Republic of the Philippines

OFFICE of the BARANGAY CHAIRMAN

MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

PURCHASE ORDER
BARANGAY BANGLAY
Entity Name

Supplier:___________________________ P.O. 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 :
________________________

Stock Unit Description Quantity Unit Cost Amount

No. (Php) (Php)

1 Bot/s Cotrimoxazole (Sulfamethoxazole) 500 39.33 19,665.00

400 mg + 80 mg /5mL 60 ml oral
Suspension
2 Bot/s Amoxicillin 100mg/mL 15mL Oral 1000 24.90 24,900.00
Drops
3 Botl/s Amoxicillin 250mg/5mL Oral 1000 26.13 26,130.00
Suspension
4 Bx/s Amoxicillin 250 mg Capsule 100 237.00 23,700.00
5 Bx/s Amoxicillin 500 mg Capsule 1000 165.00 165,000.00
6 Bot/s Cefalexin 100mg Drops 10mL Oral 1000 26.35 26,350.00
Drops
7 Bot/s Cefalexin 250mg Suspension 60 mL 1000 30.14 30,140.00
8 Bx/s Cefalexin 500 mg Capsule 1000 343.00 343,000.00
9 Bx/s Cefuroxime 500 mg Tablet 500 1,086.00 543,000.00
10 Bx/s Cetrizine E 10 mg Tablet 1000 46.00 46,000.00
11 Bot/s Cetrizine 2.5 mg/mL 30mL Syrup 1000 55.00 55,000.00

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

12 Bot/s Cetrizine 5 mg/5mL 30mL Syrup 1000 71.50 71,500.00

13 Box/s Ciprofloxacine 500 mgTablet 500 169.00 84,500.00
14 Box/s Clindamycin 300 mg Capsule 200 649.00 129,800.00
15 Bot/s Cloxacillin 250 mg/5mL 60ml Oral 1000 39.12 39,120.00
Solution
16 Bx/s Cloxacillin 500 mg 200 355.00 71,000.00
17 Bot/s Co-Amoxiclav (Amoxicillin + 500 195.25 195,000.00
Clavulanic Acid ) 200mg +28.5
mg/mL ,70mL Oral Suspension
18 Bx/s Doxycycline 100mg Capsule 200 435.00 87,000.00
19 Bx/s Ferrous + Folic Acid csapsule (60 mg 300 91.00 27,300.00
elemental iron + 400 mcg capsule
20 Bx/s Lagundi (Vitex Negundo L. 300mg 1000 195.00 195,000.00
Tablet )
21 Bot/s Lagundi(Vitex Negundo 1000 66.24 66,240.00
L.300mg/5mL, 60 mL Syrup Bottle
22 Bx/s Mefenamic 500 mg Capsule 1000 149.00 149,000.00
23 Bx/s Mefenamic 250 mg Capsule 200 314.00 62,800.00
24 Bot/s Paracetamol 250mg/5mL ,60 mL 1034 23.93 24,743.00
syrup bottle
25 Bx/s Paracetamol 500 mg Tablet 1000 43.00 43,000.00
26 Bx/s Prednisone 5 mg 200 132.00 26,400.00
27 Bot/s Salbutamol 2mg/5mL Syrup 1000 23.05 23,050.00
28 Bx/s Molnupiravir 400 mg capsule 50 14,000.0 700,000.00
0
29 Bx/s Amlodepine 10 mg Tablet 500 36,500.00
73.00
30 Bx/s Amlodepine 5 mg Tablet 500 24,000.00
48.00
31 Bx/s Allopurinol 100 mg Tablet 100 22,000.00
220.00
32 Bot/s Ascorbic Acid (Vit.C)100 mg/5mL 1000 61,690.00
120 mL Syrup 61.69
33 Bot/s Butamirate 7.5 mg/5mL, 120 mL 100 18,068.00
Syrup 180.68
34 Bot/s Calamine 8%,60 mL Lotion 100 9,900.00
99.00
35 Bx/s Captopril 25 mg 100 14,300.00
143.00
36 Bx/s Cotrimoxazole (Sulfamethoxazole + 500 63,000.00
Trimetroprim) 400mg +80 mg Tablet 126.00
37 Bot/s Cotrimoxazole (Sulfamethoxazole ) 500 19,665.00
400 mg + 80 mg/5mL, 60 mL Oral 39.33

