24/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6 HOLES RECON CURVE 4,500.00 4,500.00
1 PC 3.5X12 CORTICAL 225.00 225.00
2 PCS 3.5X16 CORTICAL 225.00 450.00
1 PC 3.5X18 CORTICAL 225.00 225.00
2 PC 3.5X20 CORTICAL 225.00 450.00
4 PCS 3.5X20 CORTICAL 225.00 900.00
1 PC 4.0X80 CANCELLOUS H/T 500.00 500.00
OFFICE 4,000.00
TOTAL 11,250.00
ORDER SLIP: 00141

TO: TRAUMA MEDICA DATE: 5/24/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #42 XLO AMNP 4,500.00 4,500.00 4,300.00
2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00
TOTAL 10,500.00

ORDER SLIP: 00142

TO: JANICE/ORTHOGEN DATE: 5/24/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC EXFIX FINGER 800.00 800.00 700.00
1 PC #42 XLO AMP 4,500.00 4,500.00 3,500.00
1 PC #43 XLO AMP 4,500.00 4,500.00 3,500.00
1 PC #44 XLO AMP 4,500.00 4,500.00 3,500.00
1 PC #45 XLO AMP 4,500.00 4,500.00 3,500.00
2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00
TOTAL 24,800.00

ORDER SLIP: 00143

TO: JOSE MAGUAD DATE: 5/25/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 11 HOLES L-BUTTRESS L 3,500.00 3,500.00 2,500.00
2 PCS 6.5X80 CANCELLOUS H/T 400.00 800.00 350.00
2 PCS 6.5X60 CANCELLOUS H/T 400.00 800.00 350.00
TOTAL 5,100.00

ORDER SLIP: 00144

TO: JOSE MAGUAD DATE: 5/25/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


20 PCS 3.5X 16 CORTICAL SCREW 110.00 2,200.00 90.00
TOTAL 2,200.00

ORDER SLIP: 00145

TO: ARMAN/PHILIP DATE: 5/24/16 EDSEL


TERMS: DISCOUNTED 4,000

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 15 HOLES 1/3 TUBULAR 4,500.00 4,500.00
TOTAL 4,500.00

ORDER SLIP: 00146

TO: TRAUMA MEDICA DATE: 5/25/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00
TOTAL 6,000.00

ORDER SLIP: 00147

TO: DR. ROMMEL ESTILLORE DATE: 5/26/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 4.0 CANCELLOUS H/T 500.00 1,000.00 400.00
TOTAL 1,000.00

ORDER SLIP: 00148

TO: DR. ALEXANDER JARATA DATE: 5/27/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 10H BDCP 2,000.00 2,000.00 1,500.00
1 PC 12H BDCP 2,200.00 2,200.00 1,700.00
TOTAL 4,200.00

ORDER SLIP: 00149

TO: DR. JOSEPH LAI DATE: 5/27/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC LEAD GOWN 15,000.00 15,000.00 12,000.00
TOTAL 15,000.00

ORDER SLIP: 00150

TO: VETERANS DATE: 5/28/16


TERMS:
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
5 PCS 3.5X16 CORTICAL 200.00 1,000.00 120.00
5 PCS 3.5X18 CORTICAL 200.00 1,000.00 120.00
5 PCS 3.5X20 CORTICAL 200.00 1,000.00 120.00
TOTAL 3,000.00

ORDER SLIP: 00151

TO: TRAUMA MEDICA ENT. DATE: 5/30/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 5H 1/3 TUBULAR 600.00 600.00 500.00
1 PC OBLIQUE T-PLATES 3H 1,500.00 1,500.00 1,200.00
1 PC OBLIQUE T-PLATES 4H 1,500.00 1,500.00 1,200.00
1 PC OBLIQUE T-PLATES 6H 1,500.00 1,500.00 1,200.00
1 PC SMALL T-PLATES 6H 1,500.00 1,500.00 1,200.00
TOTAL 6,600.00

ORDER SLIP: 00152

TO: ALLAN ( ELIXIR) DATE: 5/30/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


8 PCS 4.5 CORTICAL SCREWS 120.00 960.00
1 PC 9H BDCP 2,500.00 2,500.00
TOTAL 3,460.00

ORDER SLIP: 00153

TO: DR. MERVIN TEC DATE: 5/30/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 10H NDCP 4,000.00 4,000.00
TOTAL 4,000.00

ORDER SLIP: 00154

TO: DR. MERVIN TEC DATE: 5/30/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6H MDCP 1,100.00 1,100.00
6 PCS 3.5 CORTICAL SCREWS 150.00 900.00
TOTAL 2,000.00
ORDER SLIP: 00155

TO: DR. MERVIN TEC DATE: 5/30/16 EDSEL


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 INTERLOCKING SET 19,500.00 19,500.00
TOTAL 19,500.00

ORDER SLIP: 00156

TO: HOLY CHILD HOSP. DATE: 5/31/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


6 PCS 5.0 LOCKING SCREW 1,500.00 9,000.00 1,300.00
2 PCS 4.5 CORTICAL 250.00 500.00 160.00
1 PC 7H DISTAL FEMUR LOCK PLATE LEFT 17,000.00 17,000.00 10,000.00
1 BX BONE CEMENT 7,000.00 7,000.00 6,000.00
TOTAL 33,500.00

ORDER SLIP: 00157

TO: DR. DARYL APLA-ON DATE: 5/31/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 BX BONE CEMENT WITH GENTA 7,000.00 7,000.00 6,000.00
2 PCS HYBRID EXFIX 6,000.00 12,000.00 5,200.00
3 PCS EXFIX TIBIA 1,500.00 4,500.00 1,200.00
TOTAL 23,500.00

ORDER SLIP: 00158

TO: DR. RAUL SABADO DATE: 5/31/16


TERMS:

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 BXS BONE CEMENT 3,000.00 9,000.00 2,800.00
TOTAL 9,000.00

ORDER SLIP: 00159

TO: DR. TABU DATE: 5/31/16 EDSEL


PERPETUAL HOSP. LAS PINAS

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 SET CHS PLATE & LAG SCREWS 15,000.00 15,000.00 13,000.00
TOTAL 15,000.00

TOTAL 958,690.00
TOTAL DC 4,930.00
963,620.00
TOTAL DISC - 1,000.00
TOTAL 962,620.00
OS 152 EXCESS 40.00
GRAND TOTAL 962,660.00
AMOUNT REBATE CGS TOTAL CGS NET SALES
2,000.00 500.00 2,000.00 2,000.00 500.00
1,140.00 360.00 162.00 486.00 1,014.00
- - 1,150.00 1,150.00 - 1,150.00
860.00 3,312.00 3,636.00 364.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


13,000.00 1,000.00 5,000.00 10,000.00 4,000.00
1,000.00 5,000.00 10,000.00 4,000.00 PAID 5/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 50.00 600.00 840.00
- 50.00 600.00 840.00
- 80.00 800.00 500.00
180.00 2,000.00 2,180.00

AMOUNT REBATE CGS TOTAL CGS NET SALES


14,000.00 1,000.00 2,500.00 12,500.00 2,500.00
1,000.00 2,500.00 12,500.00 2,500.00 PAID 6/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,000.00 - 280.00 560.00 440.00
- 280.00 560.00 440.00 PAID 6/16/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


950.00 50.00 85.00 850.00 150.00
950.00 50.00 85.00 850.00 150.00
950.00 50.00 85.00 850.00 150.00
950.00 50.00 85.00 850.00 150.00
950.00 50.00 85.00 850.00 150.00
1,400.00 200.00 480.00 960.00 640.00
600.00 400.00 200.00 400.00 600.00
3,800.00 200.00 3,500.00 3,500.00 500.00
3,800.00 200.00 3,500.00 3,500.00 500.00
1,250.00 8,105.00 12,610.00 2,990.00 PAID 10/6/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,850.00 150.00 85.00 2,550.00 450.00
2,850.00 150.00 85.00 2,550.00 450.00
- 300.00 170.00 5,100.00 900.00 PAID 1/6/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


4,500.00 1,500.00 3,500.00 3,500.00 2,500.00
2,800.00 200.00 2,500.00 2,500.00 500.00
- 1,700.00 6,000.00 6,000.00 3,000.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 650.00 1,300.00 1,700.00
650.00 1,300.00 1,700.00 PAID 5/11/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
2,250.00 250.00 350.00 1,750.00 750.00
- 250.00 350.00 1,750.00 750.00 PAID 8/24/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


5,500.00 500.00 900.00 4,500.00 1,500.00
3,000.00 300.00 900.00 2,700.00 600.00
- 800.00 1,800.00 7,200.00 2,100.00

AMOUNT REBATE CGS TOTAL CGS NET SALES


3,200.00 400.00 650.00 2,600.00 1,000.00
- 400.00 650.00 2,600.00 1,000.00 PAID 4/5/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


4,000.00 500.00 3,350.00 3,350.00 1,150.00
4,000.00 500.00 3,350.00 3,350.00 1,150.00
4,000.00 500.00 3,350.00 3,350.00 1,150.00
4,000.00 500.00 3,350.00 3,350.00 1,150.00
4,000.00 500.00 3,350.00 3,350.00 1,150.00
4,000.00 - 3,350.00 3,350.00 650.00
2,500.00 20,100.00 20,100.00 6,400.00 PAID 10/6/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,500.00 500.00 270.00 1,350.00 1,650.00
- 500.00 270.00 1,350.00 1,650.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


27,000.00 1,000.00 2,500.00 25,000.00 3,000.00
- 1,000.00 2,500.00 25,000.00 3,000.00 PAID 6/27/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,800.00 200.00 2,500.00 2,500.00 500.00
- 200.00 2,500.00 2,500.00 500.00 PAID 6/5/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
- 500.00 3,500.00 3,500.00 1,000.00 PAID 2/9/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


6,600.00 400.00 2,990.00 5,980.00 1,020.00
- 400.00 2,990.00 5,980.00 1,020.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


3,300.00 1,200.00 800.00 2,400.00 2,100.00
3,300.00 1,200.00 900.00 2,700.00 1,800.00
- 2,400.00 1,700.00 5,100.00 3,900.00 PAID 6/27/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
4,500.00 3,500.00 3,500.00 2,500.00
- 650.00 650.00 350.00
- 4,150.00 4,150.00 2,850.00 PAID 10/5/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 3,000.00 2,500.00 2,500.00 500.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 300.00 300.00 700.00
- 350.00 350.00 650.00
- 85.00 85.00 1,355.00
- 735.00 735.00 2,705.00 PAID 11/5/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 85.00 340.00 140.00
- 200.00 200.00 800.00
- 285.00 540.00 940.00 PAID 11/5/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 350.00 350.00 650.00
- 85.00 510.00 210.00
- 435.00 860.00 860.00 PAID 11/5/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


3,200.00 800.00 1,000.00 2,000.00 2,000.00
1,000.00 200.00 85.00 850.00 350.00
1,000.00 200.00 85.00 850.00 350.00
- 1,200.00 1,170.00 3,700.00 2,700.00 PAID 5/30/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


25,000.00 12,500.00 3,000.00 15,000.00 22,500.00
- 12,500.00 3,000.00 15,000.00 22,500.00 PAID 9/6/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,000.00 500.00 80.00 2,000.00 500.00
- 500.00 80.00 2,000.00 500.00 PAID 11/5/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


4,500.00 1,500.00 3,500.00 3,500.00 2,500.00
4,500.00 1,500.00 3,500.00 3,500.00 2,500.00
1,200.00 800.00 85.00 85.00 1,915.00
1,200.00 800.00 85.00 85.00 1,915.00
1,200.00 800.00 85.00 85.00 1,915.00
- 5,400.00 7,255.00 7,255.00 10,745.00 PAID 7/19/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
4,500.00 - 3,500.00 300.00 300.00 700.00
4,500.00 - 3,500.00 350.00 350.00 650.00
1,560.00 85.00 85.00 1,475.00
735.00 735.00 2,825.00 PAID 11/5/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 300.00 300.00 700.00
- 85.00 425.00 175.00
- 1,600.00 385.00 725.00 875.00 PAID 11/5/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


5,000.00 1,000.00 3,000.00 3,000.00 3,000.00
- 1,000.00 3,000.00 3,000.00 3,000.00 PAID 7/19/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


600.00 100.00 400.00 400.00 300.00
700.00 100.00 480.00 480.00 320.00
800.00 100.00 560.00 560.00 340.00
1,800.00 200.00 640.00 1,280.00 720.00
2,000.00 200.00 720.00 1,440.00 760.00
2,200.00 200.00 800.00 1,600.00 800.00
1,200.00 100.00 880.00 880.00 420.00
950.00 50.00 85.00 850.00 150.00
1,425.00 75.00 85.00 1,275.00 225.00
- 1,125.00 4,650.00 8,765.00 4,035.00 PAID 10/6/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,200.00 600.00 560.00 560.00 1,240.00
- 600.00 560.00 560.00 1,240.00 PAID 6/13/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


11,500.00 1,500.00 7,000.00 7,000.00 6,000.00
7,200.00 1,800.00 900.00 5,400.00 3,600.00
300.00 - 85.00 85.00 215.00
- 3,300.00 7,985.00 12,485.00 9,815.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,200.00 600.00 640.00 640.00 1,160.00
2,200.00 800.00 85.00 1,700.00 1,300.00
- 1,400.00 725.00 2,340.00 2,460.00 PAID 5/30/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,200.00 300.00 750.00 750.00 750.00
700.00 200.00 490.00 490.00 410.00
- 500.00 1,240.00 1,240.00 1,160.00 PAID 5/16/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,200.00 300.00 750.00 750.00 750.00
- 300.00 750.00 750.00 750.00 PAID 5/16/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
450.00 50.00 280.00 280.00 220.00
- 50.00 280.00 280.00 220.00 PAID 5/16/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


700.00 200.00 490.00 490.00 410.00
- 200.00 490.00 490.00 410.00 PAID 5/16/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,200.00 300.00 200.00 600.00 900.00
1,350.00 150.00 350.00 1,050.00 450.00
1,500.00 300.00 300.00 900.00 900.00
1,500.00 300.00 300.00 900.00 900.00
900.00 100.00 280.00 560.00 440.00
- 1,150.00 1,430.00 4,010.00 3,590.00 PAID 5/16/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,000.00 500.00 1,450.00 1,450.00 1,050.00
450.00 50.00 270.00 270.00 230.00
2,700.00 100.00 2,390.00 2,390.00 410.00
900.00 300.00 290.00 290.00 910.00
950.00 50.00 85.00 850.00 150.00
500.00 100.00 300.00 300.00 300.00
1,000.00 200.00 300.00 600.00 600.00
- 1,300.00 5,085.00 6,150.00 3,650.00 PAID 5/16/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


4,500.00 1,500.00 85.00 2,550.00 3,450.00
4,500.00 1,500.00 85.00 2,550.00 3,450.00
4,500.00 1,500.00 300.00 1,500.00 4,500.00
- 4,500.00 470.00 6,600.00 11,400.00

AMOUNT REBATE CGS TOTAL CGS NET SALES


9,000.00 1,000.00 7,000.00 7,000.00 3,000.00
4,800.00 1,200.00 750.00 3,000.00 3,000.00
480.00 270.00 85.00 255.00 495.00
- 2,470.00 7,835.00 10,255.00 6,495.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,800.00 200.00 1,450.00 1,450.00 550.00
2,100.00 700.00 1,250.00 1,250.00 1,550.00
1,500.00 200.00 1,150.00 1,150.00 550.00
- 1,100.00 3,850.00 3,850.00 2,650.00 PAID 5/20/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,700.00 300.00 480.00 480.00 1,520.00
2,800.00 200.00 2,500.00 2,500.00 500.00
1,100.00 100.00 900.00 900.00 300.00
1,100.00 100.00 900.00 900.00 300.00
2,000.00 500.00 1,450.00 1,450.00 1,050.00
1,500.00 500.00 700.00 700.00 1,300.00
3,000.00 500.00 2,490.00 2,490.00 1,010.00
- 2,200.00 9,420.00 9,420.00 5,980.00 PAID 5/23/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,000.00 600.00 650.00 1,300.00 1,300.00
4,000.00 1,000.00 1,450.00 2,900.00 2,100.00
900.00 300.00 490.00 490.00 710.00
800.00 200.00 433.00 433.00 567.00
2,800.00 200.00 2,490.00 2,490.00 510.00
3,600.00 400.00 3,000.00 3,000.00 1,000.00
1,500.00 200.00 1,150.00 1,150.00 550.00
14,000.00 2,800.00 300.00 8,400.00 8,400.00
- 5,700.00 9,963.00 20,163.00 15,137.00 PAID 6/22/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,600.00 400.00 50.00 1,000.00 1,000.00
800.00 200.00 50.00 500.00 500.00
2,800.00 400.00 300.00 1,200.00 2,000.00
- 1,000.00 400.00 2,700.00 3,500.00 PAID 5/27/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,500.00 500.00 300.00 1,500.00 1,500.00
1,200.00 200.00 350.00 700.00 700.00
1,000.00 200.00 300.00 600.00 600.00
1,200.00 200.00 480.00 960.00 440.00
1,400.00 200.00 560.00 1,120.00 480.00
4,000.00 500.00 3,000.00 3,000.00 1,500.00
1,900.00 100.00 85.00 1,700.00 300.00
2,850.00 150.00 85.00 2,550.00 450.00
2,000.00 500.00 1,450.00 1,450.00 1,050.00
2,800.00 400.00 2,090.00 2,090.00 1,110.00
1,100.00 100.00 900.00 900.00 300.00
2,000.00 200.00 900.00 1,800.00 400.00
1,900.00 100.00 85.00 1,700.00 300.00
3,500.00 300.00 2,950.00 2,950.00 850.00
2,200.00 200.00 900.00 1,800.00 600.00
1,000.00 100.00 900.00 900.00 200.00
- 3,950.00 15,335.00 25,720.00 10,780.00 PAID 6/15/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
2,700.00 100.00 2,390.00 2,390.00 410.00
2,800.00 200.00 2,490.00 2,490.00 510.00
2,000.00 500.00 1,450.00 1,450.00 1,050.00
2,000.00 500.00 1,450.00 1,450.00 1,050.00
3,800.00 200.00 1,590.00 3,180.00 820.00
1,200.00 300.00 730.00 730.00 770.00
4,600.00 400.00 1,890.00 3,780.00 1,220.00
4,200.00 400.00 1,690.00 3,380.00 1,220.00
4,000.00 400.00 1,590.00 3,180.00 1,220.00
2,200.00 100.00 1,950.00 1,950.00 350.00
1,400.00 400.00 790.00 790.00 1,010.00
1,400.00 400.00 790.00 790.00 1,010.00
1,600.00 400.00 910.00 910.00 1,090.00
1,300.00 200.00 720.00 720.00 780.00
2,800.00 200.00 2,490.00 2,490.00 510.00
1,100.00 200.00 650.00 650.00 650.00
4,800.00 800.00 350.00 2,800.00 2,800.00
6,000.00 1,200.00 300.00 3,600.00 3,600.00
1,100.00 100.00 50.00 500.00 700.00
1,300.00 200.00 80.00 800.00 700.00
650.00 100.00 80.00 400.00 350.00
2,400.00 600.00 50.00 1,500.00 1,500.00
2,400.00 600.00 50.00 1,500.00 1,500.00
3,500.00 300.00 2,950.00 2,950.00 850.00
8,800.00 27,480.00 44,380.00 25,670.00 PAID 7/29/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


13,600.00 1,400.00 6,000.00 12,000.00 3,000.00
- 1,400.00 6,000.00 12,000.00 3,000.00 PAID 7/14/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,400.00 400.00 490.00 980.00 820.00
1,400.00 400.00 650.00 650.00 1,150.00
- 800.00 1,140.00 1,630.00 1,970.00 PAID 6/6/2016
AMOUNT REBATE CGS TOTAL CGS NET SALES
3,300.00 600.00 85.00 2,550.00 1,350.00
1,000.00 200.00 350.00 700.00 500.00
- 800.00 435.00 3,250.00 1,850.00 PAID 5/18/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


6,500.00 2,200.00 2,200.00 2,200.00 6,500.00
600.00 200.00 85.00 340.00 460.00
1,800.00 700.00 800.00 800.00 1,700.00
- 3,100.00 3,085.00 3,340.00 8,660.00 PAID 5/19/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


65,000.00 5,000.00 650.00 65,000.00 5,000.00
- 5,000.00 650.00 65,000.00 5,000.00 PAID 6/14/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


8,400.00 600.00 2,500.00 7,500.00 1,500.00
- 600.00 2,500.00 7,500.00 1,500.00

AMOUNT REBATE CGS TOTAL CGS NET SALES


7,000.00 1,000.00 6,000.00 6,000.00 2,000.00
- 1,000.00 6,000.00 6,000.00 2,000.00 PAID 6/13/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
600.00 200.00 280.00 280.00 520.00
- 200.00 280.00 280.00 520.00 PAID 5/23/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


5,000.00 1,000.00 3,500.00 3,500.00 2,500.00
5,000.00 1,000.00 3,500.00 3,500.00 2,500.00
- 2,000.00 7,000.00 7,000.00 5,000.00 PAID 7/19/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,600.00 600.00 800.00 800.00 1,400.00
- 600.00 800.00 800.00 1,400.00 PAID 5/17/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


3,600.00 800.00 1,040.00 2,080.00 2,320.00
4,000.00 800.00 1,120.00 2,240.00 2,560.00
- 1,600.00 2,160.00 4,320.00 4,880.00 PAID 12/8/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


15,500.00 1,500.00 13,000.00 13,000.00 4,000.00
- 1,500.00 13,000.00 13,000.00 4,000.00 PAID 5/24/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
5,000.00 1,000.00 3,000.00 3,000.00 3,000.00
- 1,000.00 3,000.00 3,000.00 3,000.00 PAID 6/15/16

AMOUNT REBATE CGS TOTAL CGS NET SALES

AMOUNT REBATE CGS TOTAL CGS NET SALES


700.00 100.00 162.00 324.00 476.00
- 100.00 162.00 324.00 476.00 PAID 5/23/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,500.00 250.00 162.00 810.00 940.00
- 250.00 162.00 810.00 940.00 PAID 5/25/16

AMOUNT REBATE CGS TOTAL CGS NET SALES

13,000.00 2,000.00 10,000.00 10,000.00 5,000.00

13,000.00 2,000.00 10,000.00 10,000.00 5,000.00


13,000.00 2,000.00 900.00 9,000.00 6,000.00
1,800.00 - 300.00 1,800.00 -
- 6,000.00 21,200.00 30,800.00 16,000.00 PAID 5/23/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 50.00 500.00 700.00
- 50.00 500.00 700.00
- - 100.00 1,000.00 1,400.00 PAID 5/24/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 50.00 1,000.00 1,400.00
- 50.00 1,000.00 1,400.00 PAID 5/24/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


600.00 200.00 280.00 280.00 520.00
180.00 70.00 50.00 50.00 200.00
540.00 - 40.00 50.00 150.00 350.00
- 2,500.00 1,500.00 - 2,500.00
- 2,730.00 1,880.00 480.00 3,570.00 PAID 5/24/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 4,500.00 660.00 660.00 3,840.00
- 225.00 85.00 85.00 140.00
- 450.00 85.00 170.00 280.00
- 225.00 85.00 85.00 140.00
- 450.00 85.00 170.00 280.00
- 900.00 85.00 340.00 560.00
- 500.00 162.00 162.00 338.00
4,000.00
- 7,250.00 1,247.00 1,672.00 9,578.00 PAID 5/24/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
4,300.00 200.00 3,500.00 3,500.00 1,000.00
5,600.00 400.00 2,500.00 5,000.00 1,000.00
- 600.00 6,000.00 8,500.00 2,000.00 PAID 3/8/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


700.00 100.00 500.00 500.00 300.00
3,500.00 1,000.00 3,500.00 3,500.00 1,000.00
3,500.00 1,000.00 3,500.00 3,500.00 1,000.00
3,500.00 1,000.00 3,500.00 3,500.00 1,000.00
3,500.00 1,000.00 3,500.00 3,500.00 1,000.00
5,600.00 400.00 2,500.00 5,000.00 1,000.00
- 4,500.00 17,000.00 19,500.00 5,300.00 PAID 8/8/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


2,500.00 1,000.00 1,540.00 1,540.00 1,960.00
700.00 100.00 162.00 324.00 476.00
700.00 100.00 162.00 324.00 476.00
- 1,200.00 1,864.00 2,188.00 2,912.00 PAID 5/25/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,800.00 400.00 85.00 1,700.00 500.00
- 400.00 85.00 1,700.00 500.00 PAID 5/25/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
- 4,500.00 750.00 750.00 3,750.00
- 4,500.00 750.00 750.00 3,750.00 PAID 5/25/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


5,600.00 400.00 2,500.00 5,000.00 1,000.00
- 400.00 2,500.00 5,000.00 1,000.00 PAID 3/8/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


800.00 200.00 162.00 324.00 676.00
- 200.00 162.00 324.00 676.00 PAID 5/26/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


1,500.00 500.00 800.00 800.00 1,200.00
1,700.00 500.00 960.00 960.00 1,240.00
- 1,000.00 1,760.00 1,760.00 2,440.00 PAID 6/22/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


12,000.00 3,000.00 9,500.00 9,500.00 5,500.00
- 3,000.00 9,500.00 9,500.00 5,500.00 PAID 5/27/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
600.00 400.00 85.00 425.00 575.00
600.00 400.00 85.00 425.00 575.00
600.00 400.00 85.00 425.00 575.00
- 1,200.00 255.00 1,275.00 1,725.00 PAID 7/20/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


500.00 100.00 250.00 250.00 350.00
1,200.00 300.00 400.00 400.00 1,100.00
1,200.00 300.00 500.00 500.00 1,000.00
1,200.00 300.00 700.00 700.00 800.00
1,200.00 300.00 700.00 700.00 800.00
- 1,300.00 2,550.00 2,550.00 4,050.00 PAID 3/8/2016

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 960.00 85.00 680.00 280.00
- 2,500.00 720.00 720.00 1,780.00
3,460.00 805.00 1,400.00 2,060.00 PAID 5/30/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 800.00 800.00 3,200.00
- 800.00 800.00 3,200.00 PAID 5/30/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


- 300.00 300.00 800.00
- 85.00 510.00 390.00
385.00 810.00 1,190.00 PAID 5/30/16
AMOUNT REBATE CGS TOTAL CGS NET SALES
- 18,000.00 18,000.00 1,500.00
- 18,000.00 18,000.00 1,500.00 PAID 5/30/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


7,800.00 1,200.00 900.00 5,400.00 3,600.00
320.00 180.00 85.00 170.00 330.00
10,000.00 7,000.00 7,000.00 7,000.00 10,000.00
6,000.00 1,000.00 2,500.00 2,500.00 4,500.00
- 9,380.00 10,485.00 15,070.00 18,430.00 PAID 5/31/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


6,000.00 1,000.00 2,500.00 2,500.00 4,500.00
10,400.00 1,600.00 4,200.00 8,400.00 3,600.00
3,600.00 900.00 900.00 2,700.00 1,800.00
- 3,500.00 7,600.00 13,600.00 9,900.00 PAID 6/27/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


8,400.00 600.00 2,500.00 7,500.00 1,500.00
- 600.00 2,500.00 7,500.00 1,500.00 PAID 6/13/16

AMOUNT REBATE CGS TOTAL CGS NET SALES


13,000.00 13,000.00 2,000.00
-
- 13,000.00 13,000.00 2,000.00 PAID 5/31/16

128,065.00 614,077.00 344,613.00 958,690.00


4,000.00
962,690.00
OS 140
ORDER SLIP: 00160

TO: DR. SEMBRANO DATE: 6/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #12 K-NAIL 850.00 1,700.00 600.00 1,200.00
20 PCS 3.5X28MM CORTICAL 200.00 4,000.00 120.00 2,400.00
2 PCS TIBIA FIXATOR 1,500.00 3,000.00 1,200.00 2,400.00
1 PC 6H NDCP 1,600.00 1,600.00 900.00 900.00
1 PC 8H NDCP 1,800.00 1,800.00 1,200.00 1,200.00
TOTAL 12,100.00 -

ORDER SLIP: 00161

TO: DARYL APLA-ON DATE: 6/6/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMP 12,000.00 12,000.00 5,500.00 5,500.00
TOTAL 12,000.00 -

ORDER SLIP: 00162

TO: DR. BARTOLABAC DATE: 6/6/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS 4.5 CORTICAL SCREWS 120.00 3,600.00 100.00 3,000.00
1 PC 10H NDCP 2,000.00 2,000.00 1,400.00 1,400.00
1 PC 8H NDCP 1,800.00 1,800.00 1,200.00 1,200.00
1 PC 9H BDCP 1,900.00 1,900.00 1,300.00 1,300.00
1 PC 10H BDCP 2,000.00 2,000.00 1,400.00 1,400.00
TOTAL 11,300.00 -

ORDER SLIP: 00163

TO: DR. NONATO DATE: 6/7/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC DRAIN 1,500.00 1,500.00 1,000.00
TOTAL 1,500.00 -

ORDER SLIP: 00164

TO: DR. BARTOLABAC DATE: 6/7/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
2 PCS 6H RECON ST 2,000.00 4,000.00 1,200.00 2,400.00
2 PCS 9H RECON ST 2,400.00 4,800.00 1,500.00 3,000.00
TOTAL 8,800.00 -

ORDER SLIP: 00165

TO: TRAUMA MEDICA ENT. DATE: 6/7/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00
1 PC #46 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #48 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 15,000.00 -

ORDER SLIP: 00166

TO: JOY MEDINA DATE: 6/8/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


12 PCS K-WIRE 3MM 120.00 1,440.00 100.00 1,200.00
TOTAL 1,440.00 -

ORDER SLIP: 00167

TO: DR. GERMAN VALDEZ DATE: 6/8/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 SET SMALL FRAGMENT WITH 40,000.00 40,000.00 31,000.00 31,000.00
1 PC OLTEN SCREW DRIVER FREE -
TOTAL 40,000.00

ORDER SLIP: 00168

TO: ALLAN (ELIXIR) DATE: 6/8/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS BONE CEMENT 3,000.00 12,000.00 -
TOTAL 12,000.00 -

ORDER SLIP: 00169


TO: DR. MANALASTAS DATE: 6/8/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #46 XLO AMP 6,000.00 6,000.00
1 BX BONE CEMENT 3,000.00 3,000.00 -
TOTAL 9,000.00 -

ORDER SLIP: 00170

TO: DR. MORALES DATE: 6/8/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT 3,000.00 6,000.00
TOTAL 6,000.00 -

ORDER SLIP: 00171

TO: DR. BALDONADO DATE: 6/8/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT W/ GENTA 6,000.00 6,000.00
TOTAL 6,000.00 -
5MM LOCKING SCREW
ORDER SLIP: 00172

TO: DR. ROGELIO ABITONG DATE: 6/9/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X18 CORTICAL SCREW 200.00 2,000.00 120.00 1,200.00
10 PCS 3.5X20 CORTICAL SCREW 200.00 2,000.00 120.00 1,200.00
TOTAL 4,000.00 -

ORDER SLIP: 00173

TO: DRA. CARLA ARANETA DATE: 6/9/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 7 HOLES MDCP 1,780.00 1,780.00
6 PCS 3.5 CORTICAL 120.00 720.00 -
TOTAL 2,500.00 -

ORDER SLIP: 00174


TO: DR. GONZALES DATE: 6/9/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES MDCP 1,900.00 1,900.00
5 PCS 3.5 CORTICAL 120.00 600.00 -
TOTAL 2,500.00 -

ORDER SLIP: 00175

TO: JANICE / ORTHOGEN DATE: 6/9/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6HOLES MDCP 600.00 600.00 500.00 500.00
TOTAL 600.00 -

ORDER SLIP: 00176

TO: DR. GIL TENEFRANCIA DATE: 6/9/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS K-NAIL 9" 800.00 1,600.00 600.00 1,200.00
TOTAL 1,600.00 -

ORDER SLIP: 00177

TO: DR. JENSY ONG DATE: 6/9/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 THOMPSON 6,000.00 6,000.00 4,500.00 4,500.00
1 PC #44 THOMPSON 6,000.00 6,000.00 4,500.00 4,500.00
TOTAL 12,000.00 -

ORDER SLIP: 00178

TO: DR. AROZENA DATE: 6/10/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 5/64 PINS 120.00 600.00
1 PC EXFIX TIBIA 1,200.00 1,200.00 -
1 PC EXFIX FEMUR 1,200.00 1,200.00 -
TOTAL 3,000.00 -

ORDER SLIP: 00179


TO: DR. DUMLAO DATE: 6/10/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS .062 PINS 120.00 1,200.00 -
10 PCS 5/64 PINS 120.00 1,200.00 -
3 PCS PEDIA STEINMAN 130.00 390.00 -
TOTAL 2,790.00 -

ORDER SLIP: 00180

TO: DR. DANILO OLEGARIO DATE: 6/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8 HOLES T-BUTTRESS 3,500.00 3,500.00 2,200.00 2,200.00
1 PC 9 HOLES T-BUTTRESS 3,500.00 3,500.00 2,300.00 2,300.00
TOTAL 7,000.00 -

ORDER SLIP: 00181

TO: DR. GIL TENEFRANCIA DATE: 6/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMP 8,500.00 8,500.00 5,000.00 5,000.00
1 PC DRAIN 1,500.00 1,500.00 1,000.00 1,000.00
TOTAL 10,000.00 -

ORDER SLIP: 00182

TO: ALLAN (ILIX) DATE: 6/13/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


70 PCS 3.5 CORTICAL 100.00 7,000.00 -
TOTAL 7,000.00 -

ORDER SLIP: 00183

TO: TRAUMA MEDICA ENT. DATE: 6/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #46 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -
ORDER SLIP: 00184

TO: JANICE/ORTHOGEN DATE: 6/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5H MDCP 500.00 500.00 400.00 400.00
5 PCS 3.5 CORTICAL 120.00 600.00 100.00 500.00
1 PC 3/32 PINS 120.00 120.00 100.00 100.00
1 PC #18 CERCLAGE WIRE 700.00 700.00 550.00 550.00
TOTAL 1,920.00 -

ORDER SLIP: 00185

TO: DR. RAUL SABADO DATE: 6/14/16 ALL RETURNED

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #38 XLO AMP -
1 PC #39 XLO AMP -
TOTAL - -

ORDER SLIP: 00186

TO: DR. WONG DATE: 6/14/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS .062 PINS 120.00 1,200.00 -
10 PCS 5/64 PINS 120.00 1,200.00 -
TOTAL 2,400.00 -

ORDER SLIP: 00187

TO: DR. MIKO VER DATE: 6/14/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5/64 PINS 120.00 120.00 -
1 PC 3/32 PINS 120.00 120.00 -
1 PC PEDIA STEINMAN 180.00 180.00 -
1 PC ADULT 180.00 180.00 -
TOTAL 600.00 -

ORDER SLIP: 00188

TO: ALLAN (ILIX) DATE: 6/14/16 EDSEL


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
3 PCS COBBS 2,300.00 6,900.00
3 PCS CURETTE 900.00 2,700.00 -
3 PCS OSTEOTOM 20MM 900.00 2,700.00 -
3 PCS OSTEOTOM 15MM 900.00 2,700.00 -
3 PCS CALIPHER 1,500.00 4,500.00 -
2 PCS SKID 1,800.00 3,600.00 -
1 PC PLIER WITH CUTTER 3,800.00 3,800.00 -
TOTAL 26,900.00 -

ORDER SLIP: 00189

TO: TRAUMA MEDICA ENT. DATE: 6/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 4 HOLES MDCP 600.00 1,200.00 500.00 1,000.00
TOTAL 1,200.00 -

ORDER SLIP: 00190

TO: TRAUMA MEDICA ENT. DATE: 6/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #44 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 9,000.00 -

ORDER SLIP: 00191

TO: TOTAL ORTHO DATE: 6/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 15 HOLES MDCP 3,000.00 3,000.00 1,500.00 1,500.00
TOTAL 3,000.00 -

ORDER SLIP: 00192

TO: JOSE MAGUAD DATE: 6/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS 3.5X16 CORTICAL 110.00 3,300.00 90.00 2,700.00
TOTAL 3,300.00 -
ORDER SLIP: 00193

TO: DR. STEPHEN TABLADILLO DATE: 6/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC EXFIX FEMUR 1,500.00 1,500.00 1,000.00 1,000.00
1 PC PALACOS CEMENT 7,000.00 7,000.00 6,000.00 6,000.00
TOTAL 8,500.00

ORDER SLIP: 00194

TO: DR. BONG ALDAY DATE: 6/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X28 CORTICAL SCREW 200.00 2,000.00 120.00 1,200.00
10 PCS 3.5X30 CORTICAL SCREW 200.00 2,000.00 120.00 1,200.00
10 PCS 3.5X34 CORTICAL SCREW 200.00 2,000.00 120.00 1,200.00
TOTAL 6,000.00 -

ORDER SLIP: 00195

TO: JOSE MAGUAD DATE: 6/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


15 PCS 3.5X14 CORTICAL 110.00 1,650.00 90.00 1,350.00
15 PCS 3.5X16 CORTICAL 110.00 1,650.00 90.00 1,350.00
10 PCS 3.5X18 CORTICAL 110.00 1,100.00 90.00 900.00
1 PC 6 HOLES 1/3 TUBULAR 700.00 700.00 600.00 600.00
TOTAL 5,100.00 -

ORDER SLIP: 00196

TO: VETERANS MEMORIAL MED. CENTER DATE: 6/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #43 XLO AMP 4,500.00 9,000.00 4,000.00 8,000.00
TOTAL 9,000.00 -

ORDER SLIP: 00197

TO: DR. MARK BARTOLBAC DATE: 6/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


INTERLOCKING NAIL
1 SET INSTRUMENTS SET 69,200.00 69,200.00 30,000.00 30,000.00
4 PCS T-REAMER 9-12MM 2,500.00 10,000.00 2,200.00 8,800.00
2 PCS VERBRUGE LARGE 3,200.00 6,400.00 2,800.00 5,600.00
2 PCS KERN LARGE 3,200.00 6,400.00 2,800.00 5,600.00
TOTAL 92,000.00 37,800.00 50,000.00

ORDER SLIP: 00198

TO: VETERANS MEMORIAL MED CTR DATE: 6/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 4.0X30 CANCELLOUS F/T 400.00 400.00 300.00 300.00
2 PCS 4.0X20 CANCELLOUS H/T 400.00 800.00 300.00 600.00
TOTAL 1,200.00 -

ORDER SLIP: 00199

TO: FRANCIS CLAMOSA DATE: 6/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 38 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 39 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 40 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 41 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 42 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 43 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 44 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 45 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 46 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 47 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 48 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 49 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 50 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
5 PCS BONE CEMENT 3,000.00 15,000.00 2,800.00 14,000.00
1 PC IMPACTOR - -
1 PC EXTRACTOR - -
1 PC BONE SKID - -
1 PC CALIPHER - -
1 PC SMALL MALLET - -
TOTAL 73,500.00 -

