Purchase Order 2017

PURCHASE ORDER
This Purchase Order is issued subject to the terms and conditions on the reverse of this document.
Date: 4-Dec-17 PO/RI/AFG/KBL/17/63
Reference to framework agreement: PO No:
(if relevant)
N/A
SUPPLIER DELIVERY / COLLECTION ADDRESS

Contact
Company name: Ethad Stana Printing Press Hassan Azizi
Name:
Contact Name: Noorullah Stankzai E-mail: Hassan.azizi@ri.org
E-mail: sales.ethadstana@gmail.com Address:
3rd Street of Taimani, Gulai Nal Sabiqa
Phone: 700049786
Fax: RELIEF INTERNATIONAL INVOICING ADDRESS
Contact
Mobile: 781343401 Hassan Azizi
Name:
E-mail: Hassan.azizi@ri.org
Address: Kolola Pushta Road, Infornt of Sharwali Blocks, Kabul Afghanistan
Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
Delivery method: Delivery N/A Payment terms: Check
(if applicable)
Supplier Date:
Description of Goods / Services Quantity

PR no. S.No Unit / Form Currency Unit Price Total Price
(add technical specification as attachment if very detailed) required
RI/AFG/KBL/17/085 1 Printing of Broachers Paper 300grams hard card with Glasss A4 3,000 AFN 5.00 AFN 15,000
Lamination Tow side Color: Fours colors broacher DARI
Size: A4 (Stander)
RI/AFG/KBL/17/085 2 Printing of Broachers Paper 300grams hard card with Glasss A4 2,000 AFN 5.50 AFN 11,000
Lamination Tow side Color: Fours colors broacher PASHTO
Size: A4 (Stander)
NB: Add more lines to the PO if required Subtotal 26,000.00

Sales tax (if applicable)
Delivery charge (if applicable)
Other charges (if applicable)
TOTAL 26,000.00
The Purchase Order number must be quoted on all correspondance and documents including delivery note and invoice
Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Name: Hassan Azizi Name: Brian Laguardia
Title: Logistic Assistant Title: Country Dirctor
Signature: Signature:
Date: Date:
Supplier acceptance: Supplier Stamp

Name: Mr.Shiraz Khan
Title: Sales & Markting Officer Ethad Stana
Signature:
Date:
Form ID:513363517.ods Recommended Distribution: Finance (original), Supplier (2nd original), Procurement (copy) and Warehouse (copy)
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: Mohammad Amaan & Mohammad Ashraf Hassan Azizi
Name:
Contact Name: Mohammad Ashraf E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 700257121
Contact
Name:
Mandawee Faiz Mohammad Nasiri Market, shop # 254 E-mail: Hassan.azizi@ri.org
Address:
Kabul Afghnistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
Supplier Date:

Installation of Plastic Sheeting for RI office and Expat Guest

RI/AFG/KBL/17/080 1 Windows 50 AFN 21400.00 AFN 21,400
House windows with the total wages of Carpinter

TOTAL 21,400.00

Date: Date:

Name: Mohammad Ashraf
Title: Owner of Carpintery
Signature:
Date:
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: Foroshgah Ahmadi Hassan Azizi
Name:
Contact Name: Mohmmad Karim- Karbalai Mukhtar E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 772104419
Contact
Name:
Mandawee Faiz Mohammad Nasiri Market, shop # 254 E-mail: Hassan.azizi@ri.org
Address:
Kabul Afghnistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
Supplier Date:

RI/AFG/KBL/17/090 1 High Quality Ankle boots, waterproof, winter type PC 20 AFN 2200.00 AFN 44,000

TOTAL 44,000.00

Date: Date:

Name: Mohammad Karim
Title: Representative
Signature:
Date:
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: M. Zabah Zahir Store Hassan Azizi
Name:
Contact Name: Mr. Zabah Zahir E-mail: Hassan.azizi@ri.org
E-mail: zabizahir@yahoo.com Address:
Phone: 795559090
Contact
Name:
Mandawee across to Faiz Mohammad Nasiri Market Kabul E-mail: Hassan.azizi@ri.org
Address:
Afghnistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
Supplier Date:

RI/AFG/KBL/17/091 1 High Quality Ankle boots, waterproof, winter type PC 20 AFN 1200.00 AFN 24,000

TOTAL 24,000.00

Date: Date:

Name: Mohammad Zabi
Title:
Signature:
Date:
PURCHASE ORDER
Date: 4-Dec-17 PO/RI/AFG/KBL/17/
(if relevant)
N/A

Contact
Company name: Fajr Sadat Stationery Ltd Hassan Azizi
Name:
Contact Name: Mir Mosawer E-mail: Hassan.azizi@ri.org
E-mail: fajr_sadat@outlook.com Address:
Phone: 700219165
Contact
Name:
Address: Kabul Afghanistan, Shar-e-Naw Haris Plaza Shop # (112)
Required
(if applicable)
Supplier Date:

RI/AFG/KBL/17/88 1 Ball Pen Box 3 AFN 150 AFN 450
RI/AFG/KBL/17/88 2 Lucky Boss A4 Paper Box 10 AFN 1050 AFN 10,500
RI/AFG/KBL/17/88 3 Cuter PC 2 AFN 50 AFN 100
RI/AFG/KBL/17/88 4 Scissors PC 2 AFN 40 AFN 80
RI/AFG/KBL/17/88 5 Binder Clip Box 3 AFN 360 AFN 1,080
RI/AFG/KBL/17/88 6 Note Book Sime Small PC 14 AFN 20 AFN 280
RI/AFG/KBL/17/88 7 Chain Key Box 2 AFN 150 AFN 300
RI/AFG/KBL/17/88 8 Extension Cord Miter 5 AFN 500 AFN 2,500
RI/AFG/KBL/17/88 9 Pen Holder PC 2 AFN 40 AFN 80
RI/AFG/KBL/17/88 10 Gluo Stick Box 1 AFN 350 AFN 350
RI/AFG/KBL/17/88 11 Stapler PC 5 AFN 250 AFN 1,250
RI/AFG/KBL/17/88 12 Note Book Leather 2018 PC 7 AFN 250 AFN 1,750
RI/AFG/KBL/17/88 13 Box File 3" PC 5 AFN 60 AFN 325
RI/AFG/KBL/17/88 14 Unibal pen 0.7 orginal mad in Japan PC 2 AFN 350 AFN 700
RI/AFG/KBL/17/88 15 Parmanent (Board ) Marker Box 16 AFN 10 AFN 160
RI/AFG/KBL/17/88 16 White Board 120x80 Miter 3 AFN 700 AFN 2,100
RI/AFG/KBL/17/88 17 Notice Board 120x80 Miter 2 AFN 700 AFN 2,100
RI/AFG/KBL/17/88 18 Highliter PC 2 AFN 20 AFN 40
RI/AFG/KBL/17/88 19 Wooden Three Tire File PC 1 AFN 480 AFN 480
RI/AFG/KBL/17/88 20 Punch Machen PC 1 AFN 250 AFN 250
RI/AFG/KBL/17/88 21 Wooden Pen Holder PC 1 AFN 200 AFN 200
RI/AFG/KBL/17/88 22 Sticky Note Pad Box 1 AFN 240 AFN 240
RI/AFG/KBL/17/88 23 Sheet Protector Dozen 1 AFN 180 AFN 180
RI/AFG/KBL/17/88 24 Calculator PC 1 AFN 400 AFN 400
RI/AFG/KBL/17/88 25 Correction pen PC 1 AFN 30 AFN 30
RI/AFG/KBL/17/88 26 Duster PC 2 AFN 30 AFN 60
RI/AFG/KBL/17/88 27 Head Phone PC 3 AFN 400 AFN 1,200
RI/AFG/KBL/17/88 28 Staples KW 24/60 1000 PC 10 AFN 15 AFN 150
RI/AFG/KBL/17/88 29 Suspension file 25 pieces per box with clear tabs and inserts Box 2 AFN 500 AFN 1,000
RI/AFG/KBL/17/88 30 Kapsersky anti Virus one + 1 User free User 1 AFN 1100 AFN 1,100
RI/AFG/KBL/17/88 31 Stamp Paid PC 1 AFN 750 AFN 750
RI/AFG/KBL/17/88 32 USB Flash Drive 32 GB Original Drive 1 AFN 900 AFN 900
RI/AFG/KBL/17/88 33 USB Flash Driver 8 GB Original Drive 1 AFN 500 AFN 500
RI/AFG/KBL/17/88 34 Memory Card 32 GB SD Size Mini Drive 1 AFN 1500 AFN 1,500
RI/AFG/KBL/17/88 35 Mouse Wireless PC 3 AFN 300 AFN 900
RI/AFG/KBL/17/88 36 Bag Laptop Bag 1 AFN 1200 AFN 1,200
RI/AFG/KBL/17/88 37 Dust Ben PC 1 AFN 160 AFN 160
RI/AFG/KBL/17/88 38 Computer Fan PC 1 AFN 800 AFN 800
RI/AFG/KBL/17/88 39 Mouse Pad PC 1 AFN 50 AFN 50
RI/AFG/KBL/17/88 40 Tape PC 1 AFN 30 AFN 30
RI/AFG/KBL/17/88 42 Stamp Ink Bottle 2 AFN 30 AFN 60
RI/AFG/KBL/17/88 43 HP Toner 85A PC 4 AFN 900 AFN 3,600
RI/AFG/KBL/17/88 44 HP Toner 83A Original PC 5 AFN 4100 AFN 20,500
RI/AFG/KBL/17/88 40 HP Toner 78A PC 4 AFN 900 AFN 3,600
RI/AFG/KBL/17/88 42 Changer for Mobile PC 1 AFN 100 AFN 100
TOTAL 64,085.00

Title: Operations Assistant Title: Country Dirctor
Date: Date:

Name: Mir Mosawer
Title: Fajr Sadat Stationery Ltd, Owner
Signature:
Date:
PURCHASE ORDER
Date: Nov-21-2017 PO/RI/AFG/KBL/17/67
(if relevant)
N/A

Contact
Company name: Mohammad Zarif Engineering Hassan Azizi
Name:
Contact Name: Mr. Zarif E-mail: Hassan.azizi@ri.org
E-mail: M.Zarif_Engineering@yahoo.com Address:
Phone: 799410410
Contact
Name:
Address: Qowa e Markaz, Kabul Market, Shop # 145 Kabul Afghanistan
Required
(if applicable)
Supplier Date:

Repairing of Fuji Diesel Generator

RI/AFG/KBL/17/084 1 Seat 1 AFN 15000.00 AFN 15,000
Diesel Pump with one year warranty
RI/AFG/KBL/17/084 2 One seat original farsing tips ( Points) Seat 3 AFN 3400.00 AFN 10,200
RI/AFG/KBL/17/084 3 Full Maintenance of Generator with original oil filter, diesel filter Seat 1 AFN 7000 AFN 7,000
RI/AFG/KBL/17/084 4 Wages of replacing Diesel Pump Person 2 AFN 2000 AFN 4,000

TOTAL 36,200.00

Date: Date:

Name: Mr. Zarifullah
Title:
Signature:
Date:
PURCHASE ORDER
Date: Nov-15-2017 PO/RI/AFG/KBL/17/65
(if relevant)
N/A

Contact
Company name: Baraki Pump Station Hassan Azizi
Name:
Contact Name: Mr. Najibullah E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 799333531
Contact
Name:
Address: Baraki Sqaure, Kabul Afghanistan
Required
(if applicable)
Supplier Date:

RI/AFG/KBL/17/082 1 Diesel Fuel for RI GH and Office Heaters Liters 3,200 AFN 49.00 AFN 156,800

TOTAL 156,800.00

Date: Date:

Name: Mr. Najibullah
Title:
Signature:
Date:
PURCHASE ORDER
Date: Oct-19-2017 PO/RI/AFG/KBL/17/62
(if relevant)
N/A

Contact
Company name: Lajawab Photocopy Machines Store, Workshop & Photo Studio Hassan Azizi
Name:
Contact Name: Qari E-mail: Hassan.azizi@ri.org
E-mail: lajawab.copymachines@gamil.com Address:
Phone: 799848483
Contact
Name:
Address: Jada e Wolayat- Ahmad Shah Baba Market, Kabul Afghansitan
Required
(if applicable) Supplier Date:

Translation of four Separate Documents Include 23 Pages

RI/AFG/KBL/17/78 1 A4 Paper 23 AFN 1000.00 AFN 23,000
from English to Pasthu version

TOTAL 23,000.00

Date: Date:

Name: Qari
Title: Translator
Signature:
Date:
PURCHASE ORDER
Date: 12-Oct-17 PO/RI/AFG/KBL/17/59
(if relevant)
N/A

