You are on page 1of 3

CONTRACT TO SUPPLY X-RAY FILMS

KNOW ALL MEN BY THESE PRESENTS:

This Contract entered into by and between:

5 GUARDIANS MARKETING, a single proprietorship registered under the


name of CELSA DAGATAN CUYOS with office address at Block 2, Lot 27, JPMI
Subdivision, Ma-a Davao City duly registered and authorized to sell hospital supplies and
Equipment business with office address stated above, represented in this act by, CELSA
D. CUYOS, Filipino, of legal age, married, with office address stated above, referred to
as the FIRST PARTY;

BISHOP JOSPEH REGAN MEMORIAL HOSPITAL, a corporation duly


organized and existing under the Philippine laws with principal place of business at
Tagum City Davao City, represented in this act by the Administrative officer of the
Hospital DRA. CORAZON P. FERNANDEZ, Filipino, of legal age, with office address
stated above, referred to as the SECOND PARTY.

WITNESSETH

The First Party offers to supply X-Ray Cassettes with brand name KODAK and
the Second Party accepts the proposal to supply under the following terms and conditions
to wit:

1. The term of this contract is two (2) years to commence on August 3, 2010.

2. The First Party will supply to Bishop Joseph Regan Memorial Hospital
following X-Ray cassettes for free loan of cassettes of the different sizes
without change within the contract price:

Description Quantity Contract Price

35x43 2 cassettes 19,000.00 per cassettes


35x35 2 cassettes 15,000.00 per cassettes
30x35 2 cassettes 14,000.00 per cassettes
24x30 2 cassettes 10,000.00 per cassettes
8x10 2 cassettes 8,000.00 per cassettes

3. The Second Party agrees to purchase exclusively all its requirements for X-
Ray Films and X-Ray supplies form the First Party for an amount not less than
P 100,000.00 monthly.
Signed on ____________________________ at Davao City, Philippines.

5 GUARDIAN MARKETING BISHOP JOSPEH REGAN


MEMORIAL HOSPITAL

Represented by: Represented by:

CELSA DAGATAN CUYOS DRA. CORAZON P. FERNANDEZ

Signed in the presence of:__________________ ___________________________

Republic of the Philippines )


City of Davao ) s.s
x---------------------------------x

BEFORE ME, this _________________at Davao City, personally appeared the


following names, with their Community Tax Certificate Nos. to wit:

Name CTC No. Place/Date Issued

Celsa D. Cuyos 04132999 Davao City/ January 2010


Dra. Corazon P. Fernandez ________ _____________________

Known to me to be the same person who executed the foregoing instrument and
they acknowledged to me that the same is their free act and voluntary deed.

This instrument refers to CONTRACT TO SUPPLY X_RAY CASSETTES


consisting to two (2) pages including the page which this acknowledgement is written
and has been signed on the left margin of each page thereof and sealed with my notarial
seal.

IN WITNESS WHEREOF, I have hereunto set my hand and my notarial seal, the
day, year and place above written.

You might also like