Appendex 34

PURCHASE REQUEST

Municipality of Mambajao

Department: BAC PR No. Date:

Section : SAI No. Date:
ALOBS No. Date:

Item Estimated Estimated

Quantity Unit of Issue Item Description Unit Cost Cost
No.
1 1 unit Ceiling Type Airconditioner 97,000.00 97,000.00

TOTAL 97,000.00
Purpose For Barangay Office Affairs

Requested by: Cash Availability Approved by:

Signature:
Printed Name:MARIA LUISA D. ROMUALDO CRISTITA V. ABASTAS MARIA LUISA D. ROMUALDO
Designation: Municipal Mayor ICO Municipal Treasurer Municipal Mayor
Standard Form Number: SF GOOD-58
Revised on: May 24, 2004
Standard Form Title: Purchase Order

PURCHASE ORDER

Municipality of Mambajao
Agency/Procuring Entry

Supplier: JAPUZ-JANSOL ENTERPRISES PO #

Address: Rizal St., Poblacion, Mambajao, Camiguin Date: 08/30/19
E-mail Address: Mode of
Telephone No.: Procurement: Public Bidding
TIN: Project: Purchase of goods for Barangay
Information System
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: LGU-Mambajao, Camiguin Delivery Term: 30 Calendar days

Date of Delivery: Payment Term:
Item No. UNIT DESCRIPTION QTY UNIT COST TOTAL
1 unit Laptop 15 36,850.00 552,750.00
Specifications:
CPU: Intel i3-6006U 2.0G, Storage: 1T HDD
System type: 64 Bit operating system
X64 Based Processor
RAM: 4GB
ODD:---
Display: 15.6” HD
Battery: 2 Cell
OS: Windows 10 Home SL
Color: Black

Total 552,750.00
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)
of the (1) percent for every day of delay shall be imposed.

Very truly yours,

SGD. YÑIGO JESUS D. ROMUALDO

Conformed: Municipal Mayor

JAPUZ-JANSOL ENTERPRISES
Signature over printed name of Supplier

Date