Appendix 61

PURCHASE ORDER
BOLAOEN ELEMENTARY SCHOOL
Entity Name

Supplier : _________________________
LJCI MERCHANDISING P.O. No. : 2020-12-0034
Address : __________________________
Calasiao, Pangasinan Date : 12/5/2020
TIN : ______269-_227-829-000_________________ Mode of Procurement : Small Value Procuremment
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___ BOLAOEN ES Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : __COD__________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pieces Alcohol Stand 2 2,300.00 4,600.00
2 bottle Alcohol with Pump 3 234.00 702.00
3 pcs Epson L3110 Ink 3 450.00 1,350.00

-
-
-
-
-
-
(Total Amount in Words) Two thousand six hundred pesos 6,652.00

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,

LYNDON JOY C. IDOS SHEILA MARIE A. PRIMICIAS, CESO VI

OIC, OFFICE OF THE SCHOOLS DIVISION
Signature over Printed Name of Supplier
SUPERINTENDENT
________________
Date

Fund Cluster : 01101101 ORS/BURS No. :

Funds Available : _________________________________ Date of the ORS/BURS:
PRESCILA A. MEJIA, CPA Amount : P
Accountant III
Signature over Printed Name
 Appendix 61

PURCHASE ORDER
PORTIC INTEGRATED SCHOOL
Entity Name

Supplier : _________________________
MARIGOLD STORE P.O. No. : 2021-08-0004
Address : __________________________
Dagupan City Date : August 23, 2021
TIN : ______157-_686-860-000_________________ Mode of Procurement : SHOPPING
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Portic IS Delivery Term : _______________________

Date of Delivery : _ 08/31/2021 Payment Term : __COD__________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pcs Face Mask 81 75.00 6,075.00

-
-
-
(Total Amount in Words) Six thousand seventy-five pesos 6,075.00

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,

MARLO D. NOVALES IMELDA S. DELA CRUZ

Signature over Printed Name of Supplier Principal 1
08/23/2021
Date

Fund Cluster : 01101101 ORS/BURS No. :

Funds Available : _________________________________ Date of the ORS/BURS:
PRESCILA A. MEJIA, CPA Amount : P 6,080
Accountant III
Signature over Printed Name