No. 9 West Road, Light lndustry and Science Park 1,
dic;ff irffi.;;;lliill;iljj'ili'i':11;llppines4025
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