ORDER SLIP: 00200

TO: DR. PAZ DATE: 6/23/16 EDSEL


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC #40 XLO AMP 6,000.00 6,000.00 -
TOTAL 6,000.00 -

ORDER SLIP: 00201

TO: TRAUMA DATE: 6/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 6HOLES 1/3 TUBULAR 700.00 3,500.00 600.00 3,000.00
TOTAL 3,500.00 -

ORDER SLIP: 00202

TO: DR. ALEXANDER JARATA DATE: 6/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


25 PCS 4.5X58 CORTICAL SCREW 200.00 5,000.00 120.00 3,000.00
TOTAL 5,000.00 -

ORDER SLIP: 00203

TO: ANTHONY BENGULLO DATE: 6/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 SET SMALL FRAGMENT 35,000.00 28,000.00 28,000.00
TOTAL 35,000.00 -

ORDER SLIP: 00204

TO: ANTHONY BENGULLO DATE: 6/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 SET LARGE FRAGMENT 35,000.00 28,000.00 28,000.00
TOTAL 35,000.00 -

ORDER SLIP: 00205

TO: ANTHONY BENGULLO DATE: 6/24/16

cancelled
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
POWER DRILL WITH 2
1 PC BATTERIES, CHARGER & TRAY 55,000.00 40,000.00 40,000.00
TOTAL

ORDER SLIP: 00206

TO: TOTAL ORTHO DATE: 6/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 8 HOLES 1/3 TUBULAR 1,400.00 14,000.00 800.00 8,000.00
TOTAL 14,000.00 -

ORDER SLIP: 00207

TO: DR. AMADO RACPAN DATE: 6/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC VERBRUDGE 6" 2,300.00 2,300.00 2,100.00 2,100.00
TOTAL 2,300.00 -

ORDER SLIP: 00208

TO: DR. RAMON TEODORO DATE: 6/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


RADIUS ULTRA EXTERNAL
1 SET FIXATOR W/ INSTRUMENTS 1,500.00 1,300.00 1,300.00
TOTAL 1,500.00 -

ORDER SLIP: 00209

TO: DR. ROMMEL ESTILLORE DATE: 6/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 90 LAG SCREW 2,500.00 2,500.00 1,500.00 1,500.00
1 PC CHS PLATE 4 HOLES 7,700.00 7,700.00 5,000.00 5,000.00
4 PCS 4.5 CORTICAL SCREW 200.00 800.00 120.00 480.00
TOTAL 11,000.00 -

ORDER SLIP: 00210

TO: EDDIE BATAD/DR. KIMPAY DATE: 6/25/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
15 PCS 3.5X26 CORTICAL 100.00 1,500.00 90.00 1,350.00
15 PCS 3.5X28 CORTICAL 100.00 1,500.00 90.00 1,350.00
15 PCS 3.5X30 CORTICAL 100.00 1,500.00 90.00 1,350.00
15 PCS 3.5X32 CORTICAL 100.00 1,500.00 90.00 1,350.00
15 PCS 3.5X34 CORTICAL 100.00 1,500.00 90.00 1,350.00
10 PCS 3.5X36 CORTICAL 100.00 1,000.00 90.00 900.00
10 PCS 3.5X40 CORTICAL 100.00 1,000.00 90.00 900.00
10 PCS 3.5X42 CORTICAL 100.00 1,000.00 90.00 900.00
10 PCS 3.5X44 CORTICAL 100.00 1,000.00 90.00 900.00
TOTAL 11,500.00 -

ORDER SLIP: 00211

TO: DR. MARK KIMPAY DATE: 6/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 BXS BONE CEMENT 3,000.00 9,000.00 2,800.00 8,400.00
TOTAL 9,000.00

ORDER SLIP: 00212

TO: DR. JUSTINIANO BAI DATE: 6/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS 7 HOLES MDCP 1,300.00 5,200.00 900.00 3,600.00
30 PCS 3.5X16MM CORTICAL 200.00 6,000.00 120.00 3,600.00
20 PCS 3.5X20MM CORTICAL 200.00 4,000.00 120.00 2,400.00
20 PCS 3.5X22MM CORTICAL 200.00 4,000.00 120.00 2,400.00
2 PCS EXFIX TIBIA 1,500.00 3,000.00 1,200.00 2,400.00
TOTAL 22,200.00

ORDER SLIP: 00213

TO: WESTECH DATE: 6/28/16


CANCELLED

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT

TOTAL -

ORDER SLIP: 00214

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 6/28/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
30 PCS 5/64 PINS 100.00 3,000.00 80.00 2,400.00
TOTAL 3,000.00 -

ORDER SLIP: 00215

TO: TRAUMA MEDICA ENT. DATE: 6/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 3,000.00 -

598,250.00
1,950.00
600,200.00
REBATE CGS TOTAL CAPITAL NET SALES
500.00 350.00 700.00 1,000.00
1,600.00 85.00 1,700.00 2,300.00
600.00 900.00 1,800.00 1,200.00
700.00 480.00 480.00 1,120.00
600.00 640.00 640.00 1,160.00
4,000.00 2,455.00 5,320.00 6,780.00 PAID 7/28/16

REBATE CGS TOTAL CAPITAL NET SALES


6,500.00 3,500.00 3,500.00 8,500.00
6,500.00 3,500.00 3,500.00 8,500.00 PAID 6/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


600.00 85.00 2,550.00 1,050.00
600.00 800.00 800.00 1,200.00
600.00 640.00 640.00 1,160.00
600.00 720.00 720.00 1,180.00
600.00 800.00 800.00 1,200.00
3,000.00 3,045.00 5,510.00 5,790.00 PAID 6/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


650.00 650.00 850.00
650.00 650.00 850.00 PAID 7/6/2016
REBATE CGS TOTAL CAPITAL NET SALES
1,600.00 600.00 1,200.00 2,800.00
1,800.00 900.00 1,800.00 3,000.00
3,400.00 1,500.00 3,000.00 5,800.00 PAID 8/16/16

REBATE CGS TOTAL CAPITAL NET SALES


2,500.00 2,500.00 5,000.00 1,000.00
3,500.00 3,500.00 3,500.00 1,000.00
3,500.00 3,500.00 3,500.00 1,000.00
9,500.00 9,500.00 12,000.00 3,000.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


240.00 85.00 1,020.00 420.00
240.00 85.00 1,020.00 420.00 PAID 8/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


9,000.00 26,000.00 26,000.00 14,000.00
1,150.00 1,150.00 - 1,150.00
9,000.00 27,150.00 27,150.00 12,850.00 PAID 8/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,500.00 10,000.00 2,000.00
2,500.00 10,000.00 2,000.00 PAID 8/6/2016
REBATE CGS TOTAL CAPITAL NET SALES
3,500.00 3,500.00 2,500.00
2,500.00 2,500.00 500.00
6,000.00 6,000.00 3,000.00 PAID 8/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,500.00 5,000.00 1,000.00
2,500.00 5,000.00 1,000.00 PAID 8/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 5,000.00 1,000.00
5,000.00 5,000.00 1,000.00 PAID 8/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


800.00 85.00 850.00 1,150.00
800.00 85.00 850.00 1,150.00
1,600.00 170.00 1,700.00 2,300.00 PAID 11/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


350.00 350.00 1,430.00
85.00 510.00 210.00
435.00 860.00 1,640.00 PAID 8/6/2016
REBATE CGS TOTAL CAPITAL NET SALES
300.00 300.00 1,600.00
85.00 425.00 175.00
385.00 725.00 1,775.00 PAID 8/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


100.00 300.00 300.00 300.00
100.00 300.00 300.00 300.00 PAID 6/14/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 350.00 700.00 900.00
400.00 350.00 700.00 900.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 3,500.00 3,500.00 2,500.00
1,500.00 3,500.00 3,500.00 2,500.00
3,000.00 7,000.00 7,000.00 5,000.00 PAID 6/17/16

REBATE CGS TOTAL CAPITAL NET SALES


50.00 250.00 350.00
900.00 900.00 300.00
900.00 900.00 300.00
1,850.00 2,050.00 950.00 PAID 10/6/2016
REBATE CGS TOTAL CAPITAL NET SALES
50.00 500.00 700.00
50.00 500.00 700.00
50.00 150.00 240.00
150.00 1,150.00 1,640.00 PAID 10/6/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,120.00 800.00 800.00 2,700.00
1,260.00 850.00 850.00 2,650.00
2,380.00 1,650.00 1,650.00 5,350.00 PAID 6/13/16

REBATE CGS TOTAL CAPITAL NET SALES


3,500.00 3,500.00 3,500.00 5,000.00
500.00 650.00 650.00 850.00
4,000.00 4,150.00 4,150.00 5,850.00 PAID 6/13/16

REBATE CGS TOTAL CAPITAL NET SALES


85.00 5,950.00 1,050.00
85.00 5,950.00 1,050.00 PAID 6/13/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID 3/8/2016
REBATE CGS TOTAL CAPITAL NET SALES
100.00 250.00 250.00 250.00
100.00 85.00 425.00 175.00
20.00 50.00 50.00 70.00
150.00 280.00 280.00 420.00
370.00 665.00 1,005.00 915.00 PAID 6/14/16

REBATE CGS TOTAL CAPITAL NET SALES


- -
- -
- - - - RETURNED 7/4/16

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 50.00 500.00 700.00
1,200.00 50.00 500.00 700.00
100.00 1,000.00 1,400.00

REBATE CGS TOTAL CAPITAL NET SALES


120.00 50.00 50.00 70.00
120.00 50.00 50.00 70.00
180.00 50.00 50.00 130.00
180.00 80.00 80.00 100.00
600.00 230.00 230.00 370.00
REBATE CGS TOTAL CAPITAL NET SALES
1,450.00 4,350.00 2,550.00
490.00 1,470.00 1,230.00
490.00 1,470.00 1,230.00
490.00 1,470.00 1,230.00
180.00 540.00 3,960.00
850.00 1,700.00 1,900.00
2,990.00 2,990.00 810.00
6,940.00 13,990.00 12,910.00 PAID 4/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 200.00 400.00 800.00
200.00 200.00 400.00 800.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
1,000.00 7,000.00 7,000.00 2,000.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 750.00 750.00 2,250.00
1,500.00 750.00 750.00 2,250.00 PAID 6/21/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 85.00 2,550.00 750.00
600.00 85.00 2,550.00 750.00 PAID 6/21/16
REBATE CGS TOTAL CAPITAL NET SALES
500.00 900.00 900.00 600.00
1,000.00 5,000.00 5,000.00 2,000.00
1,500.00 5,900.00 5,900.00 2,600.00 PAID 8/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


800.00 85.00 850.00 1,150.00
800.00 85.00 850.00 1,150.00
800.00 85.00 850.00 1,150.00
2,400.00 255.00 2,550.00 3,450.00 PAID 6/21/16

REBATE CGS TOTAL CAPITAL NET SALES


300.00 85.00 1,275.00 375.00
300.00 85.00 1,275.00 375.00
200.00 85.00 850.00 250.00
100.00 85.00 85.00 615.00
800.00 340.00 3,485.00 1,615.00 PAID 6/28/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 3,500.00 7,000.00 2,000.00
1,000.00 3,500.00 7,000.00 2,000.00 PAID 6/22/16

REBATE CGS TOTAL CAPITAL NET SALES


39,200.00 20,000.00 20,000.00 49,200.00
1,200.00 1,450.00 5,800.00 4,200.00
800.00 2,090.00 4,180.00 2,220.00
800.00 2,490.00 4,980.00 1,420.00
42,000.00 26,030.00 34,960.00 57,040.00 PAID 6/23/16

REBATE CGS TOTAL CAPITAL NET SALES


100.00 162.00 162.00 238.00
200.00 162.00 324.00 476.00
300.00 324.00 486.00 714.00 PAID 6/22/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
15,500.00 3,500.00 3,500.00 1,000.00
1,000.00 2,500.00 12,500.00 2,500.00
- -
- -
- -
- -
- -
22,500.00 48,000.00 58,000.00 15,500.00 PAID 5/8/2016
REBATE CGS TOTAL CAPITAL NET SALES
6,000.00 3,500.00 3,500.00 2,500.00
6,000.00 3,500.00 3,500.00 2,500.00 PAID 6/23/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 300.00 1,500.00 2,000.00
500.00 300.00 1,500.00 2,000.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 85.00 2,125.00 2,875.00
2,000.00 85.00 2,125.00 2,875.00 PAID 11/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


7,000.00 20,000.00 20,000.00 15,000.00
7,000.00 20,000.00 20,000.00 15,000.00 PAID 6/24/16

REBATE CGS TOTAL CAPITAL NET SALES


7,000.00 20,000.00 20,000.00 15,000.00
7,000.00 20,000.00 20,000.00 15,000.00 PAID 6/24/16

REBATE CGS TOTAL CAPITAL NET SALES


15,000.00 26,400.00 26,400.00 28,600.00

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 400.00 4,000.00 10,000.00
6,000.00 400.00 4,000.00 10,000.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 1,590.00 1,590.00 710.00
200.00 1,590.00 1,590.00 710.00 PAID 6/30/16

REBATE CGS TOTAL CAPITAL NET SALES

200.00 900.00 900.00 600.00


200.00 900.00 900.00 600.00 PAID 7/18/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 800.00 800.00 1,700.00
2,700.00 2,300.00 2,300.00 5,400.00
320.00 85.00 340.00 460.00
4,020.00 3,185.00 3,440.00 7,560.00 PAID 6/27/16
REBATE CGS TOTAL CAPITAL NET SALES
150.00 85.00 1,275.00 225.00
150.00 85.00 1,275.00 225.00
150.00 85.00 1,275.00 225.00
150.00 85.00 1,275.00 225.00
150.00 85.00 1,275.00 225.00
100.00 85.00 850.00 150.00
100.00 85.00 850.00 150.00
100.00 85.00 850.00 150.00
100.00 85.00 850.00 150.00
1,150.00 765.00 9,775.00 1,725.00 PAID 7/13/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 2,500.00 7,500.00 1,500.00
600.00 2,500.00 7,500.00 1,500.00 PAID 11/7/16

REBATE CGS TOTAL CAPITAL NET SALES


1,600.00 350.00 1,400.00 3,800.00
2,400.00 85.00 2,550.00 3,450.00
1,600.00 85.00 1,700.00 2,300.00
1,600.00 85.00 1,700.00 2,300.00
600.00 900.00 1,800.00 1,200.00
7,800.00 1,505.00 9,150.00 13,050.00 PAID 1/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


REBATE CGS TOTAL CAPITAL NET SALES
600.00 50.00 1,500.00 1,500.00
600.00 50.00 1,500.00 1,500.00 PAID 7/14/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 2,500.00 2,500.00 500.00
200.00 2,500.00 2,500.00 500.00 PAID 3/8/2016

159,060.00 340,671.00 257,579.00


OS AMT
52 19,500.00
ORDER SLIP: 00216

TO: DR. ROMMEL CASTILLO DATE:7/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS GIGLI SAW 600.00 1,200.00 500.00 1,000.00
TOTAL 1,200.00 -

ORDER SLIP: 00217

TO: FRANCIS CLAMOSA DATE:7/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 42 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 43 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 45 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 46 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 18,000.00 -

ORDER SLIP: 00218

TO: TRAUMA MEDICA ENT. DATE:7/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS 3.5X14MM CORTICAL 100.00 300.00 95.00 285.00
2 PCS 3.5X18MM CORTICAL 100.00 200.00 95.00 190.00
4 PCS 3.5X16MM CORTICAL 100.00 400.00 95.00 380.00
1 PC 6H MDCP 700.00 700.00 500.00 500.00
1 PC 7H MDCP 800.00 800.00 600.00 600.00
TOTAL 2,400.00

ORDER SLIP: 00219

TO: DR. ROMINA TORRES DATE:7/04/16


DISCOUNTED 300

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC WIRE CUTTER 6,800.00 6,800.00 5,000.00 5,000.00
TOTAL 6,800.00 -

ORDER SLIP: 00220


TO: ZENY-WESTECH DATE:7/05/16
CANCELLED

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT

TOTAL - -

ORDER SLIP: 00221

TO: EDDIE BATAD DATE:7/05/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 7 HOLES MDCP 800.00 1,600.00 600.00 1,200.00
2 PCS 8 HOLES MDCP 900.00 1,800.00 700.00 1,400.00
2 PCS 7 HOLES 1/3 TUBULAR 800.00 1,600.00 600.00 1,200.00
2 PCS 8 HOLES 1/3 TUBULAR 900.00 1,800.00 700.00 1,400.00
TOTAL 6,800.00 -

ORDER SLIP: 00222

TO: FRANCIS CLAMOSA DATE:7/05/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #39 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #44 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
3 BXS BONE CEMENT 3,000.00 9,000.00 2,800.00 8,400.00
1 PC #43 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 22,500.00 -

ORDER SLIP: 00223

TO: DR. ANGELO MANGAHAS DATE:7/05/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


100 PCS 4.5X58 CORTICAL 180.00 18,000.00 120.00 12,000.00
TOTAL 18,000.00 -

ORDER SLIP: 00224

TO: DRA. CARLA ARANETA DATE:7/05/16 EDSEL


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 6 HOLES MDCP 1,900.00 1,900.00 -
1 PC 7 HOLES MDCP 2,000.00 2,000.00 -
11 PCS 3.5 CORTICAL 100.00 1,100.00 -
TOTAL 5,000.00 -

ORDER SLIP: 00225

TO: DRA. CARLA ARANETA DATE:7/05/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 HOLES MDCP 1,700.00 1,700.00 -
8 PCS 3.5 CORTICAL 100.00 800.00 -
TOTAL 2,500.00 -

ORDER SLIP: 00226

TO: DR. ARCINUE DATE:7/05/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 7 HOLES MDCP 1,900.00 1,900.00 -
6 PCS 3.5 CORTICAL 100.00 600.00 -
TOTAL 2,500.00 -

ORDER SLIP: 00227

TO: DR. REGALADO DATE:7/05/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8 HOLES MDCP 1,800.00 1,800.00 -
7 PCS 3.5 CORTICAL 100.00 700.00 -
TOTAL 2,500.00 -

ORDER SLIP: 00228

TO: DRA. CARLA ARANETA DATE:7/05/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 7 HOLES MDCP 1,900.00 1,900.00 -
6 PCS 3.5 CORTICAL 100.00 600.00 -
TOTAL 2,500.00 -

ORDER SLIP: 00229

TO: DR. PACHECO DATE:7/05/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS ADULT STEINMAN 130.00 2,600.00 -
20 PCS .062 PINS 120.00 2,400.00 -
20 PCS .045 PINS 120.00 2,400.00 -
10 PCS PEDIA STEINMAN 120.00 1,200.00 -
TOTAL 8,600.00 -

ORDER SLIP: 00230

TO: DR. ALILING DATE:7/05/16 EDSEL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS ADULT STEINMAN 130.00 2,600.00 -
20 PCS 5/64 PINS 120.00 2,400.00 -
10 PCS .062 PINS 120.00 1,200.00 -
10 PCS .045 PINS 120.00 1,200.00 -
TOTAL 7,400.00 -

ORDER SLIP: 00231

TO: TAM MAGUAD/WESTECH DATE:7/06/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 6.5X35 CANCELLOUS 400.00 2,000.00 300.00 1,500.00
5 PCS 6.5X40 CANCELLOUS 400.00 2,000.00 300.00 1,500.00
10 PCS 3.5X16 CORTICAL 120.00 1,200.00 95.00 950.00
TOTAL 5,200.00 -

ORDER SLIP: 00232

TO: DR. ANGELO MANGAHAS DATE:7/06/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 16 H RECON ST. 2,500.00 2,500.00 2,000.00 2,000.00
4 PCS 14 H RECON ST 2,500.00 10,000.00 1,900.00 7,600.00
TOTAL 12,500.00 -

ORDER SLIP: 00233

TO: DR. GERMAN VALDEZ DATE:7/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


150 PCS 3.5 CORTICAL SCREWS 100.00 15,000.00 95.00 14,250.00
TOTAL 15,000.00 -

ORDER SLIP: 00234

TO: TRAUMA MEDICA ENT. DATE:7/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS 2.7 DRILL BIT 800.00 3,200.00 500.00 2,000.00
TOTAL 3,200.00 -

ORDER SLIP: 00235

TO: DR. MARCIANO FORONDA DATE:7/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #18 CERCLAGE WIRE 800.00 1,600.00 600.00 1,200.00
TOTAL 1,600.00 -

ORDER SLIP: 00236

TO: TRAUMA MEDICA ENT. DATE:7/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES MDCP 700.00 700.00 500.00 500.00
TOTAL 700.00 -

ORDER SLIP: 00237

TO: DR. GIL TENEFRANCIA DATE:7/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES 1/2 TUBULAR 1,300.00 1,300.00 800.00 800.00
6 PCS 4.5X24MM CORTICAL 200.00 1,200.00 120.00 720.00
TOTAL 2,500.00 -

ORDER SLIP: 00238

TO: DR. FRANCISCO ROURA DATE:7/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 41 XLO AMP 6,000.00 6,000.00 4,500.00 4,500.00
1 PC 46 XLO AMP 6,000.00 6,000.00 4,500.00 4,500.00
1 PC 47 XLO AMP 6,000.00 6,000.00 4,500.00 4,500.00
TOTAL 18,000.00 -

ORDER SLIP: 00239

TO: VETERANS MEMORIAL MEDICAL CTR. DATE:7/08/16


DISCOUNT 200

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 HOLES MDCP 1,600.00 1,600.00 1,000.00 1,000.00
1 PC 9 HOLES1/3 TUBULAR 1,600.00 1,600.00 1,000.00 1,000.00
5 PCS 3.5X16MM CORTICAL 200.00 1,000.00 120.00 600.00
5 PCS 3.5X18MM CORTICAL 200.00 1,000.00 120.00 600.00
TOTAL 5,200.00 -

ORDER SLIP: 00240

TO: DR. GIL TENEFRANCIA DATE:7/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 XLO AMP 8,500.00 8,500.00 5,500.00 5,500.00
TOTAL 8,500.00 -

ORDER SLIP: 00241

TO: TRAUMA MEDICA ENT. DATE:7/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #42 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00242


TO: DR. GIL TENEFRANCIA DATE:7/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9H PROXIMAL TIBIA RIGHT 15,000.00 15,000.00 13,000.00 13,000.00
2 PCS LOCKINGSCREWS 1,500.00 3,000.00 1,300.00 2,600.00
2 PCS 4.5X30 CORTICAL SCREWS 200.00 400.00 120.00 240.00
TOTAL 18,400.00 -

ORDER SLIP: 00243

TO: TRAUMA MEDICA ENT. DATE:7/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00
TOTAL 6,000.00 -

ORDER SLIP: 00244

TO: DR. GIL TENEFRANCIA DATE:7/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 2.7 DRILLBIT 700.00 1,400.00 500.00 1,000.00
2 PCS 3.5 DRILLBIT 700.00 1,400.00 500.00 1,000.00
2 PCS 3.2 DRILLBIT 700.00 1,400.00 500.00 1,000.00
TOTAL 4,200.00 -

ORDER SLIP: 00245

TO: JANICE EMBERGA DATE:7/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00246

TO: TRAUMA MEDICA ENT. DATE:7/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 3.5X14MM CORTICAL 100.00 500.00 95.00 475.00
5 PCS 3.5X20MM CORTICAL 100.00 500.00 95.00 475.00
2 PCS 7 HOLES 1/3 TUBULAR 800.00 1,600.00 600.00 1,200.00
1 PCS 5 HOLES 1/3 TUBULAR 600.00 600.00 400.00 400.00
TOTAL 3,200.00 -

ORDER SLIP: 00247

TO: DR. FRANCISCO ROURA DATE:7/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #48 XLO AMNP 6,000.00 6,000.00 4,500.00 4,500.00
TOTAL 6,000.00 -

ORDER SLIP: 00248

TO: DR. RANNIE AGUILAR DATE:7/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 XLO AMNP 6,000.00 6,000.00 4,500.00 4,500.00
1 PC #45 XLO AMNP 6,000.00 6,000.00 4,500.00 4,500.00
TOTAL 12,000.00 -

ORDER SLIP: 00249

TO: TRAUMA MEDICA ENT. DATE:7/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 6 HOLES MDCP 700.00 1,400.00 500.00 1,000.00
10 PCS 3.5X16MM CORTICAL 100.00 1,000.00 95.00 950.00
1 PC #42 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #45 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 15,900.00 -

ORDER SLIP: 00250

TO: TRAUMA MEDICA ENT. DATE:7/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #49 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00251

TO: FRANCIS CLAMOSA DATE:7/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 5 HOLES MDCP 600.00 3,000.00 400.00 2,000.00
5 PCS 6 HOLES MDCP 700.00 3,500.00 500.00 2,500.00
5 PCS 7 HOLES MDCP 800.00 4,000.00 600.00 3,000.00
5 PCS 8 HOLES MDCP 900.00 4,500.00 700.00 3,500.00
TOTAL 15,000.00 -

ORDER SLIP: 00252

TO: DR. MAMARADLO DATE:7/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #18 CERCLAGE WIRE 800.00 800.00 600.00 600.00
1 PC # 20 CERCLAGE WIRE 800.00 800.00 600.00 600.00
1 PC SCREW DRIVER 3.5 2,500.00 2,500.00 2,000.00 2,000.00
1 PC 2.7 DRILL BIT 700.00 700.00 400.00 400.00
1 PC 3.5 DRILL BIT 700.00 700.00 500.00 500.00
1 PC VICE GRIP 8" 4,500.00 4,500.00 4,200.00 4,200.00
TOTAL 10,000.00 -

ORDER SLIP: 00253

TO: DR. RICHILLO DAGUMAN DATE:7/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 42 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 44 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 49 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
3 PCS BONE CEMENT 3,000.00 9,000.00 2,800.00 8,400.00
TOTAL 22,500.00 -
DISCOUNT - 1,500.00
ORDER SLIP: 00254 21,000.00

TO: DR. ROMMEL ESTILLORE DATE:7/20/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 6 HOLES 1/3 TUBULAR 1,500.00 1,500.00 1,000.00 1,000.00
6 PCS 3.5 CORTICAL 200.00 1,200.00 120.00 720.00
TOTAL 2,700.00 -

ORDER SLIP: 00255

TO: DR. ROMMEL ESTILLORE DATE:7/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


7 HOLES PROXIMAL FEMUR
1 PC LOCKING PLATE-L 15,000.00 15,000.00 13,000.00 13,000.00
1 PC 5.0X30MM LOCKING SCREW 1,500.00 1,500.00 1,300.00 1,300.00
1 PC 5.0X32MM LOCKING SCREW 1,500.00 1,500.00 1,300.00 1,300.00
1 PC 5.0X34MM LOCKING SCREW 1,500.00 1,500.00 1,300.00 1,300.00
1 PC 5.0X40MM LOCKING SCREW 1,500.00 1,500.00 1,300.00 1,300.00
3 PC 5.0X85MM LOCKING SCREW 1,500.00 4,500.00 1,300.00 3,900.00
1 PC 4.5X32 CORTICAL 200.00 200.00 120.00 120.00
1 PC 4.5X36 CORTICAL 200.00 200.00 120.00 120.00
TOTAL 25,900.00 -

ORDER SLIP: 00256

TO: PAOLO (BONEFIX) DATE:7/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT 2,700.00 5,400.00 2,600.00 5,200.00
TOTAL 5,400.00 -

ORDER SLIP: 00257

TO: VETRANS MED. CENTER DATE:7/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 6.5 WASHER 450.00 900.00 300.00 600.00
1 PC 10 HOLES NDCP 2,000.00 2,000.00 1,500.00 1,500.00
TOTAL 2,900.00 -

ORDER SLIP: 00258

TO: DR. ROGELIO ABITONG DATE:7/21/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 16 HOLES BDCP 3,500.00 3,500.00 2,500.00 2,500.00
3 PCS 3.5X44MM CORTICAL 120.00 360.00 105.00 315.00
TOTAL 3,860.00 -

ORDER SLIP: 00259

TO: SUMC FOUNDATION, INC. DATE:7/21/16

CANCELLED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
DUAL FUNCTION CANNULATED
1 UNIT DRILL MODEL # RJO1002 67,000.00
TOTAL

ORDER SLIP: 00260

TO: DR. ROURA DATE:7/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 POWER DRILL RENTAL 4,000.00
TOTAL 4,000.00 -

ORDER SLIP: 00261

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 7 HOLES BDCP 1,500.00 7,500.00 1,200.00 6,000.00
3 PCS 11 HOLES BDCP 1,900.00 5,700.00 1,400.00 4,200.00
TOTAL 13,200.00 -

ORDER SLIP: 00262

TO: DR. JUSTINIANO BAI DATE:7/22/16


DISCOUNT 300

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS 4.0 X 40MM CANCELLOUS 450.00 1,350.00 350.00 1,050.00
3 PCS 4.0 X 45MM CANCELLOUS 450.00 1,350.00 350.00 1,050.00
3 PCS 4.0 X 50MM CANCELLOUS 450.00 1,350.00 350.00 1,050.00
6 PCS WASHER 450.00 2,700.00 300.00 1,800.00
TOTAL 6,750.00 -

ORDER SLIP: 00263

TO: FRANCIS CLAMOSA DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 6 HOLES MDCP 700.00 7,000.00 500.00 5,000.00
20 PCS DRAIN 800.00 16,000.00 750.00 15,000.00
3 PCS BONE CEMENT 3,000.00 9,000.00 2,800.00 8,400.00
TOTAL 32,000.00 -

ORDER SLIP: 00264

TO: DR.MARC BARTOLABAC DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


6 PCS 10MM TIBIA (26,28,30,32,34,36) 6,000.00 36,000.00 4,500.00 27,000.00
6 PCS 9MM TIBIA (26-32MM) 6,000.00 36,000.00 4,500.00 27,000.00
5 PCS 10MM FEMUR (32-40) 6,000.00 30,000.00 4,500.00 22,500.00
5 PCS 11MM FEMUR (32-40) 6,000.00 30,000.00 4,500.00 22,500.00
38 PCS 4.9 LOCKING BOLT (FEMUR) 200.00 7,600.00 150.00 5,700.00
18 PCS 3.9 LOCKING BOLT (TIBIA) 200.00 3,600.00 150.00 2,700.00
TOTAL 143,200.00

ORDER SLIP: 00265

TO: DR.MARC BARTOLABAC DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 SET HUMBY KNIFE BLADE/HOLDER 7,500.00 7,500.00 650.00 650.00
TOTAL 7,500.00 -

ORDER SLIP: 00266

TO: DR.MARC BARTOLABAC DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC EXCHANGE NAIL 1,500.00 1,500.00 -
1 PC GLIDE WIRE W/BALL TIP 1,500.00 1,500.00 -
1 PC RULER 200.00 200.00 -
1 PC GLIDE WIRE 1,500.00 1,500.00 -
TOTAL 4,700.00 -

ORDER SLIP: 00267 EDSEL

TO: DR.RUIZ DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC PLATE BENDER 5,000.00 5,000.00 -
1 PC EXFIX TIBIA 1,200.00 1,200.00 -
TOTAL 6,200.00 -

ORDER SLIP: 00268 EDSEL

TO: DR. PAZ DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC DRAIN 1,000.00 1,000.00 -
1 PC #43 XLO AMNP 6,000.00 6,000.00 -
TOTAL 7,000.00 -

ORDER SLIP: 00269

TO: FRANCIS CLAMOSA DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 11 HOLES NDCP 1,300.00 1,300.00 1,100.00 1,100.00
1 PC 12 HOLES NDCP 1,400.00 1,400.00 1,200.00 1,200.00
1 PC 13 HOLES NDCP 1,500.00 1,500.00 1,300.00 1,300.00
1 PC 14 HOLES NDCP 1,600.00 1,600.00 1,400.00 1,400.00
1 PC 30 HOLE RECON ST. 5,000.00 5,000.00 4,500.00 4,500.00
1 PC 16 HOLES NDCP 1,800.00 1,800.00 1,600.00 1,600.00
1 PC 11 HOLES BDCP 1,300.00 1,300.00 1,100.00 1,100.00
1 PC 12 HOLES BDCP 1,400.00 1,400.00 1,200.00 1,200.00
1 PC 14 HOLES BDCP 1,600.00 1,600.00 1,400.00 1,400.00
TOTAL 16,900.00

ORDER SLIP: 00270

TO: FRANCIS CLAMOSA DATE:7/22/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 38 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 39 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 40 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 41 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 42 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 43 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 44 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 45 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 46 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 47 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 48 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 49 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC 50 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
1 PC BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 61,500.00 -

ORDER SLIP: 00271

TO: FRANCIS CLAMOSA DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #42 XLO 4,500.00 4,500.00 4,000.00 4,000.00
1 PC R/U EXFIX 1,200.00 1,200.00 1,100.00 1,100.00
1 PC 3 H OBLIQUE MINI T-PLATE 1,700.00 1,700.00 1,200.00 1,200.00
1 PC 4 H OBLIQUE MINI T-PLATE 1,700.00 1,700.00 1,200.00 1,200.00
1 PC 5 H OBLIQUE MINI T-PLATE 1,700.00 1,700.00 1,200.00 1,200.00
1 PC 3 H MINI T-PLATE 1,700.00 1,700.00 1,400.00 1,400.00
1 PC 4 H MINI T-PLATE 1,700.00 1,700.00 1,400.00 1,400.00
1 PC 6 H MINI T-PLATE 1,700.00 1,700.00 1,400.00 1,400.00
TOTAL 15,900.00 -

ORDER SLIP: 00272

TO: FRANCIS CLAMOSA DATE:7/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 38 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 39 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 40 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 41 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 42 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 44 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 45 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 46 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 47 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 48 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 49 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 50 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 42 THOMPSON 4,500.00 4,500.00 3,800.00 3,800.00
13 PCS 38-50 STANDARD 4,500.00 58,500.00 3,800.00 49,400.00
TOTAL 121,500.00 -

ORDER SLIP: 00273

TO: DR. ROGELIO ABITONG DATE:7/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC SMALL T-PLATES 3 HOLES 2,000.00 2,000.00 1,400.00 1,400.00
10 PCS 3.5X18MM CORTICAL 200.00 2,000.00 120.00 1,200.00
10 PCS 3.5X20MM CORTICAL 200.00 2,000.00 120.00 1,200.00
TOTAL 6,000.00 -

ORDER SLIP: 00274

TO: EAST AVE. MED. CTR. DATE:7/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 3,000.00 -

ORDER SLIP: 00275 EDSEL

TO: DR. AROZENA DATE:7/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES MDCP 1,800.00 1,800.00 -
1 PC 7 HOLES MDCP 1,900.00 1,900.00 -
13 PCS 3.5 CORTICAL 100.00 1,300.00 -
TOTAL 5,000.00 -

ORDER SLIP: 00276

TO: DR. LOU MERVYN TEC DATE:7/26/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC VICE GRIP 8" 4,500.00 4,500.00 4,300.00 4,300.00
TOTAL 4,500.00 -

ORDER SLIP: 00277


EDSEL
TO: DR. PACHECO DATE:7/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 5/64 PINS 120.00 1,200.00 -
TOTAL 1,200.00 -

ORDER SLIP: 00278

TO: OLIE MARTINEZ DATE:7/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 HOLES RECON ST. 1,200.00 1,200.00 1,100.00 1,100.00
1 PC 7 HOLES MDCP 800.00 800.00 700.00 700.00
1 PC 6 HOLES MDCP 900.00 900.00 800.00 800.00
10 PCS 3.5 CORTICAL 150.00 1,500.00 120.00 1,200.00
1 PC POWER DRILL RENTAL 1,500.00 1,500.00 1,300.00 1,300.00
1 SET SMALL FRAGMENT RENTAL 1,000.00 1,000.00 800.00 800.00
TOTAL 6,900.00 -

ORDER SLIP: 00279

TO: DR. CARISSE TACTAY DATE:7/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS GIGLI WIRE 800.00 1,600.00 600.00 1,200.00
2 PCS EXFIX FINGER 800.00 1,600.00 700.00 1,400.00
10 PCS .35 PINS 150.00 1,500.00 100.00 1,000.00
20 PCS .62 PINS 150.00 3,000.00 100.00 2,000.00
10 PCS 5/64 PINS 150.00 1,500.00 100.00 1,000.00
20 PCS .45 PINS 150.00 3,000.00 100.00 2,000.00
TOTAL 12,200.00 -

ORDER SLIP: 00280


TO: MS. TESS CORUNA DATE:7/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS RAGNELL RETRACTOR 550.00 1,100.00 470.00 940.00
TOTAL 1,100.00 -

ORDER SLIP: 00281

TO: DR. ANGEL CAYETANO DATE:7/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS K-NAIL 12MM 500.00 1,500.00 450.00 1,350.00
3 PCS PEN FIELD 1,000.00 3,000.00 800.00 2,400.00
2 PCS BIG RONGEUR 3,000.00 6,000.00 2,700.00 5,400.00
4 PCS BIG LANE 3,100.00 12,400.00 2,700.00 10,800.00
1 PC 3.5 SCREW DRIVER 2,400.00 2,400.00 1,800.00 1,800.00
1 PC VICE GRIP 4,500.00 4,500.00 4,300.00 4,300.00
1 PC SMALL RONGEUR 2,700.00 2,700.00 2,500.00 2,500.00
1 PC MALLET 2,500.00 2,500.00 2,100.00 2,100.00
1 PC OSTEOTOME HALF INCH 900.00 900.00 700.00 -
TOTAL 35,900.00 -

ORDER SLIP: 00282


EDSEL
TO: ALLAN (ILIX) DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 11 HOLES BDCP 1,400.00 1,400.00 -
6 PCS 4.5X26 CORTICAL 150.00 900.00 -
4 PCS 4.5X28 CORTICAL 150.00 600.00 -
1 PC VERBRUDGE 3,000.00 3,000.00 -
TOTAL 5,900.00 -

ORDER SLIP: 00283


EDSEL
TO: ALLAN (ILIX) DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


CANCELLED
TOTAL - -
ORDER SLIP: 00284

TO: TRAUMA MEDICA ENT. DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00285

TO: TRAUMA MEDICA ENT. DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X14 CORTICAL 100.00 1,000.00 95.00 950.00
10 PCS 3.5X16 CORTICAL 100.00 1,000.00 95.00 950.00
1 PC MINI T-PLATE 3H 1,700.00 1,700.00 1,400.00 1,400.00
1 PC MINI T-PLATE 6H 1,900.00 1,900.00 1,400.00 1,400.00
TOTAL 5,600.00 -

