Certificate of Donation Pediatric Hospital Sibiu Romania
TO: PEDIATRIC CLINIC HOSPITAL SIBIU
POMPEIU ONOFREIU STREET 2-4
SIBIU 2400, ROMANIA
CF: 11411672
BANK ACCOUNT - TREZORERIA SIBIU - 504111411672
SUBJECT: CERTIFICATE OF DONATION
We, the undersigned, hereby make this formal offer of donation to the Pediatric Clinical Hospital of Sibiu, situated in Sibiu, Pompeiu Onofreiu Street nr.2-4.
The proposed equipment for donation is as it follows:
NR Equipment QTY Type Manufacturer & Country of origin SN / year of fabrication Value (euro)
1 System of production and distribution of compressed air at beds in intensive care unit, composed from
  medical air compressor 2 pcs. ERS 211 Berko / Holland   3.700
  Process Box 1 pcs. BPB441 Berko / Holland   1.695
  Oil/Water separator 1 pcs. OWS1 Berko / Holland   1.000
  Oil removal filter 1 pcs. G5 XP Berko / Holland   1.012
  Medical copper pipes 12mm. 100 m.   Hoekloos / Holland   370
  Medical copper pipes 15mm. 50 m.   Hoekloos / Holland   190
  Medical copper pipes 22mm. 100 m.   Hoekloos / Holland   910
  Synthetic wallboard 10 pcs.   UMC / Holland   1.000
  O2 supply unit 12 pcs.   UMC / Holland   1.250
  Vacuum supply unit 20 pcs.   UMC / Holland   1.250
  Electric cable 200 m.       600
2 Electric generator 1 pcs. DK 1160 A DAF / Holland 16636, spec 43310 2.500
3 Ultrasound
can only be used as spare parts for same kind of equipment
1 pcs. Ultramark 9 Philips / Holland X 7145 1.500
4 Child hospital beds 3 pcs.       175
5 Electric appliances 2 crates       150
6 Bucket 10 pcs.       125
7 Needles 1 box       250
8 Strip light appliances 30 pcs.       150
9 Oxygen flow meters 10 pcs       1.500
10 Airflow injectors 1 pcs.       250
11 Bucket 15 pcs.       250
  GENERAL VALUE         19.677