Republic of the Philippines

PHILIPPINE HEALTH INSURANCE CORPORATION PHILHEALTH REGIONAL OFFICE-CORDILLERA ADMINSTRATIVE REGION

SN Oriental Traders Bldg., # 19 Leonard Wood Road, Baguio City

Tel. No. (074) 444-9862 / 444-8361 / 779-0371 / 444-5345 (T/F) / Call Center (02) 441-7442

www.philhealth.gov.ph

PURCHASE ORDER

Supplier: NATIONAL PRINTING OFFICE

Address: C-4 Diliman, Quezon City

Tel./Fax No.: (02) 925-2190

P.O. No.:

Date:

Term's of Payment:

Mode of Procurement:

P-15-047

7-Sep-15

cod

Supplier Registered with:

Agency to Agency

Please deliver to this office within upon payment

from receipt hereof the following:

NO. QTY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL

AMOUNT

1 26 bk CASH BOOK Gen Form 103 for Reg. Disbursing Officer 420.00 10,920.00

1,298.50 2 371 sheet LEAVE CARD Employees Leave Card 3.50

12,218.50 TOTAL t

Terms & Conditions.

1. Purchase Order (PO) shall be accepted by the supplier before the delivery of goods and/ or services.

2. NO price increase shall be made by thr supplier within seven (7) days from the date of the acceptance of P.O.

3. Non-availability of stock shall be made known to PhilHealth before the acceptance of P0.

4. PhilHealth shall have the right to reject and return the items and cancel the corresponding PO if goods delivered are

defective, incomplete, non-compliant as to specification when quoted.

5. In case of retuned/ rejected items which cannot be replaced within seven (7) calendar days from notice, PhilHealth

shall demand full refund of payment made "in cash" or "in check" three (3) calendar days.

Very truly yours,

IMEL A CRISTETA D. VILLAMAR

Division Chief, MSD

Certified Budget Available Funds Available in the amount of: PhP 12,218.50 APPROVED:

42. 1/9/c

LEI D. TAN MARIA LI DA H. GADINGAN

Fiscal ontroller I/ Fis al Controller III

Budget Officer - Des.

Within the COB: 1O

ELIZABETH . FERNANDEZ, MD

ea, Regional Vice President

Expense Code:

Budget:

Remarks

Date

•

Conformer ',4

ri.$7,,fs'il p_sier-S1 0 V 'ItiStAtIltiWV.

Signature over Printed Name and Positiosi,of Authorid Representative 1••• )-eg - / 4