ORDER SLIP: 00286

TO: TRAUMA MEDICA ENT. DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X16 CORTICAL 100.00 1,000.00 95.00 950.00
1 PC 7 HOLES MDCP 800.00 800.00 700.00 700.00
TOTAL 1,800.00 -

ORDER SLIP: 00287


EDSEL
TO: ALLAN (ILIX) DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 BXS BONE CEMENT 3,000.00 15,000.00 -
10 PCS PEDIA STEINMAN 150.00 1,500.00 -
TOTAL 16,500.00 -

ORDER SLIP: 00288


EDSEL
TO: DR. MANALASTAS DATE:7/29/16
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 BX BONE CEMENT 3,000.00 3,000.00 -
1 PC #45 XLO AMNP 6,000.00 6,000.00 -
TOTAL 9,000.00 -

ORDER SLIP: 00289

TO: DR. GIL TENEFRANCIA DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES NDCP 1,600.00 1,600.00 1,300.00 1,300.00
TOTAL 1,600.00 -

ORDER SLIP: 00290

TO: TRAUMA MEDICA ENT. DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #4O XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
10 PCS 3.5X18 CORTICAL 100.00 1,000.00 95.00 950.00
2 PCS 6H MDCP 700.00 1,400.00 600.00 1,200.00
TOTAL 6,900.00 -

ORDER SLIP: 00291


EDSEL
TO: DR. CARLA ARANETA DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6H MDCP 1,900.00 1,900.00 -
1 PC 7H MDCP 2,000.00 2,000.00 -
11 PCS 3.5 CORTICAL 100.00 1,100.00 -
TOTAL 5,000.00 -

ORDER SLIP: 00292


EDSEL
TO: DR.ARCINUE DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS 3.5 CORTICAL 100.00 400.00 -
2 PCS 4.0X40 CANCELLOUS H/T 250.00 500.00 -
1 PC 4.0X18 CANCELLOUS F/T 250.00 250.00 -
1 PC 5H 1/3 TUBULAR 2,100.00 2,100.00 -
TOTAL 3,250.00 -

ORDER SLIP: 00293


EDSEL
TO: DR. CARLA ARANETA DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 7 H MDCP 1,800.00 1,800.00 -
1 PC 8 H MDCP 2,000.00 2,000.00 -
1 PC 4.0X22 CANCELLOUS 250.00 250.00 -
12 PCS 3.5 CORTICAL 100.00 1,200.00 -
TOTAL 5,250.00 -

ORDER SLIP: 00294


EDSEL
TO: OLAT DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC BONE CEMENT 3,000.00 3,000.00 -
1 PC #42 XLO AMNP 6,000.00 6,000.00 -
TOTAL 9,000.00 -

ORDER SLIP: 00295

TO: HOLY CHILD HOSP. DATE:7/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 4 H CHS PLATE 9,000.00 9,000.00 6,000.00 6,000.00
1 PC 65 LAGSCREW 2,500.00 2,500.00 1,800.00 1,800.00
4 PCS 4.5 CORTICAL 250.00 1,000.00 120.00 480.00
TOTAL 12,500.00 -

ORDER SLIP: 00296

TO: DR. MARC BARTOLABAC DATE:7/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X14MM CORTICAL 200.00 2,000.00 110.00 1,100.00
160 PCS 3.5 CORTICAL 200.00 32,000.00 110.00 17,600.00
1 BX BONE CEMENT W/ GENTA 6,500.00 6,500.00 -
2 PCS 2.7 DRILL BIT (GRIPORTHO) 800.00 1,600.00 -
3 PCS KNIFE BLADE 750.00 2,250.00 -
2 PCS 5 H 1/3 TUBULAR 1,100.00 2,200.00 -
2 PCS 6 H 1/3 TUBULAR 1,200.00 2,400.00 -
2 PCS 7 H 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 8 H 1/3 TUBULAR 1,400.00 2,800.00 -
2 PCS 9 H 1/3 TUBULAR 1,500.00 3,000.00 -
2 PCS 10 H 1/3 TUBULAR 1,600.00 3,200.00 -
2 PCS 5 H MDCP 1,100.00 2,200.00 -
2 PCS 6 H MDCP 1,200.00 2,400.00 -
2 PCS 7 H MDCP 1,300.00 2,600.00
2 PCS 8 H MDCP 1,400.00 2,800.00 -
2 PCS 9 H MDCP 1,500.00 3,000.00 -
2 PCS 10 H MDCP 1,600.00 3,200.00 -
TOTAL 76,750.00 -
REBATE CGS TOTAL CAPITAL NET SALES
200.00 290.00 580.00 620.00
200.00 290.00 580.00 620.00 PAID 7/25/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
2,000.00 14,000.00 14,000.00 4,000.00 PAID 5/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


15.00 85.00 255.00 45.00
10.00 85.00 170.00 30.00
20.00 85.00 340.00 60.00
200.00 300.00 300.00 400.00
200.00 350.00 350.00 450.00
445.00 905.00 1,415.00 985.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 2,800.00 2,800.00 4,000.00
1,800.00 2,800.00 2,800.00 4,000.00 PAID 4/7/2016
REBATE CGS TOTAL CAPITAL NET SALES

- - - -

REBATE CGS TOTAL CAPITAL NET SALES


400.00 350.00 700.00 900.00
400.00 400.00 800.00 1,000.00
400.00 350.00 700.00 900.00
400.00 400.00 800.00 1,000.00
1,600.00 1,500.00 3,000.00 3,800.00 PAID 7/13/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
600.00 2,500.00 7,500.00 1,500.00
500.00 3,500.00 3,500.00 1,000.00
2,100.00 13,000.00 18,000.00 4,500.00 PAID 8/19/16

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 85.00 8,500.00 9,500.00
6,000.00 85.00 8,500.00 9,500.00 PAID 7/18/16
REBATE CGS TOTAL CAPITAL NET SALES
1,900.00 300.00 300.00 1,600.00
2,000.00 350.00 350.00 1,650.00
1,100.00 85.00 935.00 165.00
5,000.00 735.00 1,585.00 3,415.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,700.00 450.00 450.00 1,250.00
800.00 85.00 680.00 120.00
2,500.00 535.00 1,130.00 1,370.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 350.00 350.00 1,550.00
600.00 85.00 510.00 90.00
2,500.00 435.00 860.00 1,640.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 400.00 400.00 1,400.00
700.00 85.00 595.00 105.00
2,500.00 485.00 995.00 1,505.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 350.00 350.00 1,550.00
600.00 85.00 510.00 90.00
2,500.00 435.00 860.00 1,640.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,600.00 80.00 1,600.00 1,000.00
2,400.00 50.00 1,000.00 1,400.00
2,400.00 60.00 1,200.00 1,200.00
1,200.00 50.00 500.00 700.00
8,600.00 240.00 4,300.00 4,300.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,600.00 80.00 1,600.00 1,000.00
2,400.00 50.00 1,000.00 1,400.00
1,200.00 50.00 500.00 700.00
1,200.00 60.00 600.00 600.00
7,400.00 240.00 3,700.00 3,700.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 162.00 810.00 1,190.00
500.00 162.00 810.00 1,190.00
250.00 85.00 850.00 350.00
1,250.00 409.00 2,470.00 2,730.00 PAID 7/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 1,600.00 1,600.00 900.00
2,400.00 1,400.00 5,600.00 4,400.00
2,900.00 3,000.00 7,200.00 5,300.00 PAID 7/18/16

REBATE CGS TOTAL CAPITAL NET SALES


750.00 85.00 12,750.00 2,250.00
750.00 85.00 12,750.00 2,250.00 PAID 11/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 50.00 200.00 3,000.00
1,200.00 50.00 200.00 3,000.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 280.00 560.00 1,040.00
400.00 280.00 560.00 1,040.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 300.00 300.00 400.00
200.00 300.00 300.00 400.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 300.00 300.00 1,000.00
480.00 85.00 510.00 690.00
980.00 385.00 810.00 1,690.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 3,500.00 3,500.00 2,500.00
1,500.00 3,500.00 3,500.00 2,500.00
1,500.00 3,500.00 3,500.00 2,500.00
4,500.00 10,500.00 10,500.00 7,500.00 PAID 7/13/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 450.00 450.00 1,150.00
600.00 450.00 450.00 1,150.00
400.00 85.00 425.00 575.00
400.00 85.00 425.00 575.00
2,000.00 1,070.00 1,750.00 3,450.00 PAID 12/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 3,500.00 3,500.00 5,000.00
3,000.00 3,500.00 3,500.00 5,000.00 PAID 7/13/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID 8/24/16
REBATE CGS TOTAL CAPITAL NET SALES
2,000.00 10,000.00 10,000.00 5,000.00
400.00 800.00 1,600.00 1,400.00
160.00 85.00 170.00 230.00
2,560.00 10,885.00 11,770.00 6,630.00 PAID 12/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


400.00 2,500.00 5,000.00 1,000.00
400.00 2,500.00 5,000.00 1,000.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 50.00 100.00 1,300.00
400.00 350.00 700.00 700.00
400.00 350.00 700.00 700.00
1,200.00 750.00 1,500.00 2,700.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID 2/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


25.00 85.00 425.00 75.00
25.00 85.00 425.00 75.00
400.00 700.00 1,400.00 200.00
200.00 500.00 500.00 100.00
650.00 1,370.00 2,750.00 450.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 3,500.00 3,500.00 2,500.00
1,500.00 3,500.00 3,500.00 2,500.00 PAID 7/13/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 3,500.00 3,500.00 2,500.00
1,500.00 3,500.00 3,500.00 2,500.00
3,000.00 7,000.00 7,000.00 5,000.00 PAID 7/19/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 600.00 1,200.00 200.00
50.00 85.00 850.00 150.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
1,950.00 11,185.00 12,550.00 3,350.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 500.00 2,500.00 500.00
1,000.00 600.00 3,000.00 500.00
1,000.00 700.00 3,500.00 500.00
1,000.00 800.00 4,000.00 500.00
4,000.00 2,600.00 13,000.00 2,000.00 PAID 8/19/16

REBATE CGS TOTAL CAPITAL NET SALES


280.00 280.00 280.00 520.00
280.00 280.00 280.00 520.00
280.00 1,400.00 1,400.00 1,100.00
280.00 50.00 50.00 650.00
280.00 350.00 350.00 350.00
280.00 3,290.00 3,290.00 1,210.00
1,680.00 5,650.00 5,650.00 4,350.00 PAID 7/18/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
600.00 2,500.00 7,500.00 1,500.00
2,100.00 13,000.00 18,000.00 4,500.00 PAID 7/26/16
REBATE CGS TOTAL CAPITAL NET SALES
500.00 300.00 300.00 1,200.00
480.00 85.00 510.00 690.00
980.00 385.00 810.00 1,890.00 PAID 7/20/16

REBATE CGS TOTAL CAPITAL NET SALES

2,000.00 10,000.00 10,000.00 5,000.00


200.00 800.00 800.00 700.00
200.00 800.00 800.00 700.00
200.00 800.00 800.00 700.00
200.00 800.00 800.00 700.00
600.00 800.00 2,400.00 2,100.00
80.00 85.00 85.00 115.00
80.00 85.00 85.00 115.00
3,560.00 14,170.00 15,770.00 10,130.00 PAID 7/20/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 2,500.00 5,000.00 400.00
200.00 2,500.00 5,000.00 400.00 PAID 7/21/16

REBATE CGS TOTAL CAPITAL NET SALES


300.00 85.00 170.00 730.00
500.00 800.00 800.00 1,200.00
800.00 885.00 970.00 1,930.00 PAID 7/25/16
REBATE CGS TOTAL CAPITAL NET SALES
1,000.00 1,200.00 1,200.00 2,300.00
45.00 85.00 255.00 105.00
1,045.00 1,285.00 1,455.00 2,405.00 PAID 11/8/2016

REBATE CGS TOTAL CAPITAL NET SALES

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 3,000.00 1,000.00
3,000.00 3,000.00 1,000.00 PAID 6/30/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 525.00 2,625.00 4,875.00
1,500.00 825.00 2,475.00 3,225.00
3,000.00 1,350.00 5,100.00 8,100.00 PAID 6/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


300.00 162.00 486.00 864.00
300.00 162.00 486.00 864.00
300.00 162.00 486.00 864.00
900.00 80.00 480.00 2,220.00
1,800.00 566.00 1,938.00 4,812.00 PAID 08/27/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 300.00 3,000.00 4,000.00
1,000.00 650.00 13,000.00 3,000.00
600.00 2,500.00 7,500.00 1,500.00
3,600.00 3,450.00 23,500.00 8,500.00 PAID 7/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


9,000.00 3,000.00 18,000.00 18,000.00
9,000.00 3,000.00 18,000.00 18,000.00
7,500.00 3,000.00 15,000.00 15,000.00
7,500.00 3,000.00 15,000.00 15,000.00
1,900.00 100.00 3,800.00 3,800.00
900.00 100.00 1,800.00 1,800.00
35,800.00 12,200.00 71,600.00 71,600.00

REBATE CGS TOTAL CAPITAL NET SALES


6,850.00 400.00 400.00 7,100.00
6,850.00 400.00 400.00 7,100.00 PAID 8/16/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 - 1,500.00
1,500.00 - 1,500.00
200.00 - 200.00
1,500.00 - 1,500.00
4,700.00 - - 4,700.00

REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 - 5,000.00
1,200.00 900.00 900.00 300.00
6,200.00 900.00 900.00 5,300.00 PAID 7/20/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 650.00 650.00 350.00
6,000.00 4,500.00 4,500.00 1,500.00
7,000.00 5,150.00 5,150.00 1,850.00 PAID 7/25/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 880.00 880.00 420.00
200.00 960.00 960.00 440.00
200.00 1,040.00 1,040.00 460.00
200.00 1,120.00 1,120.00 480.00
500.00 3,000.00 3,000.00 2,000.00
200.00 1,280.00 1,280.00 520.00
200.00 825.00 825.00 475.00
200.00 900.00 900.00 500.00
200.00 1,050.00 1,050.00 550.00
2,100.00 11,055.00 11,055.00 5,845.00 PAID 8/19/16
REBATE CGS TOTAL CAPITAL NET SALES
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
700.00 3,000.00 3,000.00 1,500.00
200.00 2,500.00 2,500.00 500.00
9,300.00 41,500.00 41,500.00 20,000.00 PAID 7/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
100.00 700.00 700.00 500.00
500.00 400.00 400.00 1,300.00
500.00 500.00 500.00 1,200.00
500.00 600.00 600.00 1,100.00
300.00 400.00 400.00 1,300.00
300.00 500.00 500.00 1,200.00
300.00 700.00 700.00 1,000.00
3,000.00 7,300.00 7,300.00 8,600.00 PAID 10/28/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
700.00 3,000.00 3,000.00 1,500.00
9,100.00 3,000.00 39,000.00 19,500.00
16,300.00 51,500.00 87,500.00 34,000.00 PAID 12/23/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 400.00 400.00 1,600.00
800.00 85.00 850.00 1,150.00
800.00 85.00 850.00 1,150.00
2,200.00 570.00 2,100.00 3,900.00 PAID8/11/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 2,500.00 2,500.00 500.00
200.00 2,500.00 2,500.00 500.00 PAID 7/25/16

REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 300.00 300.00 1,500.00
1,900.00 350.00 350.00 1,550.00
1,300.00 85.00 1,105.00 195.00
5,000.00 735.00 1,755.00 3,245.00 PAID 7/26/16
REBATE CGS TOTAL CAPITAL NET SALES
200.00 3,290.00 3,290.00 1,210.00
200.00 3,290.00 3,290.00 1,210.00 PAID 7/26/16

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 50.00 500.00 700.00
1,200.00 50.00 500.00 700.00 PAID 7/26/16

REBATE CGS TOTAL CAPITAL NET SALES


100.00 900.00 900.00 300.00
100.00 350.00 350.00 450.00
100.00 300.00 300.00 600.00
300.00 85.00 850.00 650.00
200.00 - 1,500.00
200.00 - 1,000.00
1,000.00 1,635.00 2,400.00 4,500.00 PAID 7/28/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 290.00 580.00 1,020.00
200.00 500.00 1,000.00 600.00
500.00 60.00 600.00 900.00
1,000.00 50.00 1,000.00 2,000.00
500.00 50.00 500.00 1,000.00
1,000.00 60.00 1,200.00 1,800.00
3,600.00 1,010.00 4,880.00 7,320.00 PAID 7/29/16
REBATE CGS TOTAL CAPITAL NET SALES
160.00 275.00 550.00 550.00
160.00 275.00 550.00 550.00 PAID 2/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


150.00 350.00 1,050.00 450.00
600.00 453.00 1,359.00 1,641.00
600.00 2,490.00 4,980.00 1,020.00
1,600.00 2,490.00 9,960.00 2,440.00
600.00 1,200.00 1,200.00 1,200.00
200.00 3,290.00 3,290.00 1,210.00
200.00 1,890.00 1,890.00 810.00
400.00 1,690.00 1,690.00 810.00
900.00 650.00 650.00 250.00
5,250.00 14,503.00 26,069.00 9,831.00 PAID 8/16/16

REBATE CGS TOTAL CAPITAL NET SALES


1,400.00 825.00 825.00 575.00
900.00 85.00 510.00 390.00
600.00 85.00 340.00 260.00
3,000.00 3,290.00 3,290.00 - 290.00
5,900.00 4,285.00 4,965.00 935.00 PAID 4/8/2016

REBATE CGS TOTAL CAPITAL NET SALES

- - - -
REBATE CGS TOTAL CAPITAL NET SALES
500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


50.00 85.00 850.00 150.00
50.00 85.00 850.00 150.00
300.00 400.00 400.00 1,300.00
500.00 700.00 700.00 1,200.00
900.00 1,270.00 2,800.00 2,800.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


50.00 85.00 850.00 150.00
100.00 350.00 350.00 450.00
150.00 435.00 1,200.00 600.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


15,000.00 2,500.00 12,500.00 2,500.00
1,500.00 50.00 500.00 1,000.00
16,500.00 2,550.00 13,000.00 3,500.00 PAID 4/8/2016
REBATE CGS TOTAL CAPITAL NET SALES
3,000.00 2,500.00 2,500.00 500.00
6,000.00 4,500.00 4,500.00 1,500.00
9,000.00 7,000.00 7,000.00 2,000.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


300.00 480.00 480.00 1,120.00
300.00 480.00 480.00 1,120.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
50.00 85.00 850.00 150.00
200.00 300.00 600.00 800.00
750.00 3,885.00 4,950.00 1,950.00 PAID 8/24/16

REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 300.00 300.00 1,600.00
2,000.00 350.00 350.00 1,650.00
1,100.00 85.00 935.00 165.00
5,000.00 735.00 1,585.00 3,415.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 85.00 340.00 60.00
500.00 162.00 324.00 176.00
250.00 162.00 162.00 88.00
2,100.00 250.00 250.00 1,850.00
3,250.00 659.00 1,076.00 2,174.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 350.00 350.00 1,450.00
2,000.00 400.00 400.00 1,600.00
250.00 162.00 162.00 88.00
1,200.00 85.00 1,020.00 180.00
5,250.00 997.00 1,932.00 3,318.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 350.00 350.00 2,650.00
6,000.00 400.00 400.00 5,600.00
9,000.00 750.00 750.00 8,250.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 350.00 350.00 8,650.00
700.00 400.00 400.00 2,100.00
520.00 162.00 648.00 352.00
4,220.00 912.00 1,398.00 11,102.00 PAID 7/29/16

REBATE CGS TOTAL CAPITAL NET SALES


900.00 85.00 850.00 1,150.00
14,400.00 85.00 13,600.00 18,400.00
6,500.00 2,500.00 2,500.00 4,000.00
1,600.00 85.00 170.00 1,430.00
2,250.00 86.00 258.00 1,992.00
2,200.00 87.00 174.00 2,026.00
2,400.00 88.00 176.00 2,224.00
2,600.00 89.00 178.00 2,422.00
2,800.00 90.00 180.00 2,620.00
3,000.00 91.00 182.00 2,818.00
3,200.00 92.00 184.00 3,016.00
2,200.00 93.00 186.00 2,014.00
2,400.00 94.00 188.00 2,212.00
2,600.00 95.00 190.00 2,410.00
2,800.00 96.00 192.00 2,608.00
3,000.00 97.00 194.00 2,806.00
3,200.00 98.00 196.00 3,004.00
58,050.00 3,951.00 19,598.00 57,152.00
ORDER SLIP: 00297

TO: FRANCIS CLAMOSA DATE:8/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
6 PCS 6 HOLES MDCP 700.00 4,200.00 500.00 3,000.00
TOTAL 8,700.00 -

ORDER SLIP: 00298

TO: AQUIE MANINANG DATE:8/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 6H MDCP 700.00 3,500.00 600.00 3,000.00
2 PCS 6 HOLES NDCP 800.00 1,600.00 700.00 1,400.00
2 PCS 10 HOLES NDCP 1,200.00 2,400.00 1,100.00 2,200.00
2 PCS 8 HOLES BDCP 1,000.00 2,000.00 900.00 1,800.00
10 PCS 4.5X40MM CORTICAL 100.00 1,000.00 95.00 950.00
10 PCS 4.5X46MM CORTICAL 100.00 1,000.00 95.00 950.00
10 PCS 4.5X50MM CORTICAL 100.00 1,000.00 95.00 950.00
10 PCS 4.5X56MM CORTICAL 100.00 1,000.00 95.00 950.00
5 PCS 6.5X50 CANCELLOUS H/T 250.00 1,250.00 230.00 1,150.00
5 PCS 6.5X60 CANCELLOUS H/T 250.00 1,250.00 230.00 1,150.00
5 PCS 6.5X65 CANCELLOUS H/T 250.00 1,250.00 230.00 1,150.00
TOTAL 17,250.00

ORDER SLIP: 00299


EDSEL
TO: DR. RUIZ DATE:8/02/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS EXFIX TIBIA 1,200.00 3,600.00 -
TOTAL 3,600.00 -

ORDER SLIP: 00300


EDSEL
TO: ALLAN (ILIX) DATE:8/03/16
DISC. 300
REPRESENTATION 1000
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
6 PCS BONE RONGEUR 6" 2,800.00 16,800.00 -
4 PCS LOWMAN 4 1/2 2,500.00 10,000.00 -
3 PCS BONE RONGEUR 8 3/4" 3,500.00 10,500.00 -
6 PCS BONE CHISEL 9" 1,000.00 6,000.00 -
TOTAL 43,300.00 -

ORDER SLIP: 00301


EDSEL
TO: DR. WONG DATE:8/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS ADULT STEINMAN 130.00 2,600.00 -
10 PCS PEDIA STEINMAN 130.00 1,300.00 -
TOTAL 3,900.00 -

ORDER SLIP: 00302

TO: DR. GIL TENEFRANCIA DATE:8/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 HOLES NDCP 1,900.00 1,900.00 1,400.00 1,400.00
7 PCS 4.5X58MM CORTICAL 200.00 1,400.00 120.00 840.00
TOTAL 3,300.00 -

ORDER SLIP: 00303

TO: WESTECH DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #44 XLO AMNP 5,500.00 11,000.00 4,500.00 9,000.00
TOTAL 11,000.00 -

ORDER SLIP: 00304

TO: FRANCIS CLAMOSA DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 9X280 TIBIA NAIL OLTEN 9,500.00 9,500.00 8,500.00 8,500.00
TOTAL 18,500.00 -
ORDER SLIP: 00305

TO: JANICE EMBERGA DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 4.5X20MM CORTICAL 120.00 600.00 100.00 500.00
TOTAL 600.00 -

ORDER SLIP: 00306

TO: JANICE EMBERGA DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS DRAIN 850.00 1,700.00 800.00 1,600.00
TOTAL 1,700.00 -

ORDER SLIP: 00307

TO: JANICE EMBERGA DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6H MDCP 600.00 600.00 500.00 500.00
TOTAL 600.00 -

ORDER SLIP: 00308

TO: JANICE EMBERGA DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X16 CORTICAL 120.00 1,200.00 100.00 1,000.00
5 PCS 3.5X18 CORTICAL 120.00 600.00 100.00 500.00
TOTAL 1,800.00 -

ORDER SLIP: 00309

TO: JANICE EMBERGA DATE:8/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 3,000.00 -

ORDER SLIP: 00310


EDSEL
TO: DR. VINCENT ANG DATE:8/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS EXFIX R/U 1,200.00 6,000.00 -
5 PCS EXFIX HUMEROUS 1,200.00 6,000.00 -
2 PCS 2.7 DRILL BIT 500.00 1,000.00 -
2 P CS 3.5 DRILL BIT 500.00 1,000.00 -
TOTAL 14,000.00 -

ORDER SLIP: 00311

TO: DR. JUANCHO MAMARADLO DATE:8/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 12H BDCP 2,200.00 2,200.00 1,700.00 1,700.00
1 PC 1/8 PINS 250.00 250.00 200.00 200.00
TOTAL 2,450.00 -

ORDER SLIP: 00312

TO: DR. GIL TENEFRANCIA DATE:8/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 H NARROW DCP 1,900.00 1,900.00 -
1 PC 10 H NARROW DCP 2,000.00 2,000.00 -
TOTAL 3,900.00 -

ORDER SLIP: 00313

TO: MOTION CARE DATE:8/09/16


C/O DR. WILANGELO MANAAY

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


9 PCS 6 H MDCP 600.00 5,400.00 500.00 4,500.00
3 PCS 7 H MDCP 700.00 2,100.00 600.00 1,800.00
3 PCS 8 H MDCP 800.00 2,400.00 700.00 2,100.00
50 PCS 3.5X14MM CORTICAL 100.00 5,000.00 95.00 4,750.00
50 PCS 3.5X18MM CORTICAL 100.00 5,000.00 95.00 4,750.00
TOTAL 19,900.00 -

ORDER SLIP: 00314


EDSEL
TO: ALLAN(ILIX) DATE:8/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS BONE CEMENT 3,000.00 9,000.00 -
TOTAL 9,000.00 -

ORDER SLIP: 00315

TO: PHILIP DOROLA DATE:8/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 4.0X30 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 4.0X35 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 4.0X40 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 4.0X45 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 4.0X50 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 4.0X55 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 4.0X60 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X40 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X40 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X40 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X40 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X40 CANCELLOUS H/T 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X40 PARTIALLY THREADED 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X45 PARTIALLY THREADED 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X50 PARTIALLY THREADED 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X55 PARTIALLY THREADED 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X60 PARTIALLY THREADED 250.00 2,500.00 230.00 2,300.00
10 PCS 6.5X65 PARTIALLY THREADED 250.00 2,500.00 230.00 2,300.00
10 PCS 4.5 WASHER 250.00 2,500.00 200.00 2,000.00
TOTAL 47,500.00 -

ORDER SLIP: 00316

TO: PHILIP DOROLA DATE:8/09/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
10 PCS 6.5 WASHER 250.00 2,500.00 200.00 2,000.00
2 PCS VERBRUGE 6 1/2" 2,200.00 4,400.00 2,000.00 4,000.00
2 PCS VERBRUGE 12" 2,800.00 5,600.00 2,600.00 5,200.00
TENACULUM REPOSITION
2 PCS FORCEP 1,400.00 2,800.00 1,100.00 2,200.00
2 PCS TENACULUM BIG 1,950.00 3,900.00 1,700.00 3,400.00
TOTAL 19,200.00 -

ORDER SLIP: 00317

TO: TRAUMA DATE:8/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #16 CERCLAGE WIRE 600.00 1,200.00 500.00 1,000.00
10 PCS .62 K-WIRE 120.00 1,200.00 80.00 800.00
TOTAL 2,400.00 -

ORDER SLIP: 00318

TO: JANICE EMBERGA DATE:8/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5 H 1/3 TUBULAR 600.00 600.00 500.00 500.00
TOTAL 600.00 -

ORDER SLIP: 00319

TO: TRAUMA DATE:8/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


15 PCS 3.5X14MM CORTICAL 100.00 1,500.00 95.00 1,425.00
15 PCS 3.5X16MM CORTICAL 100.00 1,500.00 95.00 1,425.00
15 PCS 3.5X18MM CORTICAL 100.00 1,500.00 95.00 1,425.00
15 PCS 3.5X20MM CORTICAL 100.00 1,500.00 95.00 1,425.00
15 PCS 3.5X22MM CORTICAL 100.00 1,500.00 95.00 1,425.00
TOTAL 7,500.00 -

ORDER SLIP: 00320

TO: TRAUMA DATE:8/11/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC #46 STANDARD 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 9,000.00 -

ORDER SLIP: 00321

TO: EDDIE BATAD DATE:8/11/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00
2 PCS 7 H 1/3 TUBULAR 800.00 1,600.00 700.00 1,400.00
2 PCS 8 H 1/3 TUBULAR 900.00 1,800.00 800.00 1,600.00
2 PCS 7 H NARROW DCP 1,200.00 2,400.00 1,000.00 2,000.00
2 PCS 8 H NARROW DCP 1,300.00 2,600.00 1,100.00 2,200.00
TOTAL 14,400.00 -

ORDER SLIP: 00322

TO: DR. DARYL APLA-ON DATE:8/11/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
1 PC #44 XLO AMNP 8,500.00 8,500.00 6,000.00 6,000.00
1 PC DRAIN 1,500.00 1,500.00 1,100.00 1,100.00
TOTAL 13,000.00 -

ORDER SLIP: 00323

TO: VETERANS MEDICAL CENTER DATE:8/11/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES T-BUTTRESS 3,000.00 3,000.00 2,000.00 2,000.00
TOTAL 3,000.00 -

ORDER SLIP: 00324

TO: VETERANS MEDICAL CENTER DATE:8/11/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 4 HOLES L-BUTTRESS (R) 3,000.00 3,000.00 2,000.00 2,000.00
1 PC 5 HOLES L-BUTTRESS (L) 3,000.00 3,000.00 2,000.00 2,000.00
TOTAL 6,000.00 -

ORDER SLIP: 00325

TO: VETERANS MEDICAL CENTER DATE:8/11/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS SIMON BONE CURETTE #4 & #6 1,000.00 2,000.00 -
VOLKMAN BONE CURETTE #4 &
2 PCS #6 900.00 1,800.00 -
4 PCS CHISEL 900.00 3,600.00 -
1 PC GOOSENECK 3,000.00 3,000.00 -
1 PC BEYER BONE RONGEUR 2,700.00 2,700.00 -
TOTAL 13,100.00 -

ORDER SLIP: 00326


EDSEL
TO: DON EMILIO DEL VALLE MEMORIAL HOSP. DATE:8/11/16
BOHOL

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 SET VOLKMAN CURETTE 1-5 2,900.00 2,900.00 -
1 PC BOLT CUTTER 25,000.00 25,000.00 -
1 PCS BONE TENACULUM LARGE 3,200.00 3,200.00 -
AUTOCLAVABLE POWER DRILL,
1 PC CANNULATED TYPE 110,000.00 110,000.00 -
1 PC AUTOCLAVABLE POWER SAW 120,000.00 120,000.00 -
TOTAL 261,100.00 -

ORDER SLIP: 00327

TO: JOSE MAGUAD DATE:8/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS 3.5 X 14 CORTICAL 110.00 2,200.00 100.00 2,000.00
20 PCS 3.5 X 16 CORTICAL 110.00 2,200.00 100.00 2,000.00
10 PCS 3.5 X 18 CORTICAL 110.00 1,100.00 100.00 1,000.00
10 PCS 3.5 X 20 CORTICAL 110.00 1,100.00 100.00 1,000.00
5 PCS 6.5 WASHER 300.00 1,500.00 200.00 1,000.00
TOTAL 8,100.00 -
ORDER SLIP: 00328

TO: FRANCIS CLAMOSA DATE:8/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #40 XLO AMNP 4,500.00 4,500.00 -
1 PC #44 XLO AMNP 4,500.00 4,500.00 -
3 PCS KERN 6 3/4" 2,500.00 7,500.00 -
1 PC LANGENBECK CHISEL 7 1/2" 1,200.00 1,200.00 -
2 BXS BONE CEMENT 3,000.00 6,000.00 -
TOTAL 23,700.00 -

ORDER SLIP: 00329

TO: DR. ANTHONY KHO DATE:8/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS 3.5X16MM CORTICAL 100.00 3,000.00 95.00 2,850.00
1 PC 10 HOLES MDCP 1,000.00 1,000.00 900.00 900.00
1 PC 11 HOLES MDCP 1,100.00 1,100.00 1,000.00 1,000.00
1 PC 12 HOLES MDCP 1,200.00 1,200.00 1,100.00 1,100.00
TOTAL 6,300.00 -

ORDER SLIP: 00330

TO: DR. HUBERT SALAZAR DATE:8/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS 3.5X18 CORTICAL 100.00 3,000.00 90.00 2,700.00
10 PCS .062 K-WIRE 100.00 1,000.00 90.00 900.00
5 PCS 5 HOLES MDCP 500.00 2,500.00 400.00 2,000.00
2 PCS 6.5X55 CANCELLOUS H/T 300.00 600.00 250.00 500.00
2 PCS 6.5X50 CANCELLOUS H/T 300.00 600.00 250.00 500.00
2 PCS 4H L-PLATE L/R 1,800.00 3,600.00 1,400.00 2,800.00
5 PCS 10MM K-NAIL 500.00 2,500.00 450.00 2,250.00
5 PCS 11MM K-NAIL 500.00 2,500.00 450.00 2,250.00
1 PC 11MM FLEXIBLE REAMER 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 20,800.00

ORDER SLIP: 00331


TO: DR. JENO NAVARRO DATE: 8/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 7,000.00 7,000.00 -
1 PC #42 XLO AMNP 7,000.00 7,000.00 -
2 PCS 10 HOLES BDCP 2,000.00 4,000.00 -
2 PCS 11 HOLES BDCP 2,100.00 4,200.00 -
TOTAL 22,200.00 -

ORDER SLIP: 00332


EDSEL
TO: DR. VINCENT ANG DATE: 8/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS EXFIX FEMUR 1,200.00 6,000.00 -
2 PCS EXFIX TIBIA 1,200.00 2,400.00 -
TOTAL 8,400.00 -

ORDER SLIP: 00333

TO: TRAUMA MEDICA ENT. DATE: 8/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00334

TO: ANTHONY BENGULLO DATE: 8/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 4 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 5 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 6 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 7 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 8 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 9 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 10 HOLES 1/3 TUBULAR 1,300.00 2,600.00 -
2 PCS 11 HOLES 1/3 TUBULAR 1,500.00 3,000.00 -
2 PCS 12 HOLES 1/3 TUBULAR 1,500.00 3,000.00 -
2 PCS 4 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 5 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 6 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 7 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 8 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 9 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 10 HOLES MDCP 1,300.00 2,600.00 -
2 PCS 11 HOLES MDCP 1,500.00 3,000.00 -
2 PCS 12 HOLES MDCP 1,500.00 3,000.00 -
1 PC 5 HOLES NDCP 1,500.00 1,500.00 -
1 PC 6 HOLES NDCP 1,500.00 1,500.00 -
1 PC 7 HOLES NDCP 1,500.00 1,500.00 -
1 PC 8 HOLES NDCP 1,500.00 1,500.00 -
1 PC 9 HOLES NDCP 1,500.00 1,500.00 -
1 PC 10 HOLES NDCP 1,500.00 1,500.00 -
1 PC 11 HOLES NDCP 1,800.00 1,800.00 -
1 PC 12 HOLES NDCP 1,800.00 1,800.00 -
1 PC 13 HOLES NDCP 1,800.00 1,800.00 -
1 PC 14 HOLES NDCP 1,800.00 1,800.00 -
1 PC 5 HOLES BDCP 1,500.00 1,500.00 -
1 PC 6 HOLES BDCP 1,500.00 1,500.00 -
1 PC 7 HOLES BDCP 1,500.00 1,500.00 -
1 PC 8 HOLES BDCP 1,500.00 1,500.00 -
1 PC 9 HOLES BDCP 1,500.00 1,500.00 -
1 PC 10 HOLES BDCP 1,500.00 1,500.00 -
1 PC 11 HOLES BDCP 1,800.00 1,800.00 -
1 PC 12 HOLES BDCP 1,800.00 1,800.00 -
1 PC 13 HOLES BDCP 1,800.00 1,800.00 -
1 PC 14 HOLES BDCP 1,800.00 1,800.00 -
2 PCS EXFIX R/U 1,500.00 3,000.00 -
2 PCS EXFIX TIBIA 2,000.00 4,000.00 -
2 PCS EXFIX HUMEROUS 1,700.00 3,400.00 -
2 PCS EXFIX FEMUR 2,000.00 4,000.00 -
10 PCS .035 PINS 150.00 1,500.00 -
10 PCS .045 PINS 150.00 1,500.00
10 PCS .062 PINS 150.00 1,500.00 -
10 PCS 5/64 PINS 150.00 1,500.00 -
10 PCS 1/8 PINS 150.00 1,500.00 -
10 PCS 3/16 PINS 150.00 1,500.00 -
5 PCS 3/32 PINS 150.00 750.00 -
TOTAL 104,950.00 -

ORDER SLIP: 00335

TO: ANTHONY BENGULLO DATE: 8/16/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
140 PCS 3.5 CORTICAL SCREWS 120.00 16,800.00 -
210 PCS 4.5 CORTICAL SCREWS 120.00 25,200.00 -
24 PCS 4.0 CANCELLOUS SCREWS H/T 300.00 7,200.00 -
24 PCS 4.0 CANCELLOUS SCREWS F/T 300.00 7,200.00 -
22 PCS 6.5 CANCELLOUS SCREWS H/T 1,000.00 22,000.00 -
22 PCS 6.5 CANCELLOUS SCREWS F/T 1,000.00 22,000.00 -
13 PCS (38-50) XLO PROSTHESIS 5,000.00 65,000.00 -
2 BXS BONE CEMENT 2,800.00 5,600.00 -
3 PCS (16, 18, 20MM )CERCLAGE WIRE 500.00 1,500.00 -
1 SET INSTRUMENTATION 11,000.00 11,000.00 -
TOTAL 183,500.00 -

ORDER SLIP: 00336

TO: JANICE EMBERGA DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #42 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00337

TO: TRAUMA MEDOICA ENT. DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


15 PCS 3.5X14 CORTICAL 100.00 1,500.00 90.00 1,350.00
15 PCS 3.5X16 CORTICAL 100.00 1,500.00 90.00 1,350.00
4 PCS 4.0X40 CANCELLOUS 280.00 1,120.00 250.00 1,000.00
4 PCS 4.0X45 CANCELLOUS 280.00 1,120.00 250.00 1,000.00
TOTAL 5,240.00 -

ORDER SLIP: 00338

TO: DR. STEPHEN TABLADILLO DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 11 HOLES MDCP 2,100.00 2,100.00 1,500.00 1,500.00
TOTAL 2,100.00 -

ORDER SLIP: 00339


TO: FRANCIS CLAMOSA DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


POWER DRILL RJ1602411 W/
1 PC BATTERY & CHARGER 50,000.00 50,000.00 45,000.00 45,000.00
TOTAL 50,000.00 -

ORDER SLIP: 00340

TO: TESS CORUNA DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 7 HOLES MDCP 380.00 3,800.00 350.00 3,500.00
TOTAL 3,800.00 -

ORDER SLIP: 00341

TO: FRANCIS CLAMOSA DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS HOHMAN 6 1/2" 900.00 1,800.00 700.00 1,400.00
1 PC FREER ELEVATOR 7" 900.00 900.00 700.00 700.00
STANDARD REPOSITION FORCEP
2 PCS 6 1/4" 2,500.00 5,000.00 2,300.00 4,600.00
TOTAL 7,700.00 -

ORDER SLIP: 00342

TO: JANICE EMBERGA DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 4.5X26 CORTICAL 120.00 600.00 100.00 500.00
TOTAL 600.00 -

ORDER SLIP: 00343

TO: DR. MARC BARTOLABAC DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 11 HOLES LOCKING PLATE 15,000.00 15,000.00 -
6 PCS 5.0 LOCKING SCREW 1,500.00 9,000.00 -
3 PCS 4.5 CORTICAL SCREW 200.00 600.00 -
TOTAL 24,600.00 -

ORDER SLIP: 00344


EDSEL
TO: DR. GROSMAN DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 10 HOLES RECON CURVE 4MM 3,000.00 3,000.00 -
5 PCS 4.0 CANCELLOUS SCREW 400.00 2,000.00 -
2 PCS WASHER 300.00 600.00 -
3 PCS 3.5 CORTICAL SCREW 150.00 450.00 -
TOTAL 6,050.00 -

ORDER SLIP: 00345

TO: MOTION CARE DATE: 8/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS K-NAIL 10X44CM 650.00 3,250.00 500.00 2,500.00
5 PCS K-NAIL 11X44CM 650.00 3,250.00 500.00 2,500.00
5 PCS EXFIX TIBIA 1,500.00 7,500.00 1,200.00 6,000.00
10 PCS 3/16 PINS 250.00 2,500.00 150.00 1,500.00
50 PCS 3.5 CORTICAL 100.00 5,000.00 95.00 4,750.00
10 PCS 6 HOLES MDCP 600.00 6,000.00 500.00 5,000.00
5 PCS 7 HOLES MDCP 700.00 3,500.00 600.00 3,000.00
TOTAL 31,000.00 -

ORDER SLIP: 00346

TO: PANAY ORTHOPEDIC DATE: 8/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS .062 PINS 120.00 3,600.00 100.00 3,000.00
20 PCS 5/64 PINS 120.00 2,400.00 100.00 2,000.00
10 PCS 3/32 PINS 120.00 1,200.00 100.00 1,000.00
5 PCS 3 HOLES MINI T-PLATE 1,500.00 7,500.00 1,000.00 5,000.00
2 PCS 4 HOLES MINI T-PLATE 1,500.00 3,000.00 1,000.00 2,000.00
1 PC 10 HOLES RECON PLATE ST. 2,000.00 2,000.00 1,700.00 1,700.00
TOTAL 19,700.00 -
ORDER SLIP: 00347

TO: FRANCIS CLAMOSA DATE: 8/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT 3,000.00 6,000.00 -
1 PC #43 XLO AMNP 4,500.00 4,500.00 -
1 PC #44 STANDARD PROSTHESIS 4,500.00 4,500.00 -
TOTAL 15,000.00 -

ORDER SLIP: 00348-A

TO: DR. MARK KIMPAY DATE: 8/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT 3,000.00 6,000.00 -
TOTAL 6,000.00 -

ORDER SLIP: 00349

TO: FRANCIS CLAMOSA DATE: 8/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 5 HOLES 1/3 TUBULAR 600.00 3,000.00 500.00 2,500.00
5 PCS 6 HOLES 1/3 TUBULAR 700.00 3,500.00 600.00 3,000.00
5 PCS 6 HOLES MDCP 700.00 3,500.00 600.00 3,000.00
TOTAL 10,000.00 -

ORDER SLIP: 00350

TO: FRANCIS CLAMOSA DATE: 8/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9X280 TIBIA NAIL 9,500.00 9,500.00 -
1 PC 9X300 TIBIA NAIL 9,500.00 9,500.00 -
1 PC 9X320 TIBIA NAIL 9,500.00 9,500.00 -
1 PC 10X280 TIBIA NAIL 9,500.00 9,500.00 -
1 PC 9X340 FEMUR NAIL 9,500.00 9,500.00 -
1 PC 9X360 FEMUR NAIL 9,500.00 9,500.00 -
1 PC 10X320 FEMUR NAIL 9,500.00 9,500.00 -
1 PC 11X34 FEMUR NAIL 9,500.00 9,500.00 -
1 PC 12X40 FEMUR NAIL 9,500.00 9,500.00 -
TOTAL 85,500.00 -

ORDER SLIP: 00351

TO: TERESA CORUA DATE: 8/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


65 PCS 6 HOLES MDCP 380.00 24,700.00 350.00 22,750.00
TOTAL 24,700.00 -

ORDER SLIP: 00352

TO: TRAUMA MEDICA ENT. DATE: 8/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 7 HOLES 1/3 TUBULAR 800.00 1,600.00 700.00 1,400.00
2 PCS 6 HOLES MDCP 700.00 1,400.00 600.00 1,200.00
3 PCS #18 CERCLAGE WIRE 600.00 1,800.00 500.00 1,500.00
TOTAL 4,800.00 -

ORDER SLIP: 00353

TO: TRAUMA MEDICA ENT. DATE: 8/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC #45 XLO AMP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC 4 HOLES MDCP 600.00 600.00 500.00 500.00
2 PCS 7 HOLES MDCP 800.00 1,600.00 700.00 1,400.00
TOTAL 11,200.00 -

ORDER SLIP: 00354

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 8/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 HOLES MINI T-PLATE 1,900.00 1,900.00 1,500.00 1,500.00
1 PC 10 HOLES MINI T-PLATE 2,000.00 2,000.00 1,600.00 1,600.00
1 PC 11 HOLES MINI T-PLATE 2,100.00 2,100.00 1,700.00 1,700.00
1 PC 12 HOLES MINI T-PLATE 2,200.00 2,200.00 1,800.00 1,800.00
TOTAL 8,200.00 -

ORDER SLIP: 00355

TO: TRAUMA MEDICA ENT. DATE: 8/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #45 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00356

TO: DR. GIL TENEFRANCIA DATE: 8/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS K-NAIL 9MM 800.00 1,600.00 -
2 PCS K-NAIL 10MM 800.00 1,600.00 -
2 PCS K-NAIL 11MM 800.00 1,600.00 -
7 PCS 4.5 CORTICAL 200.00 1,400.00 -
TOTAL 6,200.00 -

ORDER SLIP: 00357

TO: JONATHAN SERRANO DATE: 8/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS 7 HOLES NDCP 900.00 3,600.00 800.00 3,200.00
2 PCS 8 HOLES NDCP 1,000.00 2,000.00 900.00 1,800.00
TOTAL 5,600.00 -

ORDER SLIP: 00358

TO: JOSE MAGUAD DATE: 8/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES 1/3 TUBULAR 700.00 700.00 500.00 500.00
1 PC 7 HOLES 1/3 TUBULAR 800.00 800.00 600.00 600.00
1 PC 8 HOLES 1/3 TUBULAR 900.00 900.00 700.00 700.00
1 PC 9 HOLES 1/3 TUBULAR 1,000.00 1,000.00 800.00 800.00
1 PC 10 HOLES 1/3 TUBULAR 1,100.00 1,100.00 900.00 900.00
10 PCS 3.5X14 CORTICAL 110.00 1,100.00 100.00 1,000.00
10 PCS 3.5X16 CORTICAL 110.00 1,100.00 100.00 1,000.00
12 PCS 3.5 CORTICAL 110.00 1,320.00 100.00 1,200.00
8 PCS 4.0 CANCELLOUS F/T 300.00 2,400.00 230.00 1,380.00
6 PCS 4.0 CANCELLOUS H/T 300.00 1,800.00 230.00 230.00
1 PC 7 HOLES MDCP 800.00 800.00 600.00 600.00
TOTAL 13,020.00

ORDER SLIP: 00359

TO: DR. JETER CLERIGO DATE: 8/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC SPANNING EXFIX 3,000.00 3,000.00 2,500.00 2,500.00
TOTAL 3,000.00 -

ORDER SLIP: 00360

TO: FRANCIS CLAMOSA DATE: 8/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 4,500.00 4,500.00 -
1 PC #43 XLO AMNP 4,500.00 4,500.00 -
1 PC #45 XLO AMNP 4,500.00 4,500.00 -
1 PC #48 XLO AMNP 4,500.00 4,500.00 -
TOTAL 18,000.00 -

ORDER SLIP: 00361

TO: TERESA CORUNA DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS 3.5 SCREW DRIVER 2,200.00 8,800.00 1,800.00 7,200.00
TOTAL 8,800.00 -

ORDER SLIP: 00362

TO: HOLY CHILD HOSP. DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #47 XLOAMP 9,500.00 9,500.00 6,000.00 6,000.00
1 PC BONE CEMENT 3,500.00 3,500.00 2,800.00 2,800.00
1 PC #42 XLO AMP 9,500.00 9,500.00 6,000.00 6,000.00
TOTAL 22,500.00 -

ORDER SLIP: 00363

TO: HOLY CHILD HOSP. DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5 HOLES CHS PLATE 9,000.00 9,000.00 5,500.00 5,500.00
4 PCS 4.5 CORTICAL 250.00 1,000.00 180.00 720.00
1 PC LAGSCREW SIZE 70 2,500.00 2,500.00 1,500.00 1,500.00
TOTAL 12,500.00 -

ORDER SLIP: 00364

TO: DR. ROMMEL ESTILLORE DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES 1/3 TUBULAR 2,000.00 2,000.00 1,400.00 1,400.00
7 PCS 3.5 CORTICAL 200.00 1,400.00 130.00 910.00
1 PC SYNLES MOTIC SCREW 400.00 400.00 250.00 250.00
1 PC POWER DRILL RENTAL 2,500.00 2,500.00 2,000.00 2,000.00
TOTAL 6,300.00 -

ORDER SLIP: 00365

TO: ANTHONY BENGULLO DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC POWER DRILL 1103-16994 BJZ1 65,000.00 -
BATTERIES 27003 LOT AFO7006 /
2 PCS 27004 LOT AFO7006 - -
CHARGER 1002-71159-1606 LOT
I PC AFO6001
1 PC STAINLESS TRAY - -
TOTAL 65,000.00 -

ORDER SLIP: 00366

TO: DR. JENSY ONG DATE: 8/29/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
3 PCS #42 XLO AMNP 6,000.00 18,000.00 4,200.00 12,600.00
1 PCS #43 XLO AMNP 6,000.00 6,000.00 4,200.00 4,200.00
4 PCS BONE CEMENT 3,000.00 12,000.00 2,800.00 11,200.00
100 PCS 3.5X16 CORTICAL 150.00 15,000.00 120.00 12,000.00
TOTAL 51,000.00 -

ORDER SLIP: 00367

TO: PHILIP DOROLA DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS #16 CERCLAGE WIRE 600.00 12,000.00 500.00 10,000.00
10 PCS #18 CERCLAGE WIRE 600.00 6,000.00 500.00 5,000.00
TOTAL 18,000.00 -

ORDER SLIP: 00368

TO: DR. CLEMENTE DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC VISE GRIP 4,400.00 4,400.00 4,000.00 4,000.00
3 PCS 5 HOLES MDCP 500.00 1,500.00 400.00 1,200.00
3 PCS 6 HOLES MDCP 600.00 1,800.00 500.00 1,500.00
TOTAL 7,700.00 -

ORDER SLIP: 00369

TO: DR. CLEMENTE DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 4.0X30 CANCELLOUS 250.00 2,500.00 -
2 PCS 30 HOLES RECON PLATE ST. 6,000.00 12,000.00 -
TOTAL 14,500.00 -

ORDER SLIP: 00370

TO: DR. DUQUE DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS FEMUR EXFIX 1,200.00 2,400.00 1,100.00 2,200.00
1 PC HUMEROUS EXFIX 1,100.00 1,100.00 1,000.00 1,000.00
13 PCS 6 HOLES MDCP 500.00 6,500.00 450.00 5,850.00
TOTAL 10,000.00 -

ORDER SLIP: 00371

TO: DR. ABOGADO DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS BONE CEMENT 3,000.00 15,000.00 2,800.00 14,000.00
TOTAL 15,000.00 -

ORDER SLIP: 00372

TO: DR. CARAG DATE: 8/29/16


DISCOUNT 100

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


12 PCS K-NAIL 500.00 6,000.00 450.00 5,400.00
1 PC 3.5 SCREW DRIVER 2,500.00 2,500.00 2,000.00 2,000.00
2 PCS EXFIX TIBIA 1,200.00 2,400.00 1,100.00 2,200.00
1 PC FEMUR EXFIX 1,200.00 1,200.00 1,100.00 1,100.00
TOTAL 12,100.00 -

ORDER SLIP: 00373

TO: DR. REYES DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 6 HOLES MDCP 600.00 3,000.00 -
5 PCS 5 HOLES MDCP 500.00 2,500.00 -
5 PCS 5 HOLES 1/3 TUBULAR 500.00 2,500.00 -
5 PCS 6 HOLES 1/3 TUBULAR 600.00 3,000.00 -
2 PCS 2.7 DRILL BIT 800.00 1,600.00 -
2 PCS 3.5 DRILL BIT 800.00 1,600.00 -
40 PCS 3.5X16 CORTICAL 100.00 4,000.00 -
20 PCS 3.5X 18 CORTICAL 100.00 2,000.00 -
TOTAL 20,200.00 -

ORDER SLIP: 00374

TO: DR. BAI DATE: 8/29/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
2 PCS 7 HOLES MDCP 700.00 1,400.00 600.00 1,200.00
2 PCS 7 HOLES 1/3 TUBULAR 700.00 1,400.00 600.00 1,200.00
20 PCS 3.5X16 CORTICAL 100.00 2,000.00 95.00 1,900.00
10 PCS 3.5X18 CORTICAL 100.00 1,000.00 95.00 950.00
2 PCS T-PLATE 6 HOLES 1,500.00 3,000.00 1,200.00 2,400.00
1 PC PIN CUTTER 7,500.00 7,500.00 6,500.00 6,500.00
2 PCS CERCLAGE WIRE 500.00 1,000.00 400.00 800.00
10 PCS .062 PINS 100.00 1,000.00 80.00 800.00
2 PCS HUMEROUS EXFIX 1,100.00 2,200.00 1,000.00 2,000.00
2 PCS TIBIA EXFIX 1,200.00 2,400.00 1,100.00 2,200.00
2 PCS FEMUR EXFIX 1,200.00 2,400.00 1,100.00 1,100.00
1 PCS OSTEOTOM (FREE) - -
TOTAL 25,300.00 -

ORDER SLIP: 00375

TO: DR. LASAM DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS VERBRUDGE 6" 2,500.00 5,000.00 2,200.00 4,400.00
2 PCS TENACULUM 5 1/4 1,500.00 3,000.00 1,300.00 2,600.00
1 PC MALLET (BIG) 3,000.00 3,000.00 2,300.00 2,300.00
1 PC 4.5 SCREW DRIVER 2,500.00 2,500.00 2,000.00 2,000.00
1 PC SCREW CUDDY LARGE 7,500.00 7,500.00 6,500.00 6,500.00
10 PCS 6.5X75 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 6.5X70 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 6.5X80 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 6.5X65 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 6.5X55 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 4.0X35 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 4.0X28 CANCELLOUS 250.00 2,500.00 220.00 2,200.00
10 PCS 6 HOLES MDCP 600.00 6,000.00 500.00 2,500.00
5 PCS 1/3 TUBULAR 6 HOLES 600.00 3,000.00 500.00 2,500.00
100 PCS PINS 100.00 10,000.00 80.00 8,000.00
TOTAL 57,500.00 -
REBATE
ORDER SLIP: 00376

TO: DR. MARFORI DATE: 8/29/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
2 PCS TENACULUM 1,500.00 3,000.00 1,300.00 2,600.00
2 PCS CURETTE 9 1/2 1,000.00 2,000.00 800.00 1,600.00
1 PC R/U EXFIX 1,100.00 1,100.00 1,000.00 1,000.00
1 PC HUMEROUS EXFIX 1,100.00 1,100.00 1,000.00 1,000.00
1 PC FEMUR EXFIX 1,200.00 1,200.00 1,100.00 1,100.00
1 PC 2.7 DRILLBIT 800.00 800.00 650.00 650.00
1 PC 3.2 DRILLBIT 800.00 800.00 650.00 650.00
TOTAL 10,000.00 -

ORDER SLIP: 00377

TO: DR. LLANES DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


12 PCS EXFIX TIBIA 1,100.00 13,200.00 1,000.00 12,000.00
18 PCS EXFIX R/U 1,000.00 18,000.00 900.00 16,200.00
1 PC 3.5 SCREW DRIVER 2,500.00 2,500.00 2,000.00 2,000.00
TOTAL 33,700.00 -

ORDER SLIP: 00378

TO: DR. LAURETA DATE: 8/29/16


DISCOUNT 100

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 5 HOLES MDCP 500.00 1,000.00 400.00 800.00
1 PC 6 HOLES NDCP 700.00 700.00 600.00 600.00
3 PCS 7 HOLES NDCP 800.00 2,400.00 700.00 2,100.00
TOTAL 4,100.00 -

ORDER SLIP: 00379

TO: DR.GONZALES DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 4.5 MINI CANCELLOUS 250.00 1,250.00 230.00 1,150.00
TOTAL 1,250.00 -

ORDER SLIP: 00380

TO: DR. CAYETANO DATE: 8/29/16


DISCOUNT 1400
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
3 PCS BONE CEMENT 3,000.00 9,000.00 2,800.00 8,400.00
9 PCS 6 HOLES MDCP 600.00 5,400.00 500.00 4,500.00
2 PCS 7 HOLES L-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00
2 PCS 4 HOLES L-BUTTRESS 1,500.00 3,000.00 1,000.00 2,000.00
2 PCS 8 HOLES L-BUTTRESS 1,500.00 3,000.00 1,200.00 2,400.00
2 PCS 4 HOLES L-BUTTRESS 1,500.00 3,000.00 1,000.00 2,000.00
2 PCS 5 HOLES SMALL T-PLATE 1,500.00 3,000.00 1,100.00 2,200.00
1 PC 4 HOLES SMALL T-PLATE 1,500.00 1,500.00 1,000.00 1,000.00
1 PC #39 XLO AMNP 4,000.00 4,000.00 4,000.00 4,000.00
1 PC #41 XLO AMNP 4,000.00 4,000.00 4,000.00 4,000.00
1 PC #42 XLO AMNP 4,000.00 4,000.00 4,000.00 4,000.00
TOTAL 42,900.00

ORDER SLIP: 00381

TO: DR. JESS BELOCURA DATE: 8/29/16


DISCOUNT 200

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS PLATE BENDER 2,750.00 5,500.00 -
10 PCS 4.0X60 CANCELLOUS 250.00 2,500.00 -
10 PCS 3.5X22 CORTICAL 100.00 1,000.00 -
2 PCS 2.7 DRILLBIT 800.00 1,600.00 -
1 PCS EXFIX R/U 1,100.00 1,100.00 -
1 PC FEMUR TIBIA 1,200.00 1,200.00 -
1 PC 6 HOLES MDCP 600.00 600.00 -
1 PC 7 HOLES 1/3 TUBULAR 700.00 700.00 -
TOTAL 14,200.00 -

ORDER SLIP: 00382

TO: DR.GIL TENEFRANCIA DATE: 8/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #42 XLO AMNP 8,500.00 8,500.00 6,000.00 6,000.00
TOTAL 8,500.00 -

ORDER SLIP: 00383

TO: DR. CABLING DATE: 8/29/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
2 PCS MOSQUITO FORCEP STRAIGHT 400.00 800.00 350.00 700.00
2 PCS MOSQUITO FORCEP CURVE 400.00 800.00 350.00 700.00
TOTAL 1,600.00 -

ORDER SLIP: 00384

TO: DR. GIL TENEFRANCIA DATE: 8/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8 HOLES NDCP 1,800.00 1,800.00 1,300.00 1,300.00
1 PC 7 HOLES NDCP 1,700.00 1,700.00 1,200.00 1,200.00
7 PCS 4.5X50MM CORTICAL 200.00 1,400.00 120.00 840.00
TOTAL 4,900.00 -

ORDER SLIP: 00385

TO: TRAUMA MEDICA ENT. DATE: 8/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 4 H MDCP 500.00 500.00 400.00 400.00
1 PC 5 H MDCP 600.00 600.00 500.00 500.00
1 PC 6 H MDCP 700.00 700.00 600.00 600.00
1 PC 7 H MDCP 800.00 800.00 700.00 700.00
1 PC 8 H MDCP 900.00 900.00 800.00 800.00
1 PC 9 H MDCP 1,000.00 1,000.00 900.00 900.00
1 PC 10 H MDCP 1,100.00 1,100.00 1,000.00 1,000.00
TOTAL 5,600.00 -

ORDER SLIP: 00386

TO: ANTHONY BENGULLO DATE: 8/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 3.5 DRILLBIT 500.00 1,000.00 -
TOTAL 1,000.00 -

ORDER SLIP: 00387

TO: ALOYSIUS ENZO FELIPE DATE: 8/30/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
2 PCS CERCLAGE WIRE (24, 26) 600.00 1,200.00 -
1 PC BEAD MAKER 4,500.00 4,500.00 -
TOTAL 5,700.00

ORDER SLIP: 00388

TO: DR. JUANCHO MAMARADLO DATE: 8/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BOX BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
1 PC DRAIN 1,500.00 1,500.00 1,000.00 1,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00389

TO: ALLAN YADAO DATE: 8/31/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BOX BONE CEMENT 3,000.00 3,000.00 -
1 PC #52 XLO AMNP 6,000.00 6,000.00 -
TOTAL 9,000.00 -

ORDER SLIP: 00390

TO: TOTAL ORTHO DATE: 8/31/16


EXCESS 1500

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #65 LAGSCREW 2,000.00 4,000.00 1,200.00 2,400.00
1 PC 4 HOLES CHS PLATE 5,500.00 5,500.00 3,700.00 3,700.00
TOTAL 9,500.00 -
EXCESS
ORDER SLIP: 00391

TO: DR. JENSY ONG DATE: 8/31/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #39 XLO AMNP 6,000.00 12,000.00 4,200.00 8,400.00
2 PCS #40 XLO AMNP 6,000.00 12,000.00 4,200.00 8,400.00
20 PCS 4.5X24 CORTICAL 150.00 3,000.00 120.00 2,400.00
20 PCS 4.5X26 CORTICAL 150.00 3,000.00 120.00 2,400.00
TOTAL 30,000.00 -

ORDER SLIP: 00392

TO: FRANCIS CLAMOSA DATE: 8/31/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS BONE CEMENT 3,000.00 9,000.00 -
1 PCS #42 XLO AMNP 4,500.00 4,500.00 -
TOTAL 13,500.00 -

ORDER SLIP: 00393

TO: FRANCIS CLAMOSA DATE: 8/31/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #16 CERCLAGE WIRE 500.00 1,000.00 -
2 PCS #18 CERCLAGE WIRE 500.00 1,000.00 -
20 PCS .062 PINS 100.00 2,000.00 -
TOTAL 4,000.00 -
REBATE CGS TOTAL CAPITAL NET SALES
500.00 3,500.00 3,500.00 1,000.00
1,200.00 300.00 1,800.00 2,400.00
1,700.00 3,800.00 5,300.00 3,400.00 PAID 10/28/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 300.00 1,500.00 2,000.00
200.00 480.00 960.00 640.00
200.00 800.00 1,600.00 800.00
200.00 600.00 1,200.00 800.00
50.00 85.00 850.00 150.00
50.00 85.00 850.00 150.00
50.00 85.00 850.00 150.00
50.00 85.00 850.00 150.00
100.00 162.00 810.00 440.00
100.00 162.00 810.00 440.00
100.00 162.00 810.00 440.00
1,600.00 3,006.00 11,090.00 6,160.00 PAID 1/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


3,600.00 900.00 2,700.00 900.00
3,600.00 900.00 2,700.00 900.00 PAID 3/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


16,800.00 1,720.00 10,320.00 6,480.00
10,000.00 1,690.00 6,760.00 3,240.00
10,500.00 2,490.00 7,470.00 3,030.00
6,000.00 490.00 2,940.00 3,060.00
43,300.00 6,390.00 27,490.00 15,810.00 PAID 12/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,600.00 80.00 1,600.00 1,000.00
1,300.00 50.00 500.00 800.00
3,900.00 130.00 2,100.00 1,800.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 720.00 720.00 1,180.00
560.00 85.00 595.00 805.00
1,060.00 805.00 1,315.00 1,985.00 PAID 11/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 3,500.00 7,000.00 4,000.00
2,000.00 3,500.00 7,000.00 4,000.00 PAID 5/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
1,000.00 6,000.00 6,000.00 3,500.00
2,000.00 13,000.00 13,000.00 5,500.00 PAID 10/28/16
REBATE CGS TOTAL CAPITAL NET SALES
100.00 85.00 425.00 175.00
100.00 85.00 425.00 175.00 PAID 2/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


100.00 650.00 1,300.00 400.00
100.00 650.00 1,300.00 400.00 PAID 2/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


100.00 300.00 300.00 300.00
100.00 300.00 300.00 300.00 PAID 2/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 85.00 850.00 350.00
100.00 85.00 425.00 175.00
300.00 170.00 1,275.00 525.00 PAID 3/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 2,500.00 2,500.00 500.00
200.00 2,500.00 2,500.00 500.00 PAID 3/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 700.00 3,500.00 2,500.00
6,000.00 700.00 3,500.00 2,500.00
1,000.00 80.00 160.00 840.00
1,000.00 80.00 160.00 840.00
14,000.00 1,560.00 7,320.00 6,680.00 PAID 9/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 900.00 900.00 1,300.00
50.00 50.00 50.00 200.00
550.00 950.00 950.00 1,500.00 PAID 9/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 720.00 720.00 1,180.00
2,000.00 800.00 800.00 1,200.00
3,900.00 1,520.00 1,520.00 2,380.00

REBATE CGS TOTAL CAPITAL NET SALES


900.00 300.00 2,700.00 2,700.00
300.00 350.00 1,050.00 1,050.00
300.00 400.00 1,200.00 1,200.00
250.00 85.00 4,250.00 750.00
250.00 85.00 4,250.00 750.00
2,000.00 1,220.00 13,450.00 6,450.00 PAID 12/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


9,000.00 2,500.00 7,500.00 1,500.00
9,000.00 2,500.00 7,500.00 1,500.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
200.00 162.00 1,620.00 880.00
500.00 15.00 150.00 2,350.00
4,100.00 2,931.00 29,310.00 18,190.00 PAID 8/22/16
REBATE CGS TOTAL CAPITAL NET SALES
500.00 85.00 850.00 1,650.00
400.00 1,590.00 3,180.00 1,220.00
400.00 2,090.00 4,180.00 1,420.00

600.00 1,250.00 2,500.00 300.00


500.00 1,420.00 2,840.00 1,060.00
2,400.00 PAID 8/22/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 280.00 560.00 640.00
400.00 50.00 500.00 700.00
600.00 330.00 1,060.00 1,340.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


100.00 300.00 300.00 300.00
100.00 300.00 300.00 300.00 PAID 3/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


75.00 85.00 1,275.00 225.00
75.00 85.00 1,275.00 225.00
75.00 85.00 1,275.00 225.00
75.00 85.00 1,275.00 225.00
75.00 85.00 1,275.00 225.00
375.00 425.00 6,375.00 1,125.00 PAID
REBATE CGS TOTAL CAPITAL NET SALES
500.00 3,000.00 3,000.00 1,500.00
500.00 3,500.00 3,500.00 1,000.00
1,000.00 6,500.00 6,500.00 2,500.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


400.00 2,500.00 5,000.00 1,000.00
200.00 350.00 700.00 900.00
200.00 400.00 800.00 1,000.00
400.00 560.00 1,120.00 1,280.00
400.00 640.00 1,280.00 1,320.00
1,600.00 4,450.00 8,900.00 5,500.00 PAID 11/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 2,500.00 2,500.00 500.00
2,500.00 3,500.00 3,500.00 5,000.00
400.00 650.00 650.00 850.00
3,100.00 6,650.00 6,650.00 6,350.00 PAID 11/8/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 700.00 700.00 2,300.00
1,000.00 700.00 700.00 2,300.00 PAID 8/18/16
REBATE CGS TOTAL CAPITAL NET SALES
1,000.00 1,200.00 1,200.00 1,800.00
1,000.00 1,500.00 1,500.00 1,500.00
2,000.00 2,700.00 2,700.00 3,300.00 PAID 10/25/16

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 570.00 1,140.00 860.00

1,800.00 490.00 980.00 820.00


3,600.00 490.00 1,960.00 1,640.00
3,000.00 - 3,000.00
2,700.00 1,890.00 1,890.00 810.00
13,100.00 3,440.00 5,970.00 7,130.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


2,900.00 490.00 490.00 2,410.00
25,000.00 - 25,000.00
3,200.00 - 3,200.00

110,000.00 60,000.00 60,000.00 50,000.00


120,000.00 - 120,000.00
261,100.00 60,490.00 60,490.00 200,610.00 PAID 4/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 85.00 1,700.00 500.00
200.00 85.00 1,700.00 500.00
100.00 85.00 850.00 250.00
100.00 85.00 850.00 250.00
500.00 85.00 425.00 1,075.00
1,100.00 425.00 5,525.00 2,575.00 PAID 12/8/2016
REBATE CGS TOTAL CAPITAL NET SALES
4,500.00 3,500.00 3,500.00 1,000.00
4,500.00 3,500.00 3,500.00 1,000.00
7,500.00 2,050.00 6,150.00 1,350.00
1,200.00 650.00 650.00 550.00
6,000.00 2,500.00 5,000.00 1,000.00
23,700.00 12,200.00 18,800.00 4,900.00 PAID 12/23/2016

REBATE CGS TOTAL CAPITAL NET SALES


150.00 85.00 2,550.00 450.00
100.00 500.00 500.00 500.00
100.00 550.00 550.00 550.00
100.00 600.00 600.00 600.00
450.00 1,735.00 4,200.00 2,100.00 PAID 8/18/16

REBATE CGS TOTAL CAPITAL NET SALES


300.00 85.00 2,550.00 450.00
100.00 50.00 500.00 500.00
500.00 250.00 1,250.00 1,250.00
100.00 162.00 324.00 276.00
100.00 162.00 324.00 276.00
800.00 1,200.00 2,400.00 1,200.00
250.00 350.00 1,750.00 750.00
250.00 350.00 1,750.00 750.00
500.00 1,450.00 1,450.00 3,050.00
2,900.00 4,059.00 12,298.00 8,502.00 PAID 8/24/16
REBATE CGS TOTAL CAPITAL NET SALES
7,000.00 3,500.00 3,500.00 3,500.00
7,000.00 3,500.00 3,500.00 3,500.00
4,000.00 825.00 1,650.00 2,350.00
4,200.00 900.00 1,800.00 2,400.00
22,200.00 8,725.00 10,450.00 11,750.00

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 900.00 4,500.00 1,500.00
2,400.00 900.00 1,800.00 600.00
8,400.00 1,800.00 6,300.00 2,100.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


2,600.00 200.00 400.00 2,200.00
2,600.00 250.00 500.00 2,100.00
2,600.00 300.00 600.00 2,000.00
2,600.00 350.00 700.00 1,900.00
2,600.00 400.00 800.00 1,800.00
2,600.00 450.00 900.00 1,700.00
2,600.00 500.00 1,000.00 1,600.00
3,000.00 550.00 1,100.00 1,900.00
3,000.00 600.00 1,200.00 1,800.00
2,600.00 200.00 400.00 2,200.00
2,600.00 250.00 500.00 2,100.00
2,600.00 300.00 600.00 2,000.00
2,600.00 350.00 700.00 1,900.00
2,600.00 400.00 800.00 1,800.00
2,600.00 450.00 900.00 1,700.00
2,600.00 500.00 1,000.00 1,600.00
3,000.00 550.00 1,100.00 1,900.00
3,000.00 600.00 1,200.00 1,800.00
1,500.00 400.00 400.00 1,100.00
1,500.00 480.00 480.00 1,020.00
1,500.00 560.00 560.00 940.00
1,500.00 640.00 640.00 860.00
1,500.00 720.00 720.00 780.00
1,500.00 800.00 800.00 700.00
1,800.00 880.00 880.00 920.00
1,800.00 960.00 960.00 840.00
1,800.00 1,040.00 1,040.00 760.00
1,800.00 1,120.00 1,120.00 680.00
1,500.00 375.00 375.00 1,125.00
1,500.00 525.00 525.00 975.00
1,500.00 600.00 600.00 900.00
1,500.00 675.00 675.00 825.00
1,500.00 750.00 750.00 750.00
1,500.00 825.00 825.00 675.00
1,800.00 900.00 900.00 900.00
1,800.00 975.00 975.00 825.00
1,800.00 1,050.00 1,050.00 750.00
1,800.00 1,125.00 1,125.00 675.00
3,000.00 700.00 1,400.00 1,600.00
4,000.00 900.00 1,800.00 2,200.00
3,400.00 700.00 1,400.00 2,000.00
4,000.00 900.00 1,800.00 2,200.00
1,500.00 85.00 850.00 650.00
1,500.00 60.00 600.00 900.00
1,500.00 50.00 500.00 1,000.00
1,500.00 50.00 500.00 1,000.00
1,500.00 50.00 500.00 1,000.00
1,500.00 80.00 800.00 700.00
750.00 50.00 250.00 500.00
104,950.00 26,225.00 40,200.00 64,750.00
REBATE CGS TOTAL CAPITAL NET SALES
16,800.00 85.00 11,900.00 4,900.00
25,200.00 85.00 17,850.00 7,350.00
7,200.00 162.00 3,888.00 3,312.00
7,200.00 162.00 3,888.00 3,312.00
22,000.00 162.00 3,564.00 18,436.00
22,000.00 162.00 3,564.00 18,436.00
65,000.00 3,500.00 45,500.00 19,500.00
5,600.00 2,500.00 5,000.00 600.00
1,500.00 280.00 840.00 660.00
11,000.00 - 11,000.00
183,500.00 33,373.00 136,444.00 152,756.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID 8/18/16

REBATE CGS TOTAL CAPITAL NET SALES


150.00 85.00 1,275.00 225.00
150.00 85.00 1,275.00 225.00
120.00 162.00 648.00 472.00
120.00 162.00 648.00 472.00
540.00 494.00 3,846.00 1,394.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


600.00 550.00 550.00 1,550.00
600.00 550.00 550.00 1,550.00 PAID
REBATE CGS TOTAL CAPITAL NET SALES

5,000.00 26,400.00 26,400.00 23,600.00


5,000.00 26,400.00 26,400.00 23,600.00 PAID 9/9/2016

REBATE CGS TOTAL CAPITAL NET SALES


300.00 300.00 3,000.00 800.00
300.00 300.00 3,000.00 800.00 PAID 8/25/16

REBATE CGS TOTAL CAPITAL NET SALES


400.00 290.00 580.00 1,220.00
200.00 453.00 453.00 447.00

400.00 1,420.00 2,840.00 2,160.00


1,000.00 2,163.00 3,873.00 3,827.00 PAID 10/28/16

REBATE CGS TOTAL CAPITAL NET SALES


100.00 85.00 425.00 175.00
100.00 85.00 425.00 175.00 PAID 3/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


15,000.00 6,000.00 6,000.00 9,000.00
9,000.00 800.00 4,800.00 4,200.00
600.00 85.00 255.00 345.00
24,600.00 6,885.00 11,055.00 13,545.00

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 1,000.00 1,000.00 2,000.00
2,000.00 162.00 810.00 1,190.00
600.00 85.00 170.00 430.00
450.00 85.00 255.00 195.00
6,050.00 1,332.00 2,235.00 3,815.00 PAID 9/14/16

REBATE CGS TOTAL CAPITAL NET SALES


750.00 350.00 1,750.00 1,500.00
750.00 350.00 1,750.00 1,500.00
1,500.00 900.00 4,500.00 3,000.00
1,000.00 80.00 800.00 1,700.00
250.00 85.00 4,250.00 750.00
1,000.00 300.00 3,000.00 3,000.00
500.00 350.00 1,750.00 1,750.00
5,750.00 2,415.00 17,800.00 13,200.00 PAID 8/23/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 50.00 1,500.00 2,100.00
400.00 50.00 1,000.00 1,400.00
200.00 50.00 500.00 700.00
2,500.00 300.00 1,500.00 6,000.00
1,000.00 400.00 800.00 2,200.00
300.00 1,000.00 1,000.00 1,000.00
5,000.00 1,850.00 6,300.00 13,400.00 PAID 9/26/16
REBATE CGS TOTAL CAPITAL NET SALES
6,000.00 2,500.00 5,000.00 1,000.00
4,500.00 3,500.00 3,500.00 1,000.00
4,500.00 3,000.00 3,000.00 1,500.00
15,000.00 9,000.00 11,500.00 3,500.00

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 2,500.00 5,000.00 1,000.00
6,000.00 2,500.00 5,000.00 1,000.00 PAID 1/17/17

REBATE CGS TOTAL CAPITAL NET SALES


500.00 500.00 2,500.00 500.00
500.00 600.00 3,000.00 500.00
500.00 300.00 1,500.00 2,000.00
1,500.00 1,400.00 7,000.00 3,000.00 PAID 10/28/16

REBATE CGS TOTAL CAPITAL NET SALES


9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
9,500.00 6,000.00 6,000.00 3,500.00
85,500.00 54,000.00 54,000.00 31,500.00

REBATE CGS TOTAL CAPITAL NET SALES


1,950.00 300.00 19,500.00 5,200.00
1,950.00 300.00 19,500.00 5,200.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 700.00 1,400.00 200.00
200.00 300.00 600.00 800.00
300.00 280.00 840.00 960.00
700.00 1,280.00 2,840.00 1,960.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00
100.00 200.00 200.00 400.00
200.00 350.00 700.00 900.00
1,300.00 7,550.00 7,900.00 3,300.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


400.00 900.00 900.00 1,000.00
400.00 1,000.00 1,000.00 1,000.00
400.00 1,100.00 1,100.00 1,000.00
400.00 1,200.00 1,200.00 1,000.00
1,600.00 4,200.00 4,200.00 4,000.00 PAID 4/10/2016

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


1,600.00 350.00 700.00 900.00
1,600.00 350.00 700.00 900.00
1,600.00 350.00 700.00 900.00
1,400.00 85.00 595.00 805.00
6,200.00 1,135.00 2,695.00 3,505.00

REBATE CGS TOTAL CAPITAL NET SALES


400.00 560.00 2,240.00 1,360.00
200.00 640.00 1,280.00 720.00
600.00 1,200.00 3,520.00 2,080.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 300.00 300.00 400.00
200.00 350.00 350.00 450.00
200.00 400.00 400.00 500.00
200.00 450.00 450.00 550.00
200.00 500.00 500.00 600.00
100.00 85.00 850.00 250.00
100.00 85.00 850.00 250.00
120.00 85.00 1,020.00 300.00
1,020.00 162.00 1,296.00 1,104.00
1,570.00 162.00 972.00 828.00
200.00 350.00 350.00 450.00
4,110.00 2,929.00 7,338.00 5,682.00 PAID 8/25/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 1,800.00 1,800.00 1,200.00
500.00 1,800.00 1,800.00 1,200.00 PAID 8/31/16

REBATE CGS TOTAL CAPITAL NET SALES


4,500.00 3,500.00 3,500.00 1,000.00
4,500.00 3,500.00 3,500.00 1,000.00
4,500.00 3,500.00 3,500.00 1,000.00
4,500.00 3,500.00 3,500.00 1,000.00
18,000.00 14,000.00 14,000.00 4,000.00

REBATE CGS TOTAL CAPITAL NET SALES


1,600.00 1,250.00 5,000.00 3,800.00
1,600.00 1,250.00 5,000.00 3,800.00

REBATE CGS TOTAL CAPITAL NET SALES


3,500.00 3,500.00 3,500.00 6,000.00
700.00 2,500.00 2,500.00 1,000.00
3,500.00 3,500.00 3,500.00 6,000.00
7,700.00 9,500.00 9,500.00 13,000.00 PAID 8/29/16

REBATE CGS TOTAL CAPITAL NET SALES


3,500.00 2,150.00 2,150.00 6,850.00
280.00 85.00 340.00 660.00
1,000.00 800.00 800.00 1,700.00
4,780.00 3,035.00 3,290.00 9,210.00 PAID 8/29/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 350.00 350.00 1,650.00
490.00 85.00 595.00 805.00
150.00 85.00 85.00 315.00
500.00 500.00 500.00 2,000.00
1,740.00 1,020.00 1,530.00 4,770.00 PAID 8/31/16

REBATE CGS TOTAL CAPITAL NET SALES


65,000.00 - 65,000.00

- - -

-
- - -
65,000.00 - - -
REBATE CGS TOTAL CAPITAL NET SALES
5,400.00 3,500.00 10,500.00 7,500.00
1,800.00 3,500.00 3,500.00 2,500.00
800.00 2,500.00 10,000.00 2,000.00
3,000.00 85.00 8,500.00 6,500.00
11,000.00 9,585.00 32,500.00 18,500.00

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 280.00 5,600.00 6,400.00
1,000.00 280.00 2,800.00 3,200.00
3,000.00 560.00 8,400.00 9,600.00

REBATE CGS TOTAL CAPITAL NET SALES


400.00 3,490.00 3,490.00 910.00
300.00 250.00 750.00 750.00
300.00 300.00 900.00 900.00
1,000.00 4,040.00 5,140.00 2,560.00 PAID 8/27/16

REBATE CGS TOTAL CAPITAL NET SALES


2,500.00 162.00 1,620.00 880.00
12,000.00 3,000.00 6,000.00 6,000.00
14,500.00 3,162.00 7,620.00 6,880.00 PAID 8/27/16 CC

REBATE CGS TOTAL CAPITAL NET SALES


200.00 900.00 1,800.00 600.00
100.00 900.00 900.00 200.00
650.00 300.00 3,900.00 2,600.00
950.00 2,100.00 6,600.00 3,400.00 PAID 8/27/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 2,500.00 12,500.00 2,500.00
1,000.00 2,500.00 12,500.00 2,500.00 PAID 8/27/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 350.00 4,200.00 1,800.00
500.00 1,150.00 1,150.00 1,350.00
200.00 900.00 1,800.00 600.00
100.00 900.00 900.00 300.00
1,400.00 3,300.00 8,050.00 4,050.00 PAID 8/27/16

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 300.00 1,500.00 1,500.00
2,500.00 250.00 1,250.00 1,250.00
2,500.00 250.00 1,250.00 1,250.00
3,000.00 300.00 1,500.00 1,500.00
1,600.00 50.00 100.00 1,500.00
1,600.00 50.00 100.00 1,500.00
4,000.00 85.00 3,400.00 600.00
2,000.00 85.00 1,700.00 300.00
20,200.00 1,370.00 10,800.00 9,400.00 PAID 8/27/16 CC
REBATE CGS TOTAL CAPITAL NET SALES
200.00 350.00 700.00 700.00
200.00 350.00 700.00 700.00
100.00 85.00 1,700.00 300.00
50.00 85.00 850.00 150.00
600.00 600.00 1,200.00 1,800.00
1,000.00 2,300.00 2,300.00 5,200.00
200.00 280.00 560.00 440.00
200.00 50.00 500.00 500.00
200.00 900.00 1,800.00 400.00
200.00 900.00 1,800.00 600.00
1,300.00 900.00 1,800.00 600.00
- 490.00 490.00 - 490.00
4,250.00 7,290.00 14,400.00 10,900.00 PAID 8/27/16 CC

REBATE CGS TOTAL CAPITAL NET SALES


600.00 1,590.00 3,180.00 1,820.00
400.00 850.00 1,700.00 1,300.00
700.00 1,500.00 1,500.00 1,500.00
500.00 1,200.00 1,200.00 1,300.00
1,000.00 3,120.00 3,120.00 4,380.00
300.00 162.00 1,620.00 880.00
300.00 162.00 1,620.00 880.00
300.00 162.00 1,620.00 880.00
300.00 162.00 1,620.00 880.00
300.00 162.00 1,620.00 880.00
300.00 162.00 1,620.00 880.00
300.00 162.00 1,620.00 880.00
3,500.00 300.00 3,000.00 3,000.00
500.00 300.00 1,500.00 1,500.00
2,000.00 50.00 5,000.00 5,000.00
11,300.00 10,044.00 31,540.00 25,960.00 PAID 8/27/16
2,300.00
REBATE CGS TOTAL CAPITAL NET SALES
400.00 850.00 1,700.00 1,300.00
400.00 490.00 980.00 1,020.00
100.00 900.00 900.00 200.00
100.00 900.00 900.00 200.00
100.00 900.00 900.00 300.00
150.00 50.00 50.00 750.00
150.00 100.00 100.00 700.00
1,400.00 4,190.00 5,530.00 4,470.00 PAID 8/27/16

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 900.00 10,800.00 2,400.00
1,800.00 900.00 16,200.00 1,800.00
500.00 1,250.00 1,250.00 1,250.00
3,500.00 3,050.00 28,250.00 5,450.00 PAID 9/27/2016

REBATE CGS TOTAL CAPITAL NET SALES


200.00 250.00 500.00 500.00
100.00 480.00 480.00 220.00
300.00 560.00 1,680.00 720.00
600.00 1,290.00 2,660.00 1,440.00 PAID 8/28/16

REBATE CGS TOTAL CAPITAL NET SALES


100.00 162.00 810.00 440.00
100.00 162.00 810.00 440.00 PAID 8/28/16
REBATE CGS TOTAL CAPITAL NET SALES
600.00 2,500.00 7,500.00 1,500.00
900.00 300.00 2,700.00 2,700.00
600.00 800.00 1,600.00 1,400.00
1,000.00 650.00 1,300.00 1,700.00
600.00 850.00 1,700.00 1,300.00
1,000.00 650.00 1,300.00 1,700.00
800.00 600.00 1,200.00 1,800.00
500.00 500.00 500.00 1,000.00
- 3,500.00 3,500.00 500.00
- 3,500.00 3,500.00 500.00
- 3,500.00 3,500.00 500.00
6,000.00 17,350.00 28,300.00 14,600.00 PAID 8/27/16

REBATE CGS TOTAL CAPITAL NET SALES


5,500.00 3,000.00 6,000.00 - 500.00
2,500.00 162.00 1,620.00 880.00
1,000.00 85.00 850.00 150.00
1,600.00 350.00 700.00 900.00
1,100.00 900.00 900.00 200.00
1,200.00 900.00 900.00 300.00
600.00 300.00 300.00 300.00
700.00 350.00 350.00 350.00
14,200.00 6,047.00 11,620.00 2,580.00 PAID 8/28/16 CC

REBATE CGS TOTAL CAPITAL NET SALES


2,500.00 3,500.00 3,500.00 5,000.00
2,500.00 3,500.00 3,500.00 5,000.00 PAID 8/30/16
REBATE CGS TOTAL CAPITAL NET SALES
100.00 - 800.00
100.00 - 800.00
200.00 - 1,600.00 PAID 8/28/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 640.00 640.00 1,160.00
500.00 560.00 560.00 1,140.00
560.00 85.00 595.00 805.00
1,560.00 1,285.00 1,795.00 3,105.00 PAID 8/30/16

REBATE CGS TOTAL CAPITAL NET SALES


100.00 200.00 200.00 300.00
100.00 250.00 250.00 350.00
100.00 300.00 300.00 400.00
100.00 350.00 350.00 450.00
100.00 400.00 400.00 500.00
100.00 450.00 450.00 550.00
100.00 500.00 500.00 600.00
700.00 2,450.00 2,450.00 3,150.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 40.00 80.00 920.00
1,000.00 40.00 80.00 920.00
REBATE CGS TOTAL CAPITAL NET SALES
1,200.00 135.00 270.00 930.00
4,500.00 - 4,500.00
5,700.00 430.00 5,430.00 PAID 12/8/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 2,500.00 2,500.00 500.00
500.00 650.00 650.00 850.00
700.00 3,150.00 3,150.00 1,350.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 2,500.00 2,500.00 500.00
6,000.00 3,500.00 3,500.00 2,500.00
9,000.00 6,000.00 6,000.00 3,000.00 PAID 9/14/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,600.00 800.00 1,600.00 2,400.00
1,800.00 2,150.00 2,150.00 3,350.00
3,400.00 2,950.00 3,750.00 5,750.00 PAID 3/10/2016
- 1,500.00
1,900.00

REBATE CGS TOTAL CAPITAL NET SALES


3,600.00 3,500.00 7,000.00 5,000.00
3,600.00 3,500.00 7,000.00 5,000.00
600.00 85.00 1,700.00 1,300.00
600.00 85.00 1,700.00 1,300.00
8,400.00 7,170.00 17,400.00 12,600.00

REBATE CGS TOTAL CAPITAL NET SALES


9,000.00 2,500.00 7,500.00 1,500.00
4,500.00 3,500.00 3,500.00 1,000.00
13,500.00 6,000.00 11,000.00 2,500.00

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 280.00 560.00 440.00
1,000.00 280.00 560.00 440.00
2,000.00 50.00 1,000.00 1,000.00
4,000.00 610.00 2,120.00 1,880.00 PAID 12/23/16
ORDER SLIP: 00394

TO: HAMLET PAZ DATE: 9/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 5 HOLES NDCP 600.00 600.00 500.00
1 PC 6 HOLES NDCP 700.00 700.00 600.00
1 PC 7 HOLES NDCP 800.00 800.00 700.00
1 PC 5 HOLES MDCP 600.00 600.00 500.00
1 PC 6 HOLES MDCP 700.00 700.00 600.00
1 PC 7 HOLES MDCP 800.00 800.00 700.00
TOTAL 4,200.00

ORDER SLIP: 00395

TO: HAMLET PAZ DATE: 9/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 5/64 PINS 100.00 1,000.00 80.00
TOTAL 1,000.00

ORDER SLIP: 00396

TO: HAMLET PAZ DATE: 9/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #16 CERCLAGE WIRE 500.00 500.00 400.00
TOTAL 500.00

ORDER SLIP: 00397

TO: HAMLET PAZ DATE: 9/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 3.5X20MM CORTICAL 100.00 1,000.00 95.00
TOTAL 1,000.00

ORDER SLIP: 00398

TO: DR. BACNIS DATE: 9/01/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
2 PCS DRAIN 900.00 1,800.00 800.00
TOTAL -

ORDER SLIP: 00399

TO: DR. BACNIS GIFT DATE: 9/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC STERILIZING BOX 12X8X2
TOTAL

ORDER SLIP: 00400

TO: PHILIP DOROLA DATE: 9/02/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 3.2 DRILLBIT 500.00 500.00 450.00
2 PCS 2.7 DRILLBIT 500.00 1,000.00 350.00
2 PCS 2.5 DRILLBIT 500.00 1,000.00 350.00
2 PCS 3.5 DRILLBIT 500.00 1,000.00 350.00
2 PCS 4.5 DRILLBIT 500.00 1,000.00 350.00
TOTAL 4,500.00

ORDER SLIP: 00401

TO: JANICE EMBERGA DATE: 9/02/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00
1 PC DRAIN 850.00 850.00 800.00
TOTAL 5,350.00

ORDER SLIP: 00402

TO: DR. VINCENT ANG DATE: 9/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS EXFIX TIBIA 1,200.00 3,600.00
TOTAL 3,600.00

ORDER SLIP: 00403

TO: HOLY CHILD HOSPITAL DATE: 9/05/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE

1 PC 7 HOLES PROXIMAL FEMUR LOCK PLATE 16,000.00 16,000.00 11,000.00


8 PCS 5.0 CANCELLOUS LOCKING SCREW 1,500.00 12,000.00 1,000.00
TOTAL 28,000.00

ORDER SLIP: 00404

TO: PABLO DIMZON DATE: 9/05/16


DISCOUNT 30

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #75 LAGSCREW 1,500.00 1,500.00 1,200.00
TOTAL 1,500.00

ORDER SLIP: 00405


EDSEL
TO: DR. PUA DATE: 9/06/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


8 PCS 3.5 CORTICAL SCREW 150.00 1,200.00
3 PCS 4.0 CANCELLOUS SCREW 250.00 750.00
1 PC 4 HOLES MDCP 2,850.00 2,850.00
TOTAL 4,800.00

ORDER SLIP: 00406


EDSEL
TO: DR.GARCIA DATE: 9/06/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6 HOLES MDCP 2,000.00 2,000.00
TOTAL 2,000.00

ORDER SLIP: 00407


EDSEL
TO: DR. MOLANO DATE: 9/06/16
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
5 PCS 3.5 CORTICAL 200.00 1,000.00
1 PC 4.0 CANCELLOUS 500.00 500.00
1 PC 9 HOLES RECON ST. 3,500.00 3,500.00
TOTAL 5,000.00

ORDER SLIP: 00408


EDSEL
TO: BAGUIO C/O JAMES DATE: 9/06/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


8 PCS 4.5 CORTICAL 150.00 1,200.00
1 PC 8 HOLES NDCP 1,000.00 1,000.00
TOTAL 2,200.00

ORDER SLIP: 00409

TO: EDDIE BATAD DATE: 9/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #43 XLO AMP 4,300.00 4,300.00 4,000.00
1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00
TOTAL 7,300.00

ORDER SLIP: 00410

TO: PHILIP DOROLA DATE: 9/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC UNIVERSAL HAND DRILL JAW 6MM 18,500.00 18,500.00 16,000.00
TOTAL 18,500.00

ORDER SLIP: 00411

TO: DR. RICHILLO DAGUMAN DATE: 9/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #39 XLO AMP 4,500.00 4,500.00 4,000.00
1 PC #40 XLO AMP 4,500.00 4,500.00 4,000.00
1 PC #43 XLO AMP 4,500.00 4,500.00 4,000.00
3 BXS BONE CEMENT 3,000.00 9,000.00 2,800.00
2 PCS DRAIN 1,000.00 2,000.00 850.00
1 PC 2.7 DRILLBIT 600.00 600.00 350.00
1 PC 3.2 DRILLBIT 600.00 600.00 350.00
5 PCS 7 HOLES RECON PLATE 1,000.00 5,000.00 900.00
20 PCS 4.0 CANCELLOUS F/T 300.00 6,000.00 250.00
TOTAL 36,700.00

ORDER SLIP: 00412

TO: DR. JUSTINIANO BAI DATE: 9/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC HUMBY KNIFE W/ BLADE 7,000.00 7,000.00 6,500.00
1 PC EXTRA BLADE 750.00 750.00 620.00
2 PCS EXFIX TIBIA 1,500.00 3,000.00 1,300.00
20 PCS 3.5X14MM CORTICAL 200.00 4,000.00 130.00
1 PC MOD USA CAST CUTTER 3,500.00 3,500.00 3,000.00
TOTAL 18,250.00

ORDER SLIP: 00413 3000

TO: ZENY (WESTECH) DATE: 9/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS #40 XLO AMNP 5,500.00 11,000.00 4,500.00
2 PCS #41 XLO AMNP 5,500.00 11,000.00 4,500.00
TOTAL 22,000.00

ORDER SLIP: 00414

TO: DR. ROGER ALBURO DATE: 9/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS 80MM LAGSCREW 1,500.00 4,500.00 1,200.00
1 PC 4 HOLES CHS PLATE 4,500.00 4,500.00 3,700.00
TOTAL 9,000.00

ORDER SLIP: 00415

TO: TRAUMA MEDICA ENT. DATE: 9/08/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
5 PCS DRAIN 900.00 4,500.00 800.00
1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00
10 PCS 4.5X30MM CORTICAL 100.00 1,000.00 95.00
2 PCS #16 CERCLAGE WIRE 600.00 1,200.00 500.00
TOTAL 11,200.00

ORDER SLIP: 00416

TO: TRAUMA MEDICA ENT. DATE: 9/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 7 HOLES MDCP 800.00 1,600.00 700.00
2 PCS 8 HOLES MDCP 900.00 1,800.00 800.00
20 PCS 3.5X14MM CORTICAL 100.00 2,000.00 95.00
10 PCS 3.5X16MM CORTICAL 100.00 1,000.00 95.00
5 PCS 2.7 DRILLBIT 800.00 4,000.00 550.00
TOTAL 10,400.00

ORDER SLIP: 00417


EDSEL
TO: DR. GARCIA DATE: 9/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 8 HOLES RECON STRAIGHT 15,000.00 15,000.00
TOTAL 15,000.00

ORDER SLIP: 00418


EDSEL
TO: DR. GARCIA DATE: 9/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 10X300 TIBIA NAIL (OLTEN) 11,000.00 11,000.00
TOTAL 11,000.00

ORDER SLIP: 00419

TO: DR. JUSTINIANO BAI DATE: 9/10/16

RETURNED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
2 PCS EXFIX TIBIA CARBON FIBER 2,500.00 5,000.00
TOTAL

ORDER SLIP: 00420

TO: DR. ALEXANDER JARATA DATE: 9/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS 6 HOLES 1/3 TUBULAR 1,200.00 3,600.00 900.00
TOTAL 3,600.00

ORDER SLIP: 00421

TO: DR. GIL TENEFRANCIA DATE: 9/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


9 PCS 4.5 CORTICAL SCREW 200.00 1,800.00 120.00
1 PC 7 HOLES NDCP 1,700.00 1,700.00 1,200.00
1 PC 8 HOLES NDCP 1,800.00 1,800.00 1,200.00
TOTAL 5,300.00

ORDER SLIP: 00422


EDSEL
TO: ALLAN (ILIX) DATE: 9/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS BONE CEMENT 3,000.00 9,000.00
TOTAL 9,000.00

ORDER SLIP: 00423

TO: DR. HUBERT SALAZAR DATE: 9/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS REPAIR REAMER 600.00
TOTAL 600.00

ORDER SLIP: 00424

TO: DR. ROMEO TAN DATE: 9/14/16


DISCOUNTED 4,890

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS 5 HOLES 1/3 TUBULAR 1,100.00 5,500.00 800.00
10 PCS 6 HOLES 1/3 TUBULAR 1,200.00 12,000.00 800.00
8 PCS 7 HOLES 1/3 TUBULAR 1,300.00 10,400.00 900.00
30 PCS 3.5X20MM CORTICAL 200.00 6,000.00 120.00
30 PCS 3.5X30MM CORTICAL 200.00 6,000.00 120.00
30 PCS .062 K-WIRE 150.00 4,500.00 100.00
30 PCS 5/64 K-WIRE 150.00 4,500.00 100.00
TOTAL 48,900.00

ORDER SLIP: 00425


EDSEL
TO: DR. VINCENT ANG DATE: 9/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC PIN CUTTER 6,000.00
TOTAL 6,000.00

ORDER SLIP: 00426

TO: TESS CORUNA DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PAIRS US-ARMY NAVY RETRACTOR 8 1/2" 900.00 1,800.00 700.00
RICHARDSON EASTMAN RETRACTOR 10
2 PAIRS 1/4" 1,050.00 2,100.00 750.00
4 PCS SENN MILLER HOOKLET 6 1/4" 395.00 1,580.00 300.00
TOTAL 5,480.00

ORDER SLIP: 00427

TO: DR. RICHILLO DAGUMAN DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #45 XLO AMP 4,500.00 4,500.00 4,000.00
1 PC #46 XLO AMP 4,500.00 4,500.00 4,000.00
2 PCS 5 HOLES L-BUTTRESS R 1,500.00 3,000.00 1,200.00
TOTAL 12,000.00
ORDER SLIP: 00428

TO: JANICE EMBERGA DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #44 XLO AMP 4,500.00 4,500.00 4,000.00
1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00
TOTAL 7,500.00

ORDER SLIP: 00429

TO: DR. MARC BARTOLABAC DATE: 9/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE

1 SET POWER DRILL & 1 AUTOCLAVABLE TRAY 60,000.00 60,000.00 50,000.00


TOTAL 60,000.00

ORDER SLIP: 00430

TO: DR. RAMON TEODORO DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #40 XLO AMNP 8,000.00 8,000.00 5,500.00
1 BX BONE CEMENT W/ GENTA 5,000.00 5,000.00 4,000.00
TOTAL 13,000.00

ORDER SLIP: 00431

TO: DR.MARC BARTOLABAC DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


4 PCS FLEXIBLE REAMS (9-12) 4,800.00 19,200.00 3,500.00
TOTAL 19,200.00

ORDER SLIP: 00432

TO: HAMLET PAZ DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #40 XLO AMNP 4,500.00 4,500.00 4,000.00
TOTAL 4,500.00

ORDER SLIP: 00433

TO: RAYTON OBIA DATE: 9/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS K-NAIL 10" 750.00 2,250.00 600.00
TOTAL 2,250.00

ORDER SLIP: 00434

TO: PHILIP DOROLA DATE: 9/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS 3 HOLES MINI T-PLATE 1,300.00 3,900.00 900.00
3 PCS 5 HOLES MINI T-PLATE 1,300.00 3,900.00 900.00
15 PCS 4.0X30MM CANCELLOUS F/T 250.00 3,750.00 230.00
20 PCS 4.0X35MM CANCELLOUS F/T 250.00 5,000.00 230.00
20 PCS 4.0X40MM CANCELLOUS F/T 250.00 5,000.00 230.00
20 PCS 4.0X45MM CANCELLOUS F/T 250.00 5,000.00 230.00
5 PCS 4.0X50MM CANCELLOUS F/T 250.00 1,250.00 230.00
11 PCS 4.0X55MM CANCELLOUS F/T 250.00 2,750.00 230.00
20 PCS 4.0X30MM CANCELLOUS H/T 250.00 5,000.00 230.00
10 PCS 4.0X35MM CANCELLOUS H/T 250.00 2,500.00 230.00
6 PCS 4.0X40MM CANCELLOUS H/T 250.00 1,500.00 230.00
12 PCS 4.0X45MM CANCELLOUS H/T 250.00 3,000.00 230.00
20 PCS 4.0X50MM CANCELLOUS H/T 250.00 5,000.00 230.00
20 PCS 40X55MM CANCELLOUS H/T 250.00 5,000.00 230.00
10 PCS 3.5X70MM CORTICAL 350.00 3,500.00 250.00
TOTAL 56,050.00

ORDER SLIP: 00435

TO: DR. ROURA DATE: 9/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #42MM XLO AMNP 6,000.00 6,000.00 4,500.00
3 BXS BONE CEMENT W/ GENTA 5,500.00 16,500.00 4,000.00
TOTAL 22,500.00
ORDER SLIP: 00436

TO:VETERANS DATE: 9/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 7 HOLES L-PLATE( L) 3,000.00 3,000.00 1,800.00
2 PCS 6.5X90MM LAGSCREW 500.00 1,000.00 350.00
TOTAL 4,000.00

ORDER SLIP: 00437

TO:VETERANS DATE: 9/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


7 PCS 3.5X16MM CORTICAL 200.00 1,400.00 120.00
TOTAL 1,400.00

ORDER SLIP: 00438

TO: DR. GABRIEL SEMBRANO DATE: 9/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


50 PXS 3.5 CORTICAL ASSTD 200.00 10,000.00 140.00
2 PCS #12 K-NAIL 850.00 1,700.00 650.00
2 PCS #10 K-NAIL 850.00 1,700.00 650.00
1 PC #9 K-NAIL 850.00 850.00 650.00
2 PCS EXFIX TIBIA 1,500.00 3,000.00 1,300.00
2 PCS EXFIX HUMEROUS 1,400.00 2,800.00 1,200.00
2 PCS 6 HOLES 1/3 TUBULAR 1,200.00 2,400.00 800.00
2 PCS 6 HOLES NDCP 1,600.00 3,200.00 1,000.00
FREE 1 PC - 4.5 SCREW DRIVER
1 PC - BIG TENACULUM
TOTAL 25,650.00

ORDER SLIP: 00439

TO: DR. RAMON TEODORO DATE: 9/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 8 HOLES 1/3 TUBULAR 2,000.00 2,000.00 1,400.00
2 PCS 4.0X16 CANCELLOUS H/T 500.00 1,000.00 400.00
3 PCS 3.5X44MM CORTICAL 200.00 600.00 120.00
TOTAL 3,600.00

ORDER SLIP: 00440


EDSEL
TO: DR. MURPHY BOYLES DATE: 9/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS BONE CEMENT REG 3,000.00 6,000.00
1 PC 8" K-NAIL 700.00 700.00
TOTAL 6,700.00

ORDER SLIP: 00441

TO: HAMLET PAZ DATE: 9/19/16

CANCELLED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
1 PC 10X340 TIBIA NAIL 3,000.00 3,000.00
1 PC 10X360 TIBIA NAIL 3,000.00 3,000.00
1 PC 10X320 FEMUR NAIL 3,000.00 3,000.00
1 PC 10X320 TIBIA NAIL 3,000.00 3,000.00
1 PC 9X340 TIBIA NAIL 3,000.00 3,000.00
1 PC 11X380 FEMUR NAIL 3,000.00 3,000.00
TOTAL

ORDER SLIP: 00442

TO: DR. ROMMEL ESTILLORE DATE: 9/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #45 XLO AMNP 8,500.00 8,500.00 6,000.00
1 BX ANTIBIOTIC CEMENT 5,500.00 5,500.00 4,000.00
TOTAL 14,000.00

ORDER SLIP: 00443

TO: PHILIP DOROLA DATE: 9/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS 3 HOLES MINI T-PLATES 1,300.00 3,900.00 900.00
3 PCS 5 HOLES MINI T-PLATES 1,300.00 3,900.00 900.00
1 PC UNIVERSAL HAND DRILL JAW 6MM 18,500.00 18,500.00 16,000.00
TOTAL 26,300.00

ORDER SLIP: 00444

TO: DR. ARNEL ANGELES DATE: 9/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


7 PCS 6 HOLES MDCP 1,200.00 8,400.00
2 PCS 6 HOLES NDCP 1,400.00 2,800.00
50 PCS 3.5 CORTICAL 200.00 10,000.00
TOTAL 21,200.00

ORDER SLIP: 00445

TO: DR.GIL TENEFRANCIA DATE: 9/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC # 41 XLO AMNP 8,500.00 8,500.00 5,000.00
TOTAL 8,500.00

ORDER SLIP: 00446

TO: ASK A VET DATE: 9/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


6 PCS 3.5X14MM CORTICAL 200.00 1,200.00 120.00
1 PCS 4 HOLES 1/3 TUBULAR 800.00 800.00 600.00
1 PCS 6 HOLES 1/3 TUBULAR 1,200.00 1,200.00 800.00
1 PCS 6 HOLES RECON PLATE ST. 1,800.00 1,800.00 1,200.00
1 PC #20 CERCLAGE WIRE 700.00 700.00 500.00
2 PCS 3.5X20MM CORTICAL 200.00 400.00 120.00
TOTAL 6,100.00

ORDER SLIP: 00447

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 9/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 6 HOLES NDCP 700.00 1,400.00 600.00
20 PCS 3/32 PINS 120.00 2,400.00 90.00
2 PCS #18 CERCLAGE WIRE 500.00 1,000.00 400.00
2 PCS #20 CERCLAGE WIRE 500.00 1,000.00 400.00
100 PCS 4.0 CANCELLOUS F/T 250.00 25,000.00 200.00
TOTAL 30,800.00

ORDER SLIP: 00448

TO: VETERANS MEMORIAL MED CTR. DATE: 9/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #44 XLO AMNP 4,500.00 4,500.00 4,000.00
TOTAL 4,500.00

ORDER SLIP: 00449

TO: JANICE EMBERGA DATE: 9/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS BONE CEMENT REG 3,000.00 6,000.00 2,800.00
TOTAL 6,000.00

ORDER SLIP: 00450

TO:TRAUMA MEDICA ENT. DATE: 9/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 4.0X18 CANCELLOUS 280.00 560.00 250.00
2 PCS 4.0X22 CANCELLOUS 280.00 560.00 250.00
2 PCS 4.0X35 CANCELLOUS 280.00 560.00 250.00
1 PC 4.0X30 CANCELLOUS 280.00 280.00 250.00
1 PC 4.0X40 CANCELLOUS 280.00 280.00 250.00
1 PC 5 HOLES OBLIQUE T-PLATE 1,500.00 1,500.00 1,300.00
TOTAL 3,740.00

ORDER SLIP: 00451

TO:TRAUMA MEDICA ENT. DATE: 9/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #45 XLO AMNP 4,500.00 4,500.00 4,000.00
TOTAL 4,500.00
ORDER SLIP: 00452

TO:TRAUMA MEDICA ENT. DATE: 9/27/16

RETURNED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
1 BX BONE CMENT REG. 3,000.00 3,000.00
TOTAL 3,000.00

ORDER SLIP: 00453

TO: DR. ROMMEL ESTILLORE DATE: 9/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


6 PCS 3.5 CORTICAL 200.00 1,200.00 120.00
1 PC 6 HOLES MDCP 2,000.00 2,000.00 1,400.00
POWER DRILL RENTAL 2,500.00
TOTAL 5,700.00

ORDER SLIP: 00454

TO: DR. DARYL APLA-ON DATE: 9/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #43 XLO AMNP 8,500.00 8,500.00 6,000.00
TOTAL 8,500.00

ORDER SLIP: 00455

TO: DR. RAMON TEODORO DATE: 9/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6H MDCP 2,000.00 2,000.00 1,200.00
5 PCS 3.5 CORTICAL 200.00 1,000.00 140.00
POWER DRILL 2,500.00 2,000.00
OSCILLATING SAW 2,500.00 2,000.00
TOTAL 8,000.00

ORDER SLIP: 00456

TO: DRA. BACNIS DATE: 9/29/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
2 PCS DRAIN 900.00 1,800.00 800.00
TOTAL 1,800.00

ORDER SLIP: 00457

TO: DR. MARK KIMPAY DATE: 9/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 3.5X20MM CORTICAL 200.00 2,000.00
10 PCS 3.5X30MM CORTICAL 200.00 2,000.00
1 PCS 8 HOLES RECON STR. 2,500.00 2,500.00
TOTAL 6,500.00

ORDER SLIP: 00458

TO: DR. GIL TENEFRANCIA DATE: 9/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC THOMPSON 8,500.00 8,500.00 5,000.00
1 PC BONE CEMENT 3,000.00 3,000.00 2,800.00
1 PC DRAIN 1,500.00 1,500.00 1,000.00
TOTAL 13,000.00

ORDER SLIP: 00459

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 9/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


30 PCS 1/8 PINS 120.00 3,600.00 100.00
TOTAL 3,600.00
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
500.00 100.00 400.00 400.00 200.00
600.00 100.00 480.00 480.00 220.00
700.00 100.00 560.00 560.00 240.00
500.00 100.00 250.00 250.00 350.00
600.00 100.00 300.00 300.00 400.00
700.00 100.00 350.00 350.00 450.00
- 600.00 2,340.00 2,340.00 1,860.00 PAID 1/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


800.00 200.00 50.00 500.00 500.00
- 200.00 50.00 500.00 500.00 PAID 1/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


400.00 100.00 280.00 280.00 220.00
- 100.00 280.00 280.00 220.00 PAID 1/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


950.00 50.00 85.00 850.00 150.00
- 50.00 85.00 850.00 150.00 PAID 1/9/2016
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
1,600.00 200.00 650.00 1,300.00 500.00
- 200.00 650.00 1,300.00 500.00 PAID 10/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES

- - - -

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


450.00 50.00 100.00 100.00 400.00
700.00 300.00 100.00 200.00 800.00
700.00 300.00 100.00 200.00 800.00
700.00 300.00 100.00 200.00 800.00
700.00 300.00 100.00 200.00 800.00
- 1,250.00 500.00 900.00 3,600.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 2,500.00 2,500.00 2,000.00
800.00 50.00 650.00 650.00 200.00
- 550.00 3,150.00 3,150.00 2,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 3,600.00 900.00 2,700.00 900.00
- 3,600.00 900.00 2,700.00 900.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES

11,000.00 5,000.00 6,000.00 6,000.00 10,000.00


8,000.00 4,000.00 800.00 6,400.00 5,600.00
- 9,000.00 6,800.00 12,400.00 15,600.00 PAID 5/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 300.00 2,500.00 2,500.00 - 1,000.00
- 300.00 2,500.00 2,500.00 - 1,000.00 PAID 7/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 1,200.00 85.00 680.00 520.00
- 750.00 162.00 486.00 264.00
- 2,850.00 200.00 200.00 2,650.00
- 4,800.00 447.00 1,366.00 3,434.00 PAID 9/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 2,000.00 300.00 300.00 1,700.00
- 2,000.00 300.00 300.00 1,700.00 PAID 9/13/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
- 1,000.00 85.00 425.00 575.00
- 500.00 162.00 162.00 338.00
- 3,500.00 900.00 900.00 2,600.00
- 5,000.00 1,147.00 1,487.00 3,513.00 PAID 9/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 1,200.00 85.00 680.00 520.00
- 1,000.00 640.00 640.00 360.00
- 2,200.00 725.00 1,320.00 880.00 PAID 9/13/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 300.00 3,500.00 3,500.00 800.00
2,800.00 200.00 2,500.00 2,500.00 500.00
- 500.00 6,000.00 6,000.00 1,300.00 PAID 8/9/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


16,000.00 2,500.00 12,000.00 12,000.00 6,500.00
- 2,500.00 12,000.00 12,000.00 6,500.00 PAID 11/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
4,000.00 500.00 3,500.00 3,500.00 1,000.00
4,000.00 500.00 3,500.00 3,500.00 1,000.00
8,400.00 600.00 2,500.00 7,500.00 1,500.00
1,700.00 300.00 650.00 1,300.00 700.00
350.00 250.00 80.00 80.00 520.00
350.00 250.00 350.00 350.00 250.00
4,500.00 500.00 700.00 3,500.00 1,500.00
5,000.00 1,000.00 162.00 3,240.00 2,760.00
- 4,400.00 14,942.00 26,470.00 10,230.00 PAID 9/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


6,500.00 500.00 3,920.00 3,920.00 3,080.00
620.00 130.00 420.00 420.00 330.00
2,600.00 400.00 900.00 1,800.00 1,200.00
2,600.00 1,400.00 85.00 1,700.00 2,300.00
3,000.00 500.00 2,220.00 2,220.00 1,280.00
- 2,930.00 7,545.00 10,060.00 8,190.00 PAID 9/13/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


9,000.00 2,000.00 3,500.00 7,000.00 4,000.00
9,000.00 2,000.00 3,500.00 7,000.00 4,000.00
- 4,000.00 7,000.00 14,000.00 8,000.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


3,600.00 900.00 800.00 2,400.00 2,100.00
3,700.00 800.00 2,300.00 2,300.00 2,200.00
- 1,700.00 3,100.00 4,700.00 4,300.00 PAID 10/27/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
4,000.00 500.00 680.00 3,400.00 1,100.00
4,000.00 500.00 3,500.00 3,500.00 1,000.00
950.00 50.00 85.00 850.00 150.00
1,000.00 200.00 280.00 560.00 640.00
- 1,250.00 4,545.00 8,310.00 2,890.00 PAID 10/19/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,400.00 200.00 350.00 700.00 900.00
1,600.00 200.00 400.00 800.00 1,000.00
1,900.00 100.00 85.00 1,700.00 300.00
950.00 50.00 85.00 850.00 150.00
2,750.00 1,250.00 80.00 400.00 3,600.00
- 1,800.00 1,000.00 4,450.00 5,950.00 PAID 10/19/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 15,000.00 800.00 800.00 14,200.00
- 15,000.00 800.00 800.00 14,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 11,000.00 6,000.00 6,000.00 5,000.00
- 11,000.00 6,000.00 6,000.00 5,000.00
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
- 5,000.00 - 5,000.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,700.00 900.00 300.00 900.00 2,700.00
- 900.00 300.00 900.00 2,700.00 PAID 10/18/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,080.00 720.00 85.00 765.00 1,035.00
1,200.00 500.00 560.00 560.00 1,140.00
1,200.00 600.00 640.00 640.00 1,160.00
- 1,820.00 1,285.00 1,965.00 3,335.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 9,000.00 2,500.00 7,500.00 1,500.00
- 9,000.00 2,500.00 7,500.00 1,500.00 PAID 9/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 600.00 600.00 1,200.00 - 600.00
- 600.00 600.00 1,200.00 - 600.00 PAID 12/15/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
4,000.00 1,500.00 250.00 1,250.00 4,250.00
8,000.00 4,000.00 300.00 3,000.00 9,000.00
7,200.00 3,200.00 350.00 2,800.00 7,600.00
3,600.00 2,400.00 85.00 2,550.00 3,450.00
3,600.00 2,400.00 85.00 2,550.00 3,450.00
3,000.00 1,500.00 50.00 1,500.00 3,000.00
3,000.00 1,500.00 50.00 1,500.00 3,000.00
- 16,500.00 1,170.00 15,150.00 33,750.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 6,000.00 600.00 600.00 5,400.00
- 6,000.00 600.00 600.00 5,400.00 PAID 9/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,400.00 400.00 440.00 880.00 920.00

