Appendix 61

PURCHASE ORDER
BACOOR ELEMENTARY SCHOOL
Entity Name

Supplier : SAN SOUER GENERAL MERCHANDISE P.O. No. : 2022-BE04-009

Address : 125 Hugo, Arca St, Biwas , Tanza City, Cavite Date : 04/05/2022
TIN : 169-454-083-000 Mode of Procurement : Shopping
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Bacoor Elementary School Delivery Term : Complete

Date of Delivery : 04/13/2022 Payment Term : Cheque
Stock/
Unit Description Quantity Unit Cost Amount
Property No.
Pc/s Pistol Sprayer Bottle (50ml) 75 22.00 1,650.00
Pack/s Hygiene Kit 75 260.00 19,500.00
Set/s Digital Thermal Scanner with Alcohol Dispenser 5 1,500.00 7,500.00
Pc/s Air Purifier 5 1,800.00 9,000.00
Box/s Daimaru UVC Sterilization Box with Timer Controller (4L) 5 2,118.00 10,590.00
Gal/s Alcohol (Greencross) 5 720.00 3,600.00
Pc/s Footbath 5 200.00 1,000.00
Box/s Facemask (Adult) 10 75.00 750.00
Box/s Facemask (Pedia) 45 60.00 2,700.00
Pc/s Facemask Holder (Wall Mounted - Acrylic) 3 1,200.00 3,600.00
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(Total Amount in Words) Fifty Nine Thousand Eight Hundred Ninety Pesos Only. 59,890.00

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,

MELYCENT Y. CASTRO RAQUEL I. BLONES

Signature over Printed Name of Supplier
Signature over Printed Name of Authorized Official

04/05/2022 Principal III

Date Designation

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
________________________________________
Signature over Printed Name of Chief Accountant/Head of Accounting Division/Unit

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