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Purchase Order Dentist in Saudi Arabia Riyadh –Free Word Template Download with AI

Al-Riyadh Dental Care Center

King Fahd Road, Al Olaya District, Riyadh 12213, Saudi Arabia

CR No. 1010456789 | VAT No. 310123456700003

Phone: +966 11 456 7890 | Email: [email protected]

Purchase Order No.: PO-2025-RYD-00472
Date of Issue: 14 June 2025
Required Delivery Date: 28 June 2025
Supplier: MedDent Supply Co. Ltd.
Supplier Address: Industrial City, Riyadh, Saudi Arabia
Supplier CR: 1010987654
Department: Clinical Operations
Prepared By: Dr. Khalid Al-Harbi, Lead Dentist
Approved By: Ms. Sarah Al-Otaibi, Finance Manager
BILL TO / SHIP TO
Bill To:
Al-Riyadh Dental Care Center
Attn: Procurement Department
King Fahd Road, Al Olaya District
Riyadh 12213, Saudi Arabia
VAT No. 310123456700003
Ship To:
Al-Riyadh Dental Care Center – Storage & Supply Room
King Fahd Road, Al Olaya District
Riyadh 12213, Saudi Arabia
Contact: Mr. Faisal Al-Dosari, +966 50 123 4567
LINE ITEMS – DENTAL EQUIPMENT AND SUPPLIES
# Description Item Code Qty Unit Unit Price (SAR) Total (SAR)
1 Digital Dental X-Ray Imaging System (Intraoral Sensor, 2024 Model) DXR-2024-001 2 Set 48,500.00 97,000.00
2 LED Dental Operating Light, 50,000 Lux, Adjustable Arm DLT-LED-087 4 Unit 12,300.00 49,200.00
3 High-Speed Dental Handpiece with Turbine Motor (Autoclavable) HSP-TUR-220 6 Unit 3,850.00 23,100.00
4 Composite Resin Filling Material, A2 Shade, 4g Syringes (Box of 10) CRS-A2-4G 20 Box 1,250.00 25,000.00
5 Nitrile Examination Gloves, Size M, Powder-Free (Box of 100) GLV-NIT-M 50 Box 85.00 4,250.00
6 Autoclave Sterilizer, 24L Capacity, Class B, CE & SFDA Certified ACL-24B-003 2 Unit 18,750.00 37,500.00
7 Dental Suction System, HVE & Saliva Ejector Combination SUC-HVE-114 4 Set 2,400.00 9,600.00
8 Patient Dental Chair, Hydraulic, with Headrest & Armrests CHR-HYD-301 2 Unit 32,000.00 64,000.00
9 Prophylaxis Paste, Mint Flavor, 100g Tubes (Box of 24) PRF-MNT-100 10 Box 320.00 3,200.00
10 Dental Burs, Diamond & Carbide Assorted Kit (120 pieces) BUR-ASS-120 5 Kit 1,890.00 9,450.00
Subtotal 322,300.00 SAR
VAT (15%) 48,345.00 SAR
Shipping & Handling (Riyadh Metro) 2,500.00 SAR
Grand Total 373,145.00 SAR
Important Note: All dental equipment and consumables listed in this Purchase Order must comply with the Saudi Food and Drug Authority (SFDA) regulations and carry valid CE or equivalent certification. The supplier is required to provide SFDA registration numbers for all medical devices prior to delivery at the Al-Riyadh Dental Care Center facility in Riyadh. TERMS AND CONDITIONS
  1. Payment Terms: Payment shall be made within thirty (30) calendar days from the date of confirmed delivery and acceptance of goods at the receiving facility in Riyadh, Saudi Arabia. Payment will be processed via bank transfer to the supplier's designated account in Saudi Riyal (SAR).
  2. Delivery: The supplier shall deliver all items listed in this Purchase Order to the specified address in Riyadh, Saudi Arabia, no later than the Required Delivery Date stated above. Delivery must be made between 08:00 and 16:00 KSA time, Monday through Friday, in accordance with the working schedule of the dental practice.
  3. Quality Assurance: All dental instruments, equipment, and consumables must be new, unused, and in their original manufacturer packaging. The supplier warrants that all items meet the specifications outlined in this Purchase Order and comply with SFDA and Ministry of Health (MOH) Saudi Arabia standards for dental practice operations.
  4. Warranty: Capital equipment items (X-Ray system, Autoclave, Dental Chair, Operating Light) carry a minimum two-year manufacturer warranty. The supplier shall coordinate warranty registration with the relevant manufacturer's service center in Riyadh or the nearest authorized service location within Saudi Arabia.
  5. Inspection & Acceptance: Upon delivery, the receiving staff at Al-Riyadh Dental Care Center shall inspect all items within five (5) business days. Any discrepancies, damages, or non-conforming items must be reported in writing to the supplier within this period. Failure to report within this window constitutes acceptance of the goods.
  6. Regulatory Compliance: The supplier acknowledges that this Purchase Order is issued for a licensed dental practice operating under the jurisdiction of the Riyadh Ministry of Health. All medical devices must hold valid SFDA registration. The supplier shall provide copies of all relevant certificates, import permits, and conformity declarations alongside the delivery.
  7. Force Majeure: Neither party shall be liable for delays caused by events beyond reasonable control, including but not limited to government-mandated closures, natural disasters, or supply chain disruptions affecting the Kingdom of Saudi Arabia.
  8. Governing Law: This Purchase Order shall be governed by and construed in accordance with the laws of the Kingdom of Saudi Arabia. Any disputes arising from this document shall be resolved through the competent courts in Riyadh, Saudi Arabia.
  9. Validity: This Purchase Order is valid for sixty (60) days from the date of issue. If the supplier does not confirm acceptance in writing within ten (10) business days, this Purchase Order shall be considered void.
  10. Confidentiality: Both parties agree to maintain the confidentiality of all business information exchanged in connection with this Purchase Order, including pricing, patient-related operational details of the dental practice, and proprietary product information.
AUTHORIZATION AND SIGNATURES Prepared By (Dentist / Clinical Lead)
Dr. Khalid Al-Harbi
Lead Dentist, Al-Riyadh Dental Care Center
Date: _______________
Approved By (Finance)
Ms. Sarah Al-Otaibi
Finance Manager
Date: _______________
Accepted By (Supplier)
MedDent Supply Co. Ltd.
Authorized Representative
Date: _______________
Received By (Delivery)
Mr. Faisal Al-Dosari
Supply Room Manager
Date: _______________

This Purchase Order was issued by Al-Riyadh Dental Care Center, a licensed dental practice registered with the Ministry of Health, Kingdom of Saudi Arabia, and operating in Riyadh, Saudi Arabia. All transactions are subject to the Saudi Value Added Tax (VAT) at the prevailing rate of 15%. This document is valid only when signed and stamped by all authorized parties. For inquiries regarding this Purchase Order, please contact the Procurement Department at [email protected] or +966 11 456 7890.

Document Reference: PO-2025-RYD-00472 | Page 1 of 1 | Confidential – Internal Use Only

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