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Annex 15 - PO

The document is a purchase order for supplies from a supplier for a barangay. It lists items like masking tape, volleyball nets, balls, and whistles being ordered and includes details like quantities, costs, and payment terms. It also specifies penalties for late delivery and requires signatures for confirmation and budget availability.

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Monette Ignacio
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97 views2 pages

Annex 15 - PO

The document is a purchase order for supplies from a supplier for a barangay. It lists items like masking tape, volleyball nets, balls, and whistles being ordered and includes details like quantities, costs, and payment terms. It also specifies penalties for late delivery and requires signatures for confirmation and budget availability.

Uploaded by

Monette Ignacio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Annex 15

PURCHASE ORDER
SK of Barangay: City/Municipality:
Tel. No.: Province:
Supplier: ___________________________________________ PO No.: ____________________________
Address: __________________________________________ Date: ______________________________
Tel. No.:____________________TIN: ___________________ Mode of Procurement: _________________
Gentlemen: Please deliver to this office the following articles subject to the terms and conditions contained herein:
Place of Delivery: ___________________________ Delivery Term: _____________________________
Date of Delivery: ___________________________ Payment Term: _____________________________
Unit of
Item No. Item Description Quantity Unit Cost Amount
Measurement

(Total Amount in words)


In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of delay shall be imposed
on the undelivered item/s.
Conforme: Very truly yours,

____________________________________ ___________________________________________
Signature over Printed Name of Supplier Signature over Printed Name of SK Chairperson

__________________ ____________________
Date Date
Availability of the budget or funds received for specific purpose:

_________________________________________________________ ____________________
Signature over Printed Name of Budget Monitoring Officer Date
PURCHASE ORDER
SK of Barangay: Sampaloc City/Municipality: CABATUAN
Tel. No.: Province: ISABELA

Supplier: PO No.:

Address:
Tel. CABATUAN ISABELA Date:
No.:____________________TIN: Mode of Procurement: _________________
___________________
Gentlemen: Please deliver to this office the following articles subject to the terms and conditions contained herein:
Place of Delivery:
Delivery Term: _____________________________
___________________________
Date of Delivery:
Payment Term: _____________________________
___________________________
Unit of
Item No. Item Description Quantity Unit Cost Amount
Measurement
pcs. masking tape 6 38.00 228.00
pc volleyball net 1 1,200.00 1,200.00
pc volleyball ball 1 2,500.00 2,500.00
pcs. whistle 2 15.00 30.00
pcs. packing tape 5 54.00 270.00

TOTAL 4,228.00
(Total Amount in words)
In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every
day of delay shall be imposed on the undelivered item/s.
Conforme: Very truly yours,

MICAH D. IGNACIO
Signature over Printed Name of Signature over Printed Name of SK Chairperson
Supplier

Availability of the budget or funds received for specific purpose:

RHODA S. MONTE
Signature over Printed Name of Budget Monitoring Officer
Date

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