ABCDEFGHIJKLMNOPQRSTUVWXYZ
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 QUOTATION FORM
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Tender Number
MDAC000478
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SUPPLIER DETAILS
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Name (of shop, company etc.)
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Address
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Name of owner
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Phone No.
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E-mail
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SUPPLIER DECLARATIONS
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The supplier agrees and acknowledges that…Supplier AcceptanceComments
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for any future orders placed, the Terms & Conditions shared as part of the contract will apply.
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to adhere to all the mandatory People in Need policies, see: www.clovekvtisni.cz/policies
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that all pricing included in the quote will be valid for a minimum of 60 days
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that price includes delivery to location (Bratuseni, r.Edinet), installation and training
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this request for quotation does not constitute an order.
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LOT Nr.Supplies/Services/Works description (specify type, quality, origin, exact size, material, place of delivery etc.)UnitQuantity RequestedCurrencyUnit priceTotal priceWarrantyDelivery Date
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specify type, quality, origin, exact size, material, place of delivery etc.e.g. pc, kg, hour, days, man/days, A4 pages, metres3 of digging, contruction etc.fara TVAfara TVALuniDay, when goods can be delivered, considering signing contract no later than October 20th
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1Scaunebuc.30MDL0
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2Mese de laborator (2 metri)buc.4MDL0
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3Mese centralebuc.3MDL0
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4Set mobilă de birouset3MDL0
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5Dulap de păstrare a reactivilor chimicibuc.2MDL0
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6Set mese transformer și scaune pentru 24 persoanebuc.1MDL0
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7Refractometru portabilbuc.1MDL0
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8Hdmicroscopbuc.1MDL0
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9Analizorul de biochimie (VETSCAN VS2 sau similar)buc.1MDL0
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10Separatorbuc.1MDL0
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11Aparat Record sau similarbuc.1MDL0
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12Incubator pentru ouabuc.1MDL0
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13Analizor de chimie (VETSCAN UA sau similar)buc.1MDL0
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14Electrocauter (Legrin 640/00 sau similar)buc.2MDL0
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15Monitor pacient uz veterinarbuc.1MDL0
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16Mansete reutilizabile pentru monitoare și tensiometre veterinare 6-11 cm/10-15cm/13-17 cm/16-21,5 cmbuc.4MDL0
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17EKG uz veterinar cu 3 canale (VE-300 sau similar)buc.1MDL0
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18Aparat mobil de anestezie inhalatorie veterinar (DSV 60V sau similar)buc.1MDL0
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19Set 7 baloane anestezie uz veterinar 0.25L/0.5L/1L/2L/3L/4L/5Lbuc.1MDL0
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20Aspirator chirurgical (ASKIR 230/12 V BR sau similar)buc.1MDL0
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21 Model de vacă pentru instruirea ÎA (Holstein design sau similar), 230 V, completbuc.1MDL0
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22Model de scroafă pentru instruirea ÎAbuc.1MDL0
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23Aparat de detartraj cu ultrasunete (Vet Piezo CVET sau similar)buc.1MDL0
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24Feroscop detectare corpuri straine fero-magneticebuc.1MDL0
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25Simulator animale (cal)buc.1MDL0
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26Panglică zootehnicăbuc.3MDL0
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TOATE POZITIILE INCLUD LIVRARE, INSTALARE SI INSTRUIRE
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Add more lines to the Quotation form if required
Total price0
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PlaceSignatureStamp
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Date
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Full Name and Position
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