Purchase Order: NO. Unit QTY Description Unit Cost Amount
Purchase Order: NO. Unit QTY Description Unit Cost Amount
Purchase Order: NO. Unit QTY Description Unit Cost Amount
Supplier: PO No.:
Date:
Address: Mode of Procurement: Shopping
PR No.:
Gentlemen:
Please furnish this office the following articles subjects to the terms and conditions contained herein
Place of Delivery: Delivery Term:
Date of Delivery:
Payment Term:
NO. UNIT QTY DESCRIPTION UNIT COST AMOUNT
Municipal Mayor
Conforme:
Date: _____________
Note: In case of negotiated Purchase pursuant to Section 369 (a) RA No. 7160, this portion must be accomplished.
Approved per Sangguniang Resolution No. ___________________________________________
Certified Correct: ____________________________________ Date: _________________________________