Original
Page 1 of 2
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
___________________
To:
MERCURY DRUG CORPORATION
Vendor Number
PO Number
10031
4900000397
Baclaran-Quirino Branch, 50 Quirino Ave, Baclaran Paranque
Attention: Daniel Jay Millora
Tel No: 854-3557
TIN:
000388474002
Fax No: 831-0897
PO Date
21 September 2012
Terms of Payment
Within 30 days Due net
Mode of Procurement
Negotiated Procurement - SVP
Place of Delivery:
Date of Delivery:
2/F Bonifacio Technology Center, 31st Street Bonifacio Global City, Taguig City
Tel No.: 575-1700 Loc.: 1782/1784 Fax No.: 816-1030
NO.
00020
MATERIAL NUMBER AND DESCRIPTION
Within FIFTEEN (15) calendar days after date of receipt thereof.
QTY
UNIT
UNIT PRICE
AMOUNT
100326 Phenylpropanolamine HCl, Paracetamol
200
PC
4.56
912.00
DECOLGEN NO-DROWSE
______________________________________________________________________________________________________________________________________________
00030
100315 Mefenamic Acid, 500mg
400
PC
3.48
1,392.00
RITEMED
______________________________________________________________________________________________________________________________________________
00040
100319 Metoclopramide, tablet 10mg
30
PC
7.58
227.40
PLASIL
______________________________________________________________________________________________________________________________________________
00050
100318 Methyl Salicylate topical
20
BOX
40.40
808.00
SALONPAS, 10PCS/BOX
______________________________________________________________________________________________________________________________________________
00060
100591 ORAL REHYDRATION SALTS, REPLACEMENT
1
PAC
279.00
279.00
2.17G POWDER, 50S/PACK, ASSORTED
GLUCOLYTE PLUS
______________________________________________________________________________________________________________________________________________
00070
100768 HYDROGEN PEROXIDE, 500ML
3
BT
33.23
99.69
RHEA
______________________________________________________________________________________________________________________________________________
00080
100590 NAPROXEN SODIUM 550MG
50
PC
18.75
937.50
FLANAX
______________________________________________________________________________________________________________________________________________
***nothing follows***
Sub-Total
4,655.59
Plus: VAT
558.67
______________________________________________________________________________________________________________________________________________
TOTAL (Inclusive of VAT):
Php
5,214.26
PESOS: FIVE THOUSAND TWO HUNDRED FOURTEEN AND 26/100 ONLY
______________________________________________________________________________________________________________________________________________
Original
Page 2 of 2
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
___________________
To:
MERCURY DRUG CORPORATION
Vendor Number
PO Number
10031
4900000397
Baclaran-Quirino Branch, 50 Quirino Ave, Baclaran Paranque
Attention: Daniel Jay Millora
Tel No: 854-3557
TIN:
000388474002
Fax No: 831-0897
PO Date
21 September 2012
Terms of Payment
Within 30 days Due net
Mode of Procurement
Negotiated Procurement - SVP
Place of Delivery:
Date of Delivery:
2/F Bonifacio Technology Center, 31st Street Bonifacio Global City, Taguig City
Tel No.: 575-1700 Loc.: 1782/1784 Fax No.: 816-1030
Within FIFTEEN (15) calendar days after date of receipt thereof.
Requisitioning Office/Dept:
ODMD for BCDA Clinic use.
Reference SAP PR Number: 50000558
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.
______________________________________________________________________________________________________________________________________________
This is a system generated document. BCDA Officer's signature is not required.
______________________________________________________________________________________________________________________________________________
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:
_____________________________________________________
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.)