r'1 dr. jose rizal memorial hospital

Republic of the Philippines Department of Health

DR. JOSE RIZAL MEMORIAL HOSPITAL Lawaan, Dapitan City

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PURCHASE ORDER

Dr. Jose Rizal Memorial HospitalEntity Name

Supplier: MKAY GENERAL MERCHANDISEAddress: Gen. Luna St, Dipolog City

TIN

P.O. No. _________Date: _________Mode of Procurement:

2021-06-124June 09, 2021

NEGOTIATED"Small Value Procurement"

Gentlemen:Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery:Date of Delivery:

Delivery Term: Payment Term:

15- Calendar days

Stock No Unit

Pcs

Description QuantityOffice and IT Equipment:COMPUTER SETComputer Set with complete accessories, tables, chairs Intel CORE 17- 8700MSI B360M PRO-VHDDR4 Motherboard or any BrandKeyboard and mouse with padATX Casing with 650w psuMultimedia Speaker15.6" LED Monitor8gb DDR4 RAMDVD Writer1TB HDD500 w AVR7200 RPM-with computer table-Office chair, adjustable height, with arm rest, high back swivel Assembled

Unit Cost

70,500.00

Amount

P 141,000.00

Pcs PrinterPrinter with 3 in 1 multi-function (copy, scan, and print) with ADF, with continuous ink tank system compatible

18,400.00 36,800.00

Pc. Paper ShredderStrip Cut Paper Shredder Shredding Machine Strip

12,850.00 12,850.00

x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-TOTALx-x-x-x-x-x-x-x-xx-x-x-x-x-x- P 190,650.00

Total Amount in Words ) ONE HUNDRED NINETY THOUSAND SIX HUNDRED FIFTY PESOS ONLY

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

Very truly yours,

rAOLvuiCct _ C. “0|»« t-'V—'*—(_t. -O ■> • Pa—^MARIA DINNA C. VIRAY-PARINAS, MD, FPAFP, IWHA, CSEE

MedicalConforms:

ical Center Chief I ‘Q C.(

Signature over Printed Name of Supplier

Date

Fund Cluster: ORS/BURS No.; J trU t " O 13"^Funds Available: Date of the ORS/BURS:

QUIMIM^ILAR j(£/ ' r

Amount: (bj'O . o oAccoLfitant III

Effectivity Date: September 17, 2020 DJRMH-HOPSS-PROC-POL-01-Form2 Rev.O