Purchased Order 2017

OFFICE INK
SUPPLIER DATE INV. # PARTICULARS QTY

SUPPLIES SUPPLIES
Chart Holder Gray Short 20 pc.
01/03/17 53590
Latex Tubing 3/16x3/32 50ft. 1 bx.
Latex Tubing 3/16x3/32 50ft. 1 bx.
01/04/17 1703
Reamar Trading Tongue Depressor 10 bx.
01/10/17 1703 Suction Machine- indoplas 1 unit
01/19/17 1727 Infrared Forehead 1 unit
01/31/17 1755 Goggles 2 pc.
RBGM Medical Express Sales, Inc. 01/12/17 10034 E7507 Polyhesive II Ret Elec. 20 pc.
Canon Ink 810 Black 10 pc. 7,500.00

01/12/17 2008
Canon Ink 811 Color 10 pc. 9,600.00
CPU Package Intelcore i34170 LGA 1150 Processor,
i- Biostar Motherboard H81MHV3 Ver. 7x1150,
01/27/17 2153 DDR3, 6CH, HDMI, VGA Realtek 8111G. M- ATX, i- 1 unit
cing Max 47g, Memory DDR3.1600, Hitachi 500gB
LGT Trading & Gen. Mdse.
Internal, Neutron Fit Case w/ ATX Psu 700W
CPU Package Intelcore i34170 LGA 1150 Processor,
i- Biostar Motherboard H81MHV3 Ver. 7x1150,
01/28/17 2160 DDR3, 6CH, HDMI, VGA Realtek 8111G. M- ATX, i- 1 unit
cing Max 47g, Memory DDR3.1600, Hitachi 500gB
Internal, Neutron Fit Case w/ ATX Psu 700W
1.5hP Koppel Wall Mounted Inverter Type A/C Model

#: KVWM-ARF21C, KV120D-ARF21C Serial #: 1 unit
Diamzon Enterprise 01/25/17 00001
CJ581629, BJ624584
Installation -
Cook Rat Tooth Retrieval Forceps 3.3Fx115cm 1 pc.

US Endoscopy Raptor Grasping Device
1 pc.
2.4mmx230cm
US Endoscopy Roth Net Retriever, Mini 160cm (Non-
Dr. Margareth Villamayor 01/27/17 - 1 pc.
Sterile)
Dr. Margareth Villamayor 01/27/17 -
Olympus QuickClip2 Rotating Clip Fixing Device

3 pc.
230cm
Customs Fee
WM-ARF 3 pc.
Allmed Instruments Medical System Inc. 01/27/17 0653 C 3 pc.
Pulse Oxi Sensor Disposable 50 pc.
Lucena Family integrated Enterprise Corp. 01/24/17 00080 Geena White 63 yrd.
Maystar Company 01/18/17 0550 Suction Bottle 1L 2 pc.
Duplo Riso Machine Spare Parts -

IT Avenue Gen. Mdse. 01/05/17 01563
Master Roll 2 pc. 7,410.00
01/03/17 7677 2- Way Valve Celtac F 2 pc.
Hemoglobin Filter 3 pc.
Goldquest Biotechnologies, Inc.
01/31/17 8319 Pump Tube 3 pc.
Service Charge 1 lot
Electrical Stimulator Tens N607 SN. 17013485,

17013486,17013487,17013488 Accessorie:
4 unit
Global Health Care Products, Inc. 01/25/17 1857 Faceprobe, 9v battery, KpTec Adaptor, Manual, 2
Eloctrode Wire, 4 Rubber Pads
Electrode Wire Ice Gray 15 pc.
Fresenius 5008S Dialysis Machine w/ AVR, Medical

Fresenius Medical Care 01/21/17 2729812 5 unit
Recliners, Diasafe, Citrosteril
01/26/17 LB2499281 X-ray Machine (60mos. PDC) 1 unit

Shimadzu C- arm Model: Opescope Acteno SN:
Shimadzu Philippines
01/07/17 2729443 41D6D83550D2 w/ Complete Accessories with C- 1 unit
Arm Table Freebies- 36 PDC
Disposable Reference Electrode Lot #:16323 Exp.
Spectro Med Biomedical Enterprise 01/18/17 3909 1 unit
2017-11-18
MRL Cybertec Corp. 01/26/17 77928 Chemwell 2910 PMS 1 unit
Edwin Yap 01/13/17 4703 Katrina Green 300 yrd.
Carestream 01/23/17 2497682 Classic CR System Carestream (60mos. PDC) 1 unit
Roche Philippines 01/21/17 2500034 Blood Chemistry Machine (36mos.PDC) 1 unit
OVER- ALL TOTAL 58,735.85 49,350.00

MAINTE. MEDICAL MEDICAL BLDG. MAINTE. OXYGEN NON- MED. SUPPLIES
AMOUNT
SUPPLIES SUPPLIES INSTRU/ EQUIPT. SUPPLIES SUPPLIES INSTRU & EQUIPT.
7,000.00
9,150.00
2,150.00
2,150.00
2,800.00
650.00
3,500.00 3,500.00
1,500.00 1,500.00
90.00 90.00
11,000.00 11,000.00
17,100.00
13,690.00 13,690.00
13,690.00 13,690.00
32,000.00
43,700.00
11,700.00
1,244.75
995.80
597.48 9,285.58
9,285.58
2,240.55
4,207.00
12,600.00
12,600.00 50,200.00
25,000.00
1,323.00 1,323.00
2,916.00 2,916.00
12,125.00
19,535.00
20,000.00 20,000.00
3,000.00
10,500.00 18,500.00
5,000.00
18,000.00
20,700.00
2,700.00
187,500.00 187,500.00
56,000.00 56,000.00
147,500.00 147,500.00
12,000.00 12,000.00
9,000.00 9,000.00
10,500.00 10,500.00
61,866.67 61,866.67
84,000.00 84,000.00
64,048.47 222,150.00 580,442.25 3,663.25 271,390.00 308,144.00 1,557,923.82

REMARKS
Record CPU Replacement- Dixon Area.
Billing CPU Replacement- Mam Liezel Area.
Endoscopy Machine Accessories.

Endoscopy Machine Accessories.
OR/ NiCu Use- Additional as per DOH Advised.

OR/ NiCu Use- Additional as per DOH Advised.
OR Table Cover Use- Request.
OR Suction Bottle Replacement.
CSR Riso Machine Repair & Maintenance.
Repair & Maintenance of Laboratory Machine.
Preventive Maintenance of Celtac F.
Replacement to condemned EMS.
5 unit Dialysis Machine-50%-12PDC-7th PDC
X-ray Machine-51st payment.
New C-Arm @ O.R. 90% Balance- 8TH PDC
Laboratory Machine Repair.
Chemwell Laboratory Machine PMS.

Oxygen Cover Use.
X-Ray Machine-32nd payment.
Laboratory Machine-32nd payment.

2. c/o Revolving Fund
OFFICE BLDG. MAINTE.
SUPPLIER DATE INVOICE # PARTICULARS QTY
SUPPLIES SUPPLIES
3DK Steel Marketing 01/10/17 7037 Denatured Alcohol 12 pc.
Pail Wht 5gaL 6's MG509 7 pc.
01/05/17 000270228
GW S. White Water Dipper # 397 7 pc.
01/05/17 000270229 Wall Mirror WM04 Oval White Pt- W 5 pc.
01/07/17 000221435 Mega Storage Box 95L 4 pc.
01/10/17 000271330 Firefly LEDEmergencylmpRchargble Twnhead FEL201L 8 pc.
01/14/17 41DF647 Omni Universal Adapter WVA-002 10 pc. 497.50

Water Dipper White 12" 3 pc.
01/20/17 000327721 GWS White Water Dipper #397 8 pc.
Ace Hardware Pail White 5gaL. 6's MG509 11 pc.
01/20/17 000327722 Wall Mirror WM04 Oval White Pt- W 35 pc.
01/24/17 000328529 Philips Elegant Cordless White D450 1 pc.
01/25/17 000273508 Firefly LEDEmergencylmpRchargble Twnhead FEL201L 1 pc.
01/27/17 000310028 Eagle Adjhustable Wrench 12 Black 1 pc.
01/28/17 000380131 Eagle Adjhustable Wrench 12 Black 1 pc.
Pedalbin Blk w/o Basket 10 pc.
Pail Wht 4gaL 6's MG508 11 pc.
01/31/17 000259039
Water Dipper White 12" 6 pc.
GW Water Dipper White #398 4 pc.
Abenson 01/26/17 25698 TCL Basic 32D2910D Serial #: 1608AFY125523D00363 1 unit
Chris Sports 01/20/17 84003 Aristo Timer Digital Big Display 3 pc.
Greentelcommunications Trading, B105E 354163082633197- Samsung Cellphone Color White

01/07/17 77254 1 pc.
Inc.
Joy City 01/24/17 00200.. Frame 9.5x11" 7 pc. 455.00
Lucena Market 01/10/17 - Doormat 12 pc.
Cert Frame A4 Maroon 4 pc.

Metro Lucena 01/26/17 025732 Cert Frame 8.5x13 Maroon 6 pc.
Metro Lucena 01/26/17 025732
Cert Frame A4 Black 6 pc.
GDSI Office Table OFT-10111P 20x40 WUYKE Wenge 1 pc.

Neswood Furniture & Gen. Mdse. 01/26/17 18055
SCF Posture Chair w/ Gaslift & Armrest JGY-006GA 1 pc.
BFB 927 Bottle Brush 2 pc.

01/13/17 000304959
Checkered Exp Env 13 Pkts with Garter 3 pc. 329.25
The SM Store
Beige 54x70 Rect Edmond1 Hosh Fabric TBC 1 pc.
01/31/17 000172081
Table Protector 60x90 Rectangular 1 pc.
Technoclear Electronics Sales Solutio 01/24/17 5514 Baofeng Colored 2 Way Radio 6 pc.
Rovelyn Medical Supplies &

01/19/17 6288 Formalin 1 pc.
Equipment
01/11/17 028386 Sigma BR-8106 Full Motion/ Single Arm 2 pc.

SM Appliance Center
01/31/17 000075195 Sigma BR-8106 Full Motion/ Single Arm 1 pc.
01/06/17 010220702 SMB ZpprStrge960 2 pc.

SM Supermarket
01/13/17 56BJ901070 Perla White 380g. 30 pc.
RCP H126Plastic Head 60L Mop Handle 1 pc.

