Republic of the Philippines

Province of Capiz
Municipality of President Roxas
PURCHASE ORDER

Supplier: MIKA DIGITAL PRINTING Ref.: PR No.: 2020-05-513

Address: PO No.: 2020-513

Mode: AMP - Shopping B Date: June 3, 2020

Sir / Madam:
Please furnish this office the following articles subject to the terms and conditions.
Place of Delivery: Pres. Roxas, Capiz Delivery :
Date of Delivery : Payment :
Item
QTY Unit Description Unit Cost Amount
No.
100 stubs Temporary Operators Permit (Triplicate) 200.00 20,000.00

(Total amount in
Twenty Thousand Pesos 20,000.00
words)
In case of failure to make the full delivery within the time specified above, a penalty of
(1/10) of one percent for every day of delay shall be imposed.

Very truly,

MIKA DIGITAL PRINTING RECELISTE L. ESCOLIN

Supplier Head of the Agency
____________________ ____________________
Date Date

Requisitioning Amount:

Accountant

Supply ALOBS No.: