Republic of the Philippines

PROVINCE OF ILOCOS NORTE BAC-008-0

Laoag City

PURCHASE ORDER

Supplier: P.O. No.

Date
Address: Mode of Procurement:
PR No./s
Gentlemen:
Please furnish this office the following articles subject to the terms and condition contained
herein:

Place of Delivery: Delivery Term:

Date of Delivery: upon demand Payment Term:
No. Quantity Unit Description Unit Cost Amount

0.00
Total Amount in Words

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

IMEE R. MARCOS
(Signature over printed name) Provincial Governor

Date Date
(In case of Negotiated Purchase pursuant to Section 369 (a) of R.A. 7160, this portion must be acomplished.)

Approved per Sangguniang Resolution No.:

Certified Correct: Date:

Secretary to the Sanggunian
 ACCEPTANCE & INSPECTION REPORT
Provincial Government of Ilocos Norte
LGU

Supplier: 0 AR No.
P.O. : Date: Invoice No. Date:
Requisitioning Office/Dept.: Provincial Treasurer's Office
Item No. Qty. Unit Description
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0

44
ACCEPTANCE INSPECTION

Date Received: Date Inspected:

Complete Inspected, verified and found OK as t NOTED BY:

quantity and specification

Partial
NOEMI A. ODUCAYEN MIRIAM A. DAMO
 Office Representative Supervising Admin. Officer

AURELIO A. DELA CRUZ JOSEPH L. CASTRO

JOSEPHINE P. CALAJATE GSO Representative Supervising Admin. Officer & OIC-GSO
Provincial Treasurer
(Authorized Official)
CYNTHIA I. GOROSPE JOSEPHINE P. CALAJATE
PTO Representative Provincial Treasurer