Quality Ceramics Inc. 01/10/17 112626
REMD H146 Blue 60L Sidegate Wet Mop 1 pc.
OVER- ALL TOTAL 784.25 497.50
Breakdown:
1. For issuance of cheque 1,557,923.82
2. c/O revolving Fund 84,705.00
TOTAL 1,642,628.82
Prepared by: Checked by:
Marjorie M. Ruz Maritess P. Rayos

CSR Personnel B.O. Supervisor
MAINTENANCE NON- MEDICAL
AMOUNT REMARKS
SUPPLIES SUPPLIES
420.00 420.00
1,223.25
1,536.50
313.25
2,498.75 2,498.75 Pt. Room Use.
1,980.00 1,980.00 Xmas Décor Storage Box.
Replacement for Ns1, Ns2, NSO, Pulmo Hallway, 214
8,798.00 8,798.00
Hallway, CSR Hallway, CSSR Hallway.Power Room 2.
497.50
104.25 Pt. Room Use.
358.00 2,384.50 Pt. Room Use.
1,922.25 Pt. Room Use.
17,491.25 17,491.25 Pt. Room Use.
2,499.75 2,499.75 NICU Tel. Replacement to condemned.
1,099.75 1,099.75 Replacement for Bus. Office E- Light.
449.75 449.75 OR request as advised by DOH.
449.75 449.75 OR request as advised by DOH.
1,347.50
1,647.25
3,322.25 For Hospital Rooms Use.
208.50
119.00
11,495.00 11,495.00 OPD Area TV Use.
1,155.00 1,155.00 Laboratory Request.
899.00 899.00 Ns1 Cellphone Replacement.
455.00
400.00 400.00 OR Request.
400.00
750.00 1,750.00 CSR Supplies.
1,750.00 CSR Supplies.
600.00
3,000.00
5,500.00 OR OpD Area Use.
2,500.00
379.50 NiCu Replacement to condemned.

708.75
Laboratory Request.
249.75
349.50 OR Table Cloth.
99.75
9,900.00 9,900.00 Ns2,3,4,ICU,HK, CSR Radio Replacement.
1,000.00 1,000.00 Formalin for OR Specimen.
2,718.00 2,718.00 Ns4 Rooms for TV use.

1,395.00 1,395.00 OPD Area TV TCL 32" Use.
139.50 139.50 Dialysis Request.

1,312.50 1,312.50 Laundry Supplies.
1,000.00
2,100.00
1,100.00
1,732.50 81,690.75 84,705.00
Noted by:
Dr. Nenita Tan

Hospital Administrator
OFFICE INK
SUPPLIES SUPPLIES
Chart Holder Gray 20 pc.
Reamar Trading 02/21/17 1787
Lap Sponge 12x12 76 pc.
02/09/17 10527 E7507 Polyhesive II Ret Elec. 20 pc.

RBGM Medical Express Sales, Inc.
02/20/17 10651 E7507 Polyhesive II Ret Elec. 40 pc.
Tapelon 3M 20 pc.
Amerilock Dorrknob #578 10 pc.
Lavatory Faucet 20 pc.
Flexi Hose 1/2x3/8 20 pc.
GSY construction Glass & Aluminum Supply 02/20/17 19936
Flexi Hose 7/8x3/8 20 pc.
Rubber Flapper 20 pc.
Tank Lever 20 pc.
Angle Valve 1/2x3/8 20 pc.
Epson Ink T6641- Black 10 pc. 2,450.00

02/02/17 2223 Canon 810 Black 6 pc. 4,500.00
Canon 40 Black 2 pc. 1,980.00
AOC 16" Monitor SN. ANRG6IA001542 1 unit
02/13/17 2314
LGT Trading & Gen. Mdse. APC UPS 625VA Serial No. 3131603X04846 1 unit
02/16/17 2348 Epson Printer L360 SN VGFK064030 1 unit
AOC Monitor 16" SN. AKXG8IA009661,
02/17/17 2370 2 unit
ANRG61A002347
02/23/17 2427 A4 Tech Combo USB KRS-8372 2 unit
Medical One Corporation 02/15/17 6232 Audx Abaer Label 2 roll
Neswood Furniture Gen. Mdse. 02/13/17 18636 Metal Gang Chair 5 Seater Wooky Marron 1 unit
875 Master Roll 1 pc. 4,170.00

IT Avenue Gen. Mdse. 02/01/17 01711
514 Black Ink 8 pc. 6,680.00
1.5hp Koppel Wall Mounted Inverter Type A/C 1 unit

02/02/17 QTN-02-2-17
Installation Cost, Labor & Materials 1 lot
Diamzon Enterprise
Diamzon Enterprise
1.5hp Koppel Window Type a/c R410A Model #
02/08/17 00003 2 unit
KWR-12R5A Serial # MHT43634- AJ744860
P. Twill # 47 140 yrd.

Edwin Yap 02/08/17 4900
P. Twill Black 60 yrd.
Preventive Maintenance NpB7200 2 unit

Main Flow Filter 2 unit
JRK Medical Enterprises & Services 02/08/17 -
Preventive Maintenance PLV-102 1 unit
Preventive Maintenance E-150 1 unit
Anti Scalant Media Filter 1 lot

Seacom, Inc. 02/03/17 - Filmtec Membrane 7 pc.
Discount- 36,000.00 -


OVER- ALL TOTAL 77,641.65 70,350.00

AMOUNT
7,000.00
13,080.00
6,080.00
11,000.00 11,000.00
22,000.00 22,000.00
400.00
4,200.00
7,600.00
2,000.00
23,400.00
2,000.00
1,900.00
1,700.00
3,600.00
8,930.00
3,050.00
6,100.00
3,050.00
7,595.00 7,595.00
6,100.00 6,100.00
950.00 950.00
5,000.00 5,000.00
9,500.00 9,500.00
10,850.00
31,495.00
41,995.00
10,500.00
44,000.00 44,000.00
8,400.00
12,000.00
3,600.00
8,000.00
5,000.00
18,500.00
3,000.00
2,500.00
320,000.00 320,000.00
187,500.00 187,500.00
56,000.00 56,000.00
147,500.00 147,500.00
61,866.67 61,866.67
84,000.00 84,000.00
68,649.03 88,795.00 552,866.67 29,716.75 232,420.00 466,740.00 1,587,179.10

REMARKS
ER OPD Area Computer Monitor Replacement.

ER OPD UPS Replacement.
NSO Printer Replacement.
Billing Additional Monitor for New Staff.
Billing Use for Additional Staff
CT/ Eye OPD Area Use.
CSR Riso Machine Repair & Maintenance.
Information Additional A/Con.
OPD Artea A/Con- New

OPD Artea A/Con- New
MMG Plaza, Gimaca, Lucban Uniform Use.
PMS Pulmonary Ventilators.
RO Water Treatment Anti Scalant Installation & Membrane
Replacement- 6mos Warranty not included membrane.

X-ray Machine-52nd payment.
X-ray Machine-52nd payment.
New C-Arm @ O.R. 90% Balance- 9TH PDC
X-Ray Machine-33rd payment.
Laboratory Machine-33rd payment.

OFFICE BLDG. MAINTE. MEDICAL
SUPPLIES SUPPLIES SUPPLIES
02/21/17 2616155 X-Green Filters & Purifiers 6 pck.
Ace Hardware Omni LED Lite G45 Bulb 3w 16 pc. 1,424.00
02/21/17 333999
Omni LED Lite G45 Bulb 9w 13 pc. 2,067.00
CA Copy Center 02/25/17 71530 Prescription Pad Print 10 pad
Citilight Telecom Centre- Franchise 02/22/17 01444 Thermal Paste 1 pc.
Tailee Exhaust Fan BC-1315 2 unit

Hanson Sales Center 02/25/17 08224
Panasonic Battery 1 pc.
Sunlife Bookstore 02/07/17 1273394 Wboard 8x12 w/o Frame 5 pc. 175.00
02/01/17 2210 A4 Tech Keyboard 2 pc.

02/23/17 2426 Electron Power Supply 2 unit
LDDHMC 02/27/17 42303 H.Pylori Kit 2 pc.
Lucena Family integrated Enterprise Corp. 02/24/17 12631 Geena 63 yrd.
MJA Electronics & Gen. Mdse. 02/20/17 2079 Sakura PA 500UB 1 unit
02/03/17 493669 J. Chemie Sanitizer 6 gaL. 3,900.00

Bassinet w/ Foam 4 pc.
Bactistat 10/2018 Exp. Date 19 gaL. 53,200.00
Ormed Autoclave Tape 3/4" 27 pc. 4,050.00
Mac Tycoon Marketing Instrument Tray 12x8 1/2 Olten 7 pc.
02/03/17 493668
Ormed Lap Sponge 12x12 1 bx. 1,400.00
Ormed Lap Sponge 18x18 2 bx. 2,880.00
J. Chemie Sanitizer 1L 2 pc. 360.00
J. Chemie Sanitizer 6 gaL. 3,900.00
02/03/17 13913 Formalin 4 gaL. 3,200.00

02/03/17 13915 Droplight 3 unit
Ultrasound Gel 6 gaL. 3,300.00
Povidone 10% 20 gaL. 12,400.00
Povidone 7.5% 10 gaL. 6,200.00
CTT Bottle 1L 50 pc. 5,000.00
Tongue Dep. Ns 50 bx. 2,250.00
Rubber Tubing 1/18x1/32 1 bx. 1,250.00
02/03/17 13900
02/03/17 13900
Rubber Tubing 3/16x3/32 2 bx. 4,000.00
Stethoscope Adult 5 unit
Stethoscope Pedia 2 unit
M. Austria Medical Supply BP Valve 20 pc.
BP Cuff 20 pc.
Suction Tubing 1 pc.
Cotton App NS 10 pc. 250.00
Suction Machine Surgitech 3 unit
Anesthesia Cuff 5 pc.
BP Cuff Pedia 2 pc.
02/03/17 13898 Kidney Basin Stainless Size 10" 15 pc.
ID Bracelet Adult Pink 20 bx. 5,600.00
ID Bracelet Adult Blue 20 bx. 5,600.00
ID Bracelet Pedia Blue 15 bx. 4,200.00
ID Bracelet Pedia Pink 20 bx. 5,600.00
02/13/17 18636 Metal Gang Chair 5 Seater Wooky Maroon 1 unit

Neswood Furniture Gen. Mdse. GDSI Office Table OFT-1011P 20x40 Wenge
02/18/17 18800 2 unit
WUYKE
JEI-2030WPSL 20L GE Manual MWO 1 unit

02/02/17 000088876
SM Appliance Center NR-A5613ES 5.6cu. Ft. Panasonic Ref 1 unit
02/27/17 000076414 Glass Osterizer 1 unit
ST A07 Square Tissue Holder Beige & Black

The SM Store 02/07/17 000197190 2 pc.
Baofeng UV-5R vhf/=uht Colored Ultra

Technoclear Electronics Sales Solutions 02/02/17 77099 Compact Dual Band Tranceiver with wide 1 unit
band
Zest Lifestyle Product 02/24/17 005267 F-B209D Grapefruit 1 pc.
B66 Jar (large) 7 pc.