Contact
Company name: Abdul Hussain Furniture Store Hassan Azizi
Name:
Contact Name: Abdul Hussain E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 777307829
Contact
Name:
Address: Parwan-e- 2, Sultani Sons Trading Market
Required

RI/AFG/KBL/17/75 1 Revolving Office Chair, 2 gears, leather type PC 4 AFN 3900.00 AFN 15,600
RI/AFG/KBL/17/75 2 Revolving Office Chair, 2 gears, leather type PC 3 AFN 3900.00 AFN 11,700
RI/AFG/KBL/17/75 3 File Caniet, 2 Compartment type PC 1 AFN 6300 AFN 6,300
RI/AFG/KBL/17/75 4 Office Desk 1.20x80, Chinese PC 4 AFN 3200 AFN 12,800
RI/AFG/KBL/17/75 5 PC 1 AFN 3200 AFN 3,200

Office Desk 1.20x80, Chinese
RI/AFG/KBL/17/75 6 Static Office Chair, Leather seated, Metalic Stands PC 1 AFN 3700 AFN 3,700
RI/AFG/KBL/17/75 7 Static Office Chair, Leather seated, Metalic Stands PC 3 AFN 3700 AFN 11,100

TOTAL 64,400.00

Date: Date:

Name: Abdul Hussain
Title: President
Signature:
Date:
PURCHASE ORDER
(if relevant)

Contact
Company name: Strengths Innovations Printing Press Hassan Azizi
Name:
Contact Name: Nasrullah Stankzai E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 700661191
Contact
Name:
Address: Kuta-e- Sangi Kabul Afghanistan
Required

Printing of Leaflets Paper Size A4 Weight 300 gram with

RI/AFG/KBL/17/74 1 A4 Paper 2,500 AFN 4.50 AFN 11,250
dobule side Lamination Dari and Pashtu Version

TOTAL 11,250.00

Date: Date:

Name: Mr. Nasrullah Stankzai
Title: Manager of Strenghts Innovation Printings
Signature:
Date:
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: DHL Express Afghanistan Hassan Azizi
Name:
Contact Name: Esmatullah Rowshan E-mail: Hassan.azizi@ri.org
E-mail: www.dhl.com.af esmatullah.rowshan@dhl.com Address:
Phone: 797045604
Contact
Name:
Shash Darak Mian Road, House # 02 Street # 01 Opposite MOD E-mail: Hassan.azizi@ri.org
Address:
Kabul Afghanistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required

Cost of Shippment to UK Shipping of 224.5 KG personal Item

RI/AFG/KBL/17/73 1 of RI's Ex Regional security Manager to UK via DHL's luggage 225 USD 8.93 $2,004
Express delivery
RI/AFG/KBL/17/73 2 Insurance cost applied N/A 1 USD 642.00 $642

TOTAL 2,646.00

Date: Date:

Name: DHL Express Afghanistan- Esmatullah Rowshan
Title: Field Sales Executive
Signature:
Date:
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: Mr. Hikmatullah Hassan Azizi
Name:
Contact Name: Mr. Hikmatullah E-mail: Hassan.azizi@ri.org
E-mail: Hikmatullah200@yahoo.com Address:
Phone: 700582572
Contact
Name:
Address: Company, Khuja Jam Kabul, Afghanistan
Required

Extension of RI Road Permits for Three Years

Start From: 16- September-2017 to 15-September -2020
Toyota Corolla
RI/AFG/KBL/17/71 1 Vehicle 1 AFN 17000.00 AFN 17,000
Compaq Silver Car Palate # 4-59319 Engine
Number (JT154EA0001586)
Chassis Number (4E0518338)
Extension of RI Road Permits for Three Years

Start From: 16- September-2017 to 15-September -2020
Toyota Corolla
RI/AFG/KBL/17/71 2 Vehicle 1 AFN 17000.00 AFN 17,000
Blue Car Palate # 4-48689 Engine
Number (7AF364652) Chassis
Number (JT2AE09W8P0019900)

TOTAL 34,000.00

Date: Date:

Name: Mr. Hikmatullah
Title:
Signature:
Date:
PURCHASE ORDER
Date: 20-Sep-17 PO/RI/AFG/KBL/17/55
(if relevant)
N/A

Contact
Company name: Jahan Anwary Stationery Company Ltd Hassan Azizi
Name:
Contact Name: E-mail: Hassan.azizi@ri.org
E-mail: Anwarystationery@gmail.com anwary_ Stationery@yahoo.com Address:
Phone: 700276087
Contact
Name:
Address: Charahi Sedarat Kabul, Afghanistan
Required

Standardiz Paper for Poster according to MRRD

RI/AFG/KBL/17/70 1 Role 200 AFN 830.00 AFN 166,000
specificatons ( 40" x 20 MTR)

TOTAL 166,000.00

Date: Date:

Name:
Title:
Signature:
Date:
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: Qasr-e- Kabul Mobil & Furniture, Hamid Ellyas Company Hassan Azizi
Name:
E-mail: Hamedilyas.ltd@hotmail.com Address:
Phone: 786272626
Contact
Name:
Address: Between Red Rose and Police PD 5 Squre
Required

3 Meters conference table, Chinese with Capacity of 12

RI/AFG/KBL/17/67 1 PC 1 AFN 30000.00 AFN 30,000
indiviuals
RI/AFG/KBL/17/67 2 Conference Chair with Nickle Stands PC 12 AFN 3600.00 AFN 43,200

TOTAL 73,200.00

Date: Date:

Name:
Title:
Signature:
Date:
PURCHASE ORDER
(if relevant)
N/A

Contact
Company name: Fajr Sadat Computer Ltd Stationery Hassan Azizi
Name:
Contact Name: Mir Mosawer E-mail: Hassan.azizi@ri.org
E-mail: Fajr_sadat@outlook.com Address:
Phone: 795905010
Contact
Name:
Address: Shar e Naw Haji Yaqoob Haris computer Plaza Shope # (112)
Required
(if applicable) RI- Vehicle Date:

RI/AFG/KBL/17/69 1 Kaspersky anti virue + one user free Disc 1 AFN 1000.00 AFN 1,000
RI/AFG/KBL/17/69 2 Dust Ben PC 1 AFN 160.00 AFN 160

