Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : LGU-Caoayan/Pinakbet Farm P.O. No. : ____________________________

Address : Caoayan, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pax packed merienda 50 100.00 5,000.00
(canton bihon, empanadita, bottled water,
softdrinks)

(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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : Lucky Gemini Trading P.O. No. : ____________________________

Address : Sta. Maria, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 set Filipiniana with olay (cream & grey/binakol) 7 2,900.00 20,300.00
2 set Filipiniana ( cream & fuschia pink) 7 2,080.00 14,560.00
3 set Pajama type with scarf (grey/binakol) 7 1,200.00 8,400.00
4 set Pajama type with scarf (violet) 7 960.00 6,720.00

49,980.00
(Total Amount in Words) Forty Nine Thousand Nine Hundred Eighty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : LGU-Caoayan/Pinakbet Farm P.O. No. : ____________________________

Address : Caoayan, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pax Meals (grilled liempo, grilled chicken, grilled 16 300.00 4,800.00
tilapia, pinakbet, unli rice, unli lemon grass
juice, balicucha, ar arosip)

(Total Amount in Words) Four Thousand Eight Hundred 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,

ERNANIE R. PACADA GERMELINA S. GOULART

Signature over Printed Name of Supplier Municipal Mayor
___________________________
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : LUCKY GEMINI TRADING P.O. No. : ____________________________

Address : Sta. Maria, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pc Visitors Chair 2 8,050.00 16,100.00
2 pc Computer Chair 1 4,025.00 4,025.00
3 unit Printer (Epson L6270) 1 28,800.00 28,800.00

(Total Amount in Words) Forty Eight Thousand Nine Hundred Twenty Five 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

JOB ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _J.R. JARA PLUMBING SERVICES_ P.O. No. : ____________________________

Address : _San Vicente, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 load siphoning service 4 3,500.00 14,000.00

(Total Amount in Words) Fourteen 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _MAV FURNITURE & ANTIQUE_ P.O. No. : ____________________________

Address : _San Vicente, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 Unit Open Cabinet 1 20,000.00 20,000.00

(Total Amount in Words) Twenty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier :Mariano Marcos Memorial Hospital and Medical Center P.O. No. : ____________________________
Address : _Batac City, Ilocos Norte_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 kit Expanded NBS Collection Kit 5 1,750.00 8,750.00
(Filter Card, Lancet, Transmittal Form, NBS
Pink Brochure)

(Total Amount in Words) Eight Thousand Seven Hundred Fifty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
 _____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _LUCKY GEMINI TRADING_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 Open Wooden Cabinet 1 21,000.00 21,000.00

(Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)
 Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _1705 GENERAL MERCHANDISE_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs. Foldable Table 4 7,500.00 30,000.00
2 pcs. Plastic Chair 25 670.00 16,750.00

(Total Amount in Words) Forty Six Thousand Seven Hundred Fifty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
 ___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _LUCKY GEMINI TRADING_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs. Glamworks Perm Hair Black 94 55.00 5,170.00
2 pcs. Glamworks Perm Hair Light Brown 51 55.00 2,805.00
3 pcs. Glamworks Perm Hair Medium Brown 33 55.00 1,815.00
4 pcs. Glamworks Perm Hair Chocolate Brown 28 55.00 1,540.00
5 pcs. Glamworks Perm Hair Dark Ash Brown 46 55.00 2,530.00
6 pcs. Glamworks Perm Hair Dark Brown 49 55.00 2,695.00
7 pcs. Glamworks Perm Hair Dark Caramel B 39 55.00 2,145.00
8 pcs. Glamworks Perm Hair Dark Mahogany 27 55.00 1,485.00
9 pcs. Barber Brush 9316 10 60.00 600.00
10 pcs. Tinkle Eyebrow Razor 10 10.00 100.00
11 box Disposable Gloves 1 300.00 300.00
12 pcs. Spray Bottle A-10 10 40.00 400.00
13 pcs. Bowl 10 25.00 250.00
14 pcs. Hair Dye Brush w/ Comb 9915 10 20.00 200.00
15 pcs. Hair Cutting Scissors 20 200.00 4,000.00
16 pcs. Antistatic Comb 0712 10 35.00 350.00
17 bxs. Amirs Hair Color 100 120.00 12,000.00
18 packs Hair Clip 10 65.00 650.00
19 pcs. Cape (Balabal) 20 75.00 1,500.00
 (Total Amount in Words) Forty Thousand Five Hundred Thirty Five 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : __ABC MARKETING_____ P.O. No. : ____________________________

Address : __Vigan City______ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 meters Flat Cord 14 27.00 378.00
2 pcs. Male Plug 2 45.00 90.00
3 pcs. Outlet 3 75.00 225.00
 (Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : __Ilocos Sur Seed Growers Multi-Purpose Coop._____ P.O. No. : ____________________________
Address : __Vigan City______ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pax Meals (Lunch) and Snacks (AM & PM) 108 200.00 21,600.00
 (Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : NIKS PRINTING SHOP P.O. No. : ____________________________

Address : Vigan City Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs. Jersey (basketball uniform) 60 500.00 30,000.00
 (Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : LGU-Caoayan/Pinakbet Farm P.O. No. : ____________________________

Address : Caoayan, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pax March 18, 2025 84 55.00 4,620.00
packed p.m. snacks
(fresh pancit, turon saba, bottled water and
softdrinks)

2 pax March 19, 2025 53 45.00 2,385.00

packed a.m. snacks
(egg sandwich, bottled water and softdrinks )