VCR Commercial 02/10/17 6169
PNB Small 100 pc.
OVER- ALL TOTAL 175.00 3,491.00 128,540.00
Breakdown:
TOTAL 1,826,935.00

MEDICAL MAINTENANCE NON- MEDICAL
AMOUNT REMARKS
INSTRU, EQUIPT SUPPLIES SUPPLIES
7,772.15 7,772.15 RO Filter Use.
3,491.00
1,000.00 1,000.00 Dialysis Use..
250.00 250.00 IT Use for Computer Maintenance.
3,600.00 New for Rm. 236 & 238

4,500.00
900.00 UPS Battery Replacement for HK- Mam Janeth.
175.00
740.00 740.00 Finance & Billing Keyboard Replacement.

1,300.00 1,300.00 ER & Philhealth Computer Power Supply Replacement.
638.00 638.00 OR Use.
1,323.00 1,323.00 Use for OR Cloth fo OR Tables.
10,000.00 10,000.00 New Paging Replacement to Information.
3,900.00
8,400.00 OR/ Nicu BassineT Replacement to condemned.
6,300.00
80,490.00
3,200.00
3,600.00 3,600.00 OR/ Nicu Request.
43,510.00
43,510.00
3,400.00
1,360.00
2,000.00 CSR Stock.
2,000.00
350.00
9,000.00 OR Request (2)/ CSR Spare (1)

2,000.00 CSR Stock.
700.00 CSR Stock.
6,000.00 38,950.00 CSR Stock.
9,500.00 9,500.00 Additional Unit for OPD CT-Scan.
6,000.00 6,000.00 Additional Tables for Billing Staff.
3,473.00 Dietary Microwave Oven Replacement.

12,372.00
8,899.00 Room. 114 Refrigerator Replacement.
3,925.00 3,925.00 Dietary Additional Blender.
129.75 129.75 OR CR Use- Doctors Request.
Additional Two Way Radio for HK Ns4 Staff.

1,650.00 1,650.00
500.00 500.00 ER Request.
490.00
840.00
350.00
45,110.00 840.00 61,599.90 239,755.90
Noted by:
Dr. Nenita Tan

LIST OF PURCHASED FOR THE MONTH OF MARCH 2017
1. For Issuance of Cheque
OFFICE INK
SUPPLIES SUPPLIES
Vision POS Thermal 80x70 100 pc. 3,500.00
Prince Label Tag 10 pc. 150.00
Sticker Paper White 10 pc. 290.00
Max HD-50R- Stapler 2 pc. 590.00
Stples HD-3LS 5 pc. 225.00
Sharpener Metal 5 pc. 75.00
03/06/17 22277
Croco Scotchtape 50 pc. 1,400.00
LCT Scissors 8 1/2" 10 pc. 560.00
Brite Rubberband Round 4 bx. 580.00
Recordbook 150L 15 pc. 390.00
Paste 200g. 10 pc. 280.00
Folder Short Green 300 pc. 1,500.00
Hard Copy Long #20 30 rm. 4,080.00
Ribbon Lx300 2 pc. 200.00
Lx310 Cartridge 5 pc. 800.00
03/06/17 22279
Computer Ribbon 20 pc. 500.00
Stamp Pad Blue 2 pc. 120.00
Storage Box 15 pc. 1,350.00
Faster Name Pen 3 bx. 1,050.00
Fastener Joy 8 bx. 280.00
Brown Env. Short 500's 1 bx. 750.00
DVD+RW w/ case 50 pc. 2,750.00
Px Colored Copy Long Pink 4 rm. 836.00
Avia Colored Paper Long Blue 2 rm. 310.00
03/06/17 22278
Avia Colored Paper Long Orange 2 rm. 310.00
Lucky Book Store Clearbook Long Green 10 pc. 360.00
03/06/17 22278
Lucky Book Store

Cartolina Red/ White (30each)/ Blue (50) 110 pc. 495.00
Calculator Mx120B 5 pc. 1,475.00
Peak Bond Short #16 70 rm. 5,460.00
Hard Copy Short #20 50 rm. 5,803.50
03/10/17 22324 Pilot Permanent Marker 12's 2 bx. 768.00
Asian File Single/ Dbl Black 4 pc. 420.00
03/15/17 22359 Px PRSS Board Folder L Green 50 pc. 542.50
Kodak Photopaper 10 pck. 850.00
Avia Colored Paper L Orange 3 rm. 465.00
Stabilo Green 3 bx. 840.00
03/24/17 22496 Max HD-50R 5 bx. 1,475.00
Artline Whiteboard Marker 5 bx. 1,008.00
Col. Book 6col. 7 pc. 140.00
DVD+RW Sony 50 pc. 2,750.00
PX Colored Copy L. Blue 2 rm. 418.00
PX Colored Copy S. Blue 2 rm. 336.00
Brown Envelope Long 1 bx. 875.00
White Folder Short 14pt.- 5rms. 1 cs. 1,250.00
03/24/17 22495
White Folder Long 14pt.- 5rms. 1 cs. 1,500.00
Packaging Tape 2x50 5 pc. 125.00
Mongol Pencil #2 10 pc. 50.00
Pencil Eraser 5 pc. 64.75
Artline marker 3 bx. 1,008.00
Stabilo Yellow 3 bx. 840.00
OFFICE INK
SUPPLIES SUPPLIES
Board Paper L White 10 pck. 230.00
Board Paper S White 10 pck. 200.00
03/24/17 22494
Lucky Book Store
Peak Bond Long #16 30 rm. 2,760.00
03/24/17 22494
Carbon Short Blue 10 bx. 1,350.00
Lucky Book Store
Cartolina Yellow 50 pc. 225.00
Cartolina Pink 20 pc. 90.00
Cartolina Blue 20 pc. 90.00
Maxell CD-RW 60 pc. 2,700.00
Col. Book 4col. 7 pc. 140.00
03/31/17 22570 Asia M. File SGL L red 2 pc. 210.00
03/23/17 22581 ID Retractor 15 pc. 120.00
Twentyseven Taz Enterprises 3/25/2017 0080 Rema Toner 85A 25 pc. 32,250.00
Absolute Dist/ Water 3x6000mL. 5 bx.

Ansell Excell Medium Gloves 5 pc.
Ariel Powder Color 650gm. 10 pc.
Glade Scented Gel Jas 12x205gm. 10 pc.
03/06/17 23228 Scotchbrite Scrub Value 32x3 10 pck.
Surf Powder Sunfresh 288x65g. 3 sck.
Rose Vinegar 6x1/2gaL. 2 bx.
Zonrox Color Blossom 36x450mL. 1 bx.
Energizer AAA 12x4'1 Single 10 pck.
Surf Bar Antibac 36x390gm. 2 bx.
Safeguard Soap White 96x90g 1 bx.
Georkimart 03/16/17 23239
Joy Ultra Kalamansi 40x200mL. 3 bx.
Zonrox Bleach 12x1/2gaL. 3 bx.
Perla bar White 48x380g. 1's 2 bx.
Gentle Buds Plas 108Tips White 10 pc.
Surf Powder Sunfresh 288x65g. 2 sck.
03/24/17 23250 Zonrox Color Blossom 36x450mL. 2 bx.
Energizer AAA 12x4'1 Single 24 pck.
Eveready Black Medium 8x18x2's 15 pck.
Energizer Square 9volts 12x1 20 pc.
Scotchbrite Scrub Value 32x3 5 pck.
Grist Chem Corporation 03/06/17 23588 G6 Fabric Softener 1gaL. 20 gaL.
Luzon Quick- Serve Trading, Inc. 03/16/17 008846 Cidex GTA 5L 12 gaL.
LDC Fresh Scent 3.785L 4's 4 cs.

03/07/17 2531 LDS C. Linen 340g. 18 pc.
LDS C. Linen C. Meadows 340g. 18 pc.
Parfait Directe Energisant Marketing
LDC- Fresh Scent 3.875L 10 cs.
03/27/17 3469 LDS C. Linen 340g. 4 cs.
LDS C. Meadows 2 cs.
03/03/17 132632 Medical Oxygen (refill) 30 tnk.

Caloocan Gas Corporation 03/22/17 132987 Medical Regulator- Ns1 Replacement 4 unit

Lucena Gases & Merchandising (CIGI)

Saram & Bendo's Gas Supply 03/17/17 3571 Medical Oxygen (refill) 30 tnk.
OFFICE INK
SUPPLIES SUPPLIES
03/03/17 0000561 Medical Oxyge 5lbs.- refill 4 tnk.
Medical Oxyge 5lbs.- refill 3 tnk.
03/07/17 0000573
03/15/17 0000593
Handog Industrial Gases Distributor, Inc.
Compressed Air- refill 10 tnk.
03/18/17 0000609
Medical Oxygen (refill) 30 tnk.

03/24/17 0000622
03/29/17 0000634 Compressed Air- refill 15 tnk.
Endosource Enterprises 03/03/17 0702 Helicobacter Pylori Test 50's 2 bx.
9x9 Black 1500 pc.

03/02/17 2181
9x9 Yellow 2500 pc.
Sweet Blessing Gen. Mdse. XXL Black 1000 pc.
03/10/17 2184 XXL Green 700 pc.
9x9 Green 1500 pc.
8oz-Eco Cups-1000's 1 bx.

PVS Plastic 03/24/17 -
4 oz. Specimen Cups w/ Cover- 3000's 30 pck.
Pharmphil Trading 03/20/17 1745 Pillow 600g. 1000 pc.
Laryngoscope Olten 1 unit

Wheelchair Standard 1 unit
03/07/17 075061
Cover Cup for Sunction 2 pc.
Reamar Trading
S- Scrub Bush Anchor 3 pc.
03/16/17 1809 Latex Tubing 1/4x1/8 50ft. 1 bx.
03/17/17 1813 Guide Wire Fr. 14 3 pc.
Newborn Screening Center- SL 03/02/17 201700651 ENBS 50 pc.
Sterillium 1L 10 btl.
VJ Franca Enterprise 03/22/17 16151
Korsolex 5L 4 jar
GSY Constuction Glass & Aluminun Supply 03/10/17 19992 Valiant Angle Valve 1/2x3/8 30 pc.
Paper Bag SO#1 100s 10 pck.

La Suerte Nega Warehouse 03/29/17 00028010 Paper Bag SO#20 100s 10 pck.
Neutron XP Cat-6 267m 1 bx.

