Republic of the Philippines

Province of Eastern Samar

MUNICIPALITY OF GIPORLOS

PURCHASE ORDER
LGU- GIPORLOS, EASTERN SAMAR

Supplier: P.O. No.

Address: Date: ____________
TIN: ___________________________ Mode of Procurement
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions herein:

Place of Delivery: Delivery Term:

Date of Delivery: Payment Term:
Stock No. UNIT Description Qty. Unit Cost AMOUNT
Box Bond Paper Legal 8 1/2 " X 13 2
Box Bond Paper A4 210 mm X297 mm 2
Pcs Puncher 3
Pcs Stapler 3
Box Scisors 3
Pcs Correction Tape 10
Box Sign Pen 1
Box Brother Ink DCP-T710W ( black) 3
Box Brother Ink DCP-T710W ( blue) 3
Box Brother Ink DCP-T710W ( yellow) 3
Box Brother Ink DCP-T710W ( red) 3
Box Pentel Pen 1
doz Folder long 3
doz Folder Short 3
doz brown envelop long 3
doz brown envelop short 3
doz plastic envelop long 3
doz plastic envelop short 3
Pc cutter blade 1
pcs scotch tape (12mm) 3
pcs scotch tape ( 48 mm) 3
pcs double sided tape (24mm X10m) 3
pcs elmers glu e ( 240g) 3
pcs calculator 3
pcs highlighter 10
pc Printer (brother) 1
pack photo paper 2
box paper clip small 1
box paper clip big 1

-
TOTAL: -
of one percent (1%) for every day of delay shall be imposed.
Very truly yours,
Municipal Mayor
Conforme:
HON. GILBERT I. GO
Local Chief Executive
Signature Over Printed Name of Supplier
Date:

Funds Available: OR/BUR No. ____________________________

LEOBEN F. GARADO Amount:

Chief Accountant