| Supplier ‘Address Fax No TIN | E-mail Address: Telephone No Gentiemen: Please fumish this office the following article(s) subject to the terms and conditions contained herein: Delivery Terms: 7gwd upon receipt and acceptance of PO Payment Terms: 30 days upon completion of Place of Delivery: UPOU Headquarters, Los Banos, Laguna Requesting Unit: OVCFA-SPMO <-“* 015-5402 PURCHASE ORDER Supply and Property Management Office UNIVERSITY OF THE PHILIPPINES OPEN UNIVERSITY Los Banos, Laguna, Tel. No, (049) 836-6001-06 loc 210-211, Telefax (049) 536-5991 RICAREA’S MERCHANDISING Lopez Ave., Batong Malake, Los Bafios Laguna 536-5300 536-0214 counting Offige 1015 P.O.No. 15-309 Date 27 November 2015, Mode of Procurement : Shopping Contact Person Marina Esguerra Date of Delivery: delivery STOCK NO.) UNIT DESCRIPTION @ry. | UNITCOST | AMOUNT | Eacdnbisdeel esas cia Sesa ines box | Film, Fax, Panasonic KX-FP71 1, 2 rolis/box, 4 520.00 P 2,080.00 original 2 pe | Pencil No. 2, 12 pieces/box 100 P450 P 450.00 3 pe Pen, ball pen, black 100 P275 P 275,00 4 pack Battery, AA alkaline, 2 pieces/pack 60 P 40.00 2,400.00 5 pe | Paper, parchment paper, A4 size, 80gsm 250 2.00 500.00 | *** Nothing Follows *** **Based on Chancellor's approval dated 20 November 2015 Total 5,705.00 | (Total Amount in Words) Five Thousand Seven Hundred Five Pesos Only In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one (1) percent for every day of delay shall bg imposed. | Contorme: Funds Available: TU ANPr Signature over printed name of Supplier s2[® oli Date dl. ‘OBR No, ENGARI ete B.JAEN Chiet Kecountant ‘Amount Very truly yours, . a ous Chief 15-11-3806(164) 5,705.00