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Appendix 61
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PURCHASE ORDER
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DEPED - DIVISION OF LANAO DEL NORTE
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BANSARVIL II ELEMENTARY SCHOOL
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Agency
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Supplier:P.O No. :
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Date:
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Address:
Mode of Procurement
SHOPPING
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TIN :
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Gentlemen:
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Please furnish this Office the following articles subject to the terms and conditions contained herein:
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Place of Delivery:
BANSARVIL II ELEMENTARY SCHOOL
Delivery Term:DELIVER
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Date of Delivery:
Payment Term:CHECK
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Stock No.UnitDescriptionQuantityUnit CostAmount
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In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of
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one percent for every day shall be imposed.
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Very truly yours,
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Conforme:
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School Head
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Signature over Printed Name of Supplier
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____________________
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Date
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Fund Cluster:
MOOE
ORS/BURS No. ____________________
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Funds Available:
Date of the ORS/BURS: ______________
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Amount: _________________________
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ADAS III (Senior Bookkeeper)
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END USER:
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