RI/AFG/KBL/17/69 3 Stapler Knight Serise PC 1 AFN 200 AFN 200
RI/AFG/KBL/17/69 4 Bag Laptop Bag 3 AFN 1200 AFN 3,600
RI/AFG/KBL/17/69 5 USB Flash Drive 8 GB Original Drive 1 AFN 400 AFN 400
RI/AFG/KBL/17/69 6 Note Book Leather 2017 PC 2 AFN 200 AFN 400
RI/AFG/KBL/17/69 7 Lucky Boss A4 Multi Purpose Paper Pack 3 AFN 1050 AFN 3,150
RI/AFG/KBL/17/69 8 Ball Point PEN Pack 3 AFN 130 AFN 390
RI/AFG/KBL/17/69 9 HP Toner 85 A PC 2 AFN 900 AFN 1,800
RI/AFG/KBL/17/69 10 Binder Clip Small PC 1 AFN 30 AFN 30
RI/AFG/KBL/17/69 11 Tape Role 1 AFN 20 AFN 20
RI/AFG/KBL/17/69 12 PEN LINC glycer Pack 3 AFN 200 AFN 600
RI/AFG/KBL/17/69 13 Staky Pad PC 6 AFN 20 AFN 120
RI/AFG/KBL/17/69 14 Staples KW 24/6 1000X20 PC 6 AFN 20 AFN 120
RI/AFG/KBL/17/69 15 Suspension File 25 Pieces per Box With Clear Tabs and Insert PC 1 AFN 450 AFN 450
RI/AFG/KBL/17/69 16 Sheet Protectors Pack 1 AFN 160 AFN 160
RI/AFG/KBL/17/69 17 Box File 3" PC 27 AFN 65 AFN 1,755
RI/AFG/KBL/17/69 18 Chep 32 GB Original Chep 1 AFN 1100 AFN 1,100
RI/AFG/KBL/17/69 19 Staples big PC 1 AFN 50 AFN 50
RI/AFG/KBL/17/69 20 Steel three tier file PC 1 AFN 350 AFN 350
RI/AFG/KBL/17/69 21 HP Cartridge 61 combo Pair 1 AFN 2600 AFN 2,600
RI/AFG/KBL/17/69 22 HP Toner 83 A Laserjet for MFP M125, PC 1 AFN 4100 AFN 4,100
RI/AFG/KBL/17/69 23 Highlighter Marker Pack 1 AFN 120 AFN 120
RI/AFG/KBL/17/69 24 Punch machen big PC 1 AFN 500 AFN 500
TOTAL 23,175.00

Date: Date:

Name: Mir Mosawer
Title: Fajr Sadat Reprisentative
Signature:
Date:
PURCHASE ORDER
Date: August /22/2017 PO/RI/AFG/KBL/17/51

PO No:
Reference to framework agreement: N/A
(if relevant)

Contact
Company name: Ali Khan Mobile & Furniture Hassan Azizi
Name:
Contact Name: Ali Khan E-mail: Hassan.azizi@ri.org
E-mail: ali_furniture2006@yahoo.com Address:
Phone: 799333718
Contact
Mobile: Hassan Azizi
797795295 Name:
Address: Parwan 2 Market Pesaran Soltani Shoip # 8 & 9
Required
(if applicable)
RI- Vehicle Date:

RI/AFG/KBL/17/064 1 Cabinet File (Two Side doors) PC 2 PC AFN 7000.00 AFN 14,000

TOTAL 14,000.00

Date: Date:

Name: Ali Khan
Title: Representative
Signature:
Date:
PURCHASE ORDER
Date: August /22/2017 PO/RI/AFG/KBL/17/50

PO No:
(if relevant)

Contact
Company name: Khalid Rahmani Ltd Hassan Azizi
Name:
Contact Name: Amin E-mail: Hassan.azizi@ri.org
E-mail: amin@krl.af www.krl.af Address:
Phone: 707119755
Contact
77414516 Name:
Opp: Pole- Khushti Masjid, 34, Painda Muhammad Market
Address:
Required
Delivery method: Delivery N/A Payment terms: Wire Transfer
(if applicable)
Land / Vehicle Date:

External Parasite Medicines Tigafone 98% Triclororom ( Made in

RI/AFG/KBL/17/063 1 PC 100 KG AFN 400.00 AFN 40,000
Pakistan)

TOTAL 40,000.00

Date: Date:

Name: Aminullah
Title: Khalid Rahmani LTD Representative
Signature:
Date:
PURCHASE ORDER
Date: 24-Jul-17 PO/RI/AFG/KBL/17/48

PO No:
(if relevant)

Contact
Name:
E-mail: Abdul.Hussain@yahoo.com Address:
Phone: 777307829
Contact
78779071 Name:
Address: Center of Panjshir Province - Afghanistan
Required
Delivery method: delivery N/A Payment terms: Wire Transfer
(if applicable)
N/A date:

RI/AFG/KBL/17/060 1 One Shelf (Drawers) Malysian Office Tabel PC 1 AFN 3050.00 AFN 3,050
RI/AFG/KBL/17/060 Two Shelf (Drawers) Malysian Office Tabel PC 1 AFN 5300.00 AFN 5,300
RI/AFG/KBL/17/060 Office Wheelchair PC 2 AFN 2250 AFN 4,500
RI/AFG/KBL/17/060 PC 1 AFN 1900 AFN 1,900

Wooden File Cabinet
Foldable Chair
Metal Coat Hunger Best Quality
Truck 1 AFN 2300 AFN 2,300
Transportation Cost of Furniture from kabul to Kapisa office

TOTAL 22,450.00

Name: Hassan Azizi Name: Eng.Amanullah Sarhadi
Title: Logistic Assistant Title: Deputy Country Dirctor
Date: Date:

Name: Abdul Hussain
Title: Owner of Abdul Hussain Furniture Store
Signature:
Date:
PURCHASE ORDER

PO No:
(if relevant) PO-RI-Country Office – Location -Year-Sequential number

Contact
Company name: Panjshir Hotel Hassan Azizi
Name:
Contact Name: Dost Mohammad E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone:
Contact
Name:
Address: Center of Panjshir Province - Afghanistan
Required
Delivery method: delivery N/A Payment terms: Wire Transfer
(if applicable)
N/A date:

Hotel Reservation and Agrrangment in Panjshir _ CCNPP_ Second

RI/AFG/KBL/17/059 1 Night 23 AFN 3500.00 80500
Round of TOT for FPs ( 23 Days 10 July to 01 August 2017)

TOTAL 80,500.00

Date: Date:

