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

East African Orthodontic Supply Co., Ltd.

P.O. Box 4521, Kariakoo Business District, Tanzania Dar es Salaam

Tel: +255 22 211 4567 | Email: [email protected]

Tanzania Revenue Authority TIN: 123-456-789

Purchase Order No.: PO-TZ-2025-0847

Date of Issue: 14 June 2025

Required Delivery Date: 28 June 2025

Payment Terms: Net 30 Days

Incoterms: DDP (Delivered Duty Paid)

Delivery Location: Tanzania Dar es Salaam

SUPPLIER INFORMATION
Supplier Name: GlobalDental Equipment & Materials (Pty) Ltd.
Address: 12 Industrial Avenue, Mombasa, Kenya
Contact Person: Mr. James Mwangi – Regional Sales Director, East Africa
Phone / Email: +254 700 555 234 / [email protected]
BUYER INFORMATION (ORTHODONTIST PRACTICE)
Buyer Name: Dr. Amina Hassan – Lead Orthodontist, Kariakoo Smile Orthodontic Centre
Practice Address: Plot 78, Sam Nujoma Street, Kariakoo, Tanzania Dar es Salaam
Registration No.: TMB Reg. No. 2019/0452 (Tanzania Medical Board)
Phone / Email: +255 754 889 123 / [email protected]
PURCHASE ORDER LINE ITEMS – ORTHODONTIC EQUIPMENT & SUPPLIES
Item No. Description Qty Unit Unit Price (TZS) Total (TZS)
01 Self-ligating orthodontic brackets, stainless steel, 0.022" slot – complete arch set (upper and lower) for the Orthodontist's patient caseload in Tanzania Dar es Salaam 50 Sets 1,850,000 92,500,000
02 NiTi (Nickel-Titanium) archwires, full range 0.014" to 0.021" x 0.025", 18" length – essential orthodontic wire for the Orthodontist's treatment protocols 200 Pcs 45,000 9,000,000
03 Ceramic orthodontic brackets, aesthetic type, 0.022" slot – for the Orthodontist's cosmetic treatment patients in Tanzania Dar es Salaam 30 Sets 2,400,000 72,000,000
04 Orthodontic bonding kit (etchant, primer, composite resin, light-curing unit) – for the Orthodontist's bracket placement procedures 10 Kits 3,200,000 32,000,000
05 Portable intraoral X-ray imaging system with digital sensor – diagnostic equipment for the Orthodontist's practice in Tanzania Dar es Salaam 1 Unit 185,000,000 185,000,000
06 Orthodontic elastics, various sizes and colours (0.25", 0.35", 0.50") – consumable supplies for the Orthodontist's weekly patient adjustments 500 Packs 12,000 6,000,000
07 Orthodontic pliers and forceps set (12-piece professional set) – hand instruments for the Orthodontist's clinical work in Tanzania Dar es Salaam 4 Sets 2,800,000 11,200,000
08 Clear aligner fabrication materials (thermoplastic sheets, 1.5mm thickness) – for the Orthodontist's Invisalign-type treatment plans 100 Sheets 85,000 8,500,000
09 Orthodontic wax and patient comfort kits – for the Orthodontist's post-adjustment patient care in Tanzania Dar es Salaam 200 Boxes 15,000 3,000,000
10 CBCT (Cone Beam CT) software licence and calibration service – imaging software for the Orthodontist's 3D treatment planning 1 License 45,000,000 45,000,000
SUBTOTAL 464,200,000
VAT (18% – Tanzania Revenue Authority) 83,556,000
DELIVERY & INSTALLATION (Tanzania Dar es Salaam) 12,500,000
GRAND TOTAL (TZS) 560,256,000
TERMS AND CONDITIONS OF THIS PURCHASE ORDER
  1. This Purchase Order is issued by Kariakoo Smile Orthodontic Centre, a registered Orthodontist practice operating in Tanzania Dar es Salaam, and constitutes a binding procurement request for the orthodontic equipment and materials listed above.
  2. The supplier shall deliver all items to the Orthodontist's clinic at Plot 78, Sam Nujoma Street, Kariakoo, Tanzania Dar es Salaam, no later than 28 June 2025. All delivery, customs clearance, and import duties within Tanzania Dar es Salaam shall be the responsibility of the supplier under DDP terms.
  3. Payment shall be made within thirty (30) calendar days of the date of invoice, via bank transfer to the supplier's designated account. The Orthodontist's practice in Tanzania Dar es Salaam shall issue payment through the National Bank of Commerce, Dar es Salaam branch.
  4. All orthodontic equipment supplied under this Purchase Order must comply with the Tanzania Food and Drug Authority (TFDA) registration requirements and the Tanzania Medical Board (TMB) standards for clinical devices used by an Orthodontist in Tanzania Dar es Salaam.
  5. The supplier warrants that all items are new, unused, and free from defects. The Orthodontist's practice in Tanzania Dar es Salaam reserves the right to reject any non-conforming goods within fourteen (14) days of delivery.
  6. Installation and calibration of the intraoral X-ray imaging system and CBCT software shall be performed by the supplier's certified technician at the Orthodontist's clinic in Tanzania Dar es Salaam, at no additional cost beyond the delivery fee stated in this Purchase Order.
  7. A two-year warranty is provided on all capital equipment (Items 05 and 10). Consumable items (Items 01–04, 06–09) carry a standard 90-day manufacturer's warranty against manufacturing defects.
  8. This Purchase Order is governed by the laws of the United Republic of Tanzania. Any disputes arising from this Purchase Order shall be resolved through arbitration in Tanzania Dar es Salaam in accordance with the Tanzania Arbitration Act, Cap. 20.
  9. The Orthodontist's practice in Tanzania Dar es Salaam may amend or cancel this Purchase Order in writing prior to the supplier's confirmation of shipment. Any amendments must be countersigned by both parties.
  10. All communications regarding this Purchase Order shall be directed to the procurement officer of the Orthodontist's practice at the email and phone number listed above, or to the supplier's regional sales director in Mombasa, Kenya.
AUTHORISATION AND SIGNATURES

For and on behalf of the Buyer (Orthodontist Practice):

Dr. Amina Hassan – Lead Orthodontist

Kariakoo Smile Orthodontic Centre, Tanzania Dar es Salaam

Date: ____________________

For and on behalf of the Supplier:

Mr. James Mwangi – Regional Sales Director

GlobalDental Equipment & Materials (Pty) Ltd.

Date: ____________________

This Purchase Order (PO-TZ-2025-0847) was prepared for the Orthodontist practice of Dr. Amina Hassan, Kariakoo Smile Orthodontic Centre, Tanzania Dar es Salaam. This document is valid for 60 days from the date of issue. Unauthorised reproduction is prohibited. © 2025 East African Orthodontic Supply Co., Ltd. – Tanzania Dar es Salaam.

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