509374 SDS

509374 SDS

                                                            No. 9 West Road, Light lndustry and Science Park 1,

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                                                  nal PURcHASE oRDER
                     Supplier                                                   Ship To:

  Caswelllnc.                                               Orthopaedic lnternational lnc.                                     P'o' 509374
                                                                                                                      Number:
  7696 Route 31                                             No. 9 West Road                                       Date   lssued: 05105120L7
  Lyons NY 1-4489                                           Special Economic Zone
                                                                                                                  lerms of Payment: Credit Card
  USA                                                       LISP 1, Cabuyao, Laguna, Philippines
                                                                                                                  Method of Shipmentsee notes
                (315) e46 1213                               Tel   No: (632) 885-7281                             Proiected Delivery: 05126120L7
                (31s) e46 44s6                               Fax   No: (632) 885-7280
                                                             contact: Yhin R. Sapitanan                           iupplier's Shipping Date: 0StLgl20L7

    Part No.       Supplier
                                               Item Description                             Qtv          Unit         UICost          Total      Rematks       PR Nc
       (P.N.)         P.N.
9612                                l0 Ply Loose Cotton Wheel t2'\U2",1" Hole Size                s0.0( Piece                 8.09(     404.5(                 10989
                                                                                                                                                               2

                   Shipping   =               0.00                   Ta:<   =              0.00                       Total    =              404.50

1. Total Cost fo this P.O is Four hundred Four and 50/100 US Dollars only (US$404.50)
2. Payment Terms: Via Credit Card, details as follows:
        Card No. 5423 3989 0247 3533
          Expiry Date :April 2021
          Cardholde/s Name: Emelita C. Basan
3. Shipping: ltem will be sent to addres stated on SHIP TO ol this P.0. via DHL Express account no. 9665 1872 6




        tssueoff                                                                      Approved lyl Date
                                                                                                      , Please
                                                                                                          Vendor Acknowledoement & AcceDtance /
                                                                                                                  ,
                                                                                                               print name, siln & send back to us vit
                                                                                             ,q9t4'e)s)tl            fax or e-mail.
                                             /'      D#l                                l" BY:
          109892
                             No.:
                                               0510212017
                                                                                 b/
                                                                                Rhymundo,      Jr.
                                                                                            Narciso     M.




Page    No.: 1 ol       1                                                                                                              Form l,lo: FPU07.04-04 Rev.03