Name: Mr.Dost Mohammad
Title: Panjshir Hotel Representative
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: DHL EXPRESS Hassan Azizi
Name:
Contact Name: Mr. Esmatullah E-mail: Hassan.azizi@ri.org
E-mail: esmatullah.rowshan@dhl.com Address:
Phone: 792105910
Contact
Name:
Address: Kabul - Afghanistan Pul Mahmood Khan, 1st Street, Right Hand
Required
Delivery method: delivery N/A Payment terms: Check
(if applicable)
N/A date:

1 Air Freight Charges ( 4846293675 ) PCS 224.5KG USD 8.73 1959
2 Insurance Charges USD 642 642
3
Insurance Value: $ 21359
4 USD 35 35
Wooden Box Charges

TOTAL 2,636.00

Date: Date:

Name: Mr.Esmatullah
Title: DHL Markting Department
Signature:
Date:
PURCHASE ORDER
Date: 11-Jun-17 PO/RI/AFG/KBL/17/45

PO No:

Contact
Company name: Knowledge TecH Computer LTD Hassan Azizi
Name:
Contact Name: Mr. Ahmad Jawad E-mail: Hassan.azizi@ri.org
E-mail: Knowledgetech@hotmail.com Address:
Phone: 798727803
Contact
Name:
Harees Computer Plaza Hajii Yaqoob Sqaures Shahr -e- Naw
Address:
Kabul - Afghanistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
By Supplier date:

Laptop LENOVO THINKPAD E560 Intel 6th Generation 6200U CPU

1 Core i5 4GB Ram, 500 GB Hard disk, Finger Print Reader, Windows PCS 3 USD 615.00 1845
7Pro and 10Pro, 15.6" Disply Size one Year Warranty
2 HP Laserjet Pro M225 dn MFP Printer PCS 1 USD 265 265

TOTAL 2,110.00

Date: Date:

Name: Mr. Ahmad Jawad
Title: Knowledge Tech President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Name:
E-mail: Address:
Phone: 777307829
Contact
Name:
Address: Kabul - Afghanisan Parwan-e- 2, Sultani Sons Trading Market
Required
(if applicable)
RI- Office date:

RI/AFG/KBL/17/051 1 Chinese Office Wooden Desk 1.20 PCS 4 AFN 3050 12200
RI/AFG/KBL/17/051 2 Revolving Office Chair Nickel Wheels PCS 5 AFN 2250 11250

TOTAL 23,450.00

Date: Date:

Name: Abdul Hussain
Title: Furniture Seller
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Fajer Sadat Stationary & Computer Accessories Hassan Azizi
Name:
Contact Name: Fajer Sadat Stationary & Computer Accessories E-mail: Hassan.azizi@ri.org
E-mail: N/A Address:
Phone: 0700 21 91 65
Fax: N/A RELIEF INTERNATIONAL INVOICING ADDRESS
Contact
Mobile: 0700 21 91 65 Hassan Azizi
Name:
Address: Share Naw, Opposite Attorney General Office
Required
(if applicable)
RI- Office date:

RI/AFG/KBL/17/045 3 PCS 7 AFN 1900 AFN 13,300

Wooden Afghan Office Cabinet

Foldable Iron Made Office Chair
Wooden Coat Hunger
Iron Made File Cabinet

TOTAL 67,050.00

Date: Date:

Name: Abdul Hussain
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Name:
E-mail: Address:
Phone: 777307829
Contact
Name:
Address: Kabul - Afghanisan Parwan-e- 2, Sultani Sons Trading Market
Required
(if applicable)
RI- Office date:


Wooden Afghan Office Cabinet

Foldable Iron Made Office Chair
Wooden Coat Hunger
Iron Made File Cabinet

TOTAL 67,050.00

Date: Date:

Name: Abdul Hussain
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Haji Qasim Plants Seller Company Hassan Azizi
Name:
Contact Name: Mr. Mirwais E-mail: Hassan.azizi@ri.org
E-mail: Mirwais@Gmail.com Address:
Phone: 700248810
Contact
Name:
Address: Kabul - Afghanisan Parwan 3rd Square
Required
(if applicable)
RI- Office date:

RI/AFG/KBL/17/044 1 Rose (Plant In Pot or Plastic Bags) Plant 200 AFN 70 14000
RI/AFG/KBL/17/044 2 Rose - Sanaz ( Plant In Pot or Plastic Bags) Plant 200 AFN 75 15000
RI/AFG/KBL/17/044 3 Rose - Tiger ( Plant In Pot or Plastic Bags) Plant 200 AFN 65 13000
RI/AFG/KBL/17/044 4 Daisy ( Plant In Pot or Plastic Bags) Plant 60 AFN 40 2400
RI/AFG/KBL/17/044 5 Bidi Irani ( Plant In Pot or Plastic Bags) Plant 500 AFN 40 20000
RI/AFG/KBL/17/044 6 Dahlia ( Plant In Pot or Plastic Bags) Plant 30 AFN 250 7500
RI/AFG/KBL/17/044 7 Gladiolus ( Plant In Pot or Plastic Bags) Plant 150 AFN 50 7500
RI/AFG/KBL/17/044 8 Geranium ( Plant In Pot or Plastic Bags) Plant 80 AFN 150 12000
RI/AFG/KBL/17/044 9 Camilia ( Plant In Pot or Plastic Bags) Plant 50 AFN 400 20000
RI/AFG/KBL/17/044 10 Zanbaq - Kina ( Plant In Pot or Plastic Bags) Plant 200 AFN 90 18000
RI/AFG/KBL/17/044 11 Shamshad -Green ( Plant In Pot or Plastic Bags) Plant 150 AFN 90 13500
RI/AFG/KBL/17/044 12 Animal Manure ( Plant In Pot or Plastic Bags) Ton 2 AFN 8000 16000
RI/AFG/KBL/17/044 13 Signage - Metal ( Plant In Pot or Plastic Bags) Stand 20 AFN 100 2000
RI/AFG/KBL/17/044 14 Pot Tag ( Plant In Pot or Plastic Bags) PCs 100 AFN 50 7100
RI/AFG/KBL/17/044 15 Pot- Clay ( Plant In Pot or Plastic Bags) PCs 50 AFN 400 20000

TOTAL 188,000.00

Title: Logistic Assistant Title: Country Director
Date: Date:

Name: Mr. Mirwais
Title: Planting Seller
Signature:
Date:
PURCHASE ORDER
Date: 21-May-2017 PO/RI/AFG/KBL/17/34

PO No:

Contact
Company name: Park Mall Cellphones & Eectronics Hassan Azizi
Name:
Contact Name: Safiullah E-mail: Hassan.azizi@ri.org
E-mail: sme.servieces10@gmail.com Address:
Phone: 793003003
Contact
Name:
Address: Shar e now, Ansari Watt, Kabul
Required
Delivery method: delivery N/A Payment terms:
(if applicable)
RI- Official date:

RI/AFG/KBL/17/041 SAMSUNG GRAND PRIME + Plus Smar phone with Two year Warranty lum Sum 3 $ 130 $390.00
NB: Add more lines to the PO if required Subtotal 390.00

TOTAL 390.00

Date: Date:

Name: Mr. Safiullah
Title: Owner of Park Mall Cellphone
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Nawi Besmillahee - Ltd Hassan Azizi
Name:
Contact Name: Amanullah and Habibullah E-mail: Hassan.azizi@ri.org
E-mail: Besmillaee.afg@gamil.com Address:
Phone: 799220617
Contact
Name:
Kolula Pushta Guli Surkh Sqaure - Qaisar Market Shop Number 14 &15
Address:
Kabul-Afghanistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
RI- Office date:

RI/AFG/KBL/17/043 Iranian Carpet with Width of 3.5 Meter for 6 rooms lum Sum 31.2 AFN 450 14040
RI/AFG/KBL/17/043 lum Sum 14.60 AFN 480 6984

Iranian Carpet with Width of 3.5 Meter for 6 rooms

TOTAL 21,024.00

Date: Date:

Name: Mr. Haroon & Mr. Habibullah
Title: Carpet Seller
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Shamshad Hashimi Printing Press Hassan Azizi
Name:
Contact Name: Ustad Maroof Hashimi E-mail: Hassan.azizi@ri.org
E-mail: shamshadpress@hotmail.com Address:
Phone: 799400923
Contact
Name:
Address: 11th Street, Taimany watt,
Required
(if applicable)
Land - Car date:

RI/AFG/KBL/17/040 Printing of Pocket Calender (10 Pages) lum Sum 4,000 AFN 7 AFN 28,000
RI/AFG/KBL/17/040 Printing of A3 size Calender lum Sum 200 AFN 10 AFN 2,000
RI/AFG/KBL/17/040 Printing Plastic Banner 100/120 Cm (Different subjects) lum Sum 27 AFN 100 AFN 2,700

TOTAL 32,700.00

Date: Date:

Name: Sayed Maroof Hashimi
Title: Voice-President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Name:
Phone: 799400923
Contact
Name:
Required
(if applicable)
Land - Car date:

RI/AFG/KBL/17/039 Printing Plastic Banner 100/120 Cm (Different subjects) lum Sum 147.60 AFN 100 AFN 14,760
RI/AFG/KBL/17/039 Printing Plastic Banner 100/120 Cm (Different subjects) lum Sum 147.60 AFN 100 AFN 14,760

TOTAL 29,520.00

Date: Date:

Signature:
Date:
PURCHASE ORDER
Date: 24-Apr-17 PO/RI/AFG/KBL/17/31

PO No:

Contact
Name:
Phone: 799400923
Contact
Name:
Required
(if applicable)
Land - Car date:

Printing of HPS Manual, Size A4 Paper Art Paper 130 grm, Cover 300
RI/AFG/KBL/17/036 lum Sum 500 AFN 78 AFN 39,000
grm, Color Pages 48 With Lamination, Gum Binding

TOTAL 39,000.00

Date: Date:

Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Name:
Phone: 799400923
Contact
Name:
Required
(if applicable)
Land - Car date:

Printing of Project Pannel, Size 60 cm x90 cm Lasani Malasian

Board Indoor Sticker with Lamination

TOTAL 17,600.00

Date: Date:

Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Hassan Azizi
Name:
Contact Name: Amanullah & Samiullah E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 786130160
Contact
Name:
Address: Shirpoor Next to Shahid Square, Kabul- Afghanistan
Required
(if applicable)
BY Supplier date:

Steel Covers (for RI Basment windows) 12 mm thick steeled covers,

for 15 windows of different sizes

TOTAL 230,000.00

Date: Date:

Name: Samiullah and Amanullah
Signature:
Date:
PURCHASE ORDER
Date: 29-Mar-17 PO/RI/AFG/KBL/17/23

PO No:

Contact
Company name: Naw Aawaran Almunim Company Hassan Azizi
Name:
Contact Name: Sayed Omid E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 786130160
Contact
Name:
Kolula Pushta Between Traffic and Gul e Surkh Square, Kabul-
Address:
Afghanistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
BY Supplier date:

Replaced broken Facade Glass and Windows for RI's Office Compound
RI/AFG/KBL/17/026 lump sum 1 AFN AFN 50,500 AFN 50,500
With the Wages of Installation, Transportation, Needed tool & Materials

TOTAL 50,500.00

Title: Logistic Assistant Title: CD
Date: Date:

Name: Sayed Omid
Title:
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Naw Aawaran Almunim Company Hassan Azizi
Name:
Contact Name: Sayed Omid E-mail: Hassan.azizi@ri.org
E-mail: Address:
Phone: 786130160
Contact
Name:
Kolula Pushta Between Traffic and Gul e Surkh Square, Kabul-
Address:
Afghanistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
BY Supplier date:

RI/AFG/KBL/17/026 12-4 mm thick steeled wall and door, with dimension of 264 x 238 cm lump sum 1 AFN AFN 100,000 AFN 100,000

TOTAL 100,000.00

Date: Date:

Name: Samiullah Rahmaty
Title: President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Mashal Sticker and Decoration Hassan Azizi
Name:

Mashal Sticker and Decoration
E-mail: Address:
Phone: 700070805
Contact
Name:
Address: Qowa e Markaz, Oppiste to Kaubul Market, Kabul Afghanistan
Required
(if applicable)
Vehicle -4 76543KBL date:

RI/AFG/KBL/17/025 8 Mile Thick Blast Film For RI's replaced windows. AmourCoat Brand lump sum 125 AFN AFN 390 AFN 48,750

TOTAL 48,750.00

Date: Date:

Name: Mashal
Title: President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Abdul Barez Samadi Hygiene Product Seller Hassan Azizi
Name:

Abdul Barez Samadi Hygiene Product Seller
E-mail: Address:
Phone: 700220991
Contact
Name:
Shop # 13 Khair Khana, Hesa-e-Sehe, Oposite to Parwan Hotle,
Address:
Shamshad Market Kabul -Afghanistan Address: 3rd Street of Taimani, Gulai Nal Sabiqa
Required
(if applicable)
Hi lux 2848 Driver M. Ajmal date:

RI/AFG/KBL/17/023 Liquid Chlorine Bottels PC 560 AFN AFN 50 AFN 28,000

TOTAL 28,000.00

Date: Date:

Name: Abdul Barez Samadi
Title: President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Knowledge Tech Computer LTD Hassan Azizi
Name:
E-mail: Knowledgetech@hotmail.com Address:

Phone: 798727803
Contact
Name:
Shop #119 Harees Computer Plaza Haji Yaqoob Sqaurs Shar-e-Naw
Address:
Required
(if applicable)
BY SUPPLIER KNOWLEDG TECH date:

RI/AFG/KBL/17/020 Lenovo Laptop (Ultrabook) Thinkpad, T450 PC 1 USD $680.00 $680.00
RI/AFG/KBL/17/020 Multi Function Printer, HP Laser jet pro MFP M225dn PC 1 USD $260.00 $260.00
NB: Add more lines to the PO if required Subtotal 940.00

TOTAL 940.00

Date: Date:

Name:
Title:
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Baraki Fuel Pump Station Hassan Azizi
Name:
Contact Name: Najibullah E-mail: Hassan.azizi@ri.org
E-mail: Najib.khatak@yahoo.com Address:

Phone: 799333531
Contact
Name:
Address: Baraki Squre- Kabul Afghanistan
Required
(if applicable)
Land - Hilux 2848 Temp date:

Cost of Diesel Fuel which well be used for heaters in RI Offices during
RI/AFG/KBL/17/018 Ltr 600 AFN AFN 42 AFN 25,200
winter
Cost of Diesel Fuel which well be used for heaters in RI Offices during
winter

Cost of Diesel Fuel for Office Generator

Cost of Diesel Fuel for Guesthouse Generator

TOTAL 62,160.00

Date: Date:

Name: Najibullah
Title: Admin
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Name:

Phone: 799400923
Contact
Name:
Required
(if applicable)
Land - Car date:

RI/AFG/KBL/17/019 PRINTING OF BROCHURES /10 ITEM/ DARI/ SIZE : A4/ COLOR/ ONE PC 4,000 AFN AFN 4 AFN 16,000
RI/AFG/KBL/17/019 PRINTING OF POSTERS /25 ITEM/ DARI/ SIZE : A3/ COLOR/ ONE PC 1,000 AFN AFN 15 AFN 15,000
RI/AFG/KBL/17/019 PC 360 AFN AFN 110 AFN 47,520

PRINTING OF BANNER 120/100cm 320 Gram

TOTAL 78,520.00

Date: Date:

Name: Ustad Maroof Hashimi
Title: Voice President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Zwak Man Afghan co.ltd Hassan Azizi
Name:
Contact Name: Eng. Mussa E-mail: Hassan.azizi@ri.org
E-mail: www.zwakmanafghan.com info@Zwakmanafghan.af Address:

Phone: 700482841
Contact
Name:
Address: Nader Pashtun Watt Khair Kha Market Kabul, Afghanistan
Required
Delivery method: delivery N/A Payment terms: Cash
(if applicable)
date:

Freezer 150 Liter capacity with 200 wat solar pannel and 200 AM best
RI/AFG/KBL/16/222 Unite 2 AFN AFN 49,000 AFN 98,000
battery-Thailand
RI/AFG/KBL/16/222 Termometer Degital-Madum Size with Sensor PC 3 AFN AFN 450 AFN 1,350

TOTAL 99,350.00

Name: Hassan Azizi Name: Eng. Amanullah Sarhadi
Title: Logistic Assistant Title: DCD
Date: Date:

Name: Eng. Mohammad Musa zwakman
Title: President
Signature:
Date:
PURCHASE ORDER

PO No:

Contact
Company name: Nageen curtain Selling House Hassan Azizi
Name:
Contact Name: Abdullah E-mail: Hassan.azizi@ri.org
E-mail: Faisal.Nikzad@yahoo.com Address:

N/A
Phone: 700023270
Contact
Name:
Address: Street 4th Qala e Fathullah Khan
Address: 3rd Street of Qala e Fatullah
Required
Delivery method: N/A delivery N/A Payment terms: Cash
(if applicable)
date:

RI/AFG/KBL/16/233 Curtains for sapre room of the guest house which was used as gym befor Meter 10 AFN AFN 500 AFN 5,000
RI/AFG/KBL/16/233 Curtains for the Basment Meeting Room Meter 23 AFN AFN 413 AFN 9,500

TOTAL 14,500.00

Name: Hassan Azizi Name: Eng. Amanullah Sarhadi
Title: Logistic Assistant Title: DCD
Date: Date:

Name: Mohammad Faisal
Title: President
Signature:
Date:
PURCHASE ORDER
Date: 1 Augest 2016 PO/RI/AFG/KBL/16/022

PO No:

Contact
Company name: Hassan Azizi
Name:
Contact Name: Abdullah E-mail: Hassan.azizi@ri.org
E-mail: Finestfoods_sm@hotmail.com Address:

N/A
Phone: 202311212
Contact
Name:
Address: Street # 15 Wazir Akbar Khan
Address: 3rd Street of Qala e Fatullah
Required
Delivery method: N/A delivery N/A Payment terms: Cash
(if applicable)
date:

RI/AFG/KBL/16/207 Lightning Bulbs Unit 16 AFN AFN 100 AFN 1,600

RI/AFG/KBL/16/207 Multi Plug Extension Cord Unit 10 AFN AFN 600 AFN 6,000
RI/AFG/KBL/16/207 Hunger Cloth Unit 10 AFN AFN 250 AFN 2,500
RI/AFG/KBL/16/207 Ladder Metallic V Shape Unit 1 AFN AFN 2,350 AFN 2,350
RI/AFG/KBL/16/207 Ladder for Emergency Unit 1 AFN AFN 6,950 AFN 6,950
RI/AFG/KBL/16/207 Trash Can Cover - Kitchen Can 4 AFN AFN 650 AFN 2,600
RI/AFG/KBL/16/207 Mop Piece 2 AFN AFN 350 AFN 700

RI/AFG/KBL/16/207 Bucket Piece 2 AFN AFN 350 AFN 700
RI/AFG/KBL/16/207 Brush Piece 2 AFN AFN 350 AFN 700
RI/AFG/KBL/16/207 Cleaning Cloth Miter 10 AFN AFN 60 AFN 600
RI/AFG/KBL/16/207 Bed Sheets Single Bed Piece 1 AFN AFN 650 AFN 650
RI/AFG/KBL/16/207 Towel Piece 5 AFN AFN 280 AFN 1,400

