Form 6

PURCHASE ORDER
Department of Education
Region X, Division of Bukidnon
( Name of School )
Supplier: PO No.
Address: Date:
TIN: Mode of Procurement:

Gentlemen:
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 Item Description Quantity Unit Cost Total Cost

TOTAL
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 everyday of delay
shall be imposed.
Very truly yours,

Conforme:

___________________________________ School Principal

Signature over Printed name of Supplier
Date: ________________

Funds Available:

RANDY H. PORRAS Amount

Accountant II Alobs No.