Republic of the Philippines

Department of Education
DIVISION OF SOUTHERN LEYTE
SL DO Form No. 18 R. Kangleon St., Mantahan,Maasin City

PURCHASE ORDER

BIASONG MG ELEMENTARY SCHOOL

Entity Name

Supplier : RESTIE GENERAL MERCHANDISE P.O. No. : 2022-007-0

Address : ANAHAWAN SOUTHERN LEYTE Date : 8/22/22
TIN : Mode of Procurement : SHOPPING
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery BIASONG MG ELEMENTARY SCHOOL Delivery Term : 3 DAYS

Date of Delivery :8/22/22 Payment Term : Cash

Stock/
Unit Description Quantity Unit Cost Amount
Property No.

1 BOT HP GT52XL CYAN 1 350.00 350.00

Total Amount: THREE HUNDRED FIFTY PESOS ONLY 350.00

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 of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

________________________________ ANNA MARIE M. LALIC

Signature over Printed Name of Supplier
Signature over Printed Name of Authorized Official

_____________________ HT-III
Date Designation

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________

Amount : ____________________________
________________________________________
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit