Republic of the Philippines

DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen III District
BANTAYAN ELEMENTARY SCHOOL
Lingayen

PURCHASE ORDER
Supplier: _____________________________________________________ P.O. No.:__________________
Address:_______________________________________________________ Date: __________
Mode of Procurement:____________
Please furnish this office the following articles subject to the terms and conditions contained herein:

Place of Delivery:_____________________________________ Delivery Term:____________

Date of Delivery:_____________________________________ Payment Term:_______________
Item No. Unit Quantity Description Unit Cost

(Total Amount in Words)

In case of failure to make full delivery within the time specified, a penalty of one-tenth (1/10)
or one percent for every delivery shall be imposed.

Confrome: Very truly yours:

_________________________ MARK EVAN C. VENTAYEN

School Head
________________________ _______________________________
Date Date
________________

rocurement:____________
s contained herein:

rm:____________
erm:_______________
Amount

ne-tenth (1/10)

YEN

________