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

Suspension
38 Bot/s Dextrose + Sodium Chloride 5% +0.9 200 6,746.00
% 500mL Solution for injection 33.73
39 Bot/s Dextrose in water 5% 500mL 200 7,920.00
Solution 39.60
40 Bx/s Diclofenac 50 mg Tablet 500 48,000.00
96.00
41 Bx/s Enalapril 5 mg Tablet 500 27,400.00
54.80
42 Tubes Erythromycin 0.5% 5g Eye Ointment 100 15,428.00
tubes 154.80
43 Bot/s Ibuprofen 100mg/5mL, 60 mL Oral 500 38,365.00
suspension 76.73
44 Bx/s Ibuprofen 200 mg Tablet 200 176.00 35,200.00
45 Bx/s Vit.B1+ Vit.B12 + Vit.B6 (100mg + 1000 293.00 293,000.00
5mg+50mcg Capsule)
46 Bot/s Multivitamins 1mL Drops 15mL 500 78.75 39,375.00
Bottle
47 Bx/s Multivitamins Capsule 500 1,250.00 625,000.00
48 Botl/s Multivitamins per 5mL Syrup 120 mL 500 150.38 75,190.00
Bottle
49 piece Nebulizer 20 3,980.00 79,600.00
50 Bot/s Ethyl Alcohol 70% Solution 250mL 1000 47.25 47,250.00
51 Oxygen portable Tanks(15 lbs ) 2 5,000.00 10,000.00
52 Infrared Non-Contact Thermometer 5 4,500.00 22,500.00
(for the head)
53 Digital Blood Pressure
Apparatus,pressure 0-299mmHg, 5 6,000.00 30,000.00
250 gm, 129 (L) mmx 103(W)
x(80(H),LCD59mmx43mm,fits arm
circumference (22-23 cm)
hypertension indicator, body
movement detection, 30 sets of
reading, irregular heartbeat detection
(batteries charger included
54 Stethoscope, double-sided, dual
diaphragm chestpiece for adult and 3 8, 000.00 24,000.00
pediatric assessment, chestpiece
precision-machined, single-pieced
diaphgram/rim, stem features an open
side indicator toeasily identify which
diaphragm is in operation, longer tube
life which improved resistance to skin
oils,alcohol and staining. 3M’s Tunable
Technology’ lets you easily switch from

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

low to high frequency sounds by

switching from light to firm pressure on
both the adults and pediatric sides of the
chestpiece
TOTAL 4,999,487.62
AMOUNT
(TOTAL AMOUNT IN WORDS) FOUR MILLION NINE HUNDRED NINETY-NINE THOUSAND FOUR
HUNDRED EIGHTY-SEVEN AND SIXTY-TWO CENTAVOS

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,

__________________________ _____ _____________________________
Signature over Printed Name of Supplier Signature over Printed Name of Authorized
Official

VERNIE R. VALMORIA
TREASURER
Date

__________________________________
Signature over Printed Name of Authorized
Official

EDGARDO P. TORRES
Punong Barangay

SOURCE OF FUNDS : OFFICE OF THE SECRETARY

DEPARTMENT OF BUDGET AND MANAGEMENT

OFFICE OF THE PRESIDENT

REPUBLIC OF THE PHILIPPINES

S.A.R.O. NO.: ___________________________________

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

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.

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY

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 Republic of the Philippines
OFFICE of the BARANGAY CHAIRMAN
MUNICIPALITY OF LAGONGLONG
PROVINCE OF MISAMIS ORIENTAL
BARANGAY BANGLAY