1,500.00 600.00 590.00 1,180.00 920.00


1,200.00 380.00 195.00 780.00 800.00
1,380.00 1,225.00 2,840.00 2,640.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
4,000.00 500.00 3,500.00 3,500.00 1,000.00
2,400.00 1,400.00 2,800.00 200.00
- 1,000.00 8,400.00 9,800.00 2,200.00 PAID
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
4,000.00 500.00 3,500.00 3,500.00 1,000.00
2,800.00 200.00 2,500.00 2,500.00 500.00
- 700.00 6,000.00 6,000.00 1,500.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES

50,000.00 10,000.00 28,800.00 28,800.00 31,200.00


- 10,000.00 28,800.00 28,800.00 31,200.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,500.00 2,500.00 3,500.00 3,500.00 4,500.00
4,000.00 1,000.00 1,200.00 1,200.00 3,800.00
- 3,500.00 4,700.00 4,700.00 8,300.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


14,000.00 5,200.00 4,500.00 18,000.00 1,200.00
- 5,200.00 4,500.00 18,000.00 1,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
- 500.00 3,500.00 3,500.00 1,000.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 450.00 350.00 1,050.00 1,200.00
- 450.00 350.00 1,050.00 1,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,700.00 1,200.00 400.00 1,200.00 2,700.00
2,700.00 1,200.00 600.00 1,800.00 2,100.00
3,450.00 300.00 162.00 2,430.00 1,320.00
4,600.00 400.00 162.00 3,240.00 1,760.00
4,600.00 400.00 162.00 3,240.00 1,760.00
4,600.00 400.00 162.00 3,240.00 1,760.00
1,150.00 100.00 162.00 810.00 440.00
2,530.00 220.00 162.00 1,782.00 968.00
2,300.00 2,700.00 162.00 3,240.00 1,760.00
1,380.00 1,120.00 162.00 1,620.00 880.00
2,760.00 - 1,260.00 162.00 972.00 528.00
4,600.00 - 1,600.00 162.00 1,944.00 1,056.00
4,600.00 400.00 162.00 3,240.00 1,760.00
4,600.00 400.00 162.00 3,240.00 1,760.00
2,500.00 1,000.00 85.00 850.00 2,650.00
- 6,980.00 3,029.00 32,848.00 23,202.00 PAID 9/27/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,500.00 1,500.00 3,500.00 3,500.00 2,500.00
12,000.00 4,500.00 1,200.00 3,600.00 12,900.00
- 6,000.00 4,700.00 7,100.00 15,400.00 PAID 9/19/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
1,800.00 1,200.00 1,500.00 1,500.00 1,500.00
700.00 300.00 800.00 1,600.00 - 600.00
- 1,500.00 2,300.00 3,100.00 900.00 PAID 9/17/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


840.00 560.00 85.00 595.00 805.00
- 560.00 85.00 595.00 805.00 PAID 9/17/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


7,000.00 3,000.00 85.00 4,250.00 5,750.00
1,300.00 400.00 350.00 700.00 1,000.00
1,300.00 400.00 350.00 700.00 1,000.00
650.00 200.00 350.00 350.00 500.00
2,600.00 400.00 900.00 1,800.00 1,200.00
2,400.00 400.00 700.00 1,400.00 1,400.00
1,600.00 800.00 300.00 600.00 1,800.00
2,000.00 1,200.00 480.00 960.00 2,240.00
1,150.00 - -
1,200.00 - -
- 6,800.00 5,865.00 10,760.00 14,890.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,400.00 600.00 400.00 400.00 1,600.00
800.00 200.00 162.00 324.00 676.00
360.00 240.00 85.00 255.00 345.00
- 1,040.00 647.00 979.00 2,621.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 6,000.00 2,500.00 5,000.00 1,000.00
- 700.00 350.00 350.00 350.00
- 6,700.00 2,850.00 5,350.00 1,350.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 3,000.00 864.00 864.00 2,136.00
- 3,000.00 864.00 864.00 2,136.00
- 3,000.00 864.00 864.00 2,136.00
- 3,000.00 864.00 864.00 2,136.00
- 3,000.00 864.00 864.00 2,136.00
- 3,000.00 864.00 864.00 2,136.00
-

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 2,500.00 3,500.00 3,500.00 5,000.00
4,000.00 1,500.00 1,200.00 1,200.00 4,300.00
- 4,000.00 4,700.00 4,700.00 9,300.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,700.00 1,200.00 300.00 900.00 3,000.00
2,700.00 1,200.00 500.00 1,500.00 2,400.00
16,000.00 2,500.00 - 18,500.00
- 4,900.00 800.00 2,400.00 23,900.00 PAID 9/27/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 8,400.00 300.00 2,100.00 6,300.00
- 2,800.00 480.00 960.00 1,840.00
- 10,000.00 85.00 4,250.00 5,750.00
- 21,200.00 865.00 7,310.00 13,890.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 3,500.00 3,500.00 3,500.00 5,000.00
- 3,500.00 3,500.00 3,500.00 5,000.00 PAID 9/22/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


720.00 480.00 85.00 510.00 690.00
600.00 200.00 200.00 200.00 600.00
800.00 400.00 300.00 300.00 900.00
1,200.00 600.00 600.00 600.00 1,200.00
500.00 200.00 280.00 280.00 420.00
240.00 160.00 85.00 170.00 230.00
- 2,040.00 1,550.00 2,060.00 4,040.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 200.00 480.00 960.00 440.00
1,800.00 600.00 50.00 1,000.00 1,400.00
800.00 200.00 280.00 560.00 440.00
800.00 200.00 280.00 560.00 440.00
20,000.00 5,000.00 162.00 16,200.00 8,800.00
- 6,200.00 1,252.00 19,280.00 11,520.00 PAID 11/3/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
- 500.00 3,500.00 3,500.00 1,000.00 PAID 9/27/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,600.00 400.00 2,500.00 5,000.00 1,000.00
- 400.00 2,500.00 5,000.00 1,000.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


500.00 60.00 162.00 324.00 236.00
500.00 60.00 162.00 324.00 236.00
500.00 60.00 162.00 324.00 236.00
250.00 30.00 162.00 162.00 118.00
250.00 30.00 162.00 162.00 118.00
1,300.00 200.00 600.00 600.00 900.00
- 440.00 1,410.00 1,896.00 1,844.00 PAID 10/19/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
- 500.00 3,500.00 3,500.00 1,000.00 PAID 10/19/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
- 3,000.00 2,500.00 2,500.00 500.00
- 3,000.00 2,500.00 2,500.00 500.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


720.00 480.00 85.00 510.00 690.00
1,400.00 600.00 300.00 300.00 1,700.00
- 2,500.00 - 2,500.00
- 3,580.00 385.00 810.00 4,890.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 2,500.00 3,500.00 3,500.00 5,000.00
- 2,500.00 3,500.00 3,500.00 5,000.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 800.00 300.00 300.00 1,700.00
700.00 300.00 85.00 425.00 575.00
- 500.00 - 2,500.00
- 500.00 - 2,500.00
- 2,100.00 385.00 725.00 7,275.00 PAID 3/10/2016
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
1,600.00 200.00 650.00 1,300.00 500.00
- 200.00 650.00 1,300.00 500.00 PAID

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 2,000.00 85.00 850.00 1,150.00
- 2,000.00 85.00 850.00 1,150.00
- 2,500.00 800.00 800.00 1,700.00
- 6,500.00 970.00 2,500.00 4,000.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 3,500.00 3,000.00 3,000.00 5,500.00
2,800.00 200.00 2,500.00 2,500.00 500.00
1,000.00 500.00 650.00 650.00 850.00
- 4,200.00 6,150.00 6,150.00 6,850.00 PAID 9/29/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


3,000.00 600.00 50.00 1,500.00 2,100.00
- 600.00 50.00 1,500.00 2,100.00 PAID 11/3/16
ORDER SLIP: 00461

TO: JOSEPH REBULADO DATE: 10/04/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 BXS BONE CEMENT REG. 3,000.00 9,000.00 2,800.00
TOTAL 9,000.00

ORDER SLIP: 00462

TO: TRAUMA MEDICA ENT. DATE: 10/04/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


20 PCS 3.5X16MM CORTICAL 100.00 2,000.00 95.00
20 PCS 3.5 X 18MM CORTICAL 100.00 2,000.00 95.00
TOTAL 4,000.00

ORDER SLIP: 00463

TO: EDDIE BATAD DATE: 10/04/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC OLIVE WIRE 700.00 700.00 600.00
1 PC EXFIX TIBIA 1,200.00 1,200.00 1,100.00
1 PC HYBRID EXFIX 4,800.00 4,800.00 4,600.00
TOTAL 6,700.00

ORDER SLIP: 00464

TO: UNIMED DATE: 10/05/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #43 XLO AMNP 6,000.00 6,000.00 5,000.00
TOTAL 6,000.00

ORDER SLIP: 00465

TO: DR. ANATALIO DATE: 10/05/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
5 PCS BONE CEMENT REG. 3,000.00 15,000.00 2,800.00
TOTAL 15,000.00

ORDER SLIP: 00466

TO: ZENY (WESTECH) DATE: 10/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 4.0 X 30 CANCELLOUS F/T 300.00 600.00
1 PC 4.0 X 35 CANCELLOUS F/T 300.00 300.00
2 PCS 4.0 X 40 CANCELLOUS F/T 300.00 600.00
2 PCS 4.0 X 55 CANCELLOUS F/T 300.00 600.00
2 PCS 4.0 X 60 CANCELLOUS F/T 300.00 600.00
TOTAL 2,700.00

ORDER SLIP: 00467


EDSEL
TO: DON EMILIO HOSP. DATE: 10/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS METZEMBAUM 5 1/2 CUR 900.00 9,000.00
10 PCS METZEMBAUM 7" CUR 1,050.00 10,500.00
10 PCS ALIS FORCEP 5 1/2" 990.00 9,900.00
10 PCS KELLY CURVE 6 1/4" 1,150.00 11,500.00
10 PCS KIDNEY BASIN 10" 1,325.00 13,250.00
3 PCS MAYO TABLE 10,500.00 31,500.00
TOTAL 85,650.00
56,669.64
ORDER SLIP: 00468

TO: DR. RAMON TEODORO DATE: 10/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 11X380 FEMUR NAIL (GRP) 19,600.00 19,600.00 15,000.00
3 PCS SCREWS 300.00 900.00 250.00
1 PC DRAIN 1,500.00 1,500.00 1,200.00
TOTAL 22,000.00

ORDER SLIP: 00469

TO: DR.GIL TENEFRANCIA DATE: 10/07/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
1 PC THOMPSON 9,000.00 9,000.00 6,500.00
1 PC XLO AMNP 9,000.00 9,000.00 6,500.00
TOTAL 18,000.00

ORDER SLIP: 00470

TO: DR.MALVAR DATE: 10/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC HUMBY KNIFE HOLDER 7,000.00 7,000.00 6,500.00
1 PC KNIFE BLADE/SKIN GRAFT 500.00 500.00 500.00
TOTAL 7,500.00

ORDER SLIP: 00471

TO: DR. CHRISTOPHER CHAN DATE: 10/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 6H MDCP 2,300.00 4,600.00 1,800.00
12 PCS 3.5 CORTICAL SCREWS 200.00 2,400.00 120.00
TOTAL 7,000.00

ORDER SLIP: 00472

TO: DR. NICCOLO MAMBA DATE: 10/08/16

DISCOUNT 300
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
3 PCS RECON PLATE STR. 5,000.00 15,000.00 4,500.00
TOTAL 15,000.00

ORDER SLIP: 00473

TO: FRANCIS CLAMOSA DATE: 10/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 9X280 TIBIA NAIL 9,500.00 9,500.00
2 PC 10X340 TIBIA NAIL 9,500.00 19,000.00
2 PCS 10X340 FEMUR NAIL 9,500.00 19,000.00
2 PC 10X360 TIBIA NAIL 9,500.00 19,000.00
1 PC 11X340 FEMUR NAIL 9,500.00 9,500.00
1 PC 11X340 TIBIA NAIL 9,500.00 9,500.00
2 PCS 11X360 TIBIA NAIL 9,500.00 19,000.00
TOTAL 104,500.00

ORDER SLIP: 00474

TO: TRAUMA MEDICA ENT. DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6 HOLES MDCP 700.00 700.00 500.00
1 PC 7 HOLES 1/3 TUBULAR 800.00 800.00 600.00
5 PCS DRAIN 900.00 4,500.00 800.00
10 PCS 3.5X14 CORTICAL 100.00 1,000.00 95.00
1 PC 4 HOLES MINI T-PLATE 1,800.00 1,800.00 1,300.00
TOTAL 8,800.00

ORDER SLIP: 00475

TO: TRAUMA MEDICA ENT. DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


20 PCS 3.20MM CORTICAL 100.00 2,000.00 95.00
TOTAL 2,000.00

ORDER SLIP: 00476

TO: TRAUMA MEDICA ENT. DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


25 PCS DRAIN 900.00 22,500.00 800.00
TOTAL 22,500.00

ORDER SLIP: 00477

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


11 PCS .035 PINS 120.00 1,320.00 90.00
30 PCS .062 PINS 120.00 3,600.00 90.00
3 PCS 4 HOLES MINI T-PLATE 1,500.00 4,500.00 1,000.00
100 PCS 4.0 CANCELLOUS H/T 250.00 25,000.00 200.00
1 PC 4.5 SCREW DRIVER 2,500.00 2,500.00 2,000.00
TOTAL 36,920.00

ORDER SLIP: 00478

TO: FRANCIS CLAMOSA DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 BXS BONE CEMENT W/GENTA 4,000.00 12,000.00
TOTAL 12,000.00

ORDER SLIP: 00479

TO: FRANCIS CLAMOSA DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS #42 XLO AMNP 4,500.00 9,000.00 4,000.00
4 PCS 5 HOLES 1/3 TUBULAR 600.00 2,400.00 500.00
8 PCS 6 HOLES 1/3 TUBULAR 700.00 5,600.00 600.00
TOTAL 17,000.00

ORDER SLIP: 00480

TO: DR. LLANES DATE: 10/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS BONE CEMENT REG. 3,000.00 30,000.00 2,800.00
TOTAL 30,000.00

ORDER SLIP: 00481

TO: DRA. BACNIS DATE: 10/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS BONE CEMENT REG. 3,000.00 6,000.00 2,800.00
6,000.00

ORDER SLIP: 00482


TO: DR. ARNEL ANGELES DATE: 10/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 6 HOLES DISTAL FEMUR (L) 9,500.00 9,500.00 7,500.00
3 PCS 4.5 CORTICAL 200.00 600.00 140.00
2 PCS 5.0 CORTICAL 1,200.00 2,400.00 1,000.00
3 PCS 5.0 CANCELLOUS 1,500.00 4,500.00 1,200.00
TOTAL 17,000.00

ORDER SLIP: 00483


EDSEL
TO: DR. VINCENT ANG DATE: 10/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS 7 HOLES MDCP 1,600.00 3,200.00
12 PCS 3.5 CORTICAL 150.00 1,800.00
TOTAL 5,000.00

ORDER SLIP: 00484

TO: EDDIE BATAD DATE: 10/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #42 XLO AMNP 4,300.00 4,300.00 4,000.00
1 PC #43 XLO AMNP 4,300.00 4,300.00 4,000.00
2 PCS BONE CEMENT REG. 3,000.00 6,000.00 2,800.00
60 PCS 3.5 CORTICAL 100.00 6,000.00 90.00
40 PCS 4.5 CORTICAL 100.00 4,000.00 90.00
TOTAL 24,600.00

ORDER SLIP: 00485

TO: PHILIP DOROLA DATE: 10/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS EXFIX TIBIA CARBON FIBER 1,800.00 18,000.00 1,500.00
TOTAL 18,000.00

ORDER SLIP: 00486


EDSEL
TO: ALLAN (ILIX) DATE: 10/13/16
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
4 BXS BONE CEMENT REG. 3,000.00 12,000.00 2,800.00
TOTAL 12,000.00

ORDER SLIP: 00487

TO: BONG MAGUAD DATE: 10/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS 7H MDCP 800.00 2,400.00 600.00
1 PC 8 H MDCP 900.00 900.00 700.00
20 PCS 3.5X14 CORTICAL 110.00 2,200.00 90.00
20 PCS 3.5X16 CORTICAL 110.00 2,200.00 90.00
20 PCS 3.5X18 CORTICAL 110.00 2,200.00 90.00
10 PCS 3.5X20 CORTICAL 110.00 1,100.00 90.00
7 PCS 6.5 CANCELLOUS 400.00 2,800.00
TOTAL 13,800.00

ORDER SLIP: 00488

TO: ALQUIN BORJE DATE: 10/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS #28 CERCLAGE WIRE 800.00 1,600.00 600.00
TOTAL 1,600.00

ORDER SLIP: 00489

TO: DR. RANNIE AGUILAR DATE: 10/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #41 XLO AMNP 6,000.00 6,000.00 4,500.00
1 PC #42 XLO AMNP 6,000.00 6,000.00 4,500.00
TOTAL 12,000.00

ORDER SLIP: 00490

TO: PANAY ORTHOPEDIC SUPPLIES DATE: 10/17/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
2 PCS 9 HOLES MINI T-PLATE 1,900.00 3,800.00 1,500.00
TOTAL 3,800.00

ORDER SLIP: 00491

TO: HOLY CHILD HOSP. DATE: 10/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


4 PCS 4.5 CORTICAL 250.00 1,000.00 170.00
1 PC 4H CHS PLATE 9,000.00 9,000.00 6,000.00
1 PC #70 LAGSCREW 2,500.00 2,500.00 1,700.00
TOTAL 12,500.00

ORDER SLIP: 00492

TO: DR. DARYL APLA-ON DATE: 10/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS 4.5 CORTICAL 200.00 1,000.00
1 PC 5H CHS PLATE 6,500.00 6,500.00
1 PC #75 LAGSCREW 2,500.00 2,500.00
TOTAL 10,000.00

ORDER SLIP: 00493

TO: TRAUMA MEDICA ENT. DATE: 10/17/16

CANCELLED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE
2 PCS GIGLEE SAW WIRE 600.00
TOTAL -

ORDER SLIP: 00494

TO: TRAUMA MEDICA ENT. DATE: 10/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


3 PCS #16 CERCLAGE WIRE 600.00 1,800.00 500.00
4 PCS 7H MDCP 800.00 3,200.00 700.00
2 PCS 8H MDCP 900.00 1,800.00 800.00
6 PCS 4.5X26 CORTICAL 100.00 600.00 95.00
TOTAL 7,400.00

ORDER SLIP: 00495


EDSEL
TO: DR. AROZENA DATE: 10/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 9X360 FEMUR NAIL (GR) 8,000.00 8,000.00
1 PC 4.9X36 LOCKING SCREW 500.00 500.00
2 PCS 4.9X38 LOCKING SCREW 500.00 1,000.00
1 PC 4.9X40 LOCKING SCREW 500.00 500.00
TOTAL 10,000.00

ORDER SLIP: 00496

TO: WESTECH DATE: 10/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS #18 CERCLAGE WIRE 1,500.00 7,500.00 500.00
1 PC #42 XLO AMNP 5,500.00 5,500.00 4,500.00
1 PC #44 XLO AMNP 5,500.00 5,500.00 4,500.00
TOTAL 18,500.00

ORDER SLIP: 00497

TO: DR. ROLEX GONZALES DATE: 10/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 3.5 8 HOLES RECON ST. 2,400.00 2,400.00 1,500.00
8 PCS 3.5X38MM CORTICAL 200.00 1,600.00 140.00
TOTAL 4,000.00

ORDER SLIP: 00498

TO: TERESA CORUNA DATE: 10/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 4.0X60MM CANCELLOUS (OLTEN) 250.00 2,500.00 210.00
30 PCS 4.0X60MM CANCELLOUS (GRP) 250.00 7,500.00 190.00
TOTAL 10,000.00
ORDER SLIP: 00499

TO: EDDI BATAD DATE: 10/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 3.5X24MM CORTICAL 110.00 1,100.00 100.00
10 PCS 3.5X26MM CORTICAL 110.00 1,100.00 100.00
10 PCS 3.5X36MM CORTICAL 110.00 1,100.00 100.00
10 PCS 3.5X38MM CORTICAL 110.00 1,100.00 100.00
10 PCS 3.5X40MM CORTICAL 110.00 1,100.00 100.00
10 PCS 3.5X42MM CORTICAL 110.00 1,100.00 100.00
TOTAL 6,600.00

ORDER SLIP: 00500

TO: FRANCIS CLAMOSA DATE: 10/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS #18 CERCLAGE WIRE 600.00 1,200.00
1 PC EXFIX TIBIA CARBON FIBER 1,500.00 1,500.00
1 PC EXFIX R/U CARBON FIBER 1,500.00 1,500.00
1 PC #40 XLO AMNP 4,500.00 4,500.00
TOTAL 8,700.00

ORDER SLIP: 00501

TO: ALQUIN BORJE DATE: 10/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #28 CERCLAGE WIRE (GR) 1,000.00 1,000.00 700.00
TOTAL 1,000.00

ORDER SLIP: 00502

TO: TRAUMA DATE: 10/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #42 XLO AMNP 4,500.00 4,500.00 4,000.00
TOTAL 4,500.00

ORDER SLIP: 00503


TO: OLTEN DATE: 10/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS BONE CEMENT W/ GENTA 3,500.00 7,000.00 3,200.00
TOTAL 7,000.00

ORDER SLIP: 00504

TO: DR. NICK SUERO DATE: 10/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 10X36 FEMUR NAIL (OLTEN) 22,000.00 22,000.00
TOTAL 22,000.00

ORDER SLIP: 00505

TO: OLTEN DATE: 10/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS BONE CEMENT W/ GENTA 3,500.00 7,000.00 3,000.00
TOTAL 7,000.00

ORDER SLIP: 00506

TO: VETERANS DATE: 10/25/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 BXS BONE CEMENT REG 3,000.00 6,000.00 2,800.00
TOTAL 6,000.00

ORDER SLIP: 00507

TO: TRAUMA DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 3.5X12 CORTICAL (GRP) 110.00 1,100.00 100.00
10 PCS 3.5X14 CORTICAL (GRP) 110.00 1,100.00 100.00
10 PCS 3.5X16 CORTICAL (GRP) 110.00 1,100.00 100.00
10 PCS 3.5X18 CORTICAL (GRP) 110.00 1,100.00 100.00
10 PCS 3.5X34 CORTICAL 110.00 1,100.00 100.00
10 PCS 4.5X32 CORTICAL 110.00 1,100.00 100.00
1 PC 8H BROAD DCP 1,600.00 1,600.00 1,500.00
TOTAL 8,200.00

ORDER SLIP: 00508

TO: PANAY ORTHO DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 3.5MM TAP-BAR 1,500.00 1,500.00 1,300.00
POWER DRILL - RUIJIN W/ CODE #
1 PC RJ1606609, CHUCK & KEY 53,500.00 53,500.00 50,000.00
2 PCS BATTERIES MODEL- TH3840
1 PC CHARGER
TOTAL 55,000.00

ORDER SLIP: 00509

TO: ALQUIN BORJE DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


2 PCS #28 CERCLAGE WIRE 1,000.00 2,000.00 700.00
TOTAL 2,000.00

ORDER SLIP: 00510

TO: JANICE EMBERGA DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00
1 BX BONE CEMENT REG 3,000.00 3,000.00 2,800.00
1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00
1 PC EXFIX FINGER 800.00 800.00 700.00
TOTAL 12,800.00

ORDER SLIP: 00511

TO: JANICE EMBERGA DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #42 XLO AMNP 4,500.00 4,500.00
1 PC DRAIN 850.00 850.00
TOTAL 5,350.00

ORDER SLIP: 00512

TO: JANICE EMBERGA DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC #42 XLO AMNP 4,500.00 4,500.00 4,000.00
1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00
TOTAL 9,000.00

ORDER SLIP: 00513

TO: JANICE EMBERGA DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


5 PCS 3.5X14 CORTICAL 120.00 600.00
15 PCS 3.5 X12 CORTICAL (GRP) 120.00 1,800.00
TOTAL 2,400.00

ORDER SLIP: 00514

TO: DR. ARNOLD WANSON DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 8 HOLES MINI T-PLATE 3,000.00 3,000.00 2,000.00
TOTAL 3,000.00

ORDER SLIP: 00515

TO: PHILIP DOROLA DATE: 10/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


40 PCS DRAIN 700.00 28,000.00 650.00
2 PCS 5 HOLES CHS PLATE 5,000.00 10,000.00 3,800.00
TOTAL 38,000.00

ORDER SLIP: 00516


TO: TRAUMA DATE: 10/27/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


10 PCS 3.5X18MM CORTICAL 140.00 1,400.00 100.00
TOTAL 1,400.00

ORDER SLIP: 00517

TO: DR. JUSTINIANO BAI DATE: 10/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 10 H 1/3 TUBULAR 1,600.00 1,600.00 1,000.00
1 PC 12 H 1/3 TUBULAR 1,800.00 1,800.00 1,200.00
2 PCS EXFIX TIBIA 1,500.00 3,000.00 1,200.00
2 PCS EXFIX FEMUR 1,500.00 3,000.00 1,200.00
TOTAL 9,400.00

ORDER SLIP: 00518

TO: JUN SERRANO DATE: 10/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE


1 PC 11X36 FEMUR NAIL (OLTEN) 9,800.00 9,800.00
3 PCS 4.9 LOCKING BOLT 400.00 1,200.00
TOTAL 11,000.00
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
8,400.00 600.00 2,500.00 7,500.00 1,500.00
- 600.00 2,500.00 7,500.00 1,500.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 100.00 85.00 1,700.00 300.00
1,900.00 100.00 85.00 1,700.00 300.00
- 200.00 170.00 3,400.00 600.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


600.00 100.00 500.00 500.00 200.00
1,100.00 100.00 900.00 900.00 300.00
4,600.00 200.00 4,200.00 4,200.00 600.00
- 400.00 5,600.00 5,600.00 1,100.00 PAID 10/14/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 1,000.00 3,500.00 3,500.00 2,500.00
- 1,000.00 3,500.00 3,500.00 2,500.00 PAID 5/10/2016
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
14,000.00 1,000.00 2,500.00 12,500.00 2,500.00
- 1,000.00 2,500.00 12,500.00 2,500.00 PAID 10/7/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 600.00 162.00 324.00 276.00
- 300.00 162.00 162.00 138.00
- 600.00 162.00 324.00 276.00
- 600.00 162.00 324.00 276.00
- 600.00 162.00 324.00 276.00
- 2,700.00 810.00 1,458.00 1,242.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 9,000.00 180.00 1,800.00 7,200.00
- 10,500.00 210.00 2,100.00 8,400.00
- 9,900.00 198.00 1,980.00 7,920.00
- 11,500.00 195.00 1,950.00 9,550.00
- 13,250.00 235.00 2,350.00 10,900.00
- 31,500.00 4,000.00 12,000.00 19,500.00
- 85,650.00 5,018.00 22,180.00 63,470.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


15,000.00 4,600.00 6,000.00 6,000.00 13,600.00
750.00 150.00 85.00 255.00 645.00
1,200.00 300.00 650.00 650.00 850.00
- 5,050.00 650.00 650.00 850.00 PAID 6/10/2016
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
6,500.00 2,500.00 3,000.00 3,000.00 6,000.00
6,500.00 2,500.00 3,500.00 3,500.00 5,500.00
- 5,000.00 3,500.00 3,500.00 5,500.00 PAID 6/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


6,500.00 500.00 5,500.00 5,500.00 1,500.00
500.00 - 420.00 420.00 80.00
- 500.00 420.00 420.00 80.00 PAID 6/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


3,600.00 1,000.00 300.00 600.00 4,000.00
1,440.00 960.00 85.00 1,020.00 1,380.00
- 1,960.00 85.00 1,020.00 1,380.00 PAID 7/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


13,500.00 1,500.00 - 15,000.00
- 1,500.00 - - 15,000.00 PAID 10/13/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 9,500.00 864.00 864.00 8,636.00
- 19,000.00 864.00 1,728.00 17,272.00
- 19,000.00 864.00 1,728.00 17,272.00
- 19,000.00 864.00 1,728.00 17,272.00
- 9,500.00 864.00 864.00 8,636.00
- 9,500.00 864.00 864.00 8,636.00
- 19,000.00 864.00 1,728.00 17,272.00
- 76,000.00 6,048.00 9,504.00 94,996.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


500.00 200.00 300.00 300.00 400.00
600.00 200.00 350.00 350.00 450.00
4,000.00 500.00 650.00 3,250.00 1,250.00
950.00 50.00 85.00 850.00 150.00
1,300.00 500.00 400.00 400.00 1,400.00
- 1,450.00 1,785.00 5,150.00 3,650.00 PAID 10/19/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 100.00 85.00 1,700.00 300.00
- 100.00 85.00 1,700.00 300.00 PAID 10/19/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


20,000.00 2,500.00 650.00 16,250.00 6,250.00
- 2,500.00 650.00 16,250.00 6,250.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


990.00 330.00 50.00 550.00 770.00
2,700.00 900.00 50.00 1,500.00 2,100.00
3,000.00 1,500.00 400.00 1,200.00 3,300.00
20,000.00 5,000.00 162.00 16,200.00 8,800.00
2,000.00 500.00 1,150.00 1,150.00 1,350.00
- 8,230.00 1,812.00 20,600.00 16,320.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 12,000.00 1,200.00 3,600.00 8,400.00
- 12,000.00 1,200.00 3,600.00 8,400.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


8,000.00 1,000.00 3,500.00 7,000.00 2,000.00
2,000.00 400.00 250.00 1,000.00 1,400.00
4,800.00 800.00 300.00 2,400.00 3,200.00
- 2,200.00 300.00 2,400.00 3,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


28,000.00 2,000.00 2,500.00 25,000.00 5,000.00
- 2,000.00 2,500.00 25,000.00 5,000.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,600.00 400.00 2,500.00 5,000.00 1,000.00
- 400.00 2,500.00 5,000.00 1,000.00 PAID 10/13/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
7,500.00 2,000.00 1,656.00 1,656.00 7,844.00
420.00 180.00 85.00 255.00 345.00
2,000.00 400.00 77.00 154.00 2,246.00
3,600.00 900.00 800.00 2,400.00 2,100.00
- 3,480.00 2,618.00 4,465.00 12,535.00 PAID 12/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 3,200.00 350.00 700.00 2,500.00
- 1,800.00 85.00 1,020.00 780.00
- 5,000.00 435.00 1,720.00 3,280.00 PAID 12/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 300.00 3,500.00 3,500.00 800.00
4,000.00 300.00 3,500.00 3,500.00 800.00
5,600.00 400.00 2,500.00 5,000.00 1,000.00
5,400.00 600.00 85.00 5,100.00 900.00
3,600.00 400.00 85.00 3,400.00 600.00
- 2,000.00 9,670.00 20,500.00 4,100.00 PAID 12/10/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


15,000.00 3,000.00 1,000.00 10,000.00 8,000.00
- 3,000.00 1,000.00 10,000.00 8,000.00
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
11,200.00 800.00 800.00 3,200.00 8,800.00
- 800.00 800.00 3,200.00 8,800.00 PAID 10/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 600.00 350.00 1,050.00 1,350.00
700.00 200.00 400.00 400.00 500.00
1,800.00 400.00 85.00 1,700.00 500.00
1,800.00 400.00 14.00 280.00 1,920.00
1,800.00 400.00 85.00 1,700.00 500.00
900.00 200.00 85.00 850.00 250.00
- 2,800.00 162.00 1,134.00 1,666.00
- 5,000.00 1,181.00 7,114.00 6,686.00 PAID 10/13/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 400.00 134.40 268.80 1,331.20
- 400.00 134.40 268.80 1,331.20 PAID 10/14/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,500.00 1,500.00 3,500.00 3,500.00 2,500.00
4,500.00 1,500.00 3,500.00 3,500.00 2,500.00
- 3,000.00 7,000.00 7,000.00 5,000.00 PAID 11/21/2016
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
3,000.00 800.00 1,000.00 2,000.00 1,800.00
- 800.00 1,000.00 2,000.00 1,800.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


680.00 320.00 85.00 340.00 660.00
6,000.00 3,000.00 2,150.00 2,150.00 6,850.00
1,700.00 800.00 800.00 800.00 1,700.00
- 4,120.00 3,035.00 3,290.00 9,210.00 PAID 10/19/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 1,000.00 85.00 425.00 575.00
- 6,500.00 2,150.00 2,150.00 4,350.00
- 2,500.00 800.00 800.00 1,700.00
- 10,000.00 3,035.00 3,375.00 6,625.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- -
- - - - -

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 300.00 280.00 840.00 960.00
2,800.00 400.00 350.00 1,400.00 1,800.00
1,600.00 200.00 400.00 800.00 1,000.00
570.00 30.00 85.00 510.00 90.00
- 930.00 1,115.00 3,550.00 3,850.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 8,000.00 864.00 864.00 7,136.00
- 500.00 48.00 48.00 452.00
- 1,000.00 48.00 96.00 904.00
- 500.00 48.00 48.00 452.00
- 10,000.00 1,008.00 1,056.00 8,944.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,500.00 5,000.00 280.00 1,400.00 6,100.00
4,500.00 1,000.00 3,500.00 3,500.00 2,000.00
4,500.00 1,000.00 3,500.00 3,500.00 2,000.00
- 6,000.00 7,280.00 8,400.00 10,100.00 PAID
- 3,500.00
2,500.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 900.00 800.00 800.00 1,600.00
1,120.00 480.00 85.00 680.00 920.00
- 1,380.00 885.00 1,480.00 2,520.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,100.00 400.00 162.00 1,620.00 880.00
5,700.00 1,800.00 52.80 1,584.00 5,916.00
- 2,200.00 214.80 3,204.00 6,796.00 PAID 10/21/16
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
1,000.00 100.00 85.00 850.00 250.00
1,000.00 100.00 85.00 850.00 250.00
1,000.00 100.00 85.00 850.00 250.00
1,000.00 100.00 85.00 850.00 250.00
1,000.00 100.00 85.00 850.00 250.00
1,000.00 100.00 85.00 850.00 250.00
- 600.00 510.00 5,100.00 1,500.00 PAID 10/20/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 1,200.00 280.00 560.00 640.00
- 1,500.00 800.00 800.00 700.00
- 1,500.00 700.00 700.00 800.00
- 4,500.00 3,500.00 3,500.00 1,000.00
- 8,700.00 5,280.00 5,560.00 3,140.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


700.00 300.00 134.40 134.40 865.60
- 300.00 134.40 134.40 865.60 PAID 10/21/2016

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
- 500.00 3,500.00 3,500.00 1,000.00
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
6,400.00 600.00 1,200.00 2,400.00 4,600.00
- 600.00 1,200.00 2,400.00 4,600.00 PAID 10/24/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 22,000.00 6,000.00 6,000.00 16,000.00
- 22,000.00 6,000.00 6,000.00 16,000.00 PAID 10/25/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 1,000.00 1,200.00 2,400.00 4,600.00
- 1,000.00 1,200.00 2,400.00 4,600.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


5,600.00 400.00 2,500.00 5,000.00 1,000.00
- 400.00 2,500.00 5,000.00 1,000.00 PAID 10/26/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 100.00 19.20 192.00 908.00
1,000.00 100.00 19.20 192.00 908.00
1,000.00 100.00 19.20 192.00 908.00
1,000.00 100.00 19.20 192.00 908.00
1,000.00 100.00 85.00 850.00 250.00
1,000.00 100.00 85.00 850.00 250.00
1,500.00 100.00 600.00 600.00 1,000.00
- 700.00 846.80 3,068.00 5,132.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,300.00 200.00 - 1,500.00

48,000.00 5,500.00 - 53,500.00


- - -
- - -
- 5,700.00 - - 55,000.00 PAID 11/11/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,400.00 600.00 134.40 268.80 1,731.20
- 600.00 134.40 268.80 1,731.20 PAID 10/26/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
2,800.00 200.00 2,500.00 2,500.00 500.00
4,000.00 500.00 3,500.00 3,500.00 1,000.00
700.00 100.00 500.00 500.00 300.00
- 1,300.00 10,000.00 10,000.00 2,800.00 PAID 10/26/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 4,500.00 3,500.00 3,500.00 1,000.00
- 850.00 650.00 650.00 200.00
- 5,350.00 4,150.00 4,150.00 1,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 500.00 3,500.00 3,500.00 1,000.00
4,000.00 500.00 3,500.00 3,500.00 1,000.00
- 1,000.00 7,000.00 7,000.00 2,000.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 600.00 85.00 425.00 175.00
- 1,800.00 19.20 288.00 1,512.00
- 2,400.00 104.20 713.00 1,687.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 1,000.00 800.00 800.00 2,200.00
- 1,000.00 800.00 800.00 2,200.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


26,000.00 2,000.00 650.00 26,000.00 2,000.00
7,600.00 2,400.00 2,150.00 4,300.00 5,700.00
- 4,400.00 2,800.00 30,300.00 7,700.00
AMOUNT REBATE CGS TOTAL CAPITAL NET SALES
1,000.00 400.00 85.00 850.00 550.00
- 400.00 85.00 850.00 550.00

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 600.00 500.00 500.00 1,100.00
1,200.00 600.00 600.00 600.00 1,200.00
2,400.00 600.00 900.00 1,800.00 1,200.00
2,400.00 600.00 900.00 1,800.00 1,200.00
- 2,400.00 2,900.00 4,700.00 4,700.00 PAID 11/4/16

AMOUNT REBATE CGS TOTAL CAPITAL NET SALES


- 9,800.00 6,000.00 6,000.00 3,800.00
- 1,200.00 48.00 144.00 1,056.00
1,000.00 11,000.00 6,048.00 6,144.00 4,856.00 PAID 11/3/16
ORDER SLIP: 00519

TO: DR. CO C/O JUN SERRANO DATE: 11/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6H MDCP 1,500.00 1,500.00 1,000.00 1,000.00
5 PCS 3.5X16 CORTICAL 150.00 750.00 120.00 600.00
1 PC POWER DRILL RENTAL 750.00 750.00 -
TOTAL 3,000.00 -

ORDER SLIP: 00520

TO: DR. JUSTINIANO BAI DATE: 11/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC HYBRID 6,500.00 6,500.00 5,300.00 5,300.00
TOTAL 6,500.00 -

