Annex 24



PURCHASE ORDER

Barangay: ______________________________
Tel. No.: _______________________________
City/Municipality: _________________________
Province: _______________________________
Supplier: _______________________________
Address: _______________________________
TIN: ___________________________________


PO No.: ________________________________
Date: __________________________________
Mode of Procurement:
[ ]
Bidding
[ ]
Negotiated
[ ]
Over the Counter
Gentlemen:

Please deliver to this office the following articles subject to the terms and conditions contained herein

Place of Delivery:
Date of Delivery:
Delivery Term:
Payment Term:
Unit Particulars Quantity Unit Cost Amount












(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 everyday of delay shall be imposed.

Very truly yours,
__________________
Punong Barangay

Conforme:

________________________
(Signature over Printed Name)
Supplier

_______________
Date
Existence of Available Appropriations of

________________________
(Signature over Printed Name)
Chairman, Committee on Appropriations

_______________
Date


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