ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT0001 4 Each 10128-204 ICC 200E Electrosurgical unit FFP with Endocut for all endoscopic procedures including sphincterotomy, polypectomy and bipolar. FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0002 5 Each 20189-027 Double Pedal Footswitch w/ FFP spacer bar (waterproof and explosion protected) FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0003 4 Each 20183-053 Adapter for using Bicap or FFP Goldprobe FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0004 4 Each 10325-000 EIP 2 Irrigation Pump FFP FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0005 4 Each 20325-100 EIP 2 Single Footswitch FFP FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0006 4 Each 7911-4005 EIP Pump Bracket to ESU model FFP ICC 200 FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0007 4 Each 7911-4004 Water bottle holder for pump FFP model EIP 2 FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0008 4 Each 7911-4001 EIP tubing cap set (10/bx) FFP FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0009 4 Each 7910-3003 Extension tubing, disposable FFP (12 ea.) FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0010 8 Each 7910-3005 Channel Adapter FFP FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0011 2 Each 20193-074 Nessy Monitoring Split Pads FFP (10 pads per case) FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT 0012 8 Each 7911-3007 Back Flow Valves (10 per case) FFP single use FOB: Destination MILSTRIP: N0018306RQGE009 PURCHASE REQUEST NUMBER: N0018306RQGE009 NET AMT

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