3 pax March 19, 2025 9 300.00 2,700.00

Meals (grilled liempo, grilled chicken, grilled
tilapia, pinakbet, unli rice, unli lemon grass
juice, balicucha, ar arosip)

4 pax March 19, 2025 76 55.00 4,180.00

packed p.m. snacks
(fresh pancit, turon saba, bottled water and
softdrinks)

(Total Amount in Words) Thirteen Thousand Eight Hundred Eighty Five 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,

ERNANIE R. PACADA GERMELINA S. GOULART

Signature over Printed Name of Supplier Municipal Mayor
___________________________
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : Lucky Gemini Trading P.O. No. : ____________________________

Address : Sta. Maria, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 set Filipiniana with olay (cream & grey/binakol) 7 2,900.00 20,300.00
2 set Filipiniana ( cream & fuschia pink) 7 2,080.00 14,560.00
3 set Pajama type with scarf (grey/binakol) 7 1,200.00 8,400.00
4 set Pajama type with scarf (violet) 7 960.00 6,720.00

49,980.00
(Total Amount in Words) Forty Nine Thousand Nine Hundred Eighty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : LGU-Caoayan/Pinakbet Farm P.O. No. : ____________________________

Address : Caoayan, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pax p.m. snacks (canton sotanghon, shanghai, 60 150.00 9,000.00
bibingka, bbq, softdrinks, bottled water)

(Total Amount in Words) Nine 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : Mike's Dept. Store P.O. No. : ____________________________

Address : Vigan City, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pc energizer max AA 4 105.00 420.00
2 pc energizer max 9V 2 200.00 400.00

(Total Amount in Words) Eight Hundred Twenty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _1705 GENERAL MERCHANDISE_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 Unit Printer 3in1 with WIFI 1 24,600.00 24,600.00

(Total Amount in Words) Twenty Four Thousand Six Hundred 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
 Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _MAV FURNITURE & ANTIQUE_ P.O. No. : ____________________________

Address : _San Vicente, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 Unit Open Cabinet 1 20,000.00 20,000.00

(Total Amount in Words) Twenty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
 Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier :Mariano Marcos Memorial Hospital and Medical Center P.O. No. : ____________________________
Address : _Batac City, Ilocos Norte_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 kit Expanded NBS Collection Kit 5 1,750.00 8,750.00
(Filter Card, Lancet, Transmittal Form, NBS
Pink Brochure)

(Total Amount in Words) Eight Thousand Seven Hundred Fifty 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)
 Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _LUCKY GEMINI TRADING_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 Open Wooden Cabinet 1 21,000.00 21,000.00

(Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
 Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _1705 GENERAL MERCHANDISE_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs. Foldable Table 4 7,500.00 30,000.00
2 pcs. Plastic Chair 25 670.00 16,750.00

(Total Amount in Words) Forty Six Thousand Seven Hundred Fifty 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,

 _______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : _LUCKY GEMINI TRADING_ P.O. No. : ____________________________

Address : _Sta. Maria, Ilocos Sur_ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs. Glamworks Perm Hair Black 94 55.00 5,170.00
2 pcs. Glamworks Perm Hair Light Brown 51 55.00 2,805.00
3 pcs. Glamworks Perm Hair Medium Brown 33 55.00 1,815.00
4 pcs. Glamworks Perm Hair Chocolate Brown 28 55.00 1,540.00
5 pcs. Glamworks Perm Hair Dark Ash Brown 46 55.00 2,530.00
6 pcs. Glamworks Perm Hair Dark Brown 49 55.00 2,695.00
7 pcs. Glamworks Perm Hair Dark Caramel B 39 55.00 2,145.00
8 pcs. Glamworks Perm Hair Dark Mahogany 27 55.00 1,485.00
9 pcs. Barber Brush 9316 10 60.00 600.00
10 pcs. Tinkle Eyebrow Razor 10 10.00 100.00
11 box Disposable Gloves 1 300.00 300.00
12 pcs. Spray Bottle A-10 10 40.00 400.00
13 pcs. Bowl 10 25.00 250.00
14 pcs. Hair Dye Brush w/ Comb 9915 10 20.00 200.00
15 pcs. Hair Cutting Scissors 20 200.00 4,000.00
 16 pcs. Antistatic Comb 0712 10 35.00 350.00
17 bxs. Amirs Hair Color 100 120.00 12,000.00
18 packs Hair Clip 10 65.00 650.00
19 pcs. Cape (Balabal) 20 75.00 1,500.00
(Total Amount in Words) Forty Thousand Five Hundred Thirty Five 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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : __ABC MARKETING_____ P.O. No. : ____________________________

Address : __Vigan City______ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 meters Flat Cord 14 27.00 378.00
2 pcs. Male Plug 2 45.00 90.00
3 pcs. Outlet 3 75.00 225.00
 (Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : __Ilocos Sur Seed Growers Multi-Purpose Coop._____ P.O. No. : ____________________________
Address : __Vigan City______ Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pax Meals (Lunch) and Snacks (AM & PM) 108 200.00 21,600.00
 (Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date

Appendix 49

PURCHASE ORDER
CAOAYAN, ILOCOS SUR
LGU

Supplier : NIKS PRINTING SHOP P.O. No. : ____________________________

Address : Vigan City Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs. Jersey (basketball uniform) 60 500.00 30,000.00
 (Total Amount in Words)

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,

_______________________________
Signature over Printed Name of Supplier GERMELINA S. GOULART
___________________________ Municipal Mayor
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date