PBAC Form 1C Date:

P.R. No. 27
GSO NUMBER:__________ Date: July 25, 2019
ABSTRACT OF PRICE QUOTATION Office: PROVINCIAL ADMINISTRATOR
SUPPLIER
FIXIE COMPUTER VENTURES XENSE COMPUTER CENTER ALEJANDRA ENTERPRISES
Item# Qty Unit PARTICULARS
1 1 pc Wireless AC 1200 USB 3.0 Adapter 1,750.00 1,790.00 NONE
Specifications:
Easy Push Button Setup
Backward compatible with 802.11N
Next Generation Wi-Fi AC Technology
Dual Band Technology - 2.4GHz (up to 300Mbps
or 5Ghz (up to 867Mbps)

Above item awarded to: FIXIE COMPUTER VENTURES

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: FIXIE COMPUTER VENTURES 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 PCS Wireless AC 1200 USB 3.0 Adapter 1 1,750.00 1,750.00
Specifications:
Easy Push Button Setup
Backward compatible with 802.11N
Next Generation Wi-Fi AC Technology
Dual Band Technology - 2.4GHz (up to 300Mbps)
or 5Ghz (up
to 867Mbps)

Total Amount in words : ONE THOUSAND SEVEN HUNDRED FIFTY 1,750.00

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