03/08/17 2566
Intellegence Power Supply 700w 1 pc.
Set CPU Intel Core i3 SN Seagate Z4XOTDZE
Biostar- H181SMH-0372007B614044BB
03/08/17 2562 1 unit
Intel Core i3-VU2634B6AIK39
AOC-KPPGBIA005422
TP Link 8 Port 10/100mbps Desktop Switch SN.
LGT Trading & Gen. Mdse. 03/08/17 2564 1 pc.
216803810345
A4 Tech KRS8372 Combo Keyboard & Mouse USB
03/16/17 2622 10 pc.
Intel Core I3, Toshiba 500gB, Kingmax 4gb DDR3,

Biostar H84MHV3, AOC 16" LED, Optimax Speaker,
03/29/17 2712 1 unit
A4tech Mouse & Keyboard, Secure AVR, Neutron Fit
Case
OFFICE INK
SUPPLIES SUPPLIES
Philcopy Corporation 03/21/17 004119 Fk-170 Fusser Kit 1 unit
1st Preventive maintenance performed on GE Datex

03/14/17 0000304 1 unit
Healthsolutions Enterprises Inc.
Ohmeda CS30 SN. MF14090314 per ESR # 22601
03/14/17 0059210 ASSy-WXC, Oxygen Sensor 1 unit
6 GPM UV Lamp 1 pc.
03/10/17 14256
0.2 Mic. Absolute Filter 20 slim 1 pc.
Plumbing Materials 1 lot
SS Regulator 1 pc.
Seacom, Inc.
6 GPM UV Ballast 1 pc.
03/23/17 14307
6 GPM UV Lamp 1 pc.
Labor Charge 1 lot
Mobilization Charge 1 lot
SCF Posture Chair w/ Gaslift w/o Armrest JGY-006G

2 unit
Blk.
Neswood Furniture & Gen. Mdse. 03/26/17 19950
SCF Barstool w/ Gaslift w/o Armrest JG-208-H-20G
3 unit
WUTCE PVC
3.0TR Koppel Floor Mounted Inverter Type A/C

1 unit
Diamzon Enterprise 03/07/17 05614 Model #KV36FM-ARF21C/KV360DU-ARF21C
Installation Cost, Labor & Materials 1 lot
Mantang Hilaw (110yrd/roll) 3 roll

Edwin Yap 03/18/17 0212 Repellant (66yrd/roll) 6 roll
Birds Eye (110yrd/roll) 7 roll
Repair of Anesthesia machine Model: Compact15,

03/24/17 0950 1 unit
Kimura SN. 13BZ2168
Medico Life Support Equipments & Services
Repair of Anesthesia Machine Modell: SL-180,
03/24/17 0951 1 unit
Softlander SN. 001001
Repair of Table Top Centrifuge Model #: PLC-05

Spectromed Biomedical Enterprise 03/28/17 40002 1 unit
Serial #: 1506374
Complete Set Bubble CPAP Babi Plus ( Babi Plus

Bubble CPAP Circuit, ISO Pole Clamp, Nasal
Medshield Pharma Corp. 03/27/17 11978 Cannula Kit, Air/ Oxygen Blender, Blender, Oxygen 1 unit
Barb, Oxygen Hose, Airhose, Heater Base, Humidifier
Chamber, Dragger, IV Pole)
Medical Center Trading Corporation 03/02/17 1232050 Patient Stetcher Model ayr-6171 4 unit


OVER- ALL TOTAL 74,641.55 32,250.00

SUPPLIES SUPPLIES SUPPLIES SUPPLIES INSTRU & EQUIPT.
AMOUNT REMARKS
INSTRU/ EQUIPT.
9,540.00
7,050.00
19,879.50
19,879.50
768.00
5,322.50
3,323.00
9,356.75

AMOUNT REMARKS
19,071.80
19,071.80
210.00
120.00
32,250.00
1,022.25
381.50
922.00
1,279.50
807.00 11,724.45
3,844.80
649.20
1,168.20
1,650.00
1,465.20
2,280.00
10,804.20
4,854.00
2,205.00
1,022.25
4,132.80
168.00
2,563.20
2,336.40 18,348.90
3,960.00
801.75
2,892.00
472.50
3,600.00 3,600.00
19,200.00 19,200.00
22,558.40
5,728.86 34,016.12
5,728.86
56,396.00
15,276.96 76,221.44
4,548.48
14,400.00 14,400.00
14,400.00 14,400.00
16,000.00 16,000.00
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
19,200.00 19,200.00
SUPPLIES SUPPLIES SUPPLIES SUPPLIES INSTRU & EQUIPT.
AMOUNT REMARKS
INSTRU/ EQUIPT.
600.00 600.00
450.00
700.00
250.00
450.00 450.00
14,400.00 14,400.00
14,400.00 14,400.00
150.00
400.00
250.00
4,800.00
5,400.00
600.00
14,400.00
14,550.00
150.00
450.00 450.00
450.00 450.00
7,200.00 7,200.00
14,400.00 14,400.00
22,000.00 22,000.00
1,050.00
3,300.00
2,250.00
3,000.00
3,500.00 7,850.00
1,350.00
600.00
4,200.00
3,600.00
90,000.00 90,000.00 For Hospital Admission Use.
7,000.00 Kalinga Center Request.

3,000.00 Additional for Guard Use.
12,310.00
360.00 Ns2 Sunction Machine Cover Replacement.
1,950.00 OR Request- Replacement to condemned.
2,800.00 2,800.00
810.00 810.00 ICU Replacement/ CSR Stock.
75,000.00 75,000.00
7,915.00
18,515.00
10,600.00
5,400.00 5,400.00
239.50
1,124.25
1,199.25
1,904.25
269.50
254.00
1,170.00 14,476.00 Pharmacy Use for Medicines.
2,040.00
599.00
2,190.00
799.00
939.00
1,748.25
3,200.00
3,850.00
650.00 Computer Power supply for CT- Scan.
Additional Computer Set for PHIC Portal to be placed @
18,310.00 18,310.00
Information.
750.00 750.00 For Additonal Computer Set Use @ Info.
4,750.00 4,750.00 CSR Supplies Stock.
Billing CPU Replacement/ Monitor, AVR, Keyboard c/o CSR.
16,780.00 16,780.00

AMOUNT REMARKS
6,648.00 6,648.00 Kyocera Printer Repair for Billing.
18,000.00 18,000.00 1st PMS CS30 Anesthesia machine OR
15,480.00 15,480.00 Oxygen Sensor Replacement as PMS Concerned.

4,000.00
6,500.00
2,500.00
5,000.00
2,000.00 R.O> Repair & maintenance.
4,000.00
22,000.00
4,000.00
5,000.00
2,000.00
5,000.00
14,000.00 Records Chairs Replacement to condemned.
9,000.00
88,800.00
101,800.00 Laboratory Machine Replacement.
13,000.00
12,540.00
37,620.00 76,340.00 OR Cloth Suypplies
26,180.00
12,000.00 12,000.00 Preventive Maintenance for Anesthesia Machine
3,500.00 3,500.00 Laboratory Machine Repair.
190,000.00 190,000.00 New Bubble CPAP Machine for NICU Use.

Stretcher for OR & ER as a Replacement to condemned unit.
200,000.00 200,000.00
187,500.00 187,500.00 5 unit Dialysis Machine-50%-12PDC-9th PDC
56,000.00 56,000.00 X-ray Machine-53rd payment.
147,500.00 147,500.00 New C-Arm @ O.R. 90% Balance- 10TH PDC
61,866.67 61,866.67 X-Ray Machine-34th payment.
84,000.00 84,000.00 Laboratory Machine-34th payment.
157,161.36 141,115.00 955,986.67 17,903.75 207,800.00 433,984.00 2,020,842.33

BLDG. MAINTE. MEDICAL INK
03/02/17 278297 Utility Pail Reg 6004P 16l Red 1 pc.
Royu PEC4 OutltwIndvdual Swtch Black 2 pc.
Metro Soap Disp.500mL MSD4429 1 pc.
Cremona CM 2108 Tissue Paper Holder 1 pc.
03/16/17 337983
Ace Hardware Meiji Wiring Devices- Ext. Cord 1 pc.
Omni Universal Adapter 3 pc.
Ace Hardware Small Eco Bag Non- Wooven 1 pc.
Royu Ceiling Type Exhaust Fan 14x14 REFC07 3 pc.
03/31/17 267024
Firefly LEDEmrgencylampRchargbleTwnhead FEL20 1 pc.
Chris Sports 03/02/17 852 Aristo Timer Big Display 1 pc.
Green Tab Premium Tablets 03/16/17 5968 BI05e (W) 35416308430203-Cellphone 1 pc.
Grist Chem- Ariel Sante 03/06/17 - Canister 26 pc.
HO Tsayki Inc. 03/16/17 09772 K/SP OP2 Bluetooth 908000028- Speaker 1 pc.
FC 2A9701 Wall Clock @246.00 2 pc.

Friendcity Gen. Mdse. 03/03/17 1007/0138525
Lucena Family Integrated Enterprise

03/02/17 00115 Kritona Cloth 49 yrd.
Corporation
Mac Tycoon Marketing 03/08/17 507381 J. Chemie Hand Sanitizer gaL. 12 gaL. 7,800.00
Metro Lucena 03/02/17 189043 Rynold Wrap 1 pc.
SM Supermarket 03/02/17 010483083 Jergen Lo. Orig500 1 pc.
03/02/17 157472 Utility Pail Reg 6004P 16L Red 4 pc.

The SM Store
The SM Store 03/11/17 201945 KL T003 Rectangular Serving Tray Small 12x14 2 pc.
03/31/17 303232 Kingking Potpourri Oil Sunflower 100mL. 1 pc.
IT Avenue Gen. Mdse. 03/22/17 0048 514 Black Ink 4 pc. 3,340.00
Unitop 03/07/17 0000 Shoe Glue- Local Turbo Glue 12' 1 pack 72.00
OVER- ALL TOTAL 72.00 7,800.00 3,340.00
Breakdown:
TOTAL 2,040,624.63

NON- MEDICAL
AMOUNT REMARKS
SUPPLIES
143.80 143.80 Dialysis Use- Replacement to condemned.
832.58 OR Request.
419.75 OR Condemned Replacement.
549.75 OR Request.
2,781.08
799.75 OR Request.
149.25
30.00
3,563.46 Dialysis- Additional Unit
4,404.77
841.31 Ns4 Replacement for E-Light.
899.00 899.00 OR Condemned Replacement.
936.00 936.00 Additional Bottle for Hospital Hand Sanitizer Use.
800.00 800.00 OR Condemned Replacement to Karaoke.
492.00
215.00
1,384.00 For Pt. Room Use- Replacement.
215.00
462.00
2,695.00 2,695.00 Rm. 115 Curtain Use.
7,800.00
95.10 95.10 Rehabilitation Request.
241.75 241.75 Rehabilitation Request.

159.50 159.50 Ns2 Medication Tray Use- additional.
399.75 399.75 Information Request.
3,340.00
72.00
8,570.30 19,782.30
Noted by:
Dr. Nenita Tan

OFFICE INK
SUPPLIES SUPPLIES

Saram & Bendo's Gas Supply 04/21/17 3574 Medical Oxygen (refill) 30 tnk.
MDL F/T 5lbs. 1 tnk.

04/04/17 0000660
04/06/17 0000664 MDL F/T 5lbs. 3 tnk.
04/08/17 0000662
04/12/17 0000676 MDL F/T 5lbs. 5 tnk.
04/18/17 0000680 STd Compressed Air- refill 20 tnk.
04/20/17 0000682 MDL F/T 5lbs. 1 tnk.
04/21/17 0000688
04/25/17 0000693
Rubber Tubing 3/16x3/32 1 bx.

