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Purchase Order Optometrist in Japan Kyoto –Free Word Template Download with AI

Optometrist Practice Equipment & Supplies Procurement

Japan Kyoto Region

PURCHASE ORDER DETAILS

Purchase Order No.: PO-KYO-2025-0487

Date of Issue: June 12, 2025

Required Delivery Date: July 15, 2025

Payment Terms: Net 30 Days

Currency: Japanese Yen (JPY)

Incoterms: DDP Kyoto, Japan

BUYER (RECEIVING PARTY)

Name: Kyoto Vision Care Optometrist Clinic

Address: 2-14-8 Gion, Higashiyama-ku, Kyoto 605-0074, Japan Kyoto

Contact: Dr. Haruki Tanaka, Lead Optometrist

Phone: +81-75-555-0142

Email: [email protected]

Registration No.: KYO-OPT-2019-33871

SUPPLIER (SELLING PARTY)

Name: Nippon Optical Instruments Co., Ltd.

Address: 1-7-3 Nishinakajima, Yodogawa-ku, Osaka 532-0022, Japan

Contact: Mr. Kenji Watanabe, Sales Director

Phone: +81-6-555-0893

Email: [email protected]

Tax ID: 20-1-00045-8821

DELIVERY INFORMATION

Delivery Address: Kyoto Vision Care Optometrist Clinic, 2-14-8 Gion, Higashiyama-ku, Kyoto 605-0074, Japan Kyoto

Delivery Window: 08:00 – 17:00 JST

Receiving Contact: Ms. Yuki Sato, Office Manager

Special Instructions: All equipment must be delivered to the second-floor clinical wing. Please coordinate with building management at least 48 hours in advance.

Item No. Description Qty Unit Price (JPY) Total (JPY)
001 Topcon Autorefractor-Keratometer RK-5, calibrated for Optometrist use in Japan Kyoto clinic 1 1,850,000 1,850,000
002 Nidek OCT-1000 Optical Coherence Tomography System for Optometrist diagnostic procedures 1 4,200,000 4,200,000
003 Essilor Varilux Progressive Lenses (Assorted Powers), 200 units for Optometrist dispensing in Japan Kyoto 200 12,500 2,500,000
004 Titanium Optical Frames – Assorted Styles, 150 units for Optometrist retail counter 150 8,800 1,320,000
005 Phoropter Trial Lens Set (Complete, 120 lenses) for Optometrist refraction examinations 1 680,000 680,000
006 UV400 Anti-Blue Light Lenses (1.67 Index), 100 pairs for Optometrist patient orders in Japan Kyoto 100 9,200 920,000
007 Digital Visual Acuity Chart System (LED, 5m equivalent) for Optometrist examination room 2 340,000 680,000
008 Contact Lens Solution & Care Kits (Monthly Supply), 500 units for Optometrist patient aftercare 500 1,800 900,000
009 Penlight & Ophthalmoscope Set (Premium Grade), 10 sets for Optometrist clinical staff 10 45,000 450,000
010 Annual Maintenance & Calibration Service Contract for all Optometrist diagnostic equipment, Japan Kyoto site 1 450,000 450,000
Subtotal 13,950,000 JPY
Consumption Tax (10%) 1,395,000 JPY
Shipping & Handling (Osaka to Japan Kyoto) 85,000 JPY
GRAND TOTAL 15,430,000 JPY
  1. This Purchase Order is issued by Kyoto Vision Care Optometrist Clinic, a licensed Optometrist practice registered in the Japan Kyoto metropolitan area, and constitutes a binding procurement request for all items listed above.
  2. All equipment and supplies must comply with the Japan Medical Device Act (MDA) and meet the standards set by the Japan Optometrists Association for use in a licensed Optometrist clinic within Japan Kyoto.
  3. The supplier shall provide full calibration certificates, warranty documentation (minimum 2 years for diagnostic equipment), and Japanese-language user manuals for all Optometrist-grade instruments.
  4. Delivery shall be made to the designated address in Japan Kyoto between 08:00 and 17:00 JST on or before the required delivery date. Late delivery beyond five (5) business days entitles the Optometrist clinic to cancel this Purchase Order without penalty.
  5. Payment shall be made via bank transfer to the supplier's designated account within thirty (30) days of receipt of a valid invoice and confirmed delivery of all items listed in this Purchase Order.
  6. The Optometrist clinic reserves the right to inspect all delivered goods within seven (7) business days of arrival at the Japan Kyoto facility. Any items found defective, damaged, or non-conforming to the specifications in this Purchase Order must be replaced or refunded at the supplier's expense.
  7. All intellectual property, licensing, and regulatory compliance for the Optometrist equipment is the sole responsibility of the supplier. The supplier warrants that no items infringe upon third-party patents or violate any Japan Kyoto municipal health regulations.
  8. This Purchase Order is governed by the laws of Japan. Any disputes arising from this Purchase Order shall be resolved through arbitration in Kyoto, Japan Kyoto, in accordance with the rules of the Japan Commercial Arbitration Association.
  9. The supplier acknowledges that the receiving facility is an active Optometrist practice serving the Japan Kyoto community and that timely delivery is critical to patient care continuity. The supplier shall provide a dedicated point of contact for the duration of this Purchase Order fulfillment.

Authorized by (Buyer – Optometrist Clinic):

Dr. Haruki Tanaka, Lead Optometrist

Kyoto Vision Care Optometrist Clinic, Japan Kyoto

Date: ____________________

Accepted by (Supplier):

Mr. Kenji Watanabe, Sales Director

Nippon Optical Instruments Co., Ltd.

Date: ____________________

NOTE: This Purchase Order (PO-KYO-2025-0487) has been prepared specifically for the operational needs of a licensed Optometrist practice located in Japan Kyoto. All procurement activities referenced herein are subject to the regulatory oversight of the Kyoto Prefectural Board of Health and the Japan Optometrists Association. The Optometrist clinic confirms that all equipment procured under this Purchase Order will be used exclusively for the provision of optometric care to residents of Japan Kyoto and surrounding areas. This document is valid for a period of sixty (60) days from the date of issue. Any modifications to this Purchase Order must be made in writing and signed by both parties.

Purchase Order PO-KYO-2025-0487 | Optometrist Practice Procurement | Japan Kyoto | Page 1 of 1
Generated: June 12, 2025 | Confidential – For Business Use Only

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