Appendix 61

PURCHASE ORDER
Bureau of Fire Protection-R7
Entity Name

Supplier : DE 5 R'S SARI SARI STORE P.O. No. : 2023-10-002

Address : Poblacion, San Miguel, Bohol Date : 10/20/2023
TIN : 747-168-278-000 Mode of Procurement : Shopping
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery San Miguel Fire Station Delivery Term : Shopping

Date of Delivery : Payment Term : COD

Stock/ Property
Unit Description Quantity Unit Cost Amount
No.
1 pcs White Long Folder 36 5 180.00
2 bot Epson Ink Black 664 4 310 1,240.00
3 bot Epason Ink Magenta 664 2 315 630.00
4 bot Epson Ink Yellow 664 2 315 630.00
5 bot Epson Ink Cyan 664 2 310 620.00
6 reams Bond Paper Long 6 150 900.00
7 reams Bond Paper A4 5 160 800.00

Total 5,000.00
(Total Amount in Words) FIVE THOUSAND PESOS ONLY

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,

_______________ SFO3 Mesael B Galan

Supplier OIC Municipal Fire Marshal

___________________________
Date

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