ORDER SLIP: 00521

TO: DR. STEVE PAUL LUSPIAN DATE: 11/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC EXFIX HUMEROUS 1,500.00 1,500.00 -
1 PC EXFIX TIBIA -CF 2,500.00 2,500.00 -
4 PCS 4.0X20 CANCELLOUS H/T 500.00 2,000.00 -
4 PCS 4.0X40 CANCELLOUS H/T 500.00 2,000.00 -
2 PCS 4.0X55 CANCELLOUS H/T 500.00 1,000.00 -
2 PCS 4.0X60 CANCELLOUS H/T 500.00 1,000.00 -
6 PCS 4.0 WASHER 450.00 2,700.00 -
TOTAL 12,700.00 -

ORDER SLIP: 00522


EDSEL
TO: DON EMILIO HOSPITAL DATE: 11/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 ROLLS STOCKINETTE 6" 5,526.00 27,630.00 -
5 PCS FIBERCAST 2" 550.00 2,750.00 -
1 KIT FINGER TRAP(SMALL,MED) 6,200.00 6,200.00 -
TOTAL 36,580.00 -

ORDER SLIP: 00523

TO: DR. JUSTINIANO BAI DATE: 11/04/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC HYBRID 6,500.00 6,500.00 5,300.00 5,300.00
8 PCS .62 K-WIRE (FREE)
TOTAL 6,500.00 -

ORDER SLIP: 00524

TO: DR. MARIE EUGENIE BAGA DATE: 11/04/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 6 HOLES MDCP 600.00 3,000.00 500.00 2,500.00
5 PCS 7 HOLES MDCP 700.00 3,500.00 600.00 3,000.00
30 PCS 3.5X16 CORTICAL (AXIAL) 100.00 3,000.00 95.00 2,850.00
30 PCS 3.5X18 CORTICAL (AXIAL) 100.00 3,000.00 95.00 2,850.00
TOTAL 12,500.00 -

ORDER SLIP: 00525

TO: FRANCIS CLAMOSA DATE: 11/04/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 6 HOLES MDCP 700.00 7,000.00 -
TOTAL 7,000.00 -

ORDER SLIP: 00526

TO:DR. RANNIE AGUILAR DATE: 11/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 38 XLO AMNP 6,000.00 6,000.00 4,500.00 4,500.00
1 PC 39 XLO AMNP 6,000.00 6,000.00 4,500.00 4,500.00
TOTAL 12,000.00 -

ORDER SLIP: 00527


TO: DR. RAMON TEODORO DATE: 11/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8 HOLES RECON CURVE 5,900.00 5,900.00 3,500.00 3,500.00
6 PCS 3.5 CORTICAL 250.00 1,500.00 150.00 900.00
TOTAL 7,400.00 -

ORDER SLIP: 00528

TO: ZENY (WESTECH) DATE: 11/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 HOLES 1/3 TUBULAR 2,000.00 2,000.00 800.00 800.00
1 PC #16 CERCLAGE WIRE 1,500.00 1,500.00 800.00 800.00
1 PC #18 CERCLAGE WIRE 1,500.00 1,500.00 800.00 800.00
4 PCS (40,42,43,44) XLO AMNP 5,500.00 22,000.00 4,500.00 18,000.00
TOTAL 27,000.00 -

ORDER SLIP: 00529

TO: ZENY WESTECH DATE: 11/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX PNEUMATIC TORNIQUET 28,000.00 28,000.00 20,000.00 20,000.00
TOTAL 28,000.00 -

ORDER SLIP: 00530

TO: DR. GABRIEL SEMBRANO DATE: 11/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS 6 HOLES 1/2 TUBULAR 1,400.00 4,200.00 -
2 PCS EXFIX R/U 1,500.00 3,000.00 -
2 PCS EXFIX HUMEROUS 1,500.00 3,000.00 -
2 PCS EXFIX TIBIA 1,800.00 3,600.00 -
2 PCS EXFIX FEMUR 1,800.00 3,600.00 -
10 PCS 4.5X34 CORTICAL 200.00 2,000.00 -
TOTAL 19,400.00 -

ORDER SLIP: 00531


TO: DR. CASTRO DATE: 11/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9X320 TIBIA (GRP) -

TOTAL - -

ORDER SLIP: 00532

TO: C/O EDSEL DATE: 11/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8X300 TIBIA NAIL OLTEN 11,000.00 11,000.00 -
4 PCS 3.9 LOCKING BOLT 250.00 1,000.00 -
TOTAL 12,000.00 -

ORDER SLIP: 00533

TO: DR. ROGELIO ABITONG DATE: 11/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 3 HOLES MINI T-PLATE 1,200.00 1,200.00 -
1 PC 4 HOLES MINI T-PLATE 1,200.00 1,200.00 -
5 PCS 4.0X25 CANCELLOUS H/T 250.00 1,250.00 -
10 PCS 3.5X16 CORTICAL-AXIAL 100.00 1,000.00 -
10 PCS 3.5X26 CORTICAL 100.00 1,000.00 -
TOTAL 5,650.00 -

ORDER SLIP: 00534

TO: PANAY ORTHOPEDIC SUPPLIES INC. DATE: 11/09/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS .62 K-WIRE 120.00 3,600.00 90.00 2,700.00
20 PCS 3/32 PINS 120.00 2,400.00 90.00 1,800.00
TOTAL 6,000.00 -

ORDER SLIP: 00535


TO: FRANCIS CLAMOSA DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


7 PCS (38,40-44,46)XLO AMNP 4,500.00 31,500.00 4,000.00 28,000.00
2 BXS BONE CEMENT REG. 3,000.00 6,000.00 2,800.00 5,600.00
TOTAL 37,500.00 -

ORDER SLIP: 00536

TO: FRANCIS CLAMOSA DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 BXS BONE CEMENT REG 3,000.00 9,000.00 2,800.00 8,400.00
TOTAL 9,000.00 -

ORDER SLIP: 00537


EDSEL
TO: ALLAN (ILIX) DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6H MDCP 1,000.00 1,000.00 -
1 PC 5H 1/3 TUBULAR 1,000.00 1,000.00 -
12 PCS 3.5 CORTICAL 140.00 1,680.00 -
TOTAL 3,680.00 -

ORDER SLIP: 00538


EDESEL
TO: ALLAN (ILIX) DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


100 PCS .62 K-WIRE 100.00 10,000.00 -
1 PC #18 CERCLAGE WIRE 700.00 700.00 -
TOTAL - -

ORDER SLIP: 00539


EDSEL
TO: ALLAN (ILIX) DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6H NDCP 1,200.00 1,200.00 -
6 PCS 4.5 CORTICAL 140.00 840.00 -
TOTAL 2,040.00 -

ORDER SLIP: 00540


EDSEL
TO: ALLAN (ILIX) DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9 H BDCP 1,900.00 1,900.00 -
8 PCS 4.5 CORTICAL 140.00 1,120.00 -
TOTAL 3,020.00 -

ORDER SLIP: 00541


EDSEL
TO: ALLAN (ILIX) DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 9H PROXIMAL FEMUR XLO 10,000.00 10,000.00 -
3 PCS 4.5 CORTICAL 140.00 420.00 -
4 PCS 5.0 LOCKING CORTICAL 750.00 3,000.00 -
2 PCS 5.0 LOCKING CANCELLOUS 750.00 1,500.00 -
TOTAL 14,920.00 -

ORDER SLIP: 00542


EDSEL
TO: ALLAN (ILIX) DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6H NDCP 1,600.00 1,600.00 -
5 PCS 4.5 CORTICAL 140.00 700.00 -
TOTAL 2,300.00 -

ORDER SLIP: 00543

TO: TRAUMA MEDICA ENT. DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 3.5X14 CORTICAL (AXIAL) 140.00 700.00 100.00 500.00
2 PCS 9 H MDCP 1,100.00 2,200.00 900.00 1,800.00
1 PC 6 H MDCP 800.00 800.00 600.00 600.00
TOTAL 3,700.00 -
ORDER SLIP: 00544

TO: DR. ROLEX GONZALES DATE: 11/10/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 4 HOLES 1/3 TUBULAR 1,000.00 1,000.00 600.00 600.00
TOTAL 1,000.00 -

ORDER SLIP: 00546

TO: FRANCIS CLAMOSA DATE: 11/11/16

CANCELLED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC #45 XLO AMNP 4,500.00 4,500.00 -
1 PC 14 HOLES MDCP 1,600.00 1,600.00 -
TOTAL

ORDER SLIP: 00547

TO: EDDIE BATAD DATE: 11/12/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS (42,47,48,49) XLO AMNP 4,000.00 16,000.00 3,800.00 15,200.00
TOTAL 16,000.00 15,200.00

ORDER SLIP: 00548

TO: DR. GUALBERTO BASCO DATE: 11/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC HYBRID W/ 4PCS .62 K-WIRE 6,500.00 6,500.00 5,300.00 5,300.00
1 PC 9 HOLES RECON STR. 2,500.00 2,500.00 1,700.00 1,700.00
TOTAL 9,000.00 -

ORDER SLIP: 00549

TO: JUN SERRANO DATE: 11/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 10X36 FEMUR NAIL-OLTEN 9,400.00 9,400.00 8,400.00 8,400.00
4 PCS 4.9 LOCKING SCREW 400.00 1,600.00 300.00 1,200.00
TOTAL 11,000.00 -

ORDER SLIP: 00550

TO: JUN SERRANO DATE: 11/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 10X36 FEMUR NAIL-AXIAL 8,400.00 8,400.00 6,000.00 6,000.00
4 PCS 4.9 LOCKING SCREW 400.00 1,600.00 300.00 1,200.00
TOTAL 10,000.00 -

ORDER SLIP: 00551

TO: JUN SERRANO DATE: 11/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 4.5X38 CORTICAL 140.00 1,400.00 120.00 1,200.00
10 PCS 4.5X34 CORTICAL 140.00 1,400.00 120.00 1,200.00
10 PCS 4.5X36 CORTICAL 140.00 1,400.00 120.00 1,200.00
8 PCS 4.5X32 CORTICAL 140.00 1,120.00 120.00 960.00
10 PCS 4.5X30 CORTICAL 140.00 1,400.00 120.00 1,200.00
TOTAL 6,720.00 -

ORDER SLIP: 00552


EDSEL
TO: DR. RUANTO DATE: 11/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS .45 PINS 120.00 1,200.00 -
TOTAL 1,200.00 -

ORDER SLIP: 00553


EDSEL
TO: DR. RUANTO DATE: 11/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS .062 PINS 120.00 2,400.00 -
TOTAL 2,400.00 -
ORDER SLIP: 00554

TO: DR. RUANTO DATE: 11/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS .045 PINS 120.00 1,200.00 -
TOTAL 1,200.00 -

5ORDER SLIP: 00554


EDSEL
TO: DR. RUANTO DATE: 11/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS .045 PINS 120.00 1,200.00 -
10 PCS .062 PINS 120.00 1,200.00 -
10 PCS .035 PINS 120.00 1,200.00 -
TOTAL 3,600.00 -

ORDER SLIP: 00556

TO: DR. FLORES DATE: 11/16/16


C/O SHIRLEY (UNIMED)

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #39 XLO AMNP 6,000.00 6,000.00 4,500.00 4,500.00
1 PC DRAIN 1,000.00 1,000.00 850.00 850.00
1 BX BONE CEMENT 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 10,000.00 -

ORDER SLIP: 00557

TO: DR. CARLITO VALERA JR. DATE: 11/16/16

CANCELLED
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
5 PCS 4 HOLES MINI DCP
10 PCS 5 HOLES MINI DCP
50 PCS 6 HOLES MINI DCP
10 PCS 7 HOLES MINI DCP
200 PCS 3.5X14MM CORTICAL
200 PCS 3.5X16MM CORTICAL
100 PCS 3.5X18MM CORTICAL
50 PCS 3.5X20MM CORTICAL
15 PCS 4 HOLES 1/3 TUBULAR
15 PCS 5 HOLES 1/3 TUBULAR
30 PCS 6 HOLES 1/3 TUBULAR
15 PCS 7 HOLES 1/3 TUBULAR
TOTAL

ORDER SLIP: 00558

TO: DR. DANILO OLEGARIO DATE: 11/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 BXS BONE CEMENT W/ GENTA 5,000.00 15,000.00 -
TOTAL 15,000.00 -

ORDER SLIP: 00559


EDSEL
TO: ALLN (ILIX) DATE: 11/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 BXS BONE CEMENT REG 3,000.00 12,000.00 -
TOTAL 12,000.00 -

ORDER SLIP: 00560


EDSEL
TO: ALLAN (ILIX) DATE: 11/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT REG 3,000.00 6,000.00 -
TOTAL 6,000.00 -

ORDER SLIP: 00561


EDSEL
TO: ALLAN (ILIX) DATE: 11/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS PEDIA STEINMAN 130.00 1,300.00 -
1 PCS 18 CERCLAGE WIRE 700.00 700.00 -
TOTAL 2,000.00 -
ORDER SLIP: 00562
EDSEL
TO: ALLAN (ILIX) DATE: 11/18/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS .045 PINS 100.00 2,000.00 -
TOTAL 2,000.00 -

ORDER SLIP: 00563

TO: DR. ARNEL ANGELES DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


30 PCS 4.5X50MM CORTICAL 250.00 7,500.00 -
1 PC 8 HOLES BROAD DCP 1,900.00 1,900.00 -
TOTAL 9,400.00 -

ORDER SLIP: 00564

TO: DR. CRESENCIO GONZALES DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT W/ GENTA 4,500.00 4,500.00 3,800.00 3,800.00
TOTAL 4,500.00

ORDER SLIP: 00565

TO: ALOYSIUS FELIPE DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5 HOLES T-BUTTRESS 1,800.00 1,800.00 1,400.00 1,400.00
TOTAL 1,800.00 -

ORDER SLIP: 00566

TO:PANAY ORTHO DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


200 PCS 3.5 CORTICAL 100.00 20,000.00 -
20 PCS 3/32 S. PINS 100.00 2,000.00 -
20 PCS 5/64 S. PINS 100.00 2,000.00 -
2 PCS #42 XLO AMNP 4,000.00 8,000.00 -
2 PCS #44 XLO AMNP 4,000.00 8,000.00 -
2 PCS #45 XLO AMNP 4,000.00 8,000.00 -
2 PCS #40 OLTEN AMSP 3,500.00 7,000.00 -
2 PCS #41 OLTEN AMSP 3,500.00 7,000.00 -
2 PCS #42 OLTEN AMSP 3,500.00 7,000.00 -
3 PCS #40 OLTEN THOMPSON 3,500.00 10,500.00 -
3 PCS #43 OLTEN THOMPSON 3,500.00 10,500.00 -
3 PCS #44 OLTEN THOMPSON 3,500.00 10,500.00 -
2 PCS 3.5 SCREW DRIVER 2,500.00 5,000.00 -
20 PCS DRAIN 750.00 15,000.00
TOTAL 120,500.00

ORDER SLIP: 00567

TO: ALOYSIUS FELIPE DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT W/ GENTA 4,000.00 4,000.00 -
TOTAL 4,000.00 -

ORDER SLIP: 00568

TO: DR. BAGA/WEST VISAYAS DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS ILIZAROV 18CM 16,500.00 33,000.00 -
10 PCS EXFIX TIBIA 1,200.00 12,000.00 -
3 PCS EXFIX FEMUR 1,200.00 3,600.00 -
5 PCS FINGER EXFIX 900.00 4,500.00 -
5 PCS HYBRID EXFIX 5,800.00 29,000.00 -
5 PCS R/U EXFIX 1,100.00 5,500.00 -
3 PCS HUMEROUS EXFIX 1,100.00 3,300.00 -
3 BXS CEMENT W/ GENTA 5,000.00 15,000.00 -
10 BXS REGULAR CEMENT 2,800.00 28,000.00 -
150 PCS .62 K-WIRE 100.00 15,000.00 -
50 PCS .045 K-WIRE 100.00 5,000.00 -
20 PCS .035 K-WIRE 100.00 2,000.00 -
TOTAL 155,900.00 -

ORDER SLIP: 00569


TO: DR. JETER CLERIGO DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 BXS REGULAR CEMENT 2,800.00 28,000.00 2,700.00 27,000.00
TOTAL 28,000.00 -

ORDER SLIP: 00570

TO: DR. RICHILLO DAGUMAN DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC LOWMAN 3 1/2 2,000.00 2,000.00 -
10 PCS 4.0X50MM CANCELOUS 250.00 2,500.00 -
1 PC BONE CURETTE 1,200.00 1,200.00 -
1 PC 4.5 SCREW DRIVER 2,500.00 2,500.00 -
1 PC #42 XLO AMNP 4,000.00 4,000.00 -
2 BXS REG. CEMENT 2,800.00 5,600.00 -
2 PCS DRAIN 900.00 1,800.00 -
10 PCS .062 K-WIRE 100.00 1,000.00 -
10 PCS 5/64 K-WIRE 100.00 1,000.00 -
10 PCS 7 H RECON STR. 1,400.00 14,000.00 -
10 PCS 7H 1/3 TUB 700.00 7,000.00 -
10 PCS 7H MDCP 700.00 7,000.00 -
2 PCS #18 CERCLAGE WIRE 500.00 1,000.00 -
1 PC 3.5 SCREW DRIVER 2,500.00 2,500.00
100 PCS 3.5X20 CORTICAL 100.00 10,000.00 -
TOTAL 63,100.00 -

ORDER SLIP: 00571

TO: DR. PANDANAN DATE: 11/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


25 PCS 3.5X16 CORTICAL 100.00 2,500.00 80.00 2,000.00
25 PCS 3.5X18 CORTICAL 100.00 2,500.00 80.00 2,000.00
25 PCS 3.5X20 CORTICAL 100.00 2,500.00 80.00 2,000.00
TOTAL 7,500.00 -

ORDER SLIP: 00572


TO: DR. JOSEPH CHAN DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


8 PCS 7 HOLES MDCP 700.00 5,600.00 -
4 PCS 6 HOLES MDCP 600.00 2,400.00 -
50 PCS 3.5X16 CORTICAL 100.00 5,000.00 -
30 PCS 3.5X18 CORTICAL 100.00 3,000.00 -
5 PCS EXFIX TIBIA CF 2,500.00 12,500.00 -
TOTAL 28,500.00 -

ORDER SLIP: 00573

TO: VETERANS DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS #43 XLO AMNP 4,000.00 16,000.00 4,000.00 16,000.00
5 PCS #44 XLO AMNP 4,000.00 20,000.00 4,000.00 20,000.00
10 PCS REG. CEMENT 2,800.00 28,000.00 2,800.00 28,000.00
1 PC R/U EXFIX 1,100.00 1,100.00 1,100.00 1,100.00
1 PC EXFIX FEMUR 1,200.00 1,200.00 1,200.00 1,200.00
1 PC EXFIX TIBIA 1,200.00 1,200.00 1,200.00 1,200.00
2 PCS EXFIX FINGER 900.00 1,800.00 900.00 1,800.00
6 PCS DRAIN 950.00 5,700.00 950.00 5,700.00
3 PCS #46 XLO AMNP 4,000.00 12,000.00 4,000.00 12,000.00
TOTAL 87,000.00

ORDER SLIP: 00574

TO: DR. GABRIEL SEMBRANO DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS EXFIX TIBIA 1,200.00 2,400.00 -
2 PCS EXFIX HUMEROUS 1,100.00 2,200.00 -
2 PCS 30 H RECON STR 6,000.00 12,000.00 -
30 PCS 3.5 CORTICAL 100.00 3,000.00 -
30 PCS 4.5 CORTICAL 100.00 3,000.00 -
2 PCS 4 H L-BUTTRESS L 1,500.00 3,000.00 -
2 PCS 4 H L-BUTTRESS R 1,500.00 3,000.00 -
2 PCS 5 H T-PLATE 1,500.00 3,000.00 -
TOTAL 31,600.00 -

ORDER SLIP: 00575

TO: TEBOW CURE HOSPITAL DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS FREER ELEVATOR 7" 1,200.00 3,600.00 -
2 PCS FIXATION FORCEP 6 1/2" 2,200.00 4,400.00 -
1 PC LOWMAN 4 1/2 " 4,000.00 4,000.00 -
2 PCS FIXATION FORCEP 8 3/4" 2,500.00 5,000.00 -
2 PCS PLASTER SHEAR 9 1/2" 2,000.00 4,000.00 -
2 PCS HOHMAN 11" 1,500.00 3,000.00 -
LANGENBECK PERIOSTEAL
3 PCS RASPATORIES 7 1/2" 1,200.00 3,600.00 -
TOTAL 27,600.00 -

ORDER SLIP: 00576

TO: TI-TECH DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 BXS BONE CEMENT REG. 3,000.00 15,000.00 2,800.00 14,000.00
TOTAL 15,000.00 -

ORDER SLIP: 00577

TO: TRAUMA DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS DRAIN 900.00 4,500.00 800.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00578

TO: MILAGOLD MKTG. DATE: 11/23/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
10 PCS 9H 1/3 TUBULAR 1,000.00 10,000.00 750.00 7,500.00
10 PCS 8H 1/2 TUBULAR 900.00 9,000.00 800.00 8,000.00
10 PCS 9H 1/2 TUBULAR 1,000.00 10,000.00 850.00 8,500.00
10 PCS 10H 1/2 TUBULAR 1,100.00 11,000.00 850.00 8,500.00
TOTAL 40,000.00 -

ORDER SLIP: 00579

TO: DR. GIL TENEFRANCIA DATE: 11/22/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT REG. 3,000.00 6,000.00
1 PC DRAIN 1,500.00 1,500.00 -
10 PCS 4.5X46MM CORTICAL 100.00 1,000.00 -
TOTAL -

ORDER SLIP: 00580

TO: DR. MARCELINO DE PERALTA DATE: 11/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 8 HOLES RECON CURVE 2,000.00 20,000.00 1,500.00 15,000.00
TOTAL 20,000.00 -

ORDER SLIP: 00581

TO: TRAUMA DATE: 11/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BXS BONE CEMENT REG. 3,000.00 6,000.00 -
TOTAL 6,000.00 -

ORDER SLIP: 00582

TO: DR. MONTENEGRO DATE: 11/24/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC #41 XLO AMNP 9,000.00 9,000.00 6,500.00 6,500.00
1 PC BONE CEMENT REG 3,500.00 3,500.00 3,000.00 3,000.00
TOTAL 12,500.00 -

ORDER SLIP: 00583

TO: DR. JOSEPH CHAN DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


40 PCS 5/64 PINS 100.00 4,000.00 85.00 3,400.00
TOTAL 4,000.00 -

ORDER SLIP: 00584

TO: DR. TEC/MANALASTAS DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS BONE MALLET 2,500.00 12,500.00 2,300.00 11,500.00
TOTAL 12,500.00 -

ORDER SLIP: 00585

TO: DR. GLADYS TAN DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC LARGE SCREW CUDDY 6,000.00 6,000.00 5,200.00 5,200.00
2 PCS SMALL SCREW CUDDY 6,000.00 12,000.00 5,200.00 10,400.00
TOTAL 18,000.00 -

ORDER SLIP: 00586

TO: CONVENTION 2016 DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT W/ GENTA 4,000.00 4,000.00 3,500.00 3,500.00
2 PCS SCREW DRIVER 2,000.00 4,000.00 1,800.00 3,600.00
1 PCS SCREW DRIVER 2,000.00 2,000.00 1,800.00 1,800.00
TOTAL 10,000.00

ORDER SLIP: 00587

TO: DR. NICK SUERO DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 10X36 FEMUR NAIL (AXIAL) 20,800.00 20,800.00 17,000.00 17,000.00
3 PCS 3.9X40 INTERLOCKING BOLT 400.00 1,200.00 300.00 900.00
TOTAL 22,000.00 -

ORDER SLIP: 00588

TO: DR. RONALD DELA CRUZ DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 BX CEMENT W/ GENTA 4,500.00 9,000.00 -
TOYTAL 9,000.00 -

ORDER SLIP: 00589

TO: PANAY ORTHOPEDIC DATE: 11/24/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


POWER DRILL RJ1604414 W/ KEY
1 PC CHUCK & CHUCK HEAD 53,500.00 53,500.00 -
2 PCS BATTERIES MODEL TH3840 - -
1 PC CHARGER - -
1 PC TRAY - -
TOTAL 53,500.00

ORDER SLIP: 00590

TO: DR. FRANKLIN TUMANENG DATE: 11/25/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
4 PCS (9-12) FLEXIBLE REAMER 4,500.00 18,000.00 3,500.00 14,000.00
2 PCS GUIDE ROD W/ BALL TIP 2,000.00 4,000.00 1,800.00 3,600.00
TOTAL 22,000.00 -

ORDER SLIP: 00591

TO: DR. JUSTINIANO BAI DATE: 11/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC EXFIX TIBIA 1,500.00 1,500.00 1,300.00 1,300.00
1 PC EXFIX HUMEROUS 1,500.00 1,500.00 1,200.00 1,200.00
1 PC 14H 1/3 TUBULAR 2,200.00 2,200.00 1,400.00 1,400.00
5 PCS HUMBY KNIFE 700.00 3,500.00 650.00 3,250.00
TOTAL 8,700.00 -

ORDER SLIP: 00592

TO: JUN SERRANO DATE: 11/26/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 11X40 FEMUR 8,000.00 8,000.00 6,000.00 6,000.00
5 PCS 3.9 LOCKING BOLT 400.00 2,000.00 300.00 1,500.00
TOTAL 10,000.00 -

ORDER SLIP: 00593

TO: VETERANS DATE: 11/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #49 XLO AMNP 4,000.00 4,000.00 3,800.00 3,800.00
1 PC #42 XLO AMNP 4,000.00 4,000.00 3,800.00 3,800.00
1 PC #59 XLO AMNP 4,000.00 4,000.00 3,800.00 3,800.00
6 PCS DRAIN 850.00 5,100.00 750.00 4,500.00
5 PCS REGULAR CEMENT 2,800.00 14,000.00 2,700.00 13,500.00
TOTAL 31,100.00 -
ORDER SLIP: 00594
EDSEL
TO: DR. GUITARTE DATE: 11/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #18 CERCLAGE WIRE 1,500.00 1,500.00 -
1 PC #20 CERCLAGE WIRE 1,500.00 1,500.00 -
TOTAL 3,000.00 -

ORDER SLIP: 00595


EDSEL
TO: DR. VALENZUELA DATE: 11/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS 5/64 PINS 100.00 2,000.00 -
5 PCS PEDIA STEINMAN 130.00 650.00 -
TOTAL 2,650.00 -

ORDER SLIP: 00596

TO: ALLAN (ILIX) DATE: 11/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #16 CERCLAGE WIRE 700.00 700.00 -
TOTAL 700.00 -

ORDER SLIP: 00597

TO: VETERANS DATE: 11/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


18 PCS 3.5X14MM CORTICAL-AXIAL 100.00 1,800.00 80.00 1,440.00
10 PCS 3.5X16MM CORTICAL-AXIAL 100.00 1,000.00 80.00 800.00
10 PCS 3.5X18MM CORTICAL-AXIAL 100.00 1,000.00 80.00 800.00
4 PCS 3.5X22MM CORTICAL-AXIAL 100.00 400.00 80.00 320.00
6 PCS 3.5X24MM CORTICAL-AXIAL 100.00 600.00 80.00 480.00
8 PCS 3.5X26MM CORTICAL-AXIAL 100.00 800.00 80.00 640.00
4 PCS 3.5X28MM CORTICAL-AXIAL 100.00 400.00 80.00 320.00
1 PC #39 XLO AMNP 4,000.00 4,000.00 3,800.00 3,800.00
TOTAL 10,000.00 -

ORDER SLIP: 00598

TO: KAREN PALMA DATE: 11/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS 3.5X12MM CORTICAL-AXIAL 95.00 380.00 80.00 320.00
25 PCS 3.5X14MM CORTICAL-AXIAL 95.00 2,375.00 80.00 2,000.00
25 PCS 3.5X16MM CORTICAL-AXIAL 95.00 2,375.00 80.00 2,000.00
25 PCS 3.5X18MM CORTICAL-AXIAL 95.00 2,375.00 80.00 2,000.00
TOTAL 7,505.00 -

ORDER SLIP: 00599

TO: PANAY ORTHO DATE: 11/30/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS TRACTION BOW 1,500.00 3,000.00 1,200.00 2,400.00
3 PCS 5H NDCP (grp) 1,400.00 4,200.00 1,000.00 3,000.00
3 PCS 6H NDCP (grp) 1,300.00 3,900.00 1,000.00 3,000.00
TOTAL 11,100.00 -
REBATE CGS TOTAL CAPITAL NET SALES
500.00 300.00 300.00 1,200.00
150.00 20.00 100.00 650.00
750.00 - 750.00
1,400.00 320.00 400.00 1,400.00 PAID 11/14/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 4,200.00 4,200.00 2,300.00
1,200.00 - - 2,300.00 PAID 11/4/2016

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 700.00 700.00 800.00
2,500.00 800.00 800.00 1,700.00
2,000.00 162.00 648.00 1,352.00
2,000.00 162.00 648.00 1,352.00
1,000.00 162.00 324.00 676.00
1,000.00 162.00 324.00 676.00
2,700.00 11.52 69.12 2,630.88
12,700.00 2,159.52 3,513.12 9,186.88

REBATE CGS TOTAL CAPITAL NET SALES


27,630.00 - 27,630.00
2,750.00 - 2,750.00
6,200.00 - 6,200.00
36,580.00 - - 8,950.00

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 4,200.00 4,200.00 2,300.00
50.00 400.00 - 400.00
1,200.00 4,250.00 4,600.00 1,900.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 300.00 1,500.00 1,500.00
500.00 350.00 1,750.00 1,750.00
150.00 19.20 576.00 2,424.00
150.00 19.20 576.00 2,424.00
1,300.00 688.40 4,402.00 8,098.00 PAID 11/9/16

REBATE CGS TOTAL CAPITAL NET SALES


7,000.00 300.00 3,000.00 4,000.00
7,000.00 300.00 3,000.00 4,000.00

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 3,500.00 3,500.00 2,500.00
1,500.00 3,500.00 3,500.00 2,500.00
3,000.00 7,000.00 7,000.00 5,000.00 PAID 11/21/2016
REBATE CGS TOTAL CAPITAL NET SALES
2,400.00 1,040.00 1,040.00 4,860.00
600.00 85.00 510.00 990.00
3,000.00 1,040.00 1,040.00 5,850.00 PAID 11/7/16

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 300.00 300.00 1,700.00
700.00 280.00 280.00 1,220.00
700.00 280.00 280.00 1,220.00
4,000.00 3,500.00 14,000.00 8,000.00
6,600.00 4,360.00 14,860.00 12,140.00 PAID 11/7/2016
- 3,600.00
3,000.00

REBATE CGS TOTAL CAPITAL NET SALES


8,000.00 17,000.00 17,000.00 11,000.00
8,000.00 17,000.00 17,000.00 11,000.00 PAID 11/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


4,200.00 380.00 1,140.00 3,060.00
3,000.00 700.00 1,400.00 1,600.00
3,000.00 700.00 1,400.00 1,600.00
3,600.00 900.00 1,800.00 1,800.00
3,600.00 900.00 1,800.00 1,800.00
2,000.00 85.00 850.00 1,150.00
19,400.00 3,665.00 8,390.00 11,010.00
REBATE CGS TOTAL CAPITAL NET SALES

REBATE CGS TOTAL CAPITAL NET SALES


11,000.00 6,000.00 6,000.00 5,000.00
1,000.00 50.00 200.00 800.00
12,000.00 6,050.00 6,200.00 5,800.00

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 300.00 300.00 900.00
1,200.00 400.00 400.00 800.00
1,250.00 162.00 810.00 440.00
1,000.00 20.00 200.00 800.00
1,000.00 85.00 850.00 150.00
5,650.00 1,050.00 950.00

REBATE CGS TOTAL CAPITAL NET SALES


900.00 50.00 1,500.00 2,100.00
600.00 50.00 1,000.00 1,400.00
1,500.00 100.00 2,500.00 3,500.00
REBATE CGS TOTAL CAPITAL NET SALES
3,500.00 3,500.00 24,500.00 7,000.00
400.00 2,500.00 5,000.00 1,000.00
3,900.00 6,000.00 29,500.00 8,000.00

REBATE CGS TOTAL CAPITAL NET SALES


600.00 2,500.00 7,500.00 1,500.00
600.00 2,500.00 7,500.00 1,500.00

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 300.00 300.00 700.00
1,000.00 300.00 300.00 700.00
1,680.00 85.00 1,020.00 660.00
3,680.00 685.00 1,620.00 2,060.00

REBATE CGS TOTAL CAPITAL NET SALES


10,000.00 50.00 5,000.00 5,000.00
700.00 280.00 280.00 420.00
10,700.00 5,280.00 5,420.00

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 300.00 300.00 900.00
840.00 85.00 510.00 330.00
2,040.00 385.00 810.00 1,230.00

REBATE CGS TOTAL CAPITAL NET SALES


1,900.00 675.00 675.00 1,225.00
1,120.00 85.00 680.00 440.00
3,020.00 760.00 1,355.00 1,665.00

REBATE CGS TOTAL CAPITAL NET SALES


10,000.00 - 10,000.00
420.00 85.00 255.00 165.00
3,000.00 - 3,000.00
1,500.00 - 1,500.00
14,920.00 - 4,500.00

REBATE CGS TOTAL CAPITAL NET SALES


1,600.00 480.00 480.00 1,120.00
700.00 85.00 425.00 275.00
2,300.00 905.00 1,395.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 19.20 96.00 604.00
400.00 450.00 900.00 1,300.00
200.00 300.00 300.00 500.00
800.00 769.20 1,296.00 2,404.00
REBATE CGS TOTAL CAPITAL NET SALES
400.00 200.00 200.00 800.00
400.00 200.00 200.00 800.00

REBATE CGS TOTAL CAPITAL NET SALES


4,500.00 - 4,500.00
1,600.00 - 1,600.00

REBATE CGS TOTAL CAPITAL NET SALES


800.00 3,500.00 14,000.00 2,000.00
800.00 3,500.00 14,000.00 2,000.00

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 4,200.00 4,200.00 2,300.00
800.00 900.00 900.00 1,600.00
2,000.00 5,100.00 5,100.00 3,900.00 PAID 11/18/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 6,000.00 6,000.00 3,400.00
400.00 48.00 192.00 1,408.00
1,400.00 6,048.00 6,192.00 4,808.00 PAID 11/18/16

REBATE CGS TOTAL CAPITAL NET SALES


2,400.00 864.00 864.00 7,536.00
400.00 48.00 192.00 1,408.00
2,800.00 912.00 1,056.00 8,944.00 PAID 11/16/16

REBATE CGS TOTAL CAPITAL NET SALES


200.00 85.00 850.00 550.00
200.00 85.00 850.00 550.00
200.00 85.00 850.00 550.00
160.00 85.00 680.00 440.00
200.00 85.00 850.00 550.00
960.00 425.00 4,080.00 2,640.00

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 3,500.00 35,000.00 - 33,800.00
1,200.00 3,500.00 35,000.00 - 33,800.00 PAID 11/16/16

REBATE CGS TOTAL CAPITAL NET SALES


2,400.00 3,500.00 70,000.00 - 67,600.00
2,400.00 3,500.00 70,000.00 - 67,600.00 PAID 11/16/16
REBATE CGS TOTAL CAPITAL NET SALES
1,200.00 3,500.00 35,000.00 - 33,800.00
1,200.00 3,500.00 35,000.00 - 33,800.00

REBATE CGS TOTAL CAPITAL NET SALES


1,200.00 3,500.00 35,000.00 - 33,800.00
1,200.00 3,501.00 35,010.00 - 33,810.00
1,200.00 3,502.00 35,020.00 - 33,820.00
3,600.00 3,502.00 70,030.00 - 67,630.00

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 3,500.00 3,500.00 2,500.00
150.00 650.00 650.00 350.00
200.00 2,500.00 2,500.00 500.00
1,850.00 2,500.00 3,150.00 850.00

REBATE CGS TOTAL CAPITAL NET SALES


REBATE CGS TOTAL CAPITAL NET SALES
15,000.00 3,500.00 10,500.00 4,500.00
15,000.00 3,500.00 10,500.00 4,500.00

REBATE CGS TOTAL CAPITAL NET SALES


12,000.00 3,500.00 14,000.00 - 2,000.00
12,000.00 3,500.00 14,000.00 - 2,000.00

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 2,500.00 5,000.00 1,000.00
6,000.00 2,500.00 5,000.00 1,000.00

REBATE CGS TOTAL CAPITAL NET SALES


1,300.00 2,500.00 25,000.00 - 23,700.00
700.00 2,501.00 2,501.00 - 1,801.00
2,000.00 5,001.00 27,501.00 - 25,501.00
REBATE CGS TOTAL CAPITAL NET SALES
2,000.00 2,500.00 50,000.00 - 48,000.00
2,000.00 2,500.00 50,000.00 - 48,000.00

REBATE CGS TOTAL CAPITAL NET SALES


7,500.00 - 7,500.00
1,900.00 - 1,900.00
9,400.00 - - 9,400.00

REBATE CGS TOTAL CAPITAL NET SALES


700.00 - 4,500.00
700.00 - - 4,500.00 PAID 11/21/2016

REBATE CGS TOTAL CAPITAL NET SALES


400.00 650.00 650.00 1,150.00
400.00 650.00 650.00 1,150.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


20,000.00 20.00 4,000.00 16,000.00
2,000.00 50.00 1,000.00 1,000.00
2,000.00 50.00 1,000.00 1,000.00
8,000.00 3,500.00 7,000.00 1,000.00
8,000.00 3,500.00 7,000.00 1,000.00
8,000.00 3,500.00 7,000.00 1,000.00
7,000.00 3,000.00 6,000.00 1,000.00
7,000.00 3,000.00 6,000.00 1,000.00
7,000.00 3,000.00 6,000.00 1,000.00
10,500.00 3,000.00 9,000.00 1,500.00
10,500.00 3,000.00 9,000.00 1,500.00
10,500.00 3,000.00 9,000.00 1,500.00
5,000.00 1,250.00 2,500.00 2,500.00
15,000.00 650.00 13,000.00 2,000.00
120,500.00 30,520.00 87,500.00 33,000.00 PAID 12/6/16

REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 - 4,000.00
4,000.00 - - 4,000.00 PAID 12/8/16

REBATE CGS TOTAL CAPITAL NET SALES


33,000.00 13,500.00 27,000.00 6,000.00
12,000.00 900.00 9,000.00 3,000.00
3,600.00 1,000.00 3,000.00 600.00
4,500.00 500.00 2,500.00 2,000.00
29,000.00 4,200.00 21,000.00 8,000.00
5,500.00 800.00 4,000.00 1,500.00
3,300.00 850.00 2,550.00 750.00
15,000.00 1,250.00 3,750.00 11,250.00
28,000.00 2,500.00 25,000.00 3,000.00
15,000.00 50.00 7,500.00 7,500.00
5,000.00 60.00 3,000.00 2,000.00
2,000.00 85.00 1,700.00 300.00
25,695.00 110,000.00 45,900.00 PAID 12/5/16
REBATE CGS TOTAL CAPITAL NET SALES
1,000.00 2,500.00 25,000.00 3,000.00
1,000.00 2,500.00 25,000.00 3,000.00

