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Price Quotation

PDEA form for price quotation

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FM-LMSprc-02
Rev. 0;
Feb. 6, 2015

Republic of the Philippines
Office of the President

PHILIPPINE DRUG ENFORCEMENT AGENCY
Logistics Management Service
PDEA Bldg. NIA NorthSide Rd., National Government Center, Brgy. Pinyahan,
Quezon City 1100 | www.pdea.gov.ph | (02) 927-9702

Canvass No:
Date of Canvass:

PRICE QUOTATION
Ladies / Gentlemen:
Please quote prices for the items listed below. This proposal is a request for quotation only
and not an order. The terms / conditions shall be in accordance with the following:
1. This proposal shall be submitted to the PROCUREMENT DIVISION, LOGISTICS
MANAGEMENT SERVICE, PDEA as soon as possible.
2. The prices quoted shall be valid within 30 calendar days after acceptance of same.

_____________________________
NO-Chief, LMS Procurement Division
RO-Chief, Admin Officer

ITEM

QTY

UNIT

NOMENCLATURE

UNIT
PRICE

TOTAL
PRICE

Purpose: For the use of END-USER NO/RO.
This is to certify that I have conducted the
Canvass and those prices are true and correct.
______________________________
NAME OF FIRM AND ADDRESS

__ __________________
Name and Signature of Canvasser
Telefax No: __________

_________ ____________________
PRINT NAME AND SIGNATURE
_______________________
TELEPHONE NUMBER
 
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