Local Purchase Order

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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

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