Purchase Order Optometrist in Brazil Rio de Janeiro –Free Word Template Download with AI
Optometrist Optical Equipment & Professional Services Procurement
Rio de Janeiro, State of Rio de Janeiro, Brazil
PO No. RJ-2025-04871
Date of Issue: June 12, 2025
Valid Until: July 12, 2025
1. PARTIES INVOLVEDPurchaser (Buyer)
Clínica Visão Rio de Janeiro Ltda.
Av. Atlântica, 1500 – Copacabana
Rio de Janeiro, RJ – CEP 22070-001
CNPJ: 12.345.678/0001-90
Contact: Dr. Ricardo Almeida, Optometrist
Email: [email protected]
Phone: +55 (21) 3456-7890
Supplier (Vendor)
OptiTech Brasil Distribuidora de Equipamentos Oftalmológicos S.A.
Rua da Assembleia, 890 – Centro
Rio de Janeiro, RJ – CEP 20011-000
CNPJ: 98.765.432/0001-15
Contact: Sra. Mariana Costa, Sales Director
Email: [email protected]
Phone: +55 (21) 2345-6789
2. Download and customize a professional Purchase Order Optometrist Brazil Rio de Janeiro Word template. Perfect for business, legal, and personal use. Editable and ready to boost your productivity. OF PURCHASEThis Purchase Order is issued by Clínica Visão Rio de Janeiro Ltda. to procure specialized optometrist equipment, diagnostic instruments, optical lenses, and professional-grade materials required for the operation of our optometry practice located in the city of Rio de Janeiro, Brazil. The Optometrist team at our clinic, led by Dr. Ricardo Almeida (registered with the Conselho Brasileiro de Oftalmologia – CBO under license number 45.678), requires the following items to maintain and expand our patient care services in the metropolitan area of Rio de Janeiro.
3. LINE ITEMS| Item # | Description | Qty | Unit | Unit Price (BRL) | Total (BRL) |
|---|---|---|---|---|---|
| 01 | Autorefractometer – Digital, for Optometrist use in patient refraction testing | 2 | Unit | R$ 18,500.00 | R$ 37,000.00 |
| 02 | Phoropter – Binocular, with full lens set, for comprehensive optometrist examinations | 3 | Unit | R$ 12,800.00 | R$ 38,400.00 |
| 03 | Slit Lamp Biomicroscope – 16x/40x magnification, for anterior segment eye examination | 2 | Unit | R$ 24,300.00 | R$ 48,600.00 |
| 04 | Non-Contact Tonometer – For intraocular pressure measurement by the Optometrist | 2 | Unit | R$ 9,750.00 | R$ 19,500.00 |
| 05 | Optical Lenses – Single Vision, CR-39, 1.50 index, assorted prescriptions (pack of 50) | 4 | Pack | R$ 3,200.00 | R$ 12,800.00 |
| 06 | Progressive Lenses – 1.67 index, for optometrist-dispensed multifocal prescriptions (pack of 20) | 3 | Pack | R$ 8,900.00 | R$ 26,700.00 |
| 07 | UV400 Sunglass Lenses – Polarized, for optometrist-recommended photoprotection (pack of 30) | 2 | Pack | R$ 2,450.00 | R$ 4,900.00 |
| 08 | Optical Frames – Titanium, assorted styles, for dispensing by the Optometrist (pack of 25) | 2 | Pack | R$ 5,600.00 | R$ 11,200.00 |
| 09 | Contact Lens Solution – 355ml bottles, for optometrist patient aftercare (case of 48) | 5 | Case | R$ 1,800.00 | R$ 9,000.00 |
| 10 | Visual Acuity Charts – Snellen & LogMAR, wall-mounted, for optometrist screening | 6 | Unit | R$ 420.00 | R$ 2,520.00 |
| 11 | Penlight Ophthalmoscope – LED, for the Optometrist's clinical bag | 10 | Unit | R$ 185.00 | R$ 1,850.00 |
| 12 | Annual Calibration & Maintenance Service – All diagnostic equipment listed above | 1 | Year | R$ 15,000.00 | R$ 15,000.00 |
| SUBTOTAL: | R$ 227,470.00 | ||||
| ICMS (18% – State of Rio de Janeiro): | R$ 40,944.60 | ||||
| FREIGHT (within Rio de Janeiro, RJ): | R$ 3,200.00 | ||||
| GRAND TOTAL (BRL): | R$ 271,614.60 | ||||
All items referenced in this Purchase Order shall be delivered to the following address in Rio de Janeiro, Brazil:
Clínica Visão Rio de Janeiro Ltda.
Av. Atlântica, 1500 – Sala 402, 4th Floor
Copacabana, Rio de Janeiro, RJ – CEP 22070-001
Brazil
Delivery must be completed within 30 (thirty) calendar days from the date of this Purchase Order. The supplier is responsible for all packaging, handling, and insurance of goods during transit within the state of Rio de Janeiro. The Optometrist team at the receiving clinic will inspect all equipment upon arrival and sign the delivery receipt. Any damaged or non-conforming items must be reported within 5 business days of delivery.
5. PAYMENT TERMS- Payment Method: Bank transfer (TED/PIX) to the supplier's account in BRL (Brazilian Real).
- Payment Schedule: 40% advance payment upon signing of this Purchase Order; 60% balance due within 15 days after confirmed delivery and acceptance by the Optometrist team.
- Bank Details: Banco do Brasil S.A. – Ag. 1234-5 – Conta Corrente: 98765-4 – CNPJ: 98.765.432/0001-15.
- Currency: All amounts are denominated in Brazilian Real (BRL – R$).
- Late Payment Penalty: 1% per month interest plus 2% fine, in accordance with Brazilian commercial law (Código Civil, Art. 412).
- This Purchase Order is governed by the laws of the Federative Republic of Brazil, specifically the Brazilian Civil Code and the Consumer Protection Code (Código de Defesa do Consumidor – Lei 8.078/1990) where applicable.
- All optometrist equipment must comply with the regulations established by the Agência Nacional de Vigilância Sanitária (ANVISA) and the Conselho Brasileiro de Oftalmologia (CBO).
- The supplier warrants that all diagnostic instruments and optical products are new, unused, and carry a minimum 24-month manufacturer warranty, valid throughout the territory of Brazil, including the city of Rio de Janeiro.
- The Optometrist at Clínica Visão Rio de Janeiro Ltda. reserves the right to reject any item that does not meet the specifications outlined in this Purchase Order or that fails to meet Brazilian regulatory standards for ophthalmic and optometric devices.
- Disputes arising from this Purchase Order shall be resolved through the courts of the city of Rio de Janeiro, State of Rio de Janeiro, Brazil, or through arbitration at the Câmara de Comércio Brasil-Canadá, at the purchaser's option.
- The supplier shall provide all necessary technical documentation, user manuals in Portuguese, and training for the Optometrist staff on the operation of newly acquired equipment.
- This Purchase Order becomes effective upon signature by both parties and remains valid until the expiration date stated in the header, unless extended in writing by mutual agreement.
- Any modifications to this Purchase Order must be made in writing and signed by authorized representatives of both parties.
Optometrist – CBO 45.678
Purchaser / Clínica Visão Rio de Janeiro Ltda.
Date: _______________ Sra. Mariana Costa
Sales Director
Supplier / OptiTech Brasil S.A.
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX
Create your own Word template with our GoGPT AI prompt:
GoGPT