| A 1 | B 2 |
| Sıra No | Mal Kaleminin Adı ve Kısa Açıklaması | Birimi | Miktarı | Teklif Edilen Birim Fiyat (Para birimi belirtilerek) | Tutarı (Para birimi belirtilerek) |
| 1. KISIM LEXMARK TONER | | | | |
| 1 | LEXMARK MS811 ORJİNAL TONER | adet | 1.000 | | |
| 2 | LEXMARK MS811 ORJİNAL DRUM | adet | 350 | | |
| 3 | LEXMARK MS811 ORJİNAL BAKIM KİTİ | adet | 350 | | |
| 4 | LEXMARK MS811 ORJİNAL ANA KART | adet | 20 | | |
| 5 | LEXMARK MX710 ORJİNAL TONER | adet | 50 | | |
| 6 | LEXMARK MX710 ORJİNAL ANA KART | adet | 3 | | |
| 7 | LEXMARK 823 ORJİNAL TONER | adet | 300 | | |
| 8 | LEXMARK 823 ORJİNAL DRUM | adet | 150 | | |
| 9 | LEXMARK 823 ORJİNAL ANA KART | adet | 3 | | |
| 10 | LEXMARK MX510 ORJİNAL TONER | adet | 20 | | |
| | | | 1. KISIM LEXMARK TONER Toplam Tutar | |
| 2. KISIM BROTHER TONER | | | | |
| 1 | BROTHER HL L5100DN ORJİNAL TONER TN3467 | adet | 500 | | |
| 2 | BROTHER HL L5100DN ORJİNAL DRUM TN 3405 | adet | 225 | | |
| | | | 2. KISIM BROTHER TONER Toplam Tutar | |
| 3. KISIM EPSON TONER | | | | |
| 1 | EPSON ALM 320 DN ORJİNAL TONER | adet | 100 | | |
| | | | 3. KISIM EPSON TONER Toplam Tutar | |
| 4. KISIM SAMSUNG TONER | | | | |
| 1 | SAMSUNG M4020 ORJİNAL TONER | adet | 400 | | |
| | | | 4. KISIM SAMSUNG TONER Toplam Tutar | |
| 5. KISIM PANTUM TONER | | | | |
| 1 | PANTUM P3500 ORJİNAL TONER | adet | 60 | | |
| | | | 5. KISIM PANTUM TONER Toplam Tutar | |
| Toplam Tutar (K.D.V Hariç) | |