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 1,690.00 1,690.00 310.00
2,500.00 162.00 1,620.00 880.00
1,200.00 490.00 490.00 710.00
2,500.00 1,250.00 1,250.00 1,250.00
4,000.00 3,500.00 3,500.00 500.00
5,600.00 2,500.00 5,000.00 600.00
1,800.00 650.00 1,300.00 500.00
1,000.00 50.00 500.00 500.00
1,000.00 50.00 500.00 500.00
14,000.00 700.00 7,000.00 7,000.00
7,000.00 350.00 3,500.00 3,500.00
7,000.00 350.00 3,500.00 3,500.00
1,000.00 140.00 280.00 720.00
2,500.00 1,250.00 1,250.00 1,250.00
10,000.00 20.00 2,000.00 8,000.00
63,100.00 13,152.00 33,380.00 29,720.00 PAID 12/5/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 - 2,500.00
500.00 - 2,500.00
500.00 - 2,500.00
1,500.00 - - 5,000.00
REBATE CGS TOTAL CAPITAL NET SALES
5,600.00 - 5,600.00
2,400.00 - 2,400.00
5,000.00 - 5,000.00
3,000.00 - 3,000.00
12,500.00 - 12,500.00
28,500.00 - - 15,500.00

REBATE CGS TOTAL CAPITAL NET SALES


- 3,500.00 14,000.00 2,000.00
- 3,500.00 17,500.00 2,500.00
- 2,500.00 25,000.00 3,000.00
- 800.00 800.00 300.00
- 1,000.00 1,000.00 200.00
- 900.00 900.00 300.00
- 500.00 1,000.00 800.00
- 650.00 3,900.00 1,800.00
- 3,500.00 10,500.00 1,500.00
- 74,600.00 12,400.00 PAID convention

REBATE CGS TOTAL CAPITAL NET SALES


2,400.00 - 2,400.00
2,200.00 - 2,200.00
12,000.00 - 12,000.00
3,000.00 - 3,000.00
3,000.00 - 3,000.00
3,000.00 - 3,000.00
3,000.00 - 3,000.00
3,000.00 - 3,000.00
31,600.00 - - 6,000.00

REBATE CGS TOTAL CAPITAL NET SALES


3,600.00 - 3,600.00
4,400.00 - 4,400.00
4,000.00 - 4,000.00
5,000.00 - 5,000.00
4,000.00 - 4,000.00
3,000.00 - 3,000.00

3,600.00 - 3,600.00
27,600.00 - - 6,600.00 PAID 12/16/16

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 2,500.00 12,500.00 2,500.00
1,000.00 2,500.00 12,500.00 2,500.00 PAID 11/216

REBATE CGS TOTAL CAPITAL NET SALES


500.00 650.00 3,250.00 1,250.00
500.00 650.00 3,250.00 1,250.00
REBATE CGS TOTAL CAPITAL NET SALES
2,500.00 450.00 4,500.00 5,500.00
1,000.00 504.00 5,040.00 3,960.00
1,500.00 567.00 5,670.00 4,330.00
2,500.00 613.00 6,130.00 4,870.00
7,500.00 2,134.00 21,340.00 18,660.00

REBATE CGS TOTAL CAPITAL NET SALES


- 6,000.00
- 1,500.00
- 1,000.00
- - 2,500.00

REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 - 20,000.00
5,000.00 - - 20,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 - 6,000.00
6,000.00 - - 6,000.00
REBATE CGS TOTAL CAPITAL NET SALES
2,500.00 3,500.00 3,500.00 5,500.00
500.00 2,500.00 2,500.00 1,000.00
3,000.00 6,000.00 6,000.00 6,500.00

REBATE CGS TOTAL CAPITAL NET SALES


600.00 - 4,000.00
600.00 - - 4,000.00

REBATE CGS TOTAL CAPITAL NET SALES


1,000.00 2,100.00 10,500.00 2,000.00
1,000.00 2,100.00 10,500.00 2,000.00 PAID 11/24/16

REBATE CGS TOTAL CAPITAL NET SALES


800.00 3,700.00 3,700.00 2,300.00
1,600.00 3,200.00 6,400.00 5,600.00
2,400.00 6,900.00 10,100.00 7,900.00 PAID 11/19/16

REBATE CGS TOTAL CAPITAL NET SALES


500.00 - 4,000.00
400.00 - 4,000.00
200.00 - 2,000.00
1,100.00 - 10,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


3,800.00 - 20,800.00
300.00 - 1,200.00
4,100.00 - - 22,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


9,000.00 1,250.00 2,500.00 6,500.00
9,000.00 1,250.00 2,500.00 6,500.00 PAID 12/12/16

REBATE CGS TOTAL CAPITAL NET SALES

53,500.00 27,500.00 27,500.00 26,000.00


- - -
- - -
- - -
53,500.00 27,500.00 27,500.00 26,000.00 PAID 12/23/16
REBATE CGS TOTAL CAPITAL NET SALES
4,000.00 1,250.00 5,000.00 13,000.00
400.00 - 4,000.00
4,400.00 1,250.00 5,000.00 17,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


200.00 - 1,500.00
300.00 - 1,500.00
800.00 - 2,200.00
250.00 - 3,500.00
1,550.00 - - 5,700.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 3,000.00 3,000.00 5,000.00
500.00 50.00 250.00 1,750.00
2,500.00 3,050.00 3,250.00 6,750.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 3,500.00 3,500.00 500.00
200.00 3,500.00 3,500.00 500.00
200.00 3,500.00 3,500.00 500.00
600.00 650.00 3,900.00 1,200.00
500.00 2,500.00 12,500.00 1,500.00
1,700.00 13,650.00 26,900.00 4,200.00 PAID
REBATE CGS TOTAL CAPITAL NET SALES
1,500.00 - 1,500.00
1,500.00 - 1,500.00
3,000.00 - - 3,000.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 - 2,000.00
650.00 - 650.00
2,650.00 - - 2,650.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


700.00 - 700.00
700.00 - - 700.00

REBATE CGS TOTAL CAPITAL NET SALES


360.00 20.00 360.00 1,440.00
200.00 20.00 200.00 800.00
200.00 20.00 200.00 800.00
80.00 20.00 80.00 320.00
120.00 20.00 120.00 480.00
160.00 20.00 160.00 640.00
80.00 20.00 80.00 320.00
200.00 3,500.00 3,500.00 500.00
1,400.00 3,640.00 4,700.00 5,300.00

REBATE CGS TOTAL CAPITAL NET SALES


60.00 20.00 80.00 300.00
375.00 20.00 500.00 1,875.00
375.00 20.00 500.00 1,875.00
375.00 20.00 500.00 1,875.00
1,185.00 80.00 1,580.00 5,925.00

REBATE CGS TOTAL CAPITAL NET SALES


600.00 - 3,000.00
1,200.00 - 4,200.00
900.00 - 3,900.00
2,700.00 - - 8,100.00
ORDER SLIP: 00600

TO: DR. TICMAN DATE: 12/01/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC NEEDLE NOSE PLIER 5 1/2" 2,200.00 2,200.00 -
1 PC DOUBLE ACTION FORCEP 6 1/2" 4,500.00 4,500.00 -
TOTAL 6,700.00 -

ORDER SLIP: 00601

TO: DR. BARTOLABAC DATE: 12/02/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #46 XLO AMNP 8,500.00 8,500.00 -
2 PCS BONE CEMENT 3,000.00 6,000.00 2,800.00 5,600.00
TOTAL 14,500.00 -

ORDER SLIP: 00602

TO: DR. ANGELES DATE: 12/02/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 11X300 TIBIA NAIL OLTEN 20,800.00 20,800.00 -
3 PCS 3.9 SCREWS-AXIAL 400.00 1,200.00 -
TOTAL 22,000.00 -

ORDER SLIP: 00603

TO: ALOYSIUS FELIPE DATE: 12/02/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 7H DISTAL FEMUR LEFT 8,000.00 8,000.00 6,000.00 6,000.00
1 PC 9H DISTAL FEMUR LEFT 8,000.00 8,000.00 6,000.00 6,000.00
TOTAL 16,000.00 -

ORDER SLIP: 00604

TO: DR. ESTILLORE DATE: 12/02/16


DONATION
QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 7H 1/3 TUBULAR -
5 PCS 3.5 CORTICAL - -
2 PCS 4.0 CANCELLOUS - -
TOTAL - -

ORDER SLIP: 00605

TO: DR. HUBERT SALAZAR DATE: 12/03/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


100 PCS 4.5 CORTICAL 100.00 10,000.00 -
100 PCS 3.5 CORTICAL 100.00 10,000.00 -
10 PCS 5H MDCP 500.00 5,000.00 -
10 PCS 6 MDCP 600.00 6,000.00 -
10 PCS 5H 1/3 TUBULAR 500.00 5,000.00 -
10 PCS 6H 1/3 TUBULAR 600.00 6,000.00 -
8 PCS 5H NDCP 600.00 4,800.00 -
8 PCS 6H NDCP 700.00 5,600.00 -
5 PCS EXFIX TIBIA 1,200.00 6,000.00 -
3 PCS EXFIX FEMUR 1,200.00 3,600.00 -
7 PCS K-NAIL #10 500.00 3,500.00 -
10 PCS K-NAIL#11 500.00 5,000.00 -
TOTAL 70,500.00 -

ORDER SLIP: 00606

TO: DR. LUKBAN DATE: 12/06/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS ADULT STEINMAN 200.00 4,000.00
TOTAL 4,000.00

ORDER SLIP: 00607

TO: DR. CLERIGO DATE: 12/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS BONE CEMENT W/GENTA 6,000.00 18,000.00 5,700.00 17,100.00
TOTAL 18,000.00

ORDER SLIP: 00608

TO: ZENY-WESTECH DATE: 12/07/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS #16CERCLAGE WIRE 1,200.00 3,600.00 -
1 PC 18H RECON STR 3MM 8,500.00 8,500.00 -
2 PCS (41 &44) XLO AMNP 5,500.00 11,000.00 -
TOTAL 23,100.00 -

ORDER SLIP: 00609

TO: DR. TENEFRANCIA DATE: 12/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #4O THOMPSON 8,500.00 8,500.00 -
TOTAL 8,500.00 -

ORDER SLIP: 00610

TO: ALQUIN BORJE DATE: 12/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS #28 CERCLAGE WIRE 1,000.00 2,000.00 700.00 1,400.00
TOTAL 2,000.00 -

ORDER SLIP: 00611

TO: DR. DARYL APLA-ON DATE: 12/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8 H RECON STR. 3MM 2,000.00 2,000.00 -
TOTAL 2,000.00 -

ORDER SLIP: 00612

TO: HOLY CHILD HOSP. DATE: 12/08/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 6 H DISTAL FEMUR 16,000.00 16,000.00 -
6 PCS 5.0 CANCELLOUS 1,500.00 9,000.00 -
TOTAL 25,000.00 -

ORDER SLIP: 00613

TO: DR. OLEGARIO DATE: 12/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #46 XLO AMNP 8,500.00 8,500.00 -
TOTAL 8,500.00 -

ORDER SLIP: 00614

TO: DR. FLORES DATE: 12/08/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #40 XLO AMNP 6,000.00 6,000.00 -
1 BX BONE CEMENT REG 3,000.00 3,000.00 2,800.00 2,800.00
1 PC DRAIN 1,000.00 1,000.00 -
TOTAL 10,000.00 -

ORDER SLIP: 00615


DATE: 12/13/16
TO: PHILIP DOROLA

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


20 PCS TIBIA EXFIX CF 1,800.00 36,000.00 -
5 PCS R/U EXFIX CF 1,500.00 7,500.00 -
20 PCS DRAIN 700.00 14,000.00 -
TOTAL 57,500.00

ORDER SLIP: 00616


DATE: 12/13/16
TO: POA

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS BONE DRILL MANUAL 17,500.00 35,000.00 -
TOTAL 35,000.00 -
ORDER SLIP: 00617

TO:VETERANS DATE: 12/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC POWER DRILL 20,000.00 20,000.00 -
TOTAL 20,000.00 -

ORDER SLIP: 00618

TO: BONEFIX DATE: 12/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 BXS BONE CEMENT REG 2,800.00 11,200.00 -
TOTAL 11,200.00 -

ORDER SLIP: 00619


EDSEL
TO: DR. BALDONADO DATE: 12/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT W/ GENTA 4,000.00 4,000.00 -
TOTAL 4,000.00 -

ORDER SLIP: 00620


EDSEL
TO: DR. RUANTO DATE: 12/13/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 BX BONE CEMENT W/ GENTA 4,000.00 4,000.00 -
TOTAL 4,000.00 -

ORDER SLIP: 00621

TO: PANAY ORTHO DATE: 12/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


2 PCS 6.5X80 CANCELLOUS H/T 250.00 500.00 225.00 450.00
2 PCS 6.5X85 CANCELLOUS H/T 250.00 500.00 225.00 450.00
2 PCS 6.5X 75 CANCELLOUS H/T 250.00 500.00 225.00 450.00
7 PCS SKIN GRAFT KNIFE BLADES 750.00 5,250.00 650.00 4,550.00
2 PCS 6.5X90 CANCELLOUS H/T 250.00 500.00 225.00 450.00
TOTAL 7,250.00 -

ORDER SLIP: 00622

TO: JOY MEDINA DATE: 12/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #16 CERCLAGE WIRE 500.00 500.00 -
TOTAL 500.00 -

ORDER SLIP: 00623

TO: EDDIE BATAD DATE: 12/14/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 BX BONE CEMENT REG 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 7,500.00 -

ORDER SLIP: 00624

TO: DR. MATTHEW VALIENTE DATE: 12/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 10X34 FEMUR NAIL-AXIAL 13,500.00 13,500.00 -
3 PCS 3.9 LOCKING SCREW 500.00 1,500.00 -
TOTAL 15,000.00 -

ORDER SLIP: 00625

TO: DR. PAOLO CASTRO DATE: 12/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 7,000.00 9,500.00 -
1 PC CEMENT W/ GENTA 4,500.00 4,500.00 -
1 PC DRAIN 1,000.00 1,000.00 -
TOTAL 15,000.00 -

ORDER SLIP: 00626

TO: TRAUMA DATE: 12/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 8H RECON STR. 3.5MM 1,600.00 1,600.00 1,300.00 1,300.00
1 PC 9H RECON STR. 3.5MM 1,700.00 1,700.00 1,400.00 1,400.00
1 PC 7H NDCP 1,300.00 1,300.00 1,000.00 1,000.00
1 PC 5H 1/3 TUBULAR 700.00 700.00 600.00 600.00
1 PC 7H 1/3 TUBULAR 900.00 900.00 800.00 800.00
1 PC 8H 1/3 TUBULAR 1,000.00 1,000.00 800.00 800.00
1 PC 9H 1/3 TUBULAR 1,100.00 1,100.00 900.00 900.00
TOTAL 8,300.00 -

ORDER SLIP: 00627

TO: TRAUMA DATE: 12/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 PCS 3.5X12 CORTICAL 140.00 700.00 100.00 500.00
10 PCS 3.5X14 CORTICAL-OLTEN 140.00 1,400.00 120.00 1,200.00
5 PCS 3.5X18 CORTICAL 140.00 700.00 100.00 500.00
5 PCS 3.5X24 CORTICAL-OLTEN 140.00 700.00 120.00 600.00
3 PCS 4.0X35 CANCELLOUS-OLTEN 300.00 900.00 250.00 750.00
1 PC #41 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 BX BONE CEMENT REG 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 11,900.00 -

ORDER SLIP: 00628

TO: DR. ROURA DATE: 12/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC BATTERY FOR POWER DRILL 8,000.00 8,000.00 -
TOTAL 8,000.00 -

ORDER SLIP: 00629

TO: DR. JOSEPH CHAN DATE: 12/15/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
20 PCS .062 PINS 200.00 4,000.00 -
10 PCS 3/32 PINS 200.00 2,000.00 -
TOTAL 6,000.00 -

ORDER SLIP: 00630

TO: DR. ABELARDO FERNANDEZ DATE: 12/15/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC POWER DRILL TRAY 9,500.00 9,500.00 -
TOTAL 9,500.00 -

ORDER SLIP: 00631

TO: DR. DAGUMAN DATE: 12/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #41 XLO AMNP 4,000.00 4,000.00 -
1 PC #43 XLO AMNP 4,000.00 4,000.00 -
TOTAL 8,000.00 -

ORDER SLIP: 00632

TO: DR. DAGUMAN DATE: 12/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #40 XLO AMNP 5,000.00 5,000.00 -
1 BX BONE CEMENT REG 2,800.00 2,800.00 -
TOTAL 7,800.00 -

ORDER SLIP: 00633

TO: DON EMILIO HOSP DATE: 12/16/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC OSTETOME SET CURVE 10MM 2,550.00 2,550.00 -
KERN FORCEP BIG & SMALL 6 1/4"
1 PC KERN BONE CLAMP 4,800.00 4,800.00 -
1 PC BONE CLAMP 8" 5,500.00 5,500.00 -
HOHMAN RETRACTOR BIG & SMALL
1 PC 8X9 1/2 3,200.00 3,200.00 -
TOTAL 16,050.00 -

ORDER SLIP: 00634

TO: TRAUMA DATE: 12/17/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00635

TO: EDDIE BATAD DATE: 12/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #42 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
1 PC BONE CEMENT REG. 3,000.00 3,000.00 2,800.00 2,800.00
TOTAL 7,500.00 -

ORDER SLIP: 00636

TO: TRAUMA DATE: 12/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5H 1/3 TUBULAR 700.00 700.00 600.00 600.00
1 PC 7H 1/3 TUBULAR 900.00 900.00 800.00 800.00
1 PC 8H 1/3 TUBULAR 1,000.00 1,000.00 800.00 800.00
1 PC 9H 1/3 TUBULAR 1,100.00 1,100.00 800.00 800.00
1 PC 11H 1/3 TUBULAR 1,300.00 1,300.00 1,000.00 1,000.00
6 PCS 3.5X18MM CORTICAL (GRP) 140.00 840.00 100.00 600.00
TOTAL 5,840.00 -

ORDER SLIP: 00637

TO: FRANCIS CLAMOSA DATE: 12/19/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC POWER DRILL-OLTEN 70,000.00 70,000.00 -
CODE#1103B-16906 - -
W/ CHUCK HEAD, CHUCK - -
KEY & DRILL SLEEVE - -
2 PCS BATTERY CODE# 27008 & - -
26999 LOT AF07006 - -
CHARGER CODE# 1002-71154-
1 PC 1606 - -
TOTAL 70,000.00 -

ORDER SLIP: 00638

TO: DR. ESTILLORE DATE: 12/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5/64 PINS 250.00 250.00 -
1 PC #44 XLO AMNP 8,500.00 8,500.00 -
1 PC CEMENT W/ GENTA 5,000.00 5,000.00 -
TOTAL 13,750.00 -

ORDER SLIP: 00639

TO: DR. CAYETANO DATE: 12/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


4 PCS #39-42 AMP (GRP) 3,500.00 14,000.00 -
4 PCS BONE CEMENT REG 3,000.00 12,000.00 2,800.00 11,200.00
8 PCS 6H 1/3 TUBULAR 600.00 4,800.00 500.00 4,000.00
TOTAL 30,800.00 -

ORDER SLIP: 00640

TO: TRAUMA DATE: 12/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC DRAIN 900.00 900.00 800.00 800.00
TOTAL 900.00 -

ORDER SLIP: 00641

TO: RAYTON OBINA DATE: 12/20/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC 85 LAGSCREW-OLTEN 2,500.00 2,500.00 -
4 PCS 4.5 CORTICAL SCREWS 200.00 800.00 -
1 PC 3H CHS PLATE-OLTEN 6,700.00 6,700.00 -
TOTAL 10,000.00 -

ORDER SLIP: 00642

TO: FRANCIS CLAMOSA DATE: 12/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 4H L-PLATE-LEFT 1,800.00 1,800.00 -
1 PC 5H L-PLATE- RIGHT 1,800.00 1,800.00 -
TOTAL 3,600.00 -

ORDER SLIP: 00643

TO: FRANCIS CLAMOSA DATE: 12/20/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 SET POWER DRILL W/ 2 70,000.00 70,000.00 -
BATTERIES, CHUCK, KEY, - -
1 CHARGER (OLTEN) - -
TOTAL 70,000.00 -

ORDER SLIP: 00644

TO: TRAUMA DATE: 12/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #44 STANDARD-OLTEN 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 4,500.00 -

ORDER SLIP: 00645

TO: RAYTON OBINA DATE: 12/21/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 6 H 1/3 TUBULAR 600.00 600.00 -
1 PC 7 H 1/3 TUBULAR 700.00 700.00 -
1 PC 8 H 1/3 TUBULAR 800.00 800.00 -
1 PC 6 H MDCP 700.00 700.00 -
1 PC 7 H MDCP 800.00 800.00 -
1 PC 8 H MDCP 900.00 900.00 -
1 PC 9 H MDCP 1,000.00 1,000.00 -
12 PCS 3.5X16 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X18 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X20 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X22 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X24 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X28 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X30 CORTICAL-AXIAL 110.00 1,320.00
12 PCS 3.5X26 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X32 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X34 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X36 CORTICAL-AXIAL 110.00 1,320.00 -
12 PCS 3.5X38 CORTICAL-AXIAL 110.00 1,320.00 -
TOTAL 21,340.00 -

ORDER SLIP: 00646

TO: JONATHAN SERRANO DATE: 12/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 4H L-BUTTRESS RIGHT 1,500.00 1,500.00 -
3 PCS 4.5 CORTICAL 150.00 450.00 -
1 PC 6.5 CANCELLOUS 350.00 350.00 -
TOTAL 2,300.00 -

ORDER SLIP: 00647

TO: BONEFIX DATE: 12/23/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


5 BXS BONE CEMENT REG 2,800.00 14,000.00 2,700.00 13,500.00
TOTAL 14,000.00 -

ORDER SLIP: 00648

TO: TRAUMA DATE: 12/27/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
1 PC #49 AMP (GRP) 4,500.00 4,500.00 3,200.00 3,200.00
TOTAL 4,500.00 -

ORDER SLIP: 00649

TO: ALLAN YADAO DATE: 12/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC #43 AMP (GRP) 4,000.00 4,000.00 3,200.00 3,200.00
1 PC #44 AMP (GRP) 4,000.00 4,000.00 3,200.00 3,200.00
1 PC #45 AMP (GRP) 4,000.00 4,000.00 3,200.00 3,200.00
TOTAL 12,000.00 -

ORDER SLIP: 00650

TO: RAYTON OBINA DATE: 12/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


10 PCS 3.5X16 CORTICAL-AXIAL 110.00 1,100.00 -
10 PCS 3.5X18 CORTICAL-AXIAL 110.00 1,100.00 -
10 PCS 3.5X20 CORTICAL-AXIAL 110.00 1,100.00 -
10 PCS 3.5X22 CORTICAL-AXIAL 110.00 1,100.00 -
10 PCS 3.5X24 CORTICAL- OLTEN 110.00 1,100.00 -
2 PCS 6 H MDCP 700.00 1,400.00 -
2 PCS 7 H MDCP 800.00 1,600.00 -
2 PCS 8 H MDCP 900.00 1,800.00 -
2 PCS 9 H MDCP 1,000.00 2,000.00 -
1 PC 6 H 1/3 TUBULAR 600.00 600.00 -
1 PC 7 H 1/3 TUBULAR 700.00 700.00 -
1 PC 8 H 1/3 TUBULAR 800.00 800.00 -
1 PC 9 H 1/3 TUBULAR 900.00 900.00 -
1 PC 7 H NDCP-AXIAL 1,000.00 1,000.00
1 PC 8 H NDCP-AXIAL 1,100.00 1,100.00 -
1 PC 9 H NDCP-AXIAL 1,200.00 1,200.00 -
TOTAL 18,600.00 -

ORDER SLIP: 00651

TO: TRAUMA DATE: 12/28/16


QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT
5 PCS DRAIN 900.00 4,500.00 800.00 4,000.00
1 PC #50 XLO AMNP 4,500.00 4,500.00 4,000.00 4,000.00
TOTAL 9,000.00 -

ORDER SLIP: 00652

TO: WESTECH DATE: 12/28/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


3 PCS #18 CERCLAGE WIRE 750.00 2,250.00 600.00 1,800.00
1 PC #16 CERCLAGE WIRE 750.00 750.00 600.00 600.00
TOTAL 3,000.00 -

ORDER SLIP: 00653

TO: DR.ROURA DATE: 12/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC 5 H NDCP-OLTEN 1,300.00 1,300.00 -
1 PC 7 H NDCP-AXIAL 1,400.00 1,400.00 -
TOTAL 2,700.00 -

ORDER SLIP: 00654

TO: JANICE EMBERGA DATE: 12/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC K-NAIL #10 1,000.00 1,000.00 750.00 750.00
TOTAL 1,000.00 -

ORDER SLIP: 00655

TO: DR. SAN GABRIEL DATE: 12/29/16

QTY UNIT DESCRIPTION UNIT PRICE AMOUNT ACT PRICE AMOUNT


1 PC DRAIN 1,500.00 1,500.00 1,200.00 1,200.00
4 PCS 4.9 LOCKING SCREW 500.00 2,000.00 350.00 1,400.00
1 PC 11X36 FEMUR (AXIAL) 15,500.00 15,500.00 12,000.00 12,000.00
TOTAL 19,000.00 -
REBATE CGS TOTAL CAPITAL NET SALES
2,200.00 - 2,200.00
4,500.00 2,990.00 2,990.00 1,510.00
6,700.00 - - 4,500.00

REBATE CGS TOTAL CAPITAL NET SALES


8,500.00 3,500.00 3,500.00 5,000.00
400.00 2,500.00 5,000.00 1,000.00
8,900.00 8,500.00 6,000.00

REBATE CGS TOTAL CAPITAL NET SALES


20,800.00 6,000.00 6,000.00 14,800.00
1,200.00 50.00 150.00 1,050.00
22,000.00 6,050.00 6,150.00 15,850.00

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 6,000.00 6,000.00 2,000.00
2,000.00 6,000.00 6,000.00 2,000.00
4,000.00 12,000.00 12,000.00 4,000.00 PAID
REBATE CGS TOTAL CAPITAL NET SALES
350.00 350.00 - 350.00
85.00 425.00 - 425.00
162.00 324.00 - 324.00
597.00 1,099.00 - 1,099.00

REBATE CGS TOTAL CAPITAL NET SALES


10,000.00 85.00 8,500.00 1,500.00
10,000.00 85.00 8,500.00 1,500.00
5,000.00 250.00 2,500.00 2,500.00
6,000.00 300.00 3,000.00 3,000.00
5,000.00 250.00 2,500.00 2,500.00
6,000.00 300.00 3,000.00 3,000.00
4,800.00 400.00 3,200.00 1,600.00
5,600.00 480.00 3,840.00 1,760.00
6,000.00 900.00 4,500.00 1,500.00
3,600.00 900.00 2,700.00 900.00
3,500.00 350.00 2,450.00 1,050.00
5,000.00 350.00 3,500.00 1,500.00
70,500.00 4,650.00 48,190.00 22,310.00 PAID 12/15/16

REBATE CGS TOTAL CAPITAL NET SALES


4,200.00 80.00 1,600.00 2,400.00
4,000.00 80.00 1,600.00 2,400.00

REBATE CGS TOTAL CAPITAL NET SALES


900.00 5,000.00 15,000.00 3,000.00
900.00 5,000.00 15,000.00 3,000.00

REBATE CGS TOTAL CAPITAL NET SALES


3,600.00 280.00 840.00 2,760.00
8,500.00 900.00 900.00 7,600.00
11,000.00 3,500.00 7,000.00 4,000.00
23,100.00 4,680.00 8,740.00 14,360.00 PAID 12/16/16

REBATE CGS TOTAL CAPITAL NET SALES


8,500.00 3,000.00 3,000.00 5,500.00
8,500.00 3,000.00 3,000.00 5,500.00 PAID 12/2/16

REBATE CGS TOTAL CAPITAL NET SALES


600.00 140.00 280.00 1,720.00
600.00 140.00 280.00 1,720.00 PAID 12/8/16

REBATE CGS TOTAL CAPITAL NET SALES


2,000.00 800.00 800.00 1,200.00
2,000.00 800.00 800.00 1,200.00
REBATE CGS TOTAL CAPITAL NET SALES
16,000.00 6,000.00 6,000.00 10,000.00
9,000.00 800.00 4,800.00 4,200.00
25,000.00 6,800.00 10,800.00 14,200.00 PAID 12/23/16

REBATE CGS TOTAL CAPITAL NET SALES


8,500.00 3,500.00 3,500.00 5,000.00
8,500.00 3,500.00 3,500.00 5,000.00

REBATE CGS TOTAL CAPITAL NET SALES


6,000.00 3,500.00 3,500.00 2,500.00
200.00 2,500.00 2,500.00 500.00
1,000.00 650.00 650.00 350.00
7,200.00 6,650.00 6,650.00 3,350.00 PAID 12/13/16

REBATE CGS TOTAL CAPITAL NET SALES


36,000.00 1,150.00 23,000.00 13,000.00
7,500.00 870.00 4,350.00 3,150.00
14,000.00 650.00 13,000.00 1,000.00
57,500.00 2,670.00 40,350.00 17,150.00

REBATE CGS TOTAL CAPITAL NET SALES


35,000.00 12,000.00 24,000.00 11,000.00
35,000.00 12,000.00 24,000.00 11,000.00 PAID 12/15/16
REBATE CGS TOTAL CAPITAL NET SALES
20,000.00 - 20,000.00
20,000.00 - - 20,000.00 PAID 12/7/2016

REBATE CGS TOTAL CAPITAL NET SALES


11,200.00 2,500.00 10,000.00 1,200.00
11,200.00 2,500.00 10,000.00 1,200.00 PAID 12/13/2016

REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 1,250.00 1,250.00 2,750.00
4,000.00 1,250.00 1,250.00 2,750.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 1,250.00 1,250.00 2,750.00
4,000.00 1,250.00 1,250.00 2,750.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


50.00 162.00 324.00 176.00
50.00 162.00 324.00 176.00
50.00 162.00 324.00 176.00
700.00 420.00 840.00 4,410.00
50.00 162.00 324.00 176.00
900.00 1,068.00 2,136.00 5,114.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 280.00 280.00 220.00
500.00 280.00 280.00 220.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
200.00 2,500.00 2,500.00 500.00
700.00 6,000.00 6,000.00 1,500.00 PAID 12/15/16

REBATE CGS TOTAL CAPITAL NET SALES


13,500.00 3,000.00 3,000.00 10,500.00
1,500.00 50.00 150.00 1,350.00
15,000.00 3,050.00 3,150.00 11,850.00

REBATE CGS TOTAL CAPITAL NET SALES


9,500.00 3,500.00 3,500.00 6,000.00
4,500.00 1,250.00 1,250.00 3,250.00
1,000.00 650.00 650.00 350.00
15,000.00 5,400.00 5,400.00 9,600.00

REBATE CGS TOTAL CAPITAL NET SALES


300.00 800.00 800.00 800.00
300.00 900.00 900.00 800.00
300.00 560.00 560.00 740.00
100.00 250.00 250.00 450.00
100.00 350.00 350.00 550.00
200.00 400.00 400.00 600.00
200.00 450.00 450.00 650.00
1,500.00 3,710.00 3,710.00 4,590.00

REBATE CGS TOTAL CAPITAL NET SALES


200.00 20.00 100.00 600.00
200.00 85.00 850.00 550.00
200.00 20.00 100.00 600.00
100.00 85.00 425.00 275.00
150.00 162.00 486.00 414.00
500.00 3,500.00 3,500.00 1,000.00
200.00 2,500.00 2,500.00 500.00
1,550.00 6,372.00 7,961.00 3,939.00

REBATE CGS TOTAL CAPITAL NET SALES


8,000.00 2,500.00 2,500.00 5,500.00
8,000.00 2,500.00 2,500.00 5,500.00 PAID 12/16/16
REBATE CGS TOTAL CAPITAL NET SALES
4,000.00 50.00 1,000.00 3,000.00
2,000.00 50.00 500.00 1,500.00
6,000.00 100.00 1,500.00 4,500.00 PAID 12/21/16

REBATE CGS TOTAL CAPITAL NET SALES


9,500.00 2,500.00 2,500.00 7,000.00
9,500.00 2,500.00 2,500.00 7,000.00 PAID 12/17/16

REBATE CGS TOTAL CAPITAL NET SALES


4,000.00 3,500.00 3,500.00 500.00
4,000.00 3,500.00 3,500.00 500.00
8,000.00 7,000.00 7,000.00 1,000.00 PAID 12/22/16

REBATE CGS TOTAL CAPITAL NET SALES


5,000.00 3,500.00 3,500.00 1,500.00
2,800.00 2,500.00 2,500.00 300.00
7,800.00 6,000.00 6,000.00 1,800.00 PAID 12/16/16

REBATE CGS TOTAL CAPITAL NET SALES


2,550.00 - 2,550.00

4,800.00 1,950.00 1,950.00 2,850.00


5,500.00 1,990.00 1,990.00 3,510.00

3,200.00 - 3,200.00
16,050.00 3,940.00 3,940.00 12,110.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
500.00 3,500.00 3,500.00 1,000.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,500.00 3,500.00 1,000.00
200.00 2,500.00 2,500.00 500.00
700.00 6,000.00 6,000.00 1,500.00 PAID 12/19/2016

REBATE CGS TOTAL CAPITAL NET SALES


100.00 250.00 250.00 450.00
100.00 350.00 350.00 550.00
200.00 400.00 400.00 600.00
300.00 450.00 450.00 650.00
300.00 550.00 550.00 750.00
240.00 20.00 120.00 720.00
1,240.00 2,020.00 2,120.00 3,720.00

REBATE CGS TOTAL CAPITAL NET SALES


70,000.00 60,000.00 60,000.00 10,000.00
-
-
-
-
-

-
70,000.00 60,000.00 60,000.00 10,000.00

REBATE CGS TOTAL CAPITAL NET SALES


250.00 50.00 50.00 200.00
8,500.00 3,500.00 3,500.00 5,000.00
5,000.00 1,250.00 1,250.00 3,750.00
13,750.00 4,800.00 4,800.00 8,950.00 PAID 12/12/2016

REBATE CGS TOTAL CAPITAL NET SALES


14,000.00 1,000.00 4,000.00 10,000.00
800.00 2,500.00 10,000.00 2,000.00
800.00 300.00 2,400.00 2,400.00
15,600.00 3,800.00 16,400.00 14,400.00

REBATE CGS TOTAL CAPITAL NET SALES


100.00 650.00 650.00 250.00
100.00 650.00 650.00 250.00
REBATE CGS TOTAL CAPITAL NET SALES
2,500.00 800.00 800.00 1,700.00
800.00 85.00 340.00 460.00
6,700.00 2,150.00 2,150.00 4,550.00
10,000.00 3,035.00 3,290.00 6,710.00 PAID 12/21/16

REBATE CGS TOTAL CAPITAL NET SALES


1,800.00 1,200.00 1,200.00 600.00
1,800.00 1,400.00 1,400.00 400.00
3,600.00 2,600.00 2,600.00 1,000.00

REBATE CGS TOTAL CAPITAL NET SALES


70,000.00 60,000.00 60,000.00 10,000.00
- - -
- - -
70,000.00 60,000.00 60,000.00 10,000.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 3,000.00 3,000.00 1,500.00
500.00 3,000.00 3,000.00 1,500.00

REBATE CGS TOTAL CAPITAL NET SALES


600.00 300.00 300.00 300.00
700.00 350.00 350.00 350.00
800.00 400.00 400.00 400.00
700.00 300.00 300.00 400.00
800.00 350.00 350.00 450.00
900.00 400.00 400.00 500.00
1,000.00 450.00 450.00 550.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
1,320.00 20.00 240.00 1,080.00
21,340.00 2,790.00 5,430.00 15,910.00 PAID 12/21/16

REBATE CGS TOTAL CAPITAL NET SALES


1,500.00 1,200.00 1,200.00 300.00
450.00 85.00 255.00 195.00
350.00 162.00 162.00 188.00
2,300.00 1,447.00 1,617.00 683.00

REBATE CGS TOTAL CAPITAL NET SALES


500.00 2,500.00 12,500.00 1,500.00
500.00 2,500.00 12,500.00 1,500.00
REBATE CGS TOTAL CAPITAL NET SALES
1,300.00 1,000.00 1,000.00 3,500.00
1,300.00 1,000.00 1,000.00 3,500.00

REBATE CGS TOTAL CAPITAL NET SALES


800.00 1,000.00 1,000.00 3,000.00
800.00 1,000.00 1,000.00 3,000.00
800.00 1,000.00 1,000.00 3,000.00
2,400.00 3,000.00 3,000.00 9,000.00

REBATE CGS TOTAL CAPITAL NET SALES


1,100.00 20.00 200.00 900.00
1,100.00 20.00 200.00 900.00
1,100.00 20.00 200.00 900.00
1,100.00 20.00 200.00 900.00
1,100.00 85.00 850.00 250.00
1,400.00 300.00 600.00 800.00
1,600.00 350.00 700.00 900.00
1,800.00 400.00 800.00 1,000.00
2,000.00 450.00 900.00 1,100.00
600.00 300.00 300.00 300.00
700.00 350.00 350.00 350.00
800.00 400.00 400.00 400.00
900.00 450.00 450.00 450.00
1,000.00 100.00 100.00 900.00
1,100.00 100.00 100.00 1,000.00
1,200.00 100.00 100.00 1,100.00
18,600.00 3,465.00 6,450.00 12,150.00
REBATE CGS TOTAL CAPITAL NET SALES
500.00 650.00 3,250.00 1,250.00
500.00 3,500.00 3,500.00 1,000.00
1,000.00 3,500.00 3,500.00 1,000.00

REBATE CGS TOTAL CAPITAL NET SALES


450.00 280.00 840.00 1,410.00
150.00 280.00 280.00 470.00
600.00 560.00 1,120.00 1,880.00 PAID

REBATE CGS TOTAL CAPITAL NET SALES


1,300.00 400.00 400.00 900.00
1,400.00 100.00 100.00 1,300.00
2,700.00 500.00 500.00 2,200.00

REBATE CGS TOTAL CAPITAL NET SALES


250.00 400.00 400.00 600.00
250.00 400.00 400.00 600.00

REBATE CGS TOTAL CAPITAL NET SALES


300.00 650.00 650.00 850.00
600.00 50.00 200.00 1,800.00
3,500.00 3,000.00 3,000.00 12,500.00
4,400.00 3,700.00 3,850.00 15,150.00

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