PURCHASE ORDER Municipality of Gitagum LGU Supplier: Address:
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions herein: Place of Delivery LGU Gitagum Delivery Term:___________________________________ Date of Delivery: Payment Term:___________________________________ Item No. UNIT QTY Unit Cost Amount
SHELL FILLING STATION Laguindingan, Misamis Oriental
P.O. # Date:
82-100-2012 March 3, 2012
1. 2.
Ltrs. Ltr.
12 Diesel Fuel 5 ATF 1 TOTAL
51.786 216.00
P 6,473.25 216.00 P 6,689.25
In case of failure to make the full delivery within the time specified above, a penalty of one tenth (1/10) of one percent (1%) for every day of delayed shall be imposed. Conform: Very truly yours,
RODOLFO O. BURAY
Signature over printed name ______________________________ Date In case of negotiated purchase pursuant to Section 369(a) of RA 7160, this portion Shall be accomplished Approved to be purchased thru negotiated Authorized Official
Requisitioning Office
Fund Available Amount
SALVADOR
Purchased per Sanggunians Res. No. Treasurer
RODOLFO O. BURAY
Municipal Mayor
ANELIE T.
Municipal