________________________
(Name of Community Group)
PURCHASE DOCUMENTS
Project Title:_____________________ Project Outline/Output No._______ (For Accounting Use Only) CANVASS Supplier:________________________________ Address:_________________________________ Signature : __________Tel. No.______________ UNIT COST AMOUNT
ITEMS FOR PURCHASE OR SERVICES REQUESTED ACTUAL QTY RECEIVED
QTY
UNIT
DESCRIPTION
Total: Less Discount: ( %) Net Amount Justification for less than three (3)canvass Canvassed by: Requested by: ___________________Date:______ Budget Availability Certified: Treasurers Signature: _____________Date:______ Approved by: ____________________Date:______
SUPPLIES/ MATERIALS/SERVICES INSPECTION AND RECEIVING REPORT This is to certify that the abovementioned supplies/materials/services have been inspected and found to be accordance with the requirements of the PO as to quantity, quality and specifications.
Purchase/Job Order (For the Supplies/Materials/Services Needed) 1.Terms Payment _____________________ 2. Price Validity_______________________ 3. Delivery site or pick up_______________
TERMS AND CONDITIONS 1. Delay in delivery of supplies/materials/services shall be subjected to liquidated damage computed at 1/10th of 1% total amount of undelivered supplies/materials/services for everyday of delay. 2. The buyers reserves the right to reject any or all the goods/services delivered whose quantity specifications or descriptions are not in accordance with the requirements described herein. 3. Supplier is required to immediately replace/back job defective supplies/materials/services _______________________________________
Received by: ______________________________Date:__________________
Suppliers Name and Signature Date:___________________________