TOTAL 26,750.00

Name: Hassan Azizi Name: Elise Letanosky
Title: Logistic Assistant Title: Country Representative
Date: Date:

Name: Abdullah
Title:
Signature:
Date:
Form Guidance
The Purchase Order is an external document that is used to make a financial commitment to a supplier. It should contain clear
information regarding the specification and other aspects of the delivery that are required of the supplier, so that the supplier
can be measured against this.
Terms and conditions should be sent with all purchase orders (unless the PO is being placed against a framework
agreement), either on the reverse or attached as a separate document.
Header
Date
Reference to framework
agreement
PO No
Supplier
SC delivery / collection address
SC invoicing address
Delivery method
Required delivery date
Payment terms
Project code
SOF code
PR number
Line item
Description of goods / services
Unit / Form
Quantity required
Currency
Unit price
Total price
Sales tax / Delivery charge
Prepared by
Authorised by Budget holder
Supplier acceptance
an external document that is used to make a financial commitment to a supplier. It should contain clear
he specification and other aspects of the delivery that are required of the supplier, so that the supplier
nst this.
s should be sent with all purchase orders (unless the PO is being placed against a framework
the reverse or attached as a separate document.
Explanation
Date the Purchase Order is placed with the supplier
If this PO is being placed against a framework agreement, indicate the reference number
here. Otherwise, write N/A
Purchase Order numbers should be created from the following characters: PO - SC -Year -
sequential number
eg. PO - SC - 2012 - 121
Name and contact details of the supplier to whom the purchase order is being sent
Where goods are to be delivered to / indicate if they are to be picked up
The address to which the goods should be billed.
Indicate method of delivery if ths supplier will be undertaking this
Date goods should be received, as proposed by the supplier on the RFQ and accepted
through this Purchase Order
How and when payment will be made, as instructed to the supplier on the RFQ
This is a seven digit code which identifies a particular activity/ group of activities. This
means it is possible to identify all the costs associated with a particular activity for
monitoring purposes. A project code is required for all income & expenditure transactions.
The project code is on the PO so that when the good is received at the warehouse this
information can be transferred onto the stock card / waybill
A source of funds is a specific source of income requiring tracking and reporting. This is an
eight digit code and the first three digits identify the member country providing the funds,
with the other five uniquely identifying the award. A SOF code is required for all income &
expenditure transactions and some balance sheet transactions.
The SOF code is on the PO so that when the good is received at the warehouse this
information can be transferred onto the stock card / waybill.
Indicate the PR number for each line item.
Each item should have its own line item number
A description of the item, as agreed on the RFQ, as clear as possible. Add technical
information as required. If the description of the goods requires a longer specification to be
provided in order for suppliers to be able to supply properly, indicate 'attached' here and
attach the spec to the PO
Standard unit of distribution, ie bottle, roll, box, tablet, vial etc
How many units are required
Currency of the order, as quoted by the supplier on the RFQ
The cost per unit of goods ordered must be entered when giving to supplier (as per the
RFQ quoted price)
Total price of the order
Include these if they have been quoted by the supplier on the RFQ and are accepted
Name of procurement office that prepared the order
Orders to be approved by Budget Holder, with the authorisation against this level of spend,
to show that they are making a commitment to spend
Supplier should fill in details and stamp the order on receipt; this shows that they accept
and agree to abide by the order, as well as the Terms and Conditions on the back
PURCHASE ORDER
Date: 10/1/2012 PO-RI-TUR-GZ-15-0001

PO No:
(if relevant)
PO-RI-Country Office – Location -Year-Sequential number

Contact
Company name: ALPHA M Ray
Name:
Contact Name: A John E-mail: mray@ri.org
E-mail: ajohn@alpha.org Address:

Building 1, Gazientep, Turkey
Phone: 33(0)2 32 93 82 82
Contact
Mobile: K Smith
Name:
E-mail: Ksmith@ri.org
Address: Le Bois Ricard BP35 Malaunay, 76770, France
Address: Building 1, Gazientep, Turkey
Required
Delivery method: Line item 1 air (organised separately by Save the Children) Line item 1 15/10/2012
delivery Payment terms: 45 days
(if applicable) Line item 2 sea (by Nutriset) Line item 2 15/12/2012
date:

1234567 1 RUTF (PlumpyNut) Cartons 60 EUR 37.26 2,235.60

1234567 2 RUTF (PlumpyNut) Cartons 60 EUR 37.26 2,235.60

Delivery charge (if applicable) 8,000.00
TOTAL 12,471.20
Prepared by: Authorised by Budget Holder (authorised under PAM):

Name: Name:
Title: Title:
Date: Date:

Name:
Title:
Signature:
Date:

Purchase Order 2017

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PURCHASE ORDER

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

NB: Add more lines to the PO if required Subtotal 26,000.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

Installation of Plastic Sheeting for RI office and Expat Guest

NB: Add more lines to the PO if required Subtotal 21,400.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

NB: Add more lines to the PO if required Subtotal 44,000.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

NB: Add more lines to the PO if required Subtotal 24,000.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

Repairing of Fuji Diesel Generator

NB: Add more lines to the PO if required Subtotal 36,200.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

NB: Add more lines to the PO if required Subtotal 156,800.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

Translation of four Separate Documents Include 23 Pages

NB: Add more lines to the PO if required Subtotal 23,000.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

RI/AFG/KBL/17/75 3 File Caniet, 2 Compartment type PC 1 AFN 6300 AFN 6,300

RI/AFG/KBL/17/75 4 Office Desk 1.20x80, Chinese PC 4 AFN 3200 AFN 12,800

RI/AFG/KBL/17/75 5 PC 1 AFN 3200 AFN 3,200

NB: Add more lines to the PO if required Subtotal 64,400.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

Printing of Leaflets Paper Size A4 Weight 300 gram with

NB: Add more lines to the PO if required Subtotal 11,250.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):

Supplier acceptance: Supplier Stamp

SUPPLIER DELIVERY / COLLECTION ADDRESS

Description of Goods / Services Quantity

Cost of Shippment to UK Shipping of 224.5 KG personal Item

RI/AFG/KBL/17/73 2 Insurance cost applied N/A 1 USD 642.00 $642

NB: Add more lines to the PO if required Subtotal 2,646.00

Prepared by: Authorised by Budget Holder (authorised under Approval Matrix):