04/04/17 1836
Reamar Trading Velcro w/ Latex Bag Neonate 2 pc.
04/20/17 1851 Kelly Pad 2 pc.
Luzon Quick- Serve Trading Corp. 04/27/17 0009824 LQASP00001 Cidex GTA 5L 12 gaL.
Newborn Screening Center- SL 04/25/17 201701146 ENBS 50 pc.
T664 Blk. 5 pc. 1,225.00

T664 Cyan 3 pc. 735.00
LGT Trading & Gen. Mdse. 04/17/17 2797 T664 Yellow 3 pc. 735.00
T664 Magenta 2 pc. 490.00
810 Cartridge Blk. 3 pc. 2,325.00
Kyocera Mita- Retard Roll Assy 1 pc.
Kyocera- Mita Retard Roll Assy 1 pc.
Philcopy Corporation 04/26/17 15730
Kyocera- Mita Pulley Feed Assy 1 pc.
Kyocera- Maintenance Kit MK-14147 1 set
Sanwa Posture Chair w/ Gaslift w/o Armrest JGY-006G

Neswood Furniture & Gen. Mdse. 04/24/17 20811 2 unit
Maystar Company 04/26/17 0004719 2 pc.

1L Suction Bottle 2 pc.
Cipris Trading 04/01/17 0116 Preventive Maintenance Toshiba Xario 1 unit
2.0TR Koppel Floor Mounted Inverter Type A/C Model

4/6/2017 #KV18vM-ARF21 1 unit
Diamzon Enterprise 04/06/17
Installation Cost, Labor & Materials
4/6/2017 Koppel A/con 1 hp 3 unit
RBGM Medical Express Sales, Inc. 04/08/17 11434 Preventive maintenance Force FX Valleylab 2 unit
Calibration of Vaporizer- Isouflurane, Cyprone, Isotec 3

Medico Life Support Equipments & Services 04/06/17 0957 1 unit

04/21/17 2729815 5 unit
Fresenius Medical Care 5008 S Dialysis Machine Inclusion per/unit: Medical
04/20/17 21572 5 unit
Recliner, AVR, Diasafe Plus Filter, Canister Citrosteril

04/07/17 2729446 41D6D83550D2 w/ Complete Accessories with C-Arm 1 unit
Table Freebies- 36 PDC

OVER- ALL TOTAL 29,194.80 5,510.00
MAINTE. MEDICAL MEDICAL OXYGEN NON- MED. SUPPLIES
SUPPLIES SUPPLIES SUPPLIES INSTRU & EQUIPT.
AMOUNT REMARKS
INSTRU/ EQUIPT.
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
14,400.00 14,400.00
150.00
400.00
250.00
450.00 450.00
14,400.00
14,550.00
150.00
750.00 750.00
14,400.00 14,400.00
9,600.00 9,600.00
150.00 150.00
500.00
1,100.00
600.00
250.00
850.00
600.00
19,200.00 19,200.00
2,150.00 2,150.00
800.00 800.00
1,500.00 1,500.00
19,200.00 19,200.00
75,000.00 75,000.00
5,510.00
2,483.00 Kyocera Printer Repair & Maintenance for Philhealth/
482.00
15,293.00
628.00
11,700.00 Records.
ICU's Chair Replacement to Monoblock Chair requested by

5,000.00 5,000.00
Dra. Esmeralda.
5,000.00 5,000.00 OR Suction Bottle Replacement.

5,000.00 5,000.00 PMS 2D Echo Machine Tosiba Xario.
39,995.00
49,245.00 Ns1 A/con Split Type Replacement
9,250.00
43,425.00 43,425.00 HK- Sir Felix Request for Pt. Rm. Use.
21,600.00 21,600.00 PMS of Cautery Machine at OR- 2 unit.
187,500.00 187,500.00 5 unit Dialysis Machine-50%-12PDC-10th PDC
4,500,000.00 4,500,000.00
56,000.00 56,000.00 X-ray Machine-54th Payment.
147,500.00 147,500.00 New C-Arm @ O.R. 90% Balance- 11th PDC
84,000.00 84,000.00 Laboratory Machine-35th payment.

13,703.40 96,350.00 5,047,166.67 198,250.00 153,063.00 5,543,237.87
BLDG. MAINTE. MEDICAL
SUPPLIES SUPPLIES
Firefly Basic3LEDV Pack E27 DL 3w 3 pc. 206.34
Firefly LED 9w DL E27 DL 9w 2 pc. 226.38
Ace Hardware 03/01/17 11404 Firefly Basic3LEDV Pack E27 DL 9w 3 pc. 303.54
Firefly T8 LED Tube DL 8w EFS03T8DL08 2 pc. 307.38
Ace Battery AAA 2 pc. 49.75
M. Austria Medical Supply 04/29/17 14604 Povidone 10% J. Chemie 20 gaL. 12,400.00
Lucena City- Georkimart 04/01/17 0000422184 Mr. Muscle Glass AD/ Cleaner 500mL. 1 pc.
Sanwa Posture Chair w/ Gaslift w/o Armrest JGY-

Neswood Furniture & Gen. Mdse. 04/24/17 20812 1 unit
006G
3DK Steel Marketing 04/21/17 77919 Denatured Alcohol 15 bt.

OVER- ALL TOTAL 1,093.39 12,400.00
Breakdown:
TOTAL 5,559,874.31

MAINTENANCE NON- MEDICAL
AMOUNT REMARKS
SUPPLIES SUPPLIES
1,093.39
12,400.00
118.05 118.05 Information Request.
2,500.00 2,500.00 Replacement to condemned to HRD.
525.00 525.00
525.00 2,618.05 16,636.44
Noted by:
Dr. Nenita Tan

OFFICE INK
SUPPLIES SUPPLIES
05/02/17 SMR 9848 Bed Elevator PMS 1 unit
Nanotech International Lift Services Inc. 05/02/17 000945 Bed Elevator PMS 1 unit
04/11/17 000926 Bed Elevator PMS 1 unit
VC24B G5 Vibracare Percurssor Serial No. 1051582 Ap250

Includes: AP250 Vibration Applicator, AP234 Application
Medshield Pharma Corp. 05/29/17 13016 Covers, AP251 Percussion Applicator, IM24B Operating 1 unit
Inst. Manual, PC24B Power Cord, PS24B Power Supply,
WGF-001 Vertical Ground, Adapter 3 Prong
BountyCool Airconditioning & Refrigeration Services 05/30/17 08158 Kolin Dehumidifier KDM-20DGS 1 unit
TMAXNI Adullt Oximax Sensor 10 pc.

Fernando Medical Enterprises, Inc. 05/09/17 38908 TMAXNI Neonate Oximax Sensor 15 pc.
TMAXNI Pediatric Oximax Sensor 5 pc.
Endoscopy Machine- EPX 3500 Mir Range Processor, 600

Fujifilm Philippines 05/25/17 2794088 1 unit
Series CMOS Scope, Duodenoscope

Hitachi CR- Scan Model Supria 16 Slices 5.0MHU)

Himex Corporation 05/19/17 2829518 1 unit


OVER- ALL TOTAL 36,616.60 36,105.00
AMOUNT
4,000.00 4,000.00
4,000.00 4,000.00
4,000.00 4,000.00
152,000.00 152,000.00
14,560.00 14,560.00
4,500.00
8,550.00 15,800.00
2,750.00
6,300,000.00 6,300,000.00
187,500.00 187,500.00
8,500,000.00 8,500,000.00
56,000.00 56,000.00
147,500.00 147,500.00
61,866.67 61,866.67
84,000.00 84,000.00
35,792.45 55,400.00 15,444,016.67 5,300.75 252,350.00 417,750.00 16,283,331.47
REMARKS
PMS of Eleveator for May 2017- to follow OR & Certificate
PMS of Eleveator for March 2017.
PMS of Eleveator for April 2017.
Additional Chest Percurssor for Pulmonary.
For New Ct- Scan Machine Use.
90% Downpayment- 10% 7PDC- New Unit for OR Use.
CT- Scan New Machine Downpayment- Balance of 15Million

Payble in 40PDC.
X-ray Machine-55th Payment.
New C-Arm @ O.R. 90% Balance- 12th PDC
X-Ray Machine-36th payment.
Laboratory Machine-35th payment.

BLDG. MAINTE. MEDICAL MEDICAL
SUPPLIES SUPPLIES INSTRU & EQUIPT
05/01/17 000287076 Alcatel T22 basic Desktop Phone Blas 1 unit
Watercare/ Filter Promo 3 pc. 1,140.00
Omni Dual Portable ECS 6M #WDP-306 10 pc. 1,997.50
05/05/17 000346482
GES LED Tube Light Daylight MY89 9wt 5 pc. 898.85
Omni PVC Electrical Tape 16m Black 5 pc. 108.75
Ace Hardware
05/17/17 000289539 Werner Step Stool Aluminum 2'-300lbs. 1 unit
Amazing 3in1 Mop 1 pc.
05/18/17 000289742
Amazing 3in1 Mop Refill 1 pc.
Alcatel Handsfree Cordless CID Ph Blas C250
05/30/17 050291587 1 unit
(Wireless Phone)
05/15/17 3029480 WallFan Asahi 3 unit

Sharp Basic LC 24LE175M SN. JC12170445585 1 unit
Abenson
05/10/17 3029272 Asahi WF 821 18In 1 unit
Asahi WF 821 18In 1 unit
Citilight Telecom Centre 05/08/17 03264 Clobe LTE Sim 1 pc.
IT Avenue Gen. Mdse. 05/12/17 0139 514 Black Duplo Ink 2 pc.
05/08/17 83926 My Phone 861871033201809 1 unit

Greentelcommunications Trading, Inc.
05/17/17 83325 Samsung 35163086281704 Blk. 1 unit
Lucena Family Integrated Enterprise Semi Cotton Hello Kitty Printed Cloth 35.5 yrd
05/08/17 13714
Corporation US Cotton White Cloth 3 yrd
05/08/17 072642 Neck Pillow 2's 2 pck

Metro Lucena
05/10/17 151974 Utility/ Mesh Tray White 4 pc.
Mail & More 05/11/17 3171 MMG Logo Scrubsuit 2 pc.
Hand Sanitizer 16 gaL. 10,720.00

M. Austria Medical Supply 05/24/17 14398
M. Austria Medical Supply 05/24/17 14398 Suction Machine Surgitech 3 unit 9,000.00
Delivery Charge -
New Purity Store 05/16/17 19237 16x16 Taiwan Leather Pillow Case 4 pc.
Powerzone Battery & Charger Kiosk 05/08/17 029464 Sun Sim 1 pc.
05/01/17 000162955 Create Space 35Ltr. Underbed Storage Box 3 pc.

