PURCHASE ORDER

Barangay Adlawan Municipality of Valencia

Tel. No. _________________ Province of Bohol
Supplier: _______________________________ P.O. No.:
Address: Date:
Tin: Mode of Procurement:
□Bidding □Negotiated □Over the Counter
Gentlemen:
Please deliver to this Office the following articles subject to the terms and conditions contained herein.
Unit Particulars Quantity Unit Cost Amount

(Total Amount in Words)

In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one
percent for everyday of delay shall be imposed.

Very truly yours,

CONCORDIA T. TAGAS
Signature over Printed Name
Punong Barangay
______________________________
Date
Conforme: Existence of Available Appropriations of

_________________________
Signature over Printed Name GLORY JOY C. LAGARE
___________________ Signature over Printed Name
Date Chairman, Committee on Appropriations
________________
Date