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PURCHASE ORDER

SK of Barangay: BACOLOD City/Municipality: MILAGROS


Tel. No.: Province: MASBATE
Supplier: ______________________ PO No.: _________
Address: Masbate City Date: ____________, 2020
Tel. No.: ___________________ TIN: _________________ Mode of Procurement: ____________________
Gentlemen: Please deliver to this office the following articles subject to the terms and conditions contained herein:
Place of Delivery: _______________________________________ Delivery Team: ___________________________________
Date of Delivery: ________________________________________ Payment Team: ___________________________________

Item No. Unit Description Qty Unit Cost Amount

In case of failure to make 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,

__________________________________ JOANNE Z. DUMANGAS


Signature over Printed Name of Supplier Signature over Printed Name of SK Chairperson
Date: ___________________ Date:______________________

Availability of the budget or funds received for specific purpose:

JERRA MAE T. EVANGELISTA


Signature over Printed Name of SK Secretary/Budget Monitoring Officer Date: _______________________

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