05/18/17 000072709 Neutrogena Body Oil 8.5oz/250mL Light 2 pc.
The SM Store Cream Bamboo Hand Towel 5 pc.
05/30/17 000170834 Combi Floral Print (Bath Towel Cream) 1 pc.
Cream Bamboo Bath Towel 5 pc.
VCR Commercial 05/26/17 6428 B166 Jar Large 15 pc.
VCR Commercial 05/08/17 6385 P. Jar 100 pc.
Mitsutech Water Dispenser 1 unit

VJ Narvaez Gen. Mdse. 05/11/17 51894
Galoon Container 1 pc.
OVER- ALL TOTAL 4,145.10 10,720.00 9,000.00
Breakdown:
TOTAL 16,344,554.12

INK MAINTENANCE NON- MEDICAL
AMOUNT REMARKS
649.75 649.75 Billing Telephone Replacement.
4,145.10
1,799.80 1,799.80 ICU Request.

599.75
769.50 Rehabilitation Request.
169.75
1,299.75 1,299.75 Ultrasound Phone Replacement.
5,100.00 5,100.00 New WallFan for Dietary.

7,498.00 Rm. 215 TV Replacement.
1,700.00 10,898.00
New WallFan for Dietary.
1,700.00
60.00 60.00 2D Echo Prepaid SIM for Globe.
1,670.00 1,670.00
499.00 499.00 2D Echo Cellular Phone- New.

990.00 990.00 Ns1 Cellphone Replacement.
2,062.50
2,452.50 HK Request for OR/NICU Use.
390.00
300.00 300.00 Dialysis Use- Replacement.

199.00 199.00 Ns4/Ns3 Of Tray Replacement.
60.00 60.00 CSSR Scrub suit Logo Name.
19,920.00
19,920.00 Ns1 Suction machine Additional Request.
200.00
400.00 400.00 For Dialysis Pillows Cover- Replacement.
35.00 35.00 2D Echo Prepaid SIM for Sun.
1,650.00 1,650.00 OR Use for Endoscopy Machine- New

1,358.00 1,358.00 Rehabilitation Supplies.
298.75 ICU Request.
129.75 1,677.25
NICU request.
1,248.75
1,275.00 1,275.00
390.00 390.00
3,500.00 Ns4 New Unit- 1yr. Warranty.

3,625.00
125.00 Ns4 Dispenser Use.
1,670.00 1,665.00 34,022.55 61,222.65
Noted by:
Dr. Nenita Tan

OFFICE INK
SUPPLIES SUPPLIES
Lucena Family Integrated Enterprise Corporation 06/05/17 00164 Havy Oxford E. Green 36 yrd.
Canon 810 Black Cart. 5 pc. 3,875.00

06/07/17 3223 Canon 811 Colored Cart. 3 pc. 3,075.00
Epson T6641 Black Ink 3 pc. 735.00
06/13/17 3259 APC UPS 625VA SN. 3B1711X01091, 3B171X02259 2 unit
Lucena Family Integrated Enterprise Corp. 06/22/17 00178 US Cotton White- 400 yard 4 roll
Dura Cuff Adult 23-33cm 1 pc.

Healthsolutions Enterprises Inc. 06/23/17 0061269
Dura Cuff Pedia Child 12-19cm Pedia 1 pc.
Anesthesia Bag 1L 3pc.

06/19/17 15853 Anesthesia Bag 2L 3pc.
5JP's Corporation
Anesthesia Bag 3L 4pc.
06/19/17 15856 Anesthesia Bag 3L 2pc.
Biological Refrigerator Two Door Showcase Chiller Brand

Diamond Care Enterprises 06/28/17 0014045 Name: Ruey Shing Model: RS-S1003 SN. 63171110031169 1 unit
Free: Iunit AVR
South East Star Enterprises 06/28/17 80318 Pillow 600g. 1000 pc.
DHU iP Camera 720p 1mp Camera Digital 3 pc.

CCTV caT5 Heavy Duty for cctV Use Only w/ 24AWG-
130m
18AWG
Electrical Flatcord #18 130m
Genessah Enterprises 06/03/17 00112
Repair of CCTV Video Lost (Connector, Power Lost, Re-
7 pc.
arrange, rewire are not included)
Outdoor type for wide range cctv camera bullet type 1 pc.
CCTV Camera Installation, DVR Setting, Wiring Etc. 3 set
Cast Cutter 1 unit

Urethral Dilator Set 1 set
Mabuhay Deseret Foundation 06/23/17 2882

Tonsil Surgery Set 1 set
Mabuhay Deseret Foundation 06/23/17 2882 Nasal Sinus Set 1 set
General Retractor Set 1 set
General Surgical Set 1 set
Minor Surgical Set 1 set

Fujifilm Philippines 06/25/17 2794089 1 unit

Himex Corporation 06/19/17 2829519 Hitachi CR- Scan Model Supria 16 Slices 5.0MHU) 1 unit

OVER- ALL TOTAL 46,562.10 33,485.00

MAINTE. MEDICAL MEDICAL OXYGEN NON- MED. SUPPLIES
SUPPLIES SUPPLIES SUPPLIES INSTRU & EQUIPT.
AMOUNT REMARKS
INSTRU/ EQUIPT.
4,320.00 4,320.00 Cloth for Apron of Dietary.
7,685.00
6,100.00 6,100.00 For Billing Mam Cyra & Mam Tess.
48,000.00 48,000.00 Linen Area Request for Draw Sheet Ward.
5,000.00 OR Replacement to condemned for Anesthesia Machine Pt.

10,000.00
5,000.00 Monitor.
1,950.00 OR Replacement to condemned for Anesthesia Machine Use.

2,100.00 7,050.00
3,000.00
1,500.00 1,500.00
120,000.00 120,000.00 New Reagent Refrigerartor for Laboratory.
90,000.00 90,000.00 Hospital Admission Suypplies- Charge to Pt.
8,550.00
2,730.00
2,470.00
26,300.00 Repair & Replacement of Camera's for CCTv.
4,200.00
3,850.00
4,500.00
15,000.00
12,500.00
90,000.00 New OR Instruments.

12,500.00
12,500.00 90,000.00 New OR Instruments.
12,500.00
12,500.00
12,500.00
100,000.00 100,000.00 New Unit for OR Use-10% 7PDC- 1st PDC
187,500.00 187,500.00 5 unit Dialysis Machine-50%-12PDC-12th PDC- END
CT- Scan New Machine Balance of 15Million Payble in 40PDC.-

375,000.00 375,000.00
1st PDC
56,000.00 56,000.00 X-ray Machine-56th Payment.
147,500.00 147,500.00 New C-Arm @ O.R. 90% Balance- 13th PDC
70,512.02 154,480.00 1,170,166.67 178,850.00 174,720.00 1,828,775.79

OFFICE BLDG. MAINTE. INK
06/02/17 000292176 Alcatel Handfree Cordless CID Ph. C250 Phone 1 unit
Akari Battery Charger 1 set
06/19/17 000355058
Akari Battery Charger 8 pc.
Ace Hardware
06/22/17 000296123 Omni Universal Adapter 10 pc. 497.50
06/23/17 000336690 Watercare Filter Promo 1 pc.
BitsLink 06/27/17 4896 DVD+RW Sony 25 pc. 1,175.00
Omni Ordinary Bulb 50w 20 pc. 440.00

Hanson Sales Center 06/22/17 17106
Omni Ordinary Bulb 100w 15 pc. 360.00
IT Avenue General Merchandise 06/30/17 0181 514 Black Ink 2 pc. 1,670.00
LUCena Market 06/03/17 - Hotdog Pillow 5 pc.
Metro Lucena 06/23/17 272729 Happy Camper Foamtex Foam Poly 10 pc.
Neswood Furniture & Gen, Mdse. 06/16/17 22662 Wins Dynasty Folding Bed 10 unit
06/08/17 19743 Pillow Case 5 pc.

New Purity Store
06/23/17 20011 Taiwan Jade Green 6 yrd.
Hosh Yellow Polar Fleece Blanket 60x80 2 pc.

Hosh Purple Polar Fleece Blanket 60x80 2 pc.
Hosh Pink Polar Fleece Blanket 60x80 2 pc.
The SM Store 06/13/17 000178591
Hosh Green Polar Fleece Blanket 60x80 2 pc.
Hosh Blue Polar Fleece Blanket 60x80 2 pc.
Mellawares Plain Ivory Tray 4 pc.
SM Appliance Center 06/21/17 000082770 WCARHO24EE Carrier 2.5hP Window w/ Remote 1 unit
Mitsutech Water Dispenser MUD-132 1 unit

VJ Gen. Merchandise 06/13/17 3936
5Gallons Container 1 pc.
OVER- ALL TOTAL 1,175.00 1,297.50 1,670.00
Breakdown:
TOTAL 1,887,808.79

NON- MEDICAL
AMOUNT REMARKS
SUPPLIES
1,299.75 1,299.75 Rehabilitation Telephone Replacement.
899.75
1,559.25 Nicu Weighing Scale Use.
659.50
497.50
380.00 380.00 Dialysis Use.
1,175.00
800.00
1,670.00
1,000.00 1,000.00 ICU Pillow Replacement.
3,900.00 3,900.00 For Laboratory Mass Blood Donation Use.
5,500.00 5,500.00 For Laboratory Mass Blood Donation Use.
375.00 375.00 OR Request for OR Stretcher Use.

