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Purchase Order Optometrist in Ethiopia Addis Ababa –Free Word Template Download with AI

Optometrist Practice — Ethiopia Addis Ababa

Purchase Order Details

PO Number: PO-ETH-ADD-2025-04782

Date of Issue: 15 June 2025

Required Delivery Date: 30 June 2025

Currency: Ethiopian Birr (ETB)

Payment Terms: Net 30 Days

Buyer (Receiving Party)

Clear Vision Optometry Center

Optometrist Practice & Eye Care Clinic

Bole Sub-City, Woreda 03

Ethiopia Addis Ababa, P.O. Box 4521

Tel: +251-11-555-0198

Email: [email protected]

TIN: ET-04521-8834

Supplier (Vendor)

EthioOptical Supply & Equipment PLC

Authorized Distributor of Ophthalmic & Optometric Products

Kazanchis Avenue, Bole Sub-City

Ethiopia Addis Ababa, P.O. Box 7834

Tel: +251-11-666-2245

Email: [email protected]

TIN: ET-07834-1156

This Purchase Order is issued by Clear Vision Optometry Center, a licensed Optometrist practice operating in Ethiopia Addis Ababa, to procure essential diagnostic instruments, corrective lenses, optical frames, and ancillary equipment required for the continued delivery of comprehensive eye care services to the local community. This Purchase Order governs the terms, conditions, pricing, and delivery obligations between the Optometrist buyer and the authorized supplier. All items listed herein are intended for clinical use within the Optometrist's examination rooms, dispensary, and patient consultation areas located in the Bole Sub-City district of Ethiopia Addis Ababa.

Item No. Description Specification / Model Qty Unit Price (ETB) Subtotal (ETB)
01 Phoropter (Trial Frame) for Optometrist Refraction Topcon AutoRef-500, Auto Refractor 2 185,000.00 370,000.00
02 Slit Lamp Biomicroscope for Optometrist Examination Haag-Streit BQ 900 1 420,000.00 420,000.00
03 Non-Mydriatic Fundus Camera Zeiss Visucam 200 1 385,000.00 385,000.00
04 Single-Vision Lenses (CR-39), Assorted Powers Plano to -8.00D, 1.50 Index 200 1,250.00 250,000.00
05 Bifocal Progressive Lenses Essilor Varilux X Series, 1.60 Index 80 4,800.00 384,000.00
06 Optical Frames (Titanium & Acetate), Assorted Styles Mixed Gender Collection, 2025 Line 150 3,500.00 525,000.00
07 Sunglasses with UV400 Protection Polarized, CE & Ethiopian Standards Certified 100 2,800.00 280,000.00
08 Contact Lens Solution & Care Kits Replenish+ 360ml, 12-month supply 50 1,800.00 90,000.00
09 Penlight & Retinoscope Set for Optometrist Use Heine Beta 20 + Shinwell Retinoscope 10 8,500.00 85,000.00
10 Eye Chart (Snellen & LogMAR) Wall-Mounted Backlit, 6m Viewing Distance 4 12,000.00 48,000.00
Subtotal (All Line Items)2,837,000.00 ETB
VAT (15% — Ethiopian Revenue Authority Rate)425,550.00 ETB
Delivery & Installation within Ethiopia Addis Ababa18,500.00 ETB
Grand Total3,281,050.00 ETB

All goods specified in this Purchase Order shall be delivered to the Optometrist's clinic premises at Bole Sub-City, Woreda 03, Ethiopia Addis Ababa, no later than the required delivery date stated above. The supplier is responsible for all transportation, handling, and insurance of goods from their warehouse to the Optometrist's facility. Installation and calibration of the slit lamp, phoropters, and fundus camera shall be performed by the supplier's certified biomedical engineers at the Optometrist's location in Ethiopia Addis Ababa at no additional cost. A written installation report and warranty registration certificate must be submitted to the Optometrist's procurement officer within five (5) business days of completion.

All products purchased under this Purchase Order must comply with the Ethiopian Food and Drug Authority (EFDA) regulations and the standards set by the Ethiopian Optometric Association. The Optometrist requires that all corrective lenses, contact lenses, and optical frames carry valid CE marking and, where applicable, EFDA import permits. The supplier shall provide certificates of conformity, batch numbers, and country-of-origin documentation for every item. Failure to meet these regulatory requirements will result in immediate rejection of the non-conforming goods and a proportional credit note issued against this Purchase Order.

Payment of the full amount of 3,281,050.00 ETB shall be made via bank transfer to the supplier's designated account within thirty (30) calendar days of the date of this Purchase Order, subject to satisfactory receipt and inspection of all goods by the Optometrist's quality assurance team. Payment shall be processed through the National Bank of Ethiopia, Account No. 1001-4521-8834, Clear Vision Optometry Center, Addis Ababa Branch. The supplier shall issue a valid Ethiopian Revenue Authority (ERA) tax invoice prior to payment processing.

The supplier guarantees a minimum of two (2) years of manufacturer warranty on all diagnostic equipment (items 01–03, 09, 10) and one (1) year on all consumable optical products (items 04–08). Warranty service for equipment shall be provided on-site at the Optometrist's clinic in Ethiopia Addis Ababa within forty-eight (48) hours of a service request. The supplier shall maintain a dedicated after-sales support line accessible to the Optometrist's clinical staff during standard business hours (08:00–17:00 EAT, Monday through Saturday).

This Purchase Order may be modified or cancelled only by mutual written agreement between the Optometrist's authorized procurement officer and the supplier's account manager. Any modification must be documented in a formal amendment letter referencing the original PO number PO-ETH-ADD-2025-04782. Cancellation after the supplier has confirmed production or procurement of materials will incur a 10% penalty fee on the value of affected line items.

This Purchase Order shall be governed by and construed in accordance with the Commercial Code of Ethiopia and applicable federal trade regulations. Any disputes arising from this Purchase Order between the Optometrist practice and the supplier shall first be attempted to be resolved through good-faith negotiation. If unresolved within thirty (30) days, the matter shall be submitted to the Commercial Court of Addis Ababa, Ethiopia Addis Ababa, for final and binding adjudication.

This Purchase Order is valid upon signature by both parties. The Optometrist's authorized signatory confirms that the funds for this Purchase Order have been allocated in the 2025 fiscal budget of the practice. The supplier's signatory confirms acceptance of all terms, conditions, delivery timelines, and quality specifications outlined in this document.

For the Optometrist (Buyer):
Dr. Selamawit Tesfaye, OD
Lead Optometrist & Practice Director
Clear Vision Optometry Center
Date: _______________
For the Supplier (Vendor):
Mr. Dawit Bekele
Sales & Procurement Manager
EthioOptical Supply & Equipment PLC
Date: _______________

OFFICIAL STAMP

Clear Vision Optometry Center
Ethiopia Addis Ababa

— End of Purchase Order PO-ETH-ADD-2025-04782 —

This document is the property of Clear Vision Optometry Center, Ethiopia Addis Ababa. Unauthorized reproduction is prohibited under Ethiopian intellectual property law.

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