PBAC Form 1C Date:

P.R. No. 18
GSO NUMBER:__________ Date: June 28, 2019
ABSTRACT OF PRICE QUOTATION Office: PROVINCIAL ADMINISTRATOR
SUPPLIER
ROSALIA ALLAYBAN FASTFOOD KINO'S FUB HAUS JOHN MARK'S FOOD HOUSE
Item# Qty Unit PARTICULARS
1 30 covers MEALS AND SNACKS 299.00 300.00 300.00

Above item awarded to: ROSALIA ALLAYBAN FASTFOOD

PROVINCIAL BIDS AND AWARDS COMMITTEE :

BGEN. RODOLFO G. ALVARADO (RET.) COL. ATANACIO T. MACALAN Jr., (ret.) EnP. ROLANDO
Member B. CALABAZARON, JR.,MPA CATALINO V. ARUGAY
End-User Member Member

JENIFER J. BAQUIRAN, EnP CARLOS D. CORTINA III, MD, MPHM ATTY. RHODORA S. ORRO-ENAMAN, REA
JINKY Member CO-Chairman BAC Chairman
Standard Form Number: SF-GOOD-58
Revised on May 24, 2004
Standard Form Title : Purchase Order
PURCHASE ORDER
Provincial Goverment of Cagayan
Agency / of Procuring Entry
PROVINCIAL ADMINISTRATOR

Supplier: ROSALIA ALLAYBAN FASTFOOD P.O. No. :

Address : Date :
E-mail Address : Mode of Procurement:
Telephone no:
TIN :

Gentlemen :
Please furnish this office the following articles subject to the term and conditions herein:

Place of Delivery : General Services Office Delivery Term: Immediately

Date of Delivery : Immediately Payment Term: Cheque

Stock
Unit Description QTY. Unit Cost Amount
no.
1 Covers MEALS AND SNACKS 30 299.00 8,970.00
AM SNACKS
Loming Batangas
Clubhouse
Softdrinks
Water

LUNCH
Pork Giniling
Chicke Curry
Sauted veggies
Rice, Water, and Softdrinks

PM SNACKS
Turon Con Langka and Water
Total Amount in words : EIGHT THOUSAND NINE HUNDRED SEVENTY PESOS ONLY 8,970.00
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)
on one percent for every day of delay shall be imposed.
Very truly yours,
CONFORME:
BGEN. RODOLFO G. ALVARADO, (ret.)
Provincial Administrator

(Signature Over Printed Name of Supplier)

Date
Funds Available :

ALOBS No.
Amount
MILA Q. MALLONGA
Acting- Prov'l Treasurer