Local Purchase Order

 

 

Serial No…………………

Vendors Name & Address

__________________________________ Delivery Date  ______________

 

__________________________________ Terms of Payment  __________

 

__________________________________ Delivery Point  ___________

 

PR REF: _________________ ___________ Order Date  ____________

 

This document constitutes an agreement between the vendor and the buyer. See terms and conditions of this purchase listed on the reverse side

Item No.

Specification

Unit

Quantity

Unit Price

Total Value

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tax

 

 

 

 

 

Total Value

 

Amount in Words : _________________________________________Currency___________________

 

Sign: _________________________ Date____________

            Supplier Acceptance/Stamp Prepared by: ____Date______ _

 

Approval A/C Code: _____________________

Sign: ________________________ Date____________ Financial Review: _________

Procurement Manager  

 

Approval

Sign: ______________________ Date____________ Country Director: _________

Program Manager/Director/Head of Dept ( Approval for Capital Items )

White – Supplier

Green – First to Stores/then to accounts with attached to a Goods Received Note

Pink – Purchasing

Yellow – Book Copy