Purchase Order Optometrist in Tanzania Dar es Salaam –Free Word Template Download with AI

Purchase Order

Purchase Order Details

PO Number: PO/2025/DRS-00472

Date of Issue: 14 June 2025

Required Delivery Date: 28 June 2025

Delivery Location: Dr. Amina Hassan Optometry & Vision Care Centre, Masaki, Dar es Salaam, Tanzania

Payment Terms: Net 30 Days from Invoice Date

Currency: Tanzanian Shillings (TZS)

Supplier Information

Supplier Name: East African Optical Supplies Ltd.

Address: 12 Samora Avenue, Kariakoo, Dar es Salaam, Tanzania

TIN: 987-654-321-C

Contact Person: Mr. Joseph Mwakalinga

Phone: +255 754 987 321

Email: [email protected]

Buyer / Receiving Department

Department: Clinical Procurement & Equipment Division

Authorized Optometrist: Dr. Amina Hassan, M.Opt.Sc (Tanzania)

Receiving Officer: Mr. Emmanuel Mushi

Warehouse Location: Ground Floor Store Room, Masaki, Dar es Salaam

Line Items – Optical Equipment, Lenses, and Consumables for Optometrist Practice

No.	Description of Item	Specification / Model	Qty	Unit (TZS)	Total (TZS)	Remarks
1	Phoropter (Trial Frame) – Binocular, Auto-Neutralising	Nidek NP-200	2	4,850,000	9,700,000	For refraction suite, Dar es Salaam clinic
2	Autorefractor / Keratometer – Digital	Topcon KR-4100	1	7,200,000	7,200,000	Calibration certificate required
3	Slit Lamp Biomicroscope with Fundus Lens	Haag-Streit BQ 900	1	12,500,000	12,500,000	Includes 90D and 20D lenses
4	Single Vision Lenses – CR-39, Index 1.50, Clear	Various powers -6.00 to +6.00	200	185,000	37,000,000	For optometrist dispensing in Dar es Salaam
5	Progressive Multifocal Lenses – Index 1.60	Essilor Varilux Comfort	80	950,000	76,000,000	For presbyopia patients
6	Anti-Glare Coating Solution (Bottle 500ml)	OptiCoat AG-500	10	120,000	1,200,000	For lens finishing workshop
7	Optical Frames – Acetate, Assorted Colours	Mixed styles, unisex	150	45,000	6,750,000	For retail dispensing in Masaki clinic
8	Contact Lens Solution (300ml bottles)	ReNu MultiPlus	100	38,000	3,800,000	For optometrist contact lens fitting
9	Visual Acuity Charts (Snellen & LogMAR)	Wall-mounted, 6m / 3m	6	85,000	510,000	For examination rooms
10	Penlight Ophthalmoscope Set	Heine Omega 110	5	220,000	1,100,000	For optometrist clinical use

Subtotal (TZS)	155,760,000
VAT @ 18% (Tanzania Revenue Authority)	28,036,800
Delivery & Installation (Dar es Salaam)	1,500,000
GRAND TOTAL (TZS)	185,296,800

Important Note: All optical equipment and lenses procured under this Purchase Order must comply with the Tanzania Food and Drugs Authority (TFDA) regulations for medical devices and optical products. The supplier is required to provide TFDA import permits, certificates of conformity, and product registration documents prior to delivery at the optometrist's clinic in Dar es Salaam. All items must be in original manufacturer packaging with valid warranty documentation.

Terms and Conditions of this Purchase Order

This Purchase Order is issued by Dr. Amina Hassan Optometry & Vision Care Centre, a registered optometrist practice operating in Dar es Salaam, Tanzania, and constitutes a binding procurement request for the optical equipment, lenses, frames, and consumables listed above.
The supplier, East African Optical Supplies Ltd., acknowledges receipt of this Purchase Order and agrees to supply all listed items in accordance with the specifications, quantities, and delivery timelines stated herein.
Delivery of all items shall be made to the optometrist's clinic premises located at Plot 47, Mbezi Beach Road, Masaki, Dar es Salaam, Tanzania, no later than 28 June 2025. The supplier bears all transportation and insurance costs within Dar es Salaam city limits.
Payment shall be made within thirty (30) calendar days from the date of the supplier's invoice, via bank transfer to the supplier's designated account with a Tanzanian commercial bank. The optometrist's practice reserves the right to withhold payment for any items found to be defective, substandard, or non-compliant with TFDA regulations.
All optical equipment (phoropters, autorefractors, slit lamps) must be installed, calibrated, and tested on-site at the Dar es Salaam clinic by qualified technicians from the supplier. A commissioning report signed by the receiving optometrist shall be required before final acceptance.
The supplier warrants that all lenses, frames, and consumables are new, unused, and free from manufacturing defects. A minimum warranty period of twelve (12) months applies to all equipment and six (6) months to all consumable optical products.
In the event of non-delivery or delivery of non-conforming goods, the optometrist's practice in Dar es Salaam reserves the right to reject the shipment, request immediate replacement, or cancel this Purchase Order in whole or in part without penalty.
This Purchase Order is governed by the laws of the United Republic of Tanzania. Any disputes arising from this document shall be resolved through the commercial courts of Dar es Salaam or through mediation as prescribed by Tanzanian commercial law.
The supplier shall provide a valid Tax Invoice compliant with Tanzania Revenue Authority (TRA) requirements, including the supplier's TIN, the buyer's TIN, VAT breakdown, and a unique invoice number, at the time of delivery.
Any amendments to this Purchase Order must be made in writing and signed by both the authorized optometrist representative and the supplier's authorized signatory to be valid.

Prepared and Authorized By (Buyer – Optometrist):

Dr. Amina Hassan, M.Opt.Sc
Lead Optometrist & Practice Owner
Dr. Amina Hassan Optometry & Vision Care Centre
Dar es Salaam, Tanzania
Date: _______________

Accepted and Confirmed By (Supplier):

Mr. Joseph Mwakalinga
Sales & Procurement Manager
East African Optical Supplies Ltd.
Dar es Salaam, Tanzania
Date: _______________ ⬇️ Download as DOCX Edit online as DOCX

Create your own Word template with our GoGPT AI prompt:

GoGPT