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Purchase Order Chemist in Sri Lanka Colombo –Free Word Template Download with AI

Chemist & Pharmaceutical Supply Division

Sri Lanka Colombo – Official Procurement Document

PO No: SL-CMB-CHM-2025-04782

Buyer (Chemist)

Colombo Central Chemist & Pharmacy (Pvt) Ltd

142, Galle Road, Colombo 03

Sri Lanka Colombo, Western Province

Tel: +94 11 234 5678

Email: [email protected]

License No: SL-CHM-2019-00847

Department of Pharmacy & Poisons, Sri Lanka

Supplier

Island Pharma Distributors (Pvt) Ltd

78, Avissawella Main Road, Colombo 07

Sri Lanka Colombo, Western Province

Tel: +94 11 456 7890

Email: [email protected]

Registration No: C0654321

Export Development Board: EDB-2020-1145

Order Details

Date of Purchase Order: 15 June 2025

Required Delivery Date: 29 June 2025

Delivery Location: Colombo Central Chemist Warehouse, 142 Galle Road, Sri Lanka Colombo

Payment Terms: Net 30 Days from Invoice Date

Currency: Sri Lankan Rupees (LKR)

Reference

Quotation Ref: IPD-Q-2025-3391

Approved By: Dr. Nimal Perera, Chief Pharmacist

Department: Retail Chemist Operations

Priority: Standard

Incoterms: DDP – Sri Lanka Colombo

Line Items – Chemist Stock Requisition

Item No. Description SKU / Batch Qty Unit Unit Price (LKR) Total (LKR)
01 Amoxicillin 500mg Capsules (Chemist Grade) AMX-500-B2506 2,500 Strips 185.00 462,500.00
02 Ibuprofen 400mg Tablets – Chemist Dispensing Pack IBU-400-B2506 5,000 Blister Packs 95.00 475,000.00
03 Paracetamol 500mg Syrup 100ml (Pediatric Chemist Stock) PCM-500S-B2506 1,200 Bottles 320.00 384,000.00
04 Oral Rehydration Salts (ORS) – WHO Formulation ORS-WHO-B2506 3,000 Sachets 45.00 135,000.00
05 Metformin 500mg Tablets (Diabetic Chemist Supply) MET-500-B2506 4,000 Strips 150.00 600,000.00
06 Antiseptic Solution 500ml (Chemist Counter Stock) ANT-500-B2506 800 Bottles 410.00 328,000.00
07 Surgical Gloves – Medium (Chemist & Clinic Use) GLV-M-B2506 1,500 Boxes 1,250.00 1,875,000.00
08 Vitamin C 1000mg Effervescent Tablets VTC-1000-B2506 2,000 Tubes 680.00 1,360,000.00
Subtotal 5,619,500.00
VAT (18%) – Sri Lanka Colombo 1,011,510.00
Delivery & Handling (Colombo Metro) 25,000.00
Grand Total (LKR) 5,666,010.00

Terms & Conditions – Purchase Order for Chemist Operations, Sri Lanka Colombo

  1. This Purchase Order is issued by Colombo Central Chemist & Pharmacy (Pvt) Ltd, a licensed chemist operating under the Department of Pharmacy & Poisons, Sri Lanka, and is valid for acceptance within seven (7) calendar days from the date of issue.
  2. All pharmaceutical products and chemist supplies listed herein must comply with the Sri Lankan Drug Regulatory Authority (DRAL) standards and must carry valid batch numbers, manufacturing dates, and expiry dates not less than eighteen (18) months from the date of delivery to Sri Lanka Colombo.
  3. The supplier shall deliver all items to the designated chemist warehouse at 142 Galle Road, Sri Lanka Colombo, no later than the required delivery date stated above. Late delivery beyond five (5) business days entitles the chemist to cancel this Purchase Order without penalty.
  4. Payment shall be made via bank transfer to the supplier's registered account within thirty (30) days of receipt of a valid tax invoice, subject to satisfactory inspection and quality verification by the chemist's licensed pharmacist-in-charge.
  5. All goods are subject to inspection upon arrival at the Sri Lanka Colombo warehouse. Any damaged, expired, or substandard chemist stock will be rejected and must be replaced at the supplier's cost within five (5) business days.
  6. The supplier warrants that all products are genuine, properly stored under appropriate temperature and humidity conditions as required for pharmaceutical goods in Sri Lanka Colombo, and are free from contamination or adulteration.
  7. This Purchase Order is governed by the laws of the Democratic Socialist Republic of Sri Lanka. Any disputes arising from this chemist supply agreement shall be resolved through the courts of Colombo, Sri Lanka Colombo, Western Province.
  8. The supplier shall provide a Certificate of Analysis (CoA) and a Certificate of Free Sale for each batch of pharmaceutical products delivered under this Purchase Order to the chemist's records.
  9. Neither party shall be liable for delays caused by force majeure events, including but not limited to natural disasters, government-imposed restrictions, or port closures affecting Sri Lanka Colombo.
  10. This Purchase Order constitutes the entire agreement between the chemist buyer and the supplier regarding the items listed and supersedes all prior quotations, verbal agreements, or understandings.

Authorized by (Chemist Buyer)

Dr. Nimal Perera
Chief Pharmacist & Procurement Officer
Colombo Central Chemist & Pharmacy (Pvt) Ltd
Sri Lanka Colombo

Accepted by (Supplier)

Mr. R. Jayasuriya
Sales Director
Island Pharma Distributors (Pvt) Ltd
Sri Lanka Colombo

This Purchase Order document was generated for the Chemist & Pharmaceutical Supply Division, Sri Lanka Colombo. Document Ref: SL-CMB-CHM-2025-04782. For official use only. Unauthorized reproduction is prohibited under Sri Lankan commercial law.

Colombo Central Chemist & Pharmacy (Pvt) Ltd | 142 Galle Road, Colombo 03, Sri Lanka Colombo | +94 11 234 5678

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