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Certification for Compliance of Equipment Purchased/To be Purchased Date: ___________________ To: Controller’s Department, Loan Administration Division TA. No._____ – Country: TA Title__________________ With reference to our endorsement for advance / reimbursement / liquidation of equipment cost, we certify the following: Quotations of equipment obtained from at least three (3) suppliers ADB Procurement Guidelines were followed List of equipment to be purchased with corresponding prices as follows: Equipment Supplier's Origin of Unit Price Quantity Total Cost Nationality Goods 1 2 3 4 _______________________________ Printed Name and Signature TASU Specialist: ___________ Division: ________________________ Department: _____________________ ADB Form No. 690/01 Revised April 2010
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