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Barangay Purchase Order Form

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100% found this document useful (1 vote)
241 views1 page

Barangay Purchase Order Form

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PURCHASE ORDER

SK of Barangay: City/Municipality:
Tel. No.: Province:
Supplier: ______________________ PO No.: _________
Address: Date: ____________
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,

__________________________________ __________________________________
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:

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

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