Republic of the Philippines Office of the President BASES CONVERSION AND DEVELOPMENT AUTHORITY 2/F Bonifacio Technology Center, 31st Street Crescent Park West Bonifacio Global City, 1634 Taguig City PURCHASE ORDER ___________________ N.S. YAMSUAN MEDICAL AND Vendor Number DIAGNOSTIC SUPPLIES PO Number
2117 Laon Laan corner Crisostomo Sampaloc Manila
Attention: Nenita S. Yamsuan Tel No: 668-2294 Terms of Payment Fax No: 712-4305 Mode of Procurement Place of Delivery: Date of Delivery:
Within FIFTEEN (15) calendar days after date of receipt thereof. 2/F Bonifacio Technology Center, 31st Street Bonifacio Global City, Taguig City Tel No.: 575-1700 Loc.: 1782/1784 Fax No.: 816-1030 MATERIAL NUMBER AND DESCRIPTION UNIT PRICE
100310 Ibuprofen 200mg + Paracetamol 325 mg
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100289 Bandage, Elastic, cotton, skin color 2x5
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100316 Methyl Salicylate + Menthol + Camphor
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100324 Phenylpropanolamine HCl, Chlorphenamine
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100326 Phenylpropanolamine HCl, Paracetamol
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Republic of the Philippines Office of the President BASES CONVERSION AND DEVELOPMENT AUTHORITY 2/F Bonifacio Technology Center, 31st Street Crescent Park West Bonifacio Global City, 1634 Taguig City PURCHASE ORDER ___________________ N.S. YAMSUAN MEDICAL AND Vendor Number DIAGNOSTIC SUPPLIES PO Number
2117 Laon Laan corner Crisostomo Sampaloc Manila
Attention: Nenita S. Yamsuan Tel No: 668-2294 Terms of Payment Fax No: 712-4305 Mode of Procurement Place of Delivery: Date of Delivery:
Within FIFTEEN (15) calendar days after date of receipt thereof. 2/F Bonifacio Technology Center, 31st Street Bonifacio Global City, Taguig City Tel No.: 575-1700 Loc.: 1782/1784 Fax No.: 816-1030 MATERIAL NUMBER AND DESCRIPTION UNIT PRICE
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100317 Methyl Salicylate Camphor + Menthol
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Republic of the Philippines Office of the President BASES CONVERSION AND DEVELOPMENT AUTHORITY 2/F Bonifacio Technology Center, 31st Street Crescent Park West Bonifacio Global City, 1634 Taguig City PURCHASE ORDER ___________________ N.S. YAMSUAN MEDICAL AND Vendor Number DIAGNOSTIC SUPPLIES PO Number
2117 Laon Laan corner Crisostomo Sampaloc Manila
Attention: Nenita S. Yamsuan Tel No: 668-2294 Terms of Payment Fax No: 712-4305 Mode of Procurement Place of Delivery: Date of Delivery:
Within FIFTEEN (15) calendar days after date of receipt thereof. 2/F Bonifacio Technology Center, 31st Street Bonifacio Global City, Taguig City Tel No.: 575-1700 Loc.: 1782/1784 Fax No.: 816-1030 Sub-Total 28,291.58 Plus: VAT 3,394.98
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TOTAL (Inclusive of VAT): 31,686.56 PESOS: THIRTY-ONE THOUSAND SIX HUNDRED EIGHTY-SIX AND 56/100 ONLY
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Requisitioning Office/Dept: Reference SAP PR Number: 50000345 Terms and Conditions: This Purchase Order (PO) shall be governed by the General Terms and Conditions printed at the back hereof. Note: Please attach the original copy of this order together with your DELIVERY RECEIPT and SALES INVOICE in triplicate.
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This is a system generated document. BCDA Officer's signature is not required.
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I hereby certify that I am the authorized representative of the company and that by affixing my signature, it shall bind the company I am representing to the terms and conditions of the PO, including its General Terms and Conditions printed at the back of the PO and all applicable provisions of RA9184. I further certify that the above prices, which were quoted in the Request for Quotation (RFQ), are inclusive of all taxes, freight, insurance and all other incidental expenses necessary for its delivery within Metro Manila. CONFORME:
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Received copy of P.O. on _______________ Printed Name and Signature of Authorized Representative (The Supplier shall sign and return the acknowledgement copy to BCDA-Procurement or through fax within five (5) working days after issuance.)
MESD OUTDOOR SCHOOL Teacher____________________________ 11611 NE Ainsworth Circle School______________________________ Portland, OR 97220 Phone: 503-257-1600 Site Attending FAX: 503-257-1592 STUDENT HEALTH HISTORY FORM FOR OUTDOOR SCHOOL AND COMPANION PROGRAMS In order for your child to attend Outdoor School, all information on this form must be completed.