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