Purchase Order Dentist in Brazil Brasília –Free Word Template Download with AI
Official Procurement Document – Dental Equipment & Supplies
PO No. BR-BSB-2025-04871Date of Issue: 14 June 2025 | Valid Until: 14 July 2025
Buyer (Purchasing Entity)
Clínica Odontológica Brasília Prime
Street: Quadra 3, Bloco A, Lote 12, Asa Sul
City: Brasília – DF, Brazil
CEP: 70310-500
CNPJ: 12.345.678/0001-90
Contact: Dr. Ricardo Almeida, DDS
Email: [email protected]
Phone: +55 (61) 3344-7890
Supplier (Vendor)
DentalTech Brasil Distribuidora Ltda.
Street: Av. das Nações, 1500, Sala 42
City: Brasília – DF, Brazil
CEP: 70040-020
CNPJ: 98.765.432/0001-15
Contact: Sra. Mariana Costa – Sales Manager
Email: [email protected]
Phone: +55 (61) 3222-5566
Important Notice: This Purchase Order is issued in accordance with Brazilian commercial law (Código Civil, Lei 10.406/2002) and applies to the procurement of dental equipment, instruments, and consumable supplies for the operation of a licensed Dentist practice located in the Federal District of Brazil Brasília. All transactions are subject to the terms and conditions outlined herein.| Item # | Description | Category | Qty | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|---|---|
| 01 | Dental Chair Unit – A-dec 500, with integrated light and delivery system | Major Equipment | 2 | R$ 87,500.00 | R$ 175,000.00 |
| 02 | Digital X-Ray Sensor – Sirona OP 3006, intraoral | Imaging | 3 | R$ 12,800.00 | R$ 38,400.00 |
| 03 | High-Speed Handpiece – NSK T101L, with 5 cartridges | Instruments | 10 | R$ 3,250.00 | R$ 32,500.00 |
| 04 | Composite Resin Kit – 3M Filtek Supreme Ultra, 10 shades | Consumables | 25 | R$ 1,480.00 | R$ 37,000.00 |
| 05 | Dental Burs Assortment – Brasseler Diamond, 200-piece set | Instruments | 5 | R$ 2,100.00 | R$ 10,500.00 |
| 06 | Sterilizer – W&H Steri 100, Class B, 10L capacity | Major Equipment | 1 | R$ 28,900.00 | R$ 28,900.00 |
| 07 | Nitrile Examination Gloves – Large, 100 boxes (50 pcs each) | Consumables | 100 | R$ 89.90 | R$ 8,990.00 |
| 08 | LED Curing Light – Woodpecker NOVA, 1200 mW/cm² | Instruments | 4 | R$ 4,750.00 | R$ 19,000.00 |
| 09 | Patient Dental Records Software License – 5-user annual | Software | 1 | R$ 15,600.00 | R$ 15,600.00 |
| 10 | Local Anesthetic – Lidocaine 2% with Epinephrine, 200 cartridges | Pharmaceutical | 200 | R$ 12.50 | R$ 2,500.00 |
| Subtotal | R$ 368,390.00 |
| ICMS (18% – DF Tax) | R$ 66,310.20 |
| Freight & Installation (Brasília – DF) | R$ 4,200.00 |
| Discount (Volume – 3%) | - R$ 11,051.70 |
| GRAND TOTAL (BRL) | R$ 427,848.50 |
- Delivery: All items listed in this Purchase Order shall be delivered to the Buyer's premises at Quadra 3, Bloco A, Lote 12, Asa Sul, Brasília – DF, Brazil, within thirty (30) calendar days from the date of acceptance of this document. Major equipment (Items 01, 06) shall include professional installation and calibration by certified technicians.
- Payment Terms: Payment shall be made via bank transfer (TED/PIX) to the Supplier's account in Brazil Brasília. A 30% advance payment is due upon signing. The remaining 70% shall be settled within fifteen (15) business days after confirmed delivery and acceptance of all goods. Late payments shall incur a penalty of 1% per month plus SELIC interest as per Brazilian regulations.
- Warranty: All major equipment carries a minimum two-year manufacturer warranty. Consumable and pharmaceutical items are non-returnable once opened. The Dentist practice shall notify the Supplier of any defects within ten (10) business days of delivery for warranty claims to be processed.
- Regulatory Compliance: All dental products and equipment must comply with ANVISA (Agência Nacional de Vigilância Sanitária) regulations and hold valid registration numbers. The Supplier guarantees that all items are approved for use by a licensed Dentist in Brazil Brasília and throughout the Federal Republic of Brazil.
- Acceptance & Inspection: The Buyer reserves the right to inspect all delivered goods within five (5) business days. Any discrepancies in quantity, quality, or specification must be reported in writing to the Supplier's representative in Brasília. Unreported items shall be deemed accepted.
- Force Majeure: Neither party shall be liable for delays caused by events beyond reasonable control, including but not limited to natural disasters, government sanctions, or supply chain disruptions affecting the Brasília metropolitan area.
- Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Federative Republic of Brazil. Any disputes arising from this document shall be resolved in the courts of Brasília – DF, Brazil, or through arbitration at the CAM-CCBC (Câmara de Arbitragem do Centro de Comércio Brasil-Canadá) at the Buyer's election.
- Confidentiality: Both parties agree to maintain confidentiality regarding pricing, business terms, and patient-related data processed through the software licensed under this Purchase Order, in compliance with Brazil's LGPD (Lei Geral de Proteção de Dados, Lei 13.709/2018).
- Amendments: Any modifications to this Purchase Order must be made in writing and signed by authorized representatives of both the Buyer (Dentist practice) and the Supplier. Verbal agreements are not binding.
By signing below, both parties acknowledge and agree to all terms, conditions, and specifications outlined in this Purchase Order for the procurement of dental supplies and equipment for the Dentist practice operating in Brazil Brasília.
Dr. Ricardo Almeida, DDSOwner / Chief Dentist
Clínica Odontológica Brasília Prime
CNPJ: 12.345.678/0001-90
Date: _______________ Sra. Mariana Costa
Sales Manager / Authorized Signatory
DentalTech Brasil Distribuidora Ltda.
CNPJ: 98.765.432/0001-15
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
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