540.00 540.00 OR Request.
499.50
499.50
499.50
2,816.50 Dialysis Request (Blanket), Ns3 Request (Tray)
499.50
499.50
319.00
33,895.00 33,895.00 New A/con For Records Section- Replacement
3,500.00
3,625.00 For Audit Use.
125.00
54,890.50 59,033.00
Noted by:
Dr. Nenita Tan

LIST OF PURCHASED FOR THE MONTH OF JUNE 2017
1. For Issuance of Cheque
SUPPLIER DATE INV. #
07/03/17 23589
07/03/17 23588
Lucky Book Store

07/06/17 23621
07/11/17 23668
07/19/17 23753
07/20/17 23765
07/20/17 23767
Twentyseven Taz Enterprises 07/14/17 0110

07/01/17 23367
Georkimart
07/20/17 23393
Grist Chem Corporation 07/04/17 24011
07/07/17 2216
Sweet Blessing Gen. Mdse.
07/20/17 2223
07/07/17 4574
Parfait Directe Energisant Marketing
PVS Plastic 07/19/17 -
07/03/17 134915
07/05/17 134944
07/06/17 134961
07/11/17 00036
07/15/17 00223
07/18/17 00258
Caloocan Gas Corporation 07/19/17 00284
07/25/17 00349
07/27/17 00433
07/01/17 12487
07/10/17 12576
07/20/17 12693
07/27/17 12770
07/03/17 3585
Saram & Bendo's Gas Supply 07/14/17 3586
07/24/17 3587
07/13/17 0000867
07/14/17 0000873
07/22/17 0000897
07/22/17 0000899
07/27/17 0000912
Newborn Screening Center- SL 07/13/17 2017012048
06/30/17 10068
Luzon Quick- Serve Trading Corp.
07/19/17 10156
Reamar Trading 07/18/17
5JP's Corporation 07/10/17 15947
RBGM Medical Express Sales, Inc. 07/10/17 12742
VJ Franca Enterprises 07/05/17 16698
07/01/17 3371
07/06/17 3386
Lucena Family Integrated Enterprise Corp. 06/22/17 00178
Healthsolutions Enterprises Inc. 07/04/17 0061444
Diamzon Enterprises Refrigeration & Airconditioning

07/19/17 0878
Contractor 06/27/17 1378
Edwin Yap 07/15/17 1193
Goldquest Biotechnologies, Inc. 07/04/17 10693
Fujifilm Philippines 07/25/17 2794090
Himex Corporation 07/19/17 2829520
IOS Marketing Corporation 07/15/17 093315
07/24/17 0001125
Nanotech International Lift Services Inc.
07/27/17 SMR 10593
07/26/17 LB2499287
07/07/17 2729449
Carestream 07/23/17 2497688
OVER- ALL TOTAL

F JUNE 2017
OFFICE INK
PARTICULARS QTY
SUPPLIES SUPPLIES
Artline Marker 2 bx. 672.00
Stabilo Green 2 bx. 560.00
Vision Thermal 80x70 130 pc. 4,550.00
Whiteboard Marker 2 bx. 640.00
Laundry Pen 2 pc. 150.00
Laminating Film 1 pck. 875.00
Specialty Board 10 pc. 200.00
Peak Bond Short 40 rm. 3,120.00
Maxell CD-RW w/ case 50 pc. 2,250.00
Cont. Form 11x9 1/2 2ply s.20 3 bx. 2,100.00
DST 1/2" 20 pc. 400.00
Encelope White Long 100 pc. 40.00
Expanded Folder Long Green 50 pc. 542.50
Faster name Pen 2 bx. 700.00
Folder Short White 1000 pc. 2,500.00
Masking Tape 1" 20 pc. 500.00
Sticker Paper Short Matt A4 10 pc. 365.00
Orions Stamp Pad Ink Blue 5 pc. 160.00
White Envelope Long Classic 900 pc. 360.00
Casio Ink Roller IR40T 2 pc. 500.00
Sony DVD+RW w/ case 100 pc. 5,500.00
Star Carbon Long Blue 10 bx. 1,500.00
Star Carbon Long Short 10 bx. 1,350.00
Peak Bond Short s.16 50 rm. 3,900.00
Ribbon Refill Lx300 30 pc. 750.00
Valiant Columnar Note 12col. 8 pc. 192.00
Valiant Columnar Note 16col. 8 pc. 400.00
Sentro Index Card 1/2 5x8 10 pck. 300.00
Joy Staplewire #35 30 pc. 900.00
Plastic Env Long E-313 50 pc. 1,250.00
Cartolina Yellow 20 pc. 90.00
Avia Colored Paper Long s.20 Orange 2 rm. 310.00
DVD+RW w/ case Sony 100 pc. 5,500.00
Plastic Sliding Folder Long 20 pc. 319.00
Board Eraser 5 pc. 45.00
Standard Bond Paper # 16 15 rm. 1,455.00
Compatible Cartridge 85A 24 pc. 30,960.00

Joy Ultra Lemon 40x200mL. 1 bx.
Pledge Furniture Lemon 24x180m. 6 pc.
Scotchbrite Scrub Value 32x3 5 pck.
Surf Bar Sunfrtesh 36x380gm. 2 bx.
Surf Powder Sunfresh 288x65gm. 2 sck.
Zonrox Bleach 12x1/2gaL. 1 bx.
Zonrox Color Blossom 36x450mL. 1 bx.
Energizer AA 12x4x1 Single 10 pck.
Energizer AAA 12x4x1 Single 10 pck.
Surf Powder Sunfresh 288x65gm. 1 sck.
G6 Fabric Softener 1gaL. 20 pc.
XXL Black 1000 pc.

9x9 Black 2700 pc.
9x9 Green 2000 pc.
LDC Fresh Scent 3.785L 4's 5 cs.

LDC Fresh Scent 3.785L 4's (6/23/17 Date received)
LDS C. Linen 340g.
Asin (Industrial Salt) 10 sck



Compressed Air(refill) 10 tnk.
O2 MDL f/T 53ls Outright Cylinder 2 tnk.
O2 MDL F/T 5lbs Full SN> 3313195, 6503175 2 tnk.
Compressed Air(refill) 10 tnk.
ENBS 50 pc.
Cidex GTA 5L LQASP00001 (7/7/17 received) 6 gaL.

Cidex GTA 5L LQASP00001 6 gaL.
Mosquito Forcep Str. Olten 1 pc.

Needle Holder 6 1/4" Olten 1 pc.
Scrub Brush Anchor 3 pc.
Tissue Forcep Olten 1 pc.
BP Aneroid Baxtel w/ Stethoscope 4 set
BP Aneroid ALPK-2 Pedia w/ Stethoscope 1 set
Scrub Brush Anchor 10 pc.
Anesthesia Bag 3L 2 pc.
E7507 Polyhesive II Ret Elec. 30 pc.
Sterillium 1L 10 btl.
Epson Lx-310 Dot Matrix Printer SN. Q7CY132156 1 pc.

1 TB Ext. HDD Back- Up Plus Slim SN. NA9735XW 1 pc.
Epson T6642 Cyan 2 pc. 490.00
Epson T6643 Magenta 2 pc. 490.00
Epson T6644 Yellow 2 pc. 490.00
Canon 41 Color Cartridge 1 pc. 1,270.00
Toshiba HB SN. 1791TJZNT3FB 1 unit
US Cotton White- 400 yard 4 roll
Dura Cuff Adult 23-33cm 2 pc.

Dura Cuff Pedia Child 12-19cm Pedia 1 pc.
1.0hp Window Type A/C Koppel Remote 1 unit

2.hp Window Type a/C Hoppel Remote 2 unit
1hp Koppel 2 unit
Bedsheet x96" #30- 109 1/2 yard Blue 1 roll

Bedsheet x96" #30- 109 1/2 yard Pink 1 roll
Bedsheet x96" #30- 102.1 yard Mint Green 1 roll
Pump Tube 5 pc.

HGB Filter 5 pc.
Service Charge 1 lot

1 unit
Hitachi CR- Scan Model Supria 16 Slices 5.0MHU) 1 unit
Standard Mcintosh Blade #4 WEL-69044 2 pc.
Bed Elevator PMS for June 1 unit

Bed Elevator PMS 1 unit
X-ray Machine (60mos. PDC) 1 unit

41D6D83550D2 w/ Complete Accessories with C-Arm 1 unit
Classic CR System Carestream (60mos. PDC) 1 unit
59,671.10 33,700.00
MAINTE. MEDICAL MEDICAL BLDG. MAINTE. OXYGEN
SUPPLIES SUPPLIES INSTRU/ EQUIPT. SUPPLIES SUPPLIES
1,022.25
1,618.00
917.40
411.00
1,479.60
2,563.20
735.00
1,168.20
1,540.50
1,734.00
1,281.60
3,600.00
4,000.00
1,890.00
1,800.00
29,091.00
7,000.00
600.00
300.00
700.00
14,400.00
600.00
300.00
14,400.00
300.00
14,400.00
600.00
14,400.00
14,400.00
14,400.00
14,400.00
19,200.00
14,400.00
17,760.00
14,400.00
4,800.00
14,400.00
5,000.00
300.00
4,800.00
75,000.00
9,600.00
9,600.00
280.00
350.00
1,950.00
280.00
6,000.00
2,450.00
6,500.00
1,500.00
16,500.00
7,915.00
100,000.00
375,000.00
12,000.00
56,000.00
147,500.00
61,866.67
51,577.25 125,615.00 771,676.67 3,274.50 199,260.00

NON- MED. SUPPLIES
AMOUNT
INSTRU & EQUIPT.
7,447.00
27,078.10
1,385.00
5,500.00
16,442.00
364.00
1,455.00
30,960.00
13,189.15
1,281.60
3,600.00
4,000.00
3,690.00
29,091.00
-
-
7,000.00
600.00
300.00
15,100.00
600.00
300.00
14,400.00
300.00
14,400.00
600.00
-
-
-
-
-
14,400.00
14,400.00
14,400.00
14,400.00
19,200.00
14,400.00
17,760.00
14,400.00
4,800.00
14,400.00
5,300.00
4,800.00
75,000.00
9,600.00
9,600.00
17,810.00
1,500.00
16,500.00
7,915.00
8,950.00
3,250.00
14,940.00
6,100.00 6,100.00
3,100.00 3,100.00
48,000.00 48,000.00
10,000.00
15,000.00
5,000.00
16,995.00
68,185.00
51,190.00
28,950.00 28,950.00
11,497.50
11,497.50 33,768.00
10,773.00
7,500.00
5,000.00 17,500.00
5,000.00
100,000.00
375,000.00
12,000.00
4,000.00
8,000.00
4,000.00
56,000.00
147,500.00
61,866.67
240,803.00 1,485,577.52
REMARKS
ER Replacement to condemned.
OR replacement to condemned.
ICU /Ns3 Replacement to condemned CSR Spare.
CSR Spare
OR additional Request.
OR replacement to condemned.
Pharmacy Lx-310 printer Replacement.

Records Use for Scanner New.
For Billing Mam Cyra & Mam Tess.

Pulmonary Use for Files.
Linen Area Request for Draw Sheet Ward.
OR Replacement to condemned for Anesthesia Machine Pt.

Monitor.
HK Back- Up
OR5 A/Con Replacement/DR 1 A/con Replacement
Replacement A/c for Rm.233 and Rm. 223
Ns 3 * Ns4 Bedsheet Use.

Ns 2 Bedsheet Use.
Ns 1 Bedsheet Use.
Laboratory Celtac F & E Repair & maintenance.
New Unit for OR Use-10% 7PDC- 2nd PDC
CT- Scan New Machine Balance of 15Million Payble in 40PDC.-

2nd PDC
ER Blade Replacement & Kalinga Center New Blade.
PMS of Eleveator for Juner 2017

PMS of Eleveator for July 2017- to follow OR & Certificate
X-ray Machine-57th Payment.
New C-Arm @ O.R. 90% Balance- 14th PDC
X-Ray Machine-38th payment.

SUPPLIER DATE INVOICE #
07/08/17 000281567
07/15/17 000299991
Ace Hardware 07/17/17 000282971
07/22/17 000283630
Aseptique Medical Wear 05/22/17 7517
Engr. Ronald Yara 07/27/17 -
Citi Hardware Gensan Incorporation 07/09/17 00213699
Zcarina Curtain & Upholstery 07/20/17 0064
C-Zar Ave. Gen. Mdse. 07/10/17 4908

Market 07/11/17 -
Hanson Electronics Parts & Service Center

07/18/17 40854
07/14/17 -
Ciara Ann Ayala
07/28/17 -
Esphar Medical Center, Inc. 07/04/17 216152
Greenwood General Mdse. & Plastic Center

07/14/17 10123
07/10/17 0217
IT Avenue General Merchandise
07/28/17 0226
Mail & More 07/22/17 3266
Microvalley Computer Superstore 07/22/17 34572
National Bookstore 07/15/17 07132017..
New Purity Store 07/05/17 20240

The SM Store 07/15/17 000208339
SM Supermarket 07/15/17 -
Philcopy Corporation 07/13/17
Zamora Housewares 07/10/17 1496
3DK Steel Marketing 07/04/17 08188
OVER- ALL TOTAL
Breakdown:
TOTAL 1,531,210.02
Prepared by:
Marjorie M. Ruz
CSR Personnel
OFFICE BLDG. MAINTE.
PARTICULARS QTY
SUPPLIES SUPPLIES
Firefly LEDEmergency LmpRechargeable Twinhead
2 unit
FEL 201L
N Megabox 6.3L Trans MG632 5 pc.
Watercare Filter Promo 4 pc.
Omni LED Lite G60 Bulb 9w 10 pc. 1,397.50
Overlap (Yellow & Pink) 7/14/2017 Date Received 2 pc.
Radiant Warmer Repair & Maintenance 1 unit
Doorbell Store AE Weireless X-581P Plug- In 1 unit
Block-out Roll Up Shade Beige 64x170 3 unit
Kwikset Key Duplication 1 pc.

Kwikset Key Duplication 1 pc.
BNC-422 Connector 2 pc.
Tarpaulin & T-shirt -

Tarpaulin & T-shirt -
Autoclave Cersicot Silicone 24" 1 pc. 5,500.00
21/2x4 Plastic 3 pc.
514 Black Ink Duplo 5pc.

DR-875 Master Roll 1 pc. 4,170.00
MMG Logo Overlap 2 pc.
Epson T664100 Black Ink Tank 3 pc.
Machine Money Detector Bulb 5 pc. 262.50
TW Blue/ yard 9 3/4

Pillow Case 2 pc.
Kingking Potpourri Oil Eucalyptus 30mL. 1 pc.
Bendable Straw 2 pck.
Copier Kyocera 1 unit

Shredder Big 1 unit
Shredder Small 1 unit
168L Orocan Drum 3 pc.
Yale Padlock
2 pc.
4,170.00 7,160.00
Checked by:
Maritess P. Rayos
B.O. Supervisor
MEDICAL INK MAINTENANCE NON- MEDICAL
AMOUNT
SUPPLIES SUPPLIES SUPPLIES SUPPLIES
2,199.50 2,199.50
348.75 348.75
1,520.00 1,520.00
1,397.50
1,880.00 1,880.00
3,500.00 3,500.00
489.00 489.00
5,250.00 5,250.00
50.00 50.00
40.00 40.00
60.00 60.00
3,110.00 3,110.00
3,110.00 3,110.00
5,500.00
24.00 24.00
4,175.00 4,175.00
4,170.00
60.00 60.00
735.00 735.00
262.50
878.00
1,028.00
150.00
179.75 179.75
43.50 43.50
400.00
750.00 1,700.00
550.00
4,200.00 4,200.00
600.00 600.00
0.00 4,910.00 0.00 29,392.50 45,632.50
Noted by:
Dr. Nenita Tan

REMARKS
Dialysis Use- Additional.
Insulin Storage Use for Ns1, Ns2, Ns3, Ns3 and ICU.
Dialysis R.O. Use.
CSSR Request- Replacement to condemned.
Payment for Repair thru BDO Deposit/ Payment.
Doorbell Replacement for Kalinga Center.
Downpayment for Dialysis Blinds.
Dr. Villena"s Office Key Duplication Requested by

Mam Tess.
For Endoscopy Machine Connector Use.
For Breastfeeding Use-50% Downpayment.

Full Payment for Breastfeeding T-shirt & Tarp.
ICU Use.
OR/ NICU Use.
ICU request- replacement to condemned.

OR Request- repair of cover.
Information Use.
CT- Scan Use.
Information Printer Repair Chair.

Records Shredder Check-up Charge.
C. Acctng. Shredder Check-up Charge.
Laundry Drum Replacement.
Kalinga Center Gate (2nd Door Entrance & Isol) Use

as Replacement to condemned padlock.
al Administrator
Supplier Date Invoice Items Qty Price
Absolute Dist/ Water 3x6000mL. 5 bx. 1,022.25
Ansell Excell Medium Gloves 5 pc. 381.50
Ariel Powder Color 650gm. 10 pc. 922.00
Glade Scented Gel Jas 12x205gm. 10 pc. 1,279.50
Georkimart 03/06/17 23228 Scotchbrite Scrub Value 32x3 10 pck. 807.00
Surf Powder Sunfresh 288x65g. 3 sck. 3,844.80
Rose Vinegar 6x1/2gaL. 2 bx. 649.20
Zonrox Color Blossom 36x450mL. 1 bx. 1,168.20
Energizer AAA 12x4'1 Single 10 pck. 1,650.00
Prince Label Tag 10 pc. 150.00
Sticker Paper White 10 pc. 290.00
Max HD-50R- Stapler 2 pc. 590.00
Stples HD-3LS 5 pc. 225.00
Sharpener Metal 5 pc. 75.00
03/06/17 22277
Croco Scotchtape 50 pc. 1,400.00
LCT Scissors 8 1/2" 10 pc. 560.00
Brite Rubberband Round 4 bx. 580.00
Recordbook 150L 15 pc. 390.00
Paste 200g. 10 pc. 280.00
Folder Short Green 300 pc. 1,500.00
Ribbon Lx300 2 pc. 200.00
Lx310 Cartridge 5 pc. 800.00
Luckybookstore 03/06/17 22279
Computer Ribbon 20 pc. 500.00
Stamp Pad Blue 2 pc. 120.00
Storage Box 15 pc. 1,350.00
Faster Name Pen 3 bx. 1,050.00
Fastener Joy 8 bx. 280.00
Brown Env. Short 500's 1 bx. 750.00
DVD+RW w/ case 50 pc. 2,750.00
Px Colored Copy Long Pink 4 rm. 836.00
Avia Colored Paper Long Blue 2 rm. 310.00
03/06/17 22278
Avia Colored Paper Long Orange 2 rm. 310.00
Clearbook Long Green 10 pc. 360.00
Cartolina Red/ White (30each)/ Blue ( 110 pc. 495.00
Calculator Mx120B 5 pc. 1,475.00
Amount
11,724.45
7,050.00
19,879.50
Supplier Date P.O. S.I. Particulars Qty
1.5hP Koppel Wall Mounted Inverter Type
A/C Model #: KVWM-ARF21C, KV120D- 1 unit

Diamzon Enterprise 01/25/17 00001
ARF21C Serial #: CJ581629, BJ624584
Installation
-
Price Amount Remarks
32,000.00 I
43,700.00
11,700.00

Purchased Order 2017

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Purchased Order 2017

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OFFICE INK

SUPPLIER DATE INV. # PARTICULARS QTY

Canon Ink 810 Black 10 pc. 7,500.00

1.5hP Koppel Wall Mounted Inverter Type A/C Model

Cook Rat Tooth Retrieval Forceps 3.3Fx115cm 1 pc.

Olympus QuickClip2 Rotating Clip Fixing Device

Maystar Company 01/18/17 0550 Suction Bottle 1L 2 pc.

Duplo Riso Machine Spare Parts -

Electrical Stimulator Tens N607 SN. 17013485,

Fresenius 5008S Dialysis Machine w/ AVR, Medical

01/26/17 LB2499281 X-ray Machine (60mos. PDC) 1 unit

Roche Philippines 01/21/17 2500034 Blood Chemistry Machine (36mos.PDC) 1 unit

OVER- ALL TOTAL 58,735.85 49,350.00

64,048.47 222,150.00 580,442.25 3,663.25 271,390.00 308,144.00 1,557,923.82

Record CPU Replacement- Dixon Area.

Billing CPU Replacement- Mam Liezel Area.

Endoscopy Machine Accessories.

OR/ NiCu Use- Additional as per DOH Advised.

OR Table Cover Use- Request.

OR Suction Bottle Replacement.

CSR Riso Machine Repair & Maintenance.

Repair & Maintenance of Laboratory Machine.

Preventive Maintenance of Celtac F.

Replacement to condemned EMS.

5 unit Dialysis Machine-50%-12PDC-7th PDC

X-ray Machine-51st payment.

New C-Arm @ O.R. 90% Balance- 8TH PDC

Laboratory Machine Repair.

Chemwell Laboratory Machine PMS.

Laboratory Machine-32nd payment.

01/10/17 000271330 Firefly LEDEmergencylmpRchargble Twnhead FEL201L 8 pc.

01/14/17 41DF647 Omni Universal Adapter WVA-002 10 pc. 497.50

Abenson 01/26/17 25698 TCL Basic 32D2910D Serial #: 1608AFY125523D00363 1 unit

Greentelcommunications Trading, B105E 354163082633197- Samsung Cellphone Color White

Joy City 01/24/17 00200.. Frame 9.5x11" 7 pc. 455.00

Lucena Market 01/10/17 - Doormat 12 pc.

Cert Frame A4 Maroon 4 pc.

GDSI Office Table OFT-10111P 20x40 WUYKE Wenge 1 pc.

BFB 927 Bottle Brush 2 pc.

Rovelyn Medical Supplies &

01/11/17 028386 Sigma BR-8106 Full Motion/ Single Arm 2 pc.

01/06/17 010220702 SMB ZpprStrge960 2 pc.

RCP H126Plastic Head 60L Mop Handle 1 pc.

Prepared by: Checked by:

Marjorie M. Ruz Maritess P. Rayos

11,495.00 11,495.00 OPD Area TV Use.

1,155.00 1,155.00 Laboratory Request.

899.00 899.00 Ns1 Cellphone Replacement.

400.00 400.00 OR Request.

379.50 NiCu Replacement to condemned.

9,900.00 9,900.00 Ns2,3,4,ICU,HK, CSR Radio Replacement.

1,000.00 1,000.00 Formalin for OR Specimen.

2,718.00 2,718.00 Ns4 Rooms for TV use.

139.50 139.50 Dialysis Request.

Dr. Nenita Tan

02/09/17 10527 E7507 Polyhesive II Ret Elec. 20 pc.

Epson Ink T6641- Black 10 pc. 2,450.00

Medical One Corporation 02/15/17 6232 Audx Abaer Label 2 roll

875 Master Roll 1 pc. 4,170.00

1.5hp Koppel Wall Mounted Inverter Type A/C 1 unit

P. Twill # 47 140 yrd.

Preventive Maintenance NpB7200 2 unit

Anti Scalant Media Filter 1 lot