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Appendix 60

PURCHASE REQUEST

Entity Name: _PALANDOK


Office/Section : NATIONAL HIGH SCHOOL Fund Cluster: _____________
_____________
______________________ PR No.: Date: JULY 1, 2017
___ Responsibility Center Code : ___________
Stock/ Total
Unit Item Description Quantity Unit Cost
Property No. Cost

1 SCHOOL ID WITH COMPLETE SET 211 25 5,275.00

Purpose: STUDENT'S SCHOOL IDENTIFICATION CARD


_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:


________________
Signature : _________________________
___________
Printed ________________
_________________________
Name : ___________
Designation : _________________________ ________________
___________
PURCHASE REQUEST

Entity Name:: PALANDOK NATIONAL HIGH SCHOOL


Office/Section Fund Cluster: REG 01
_____________
___________________ PR No.: Date: August 23, 2018
______ Responsibility Center Code : ___________
Stock/
Unit Quantity Unit Cost Total Cost
Property No.
1 pcs HOLLOW BLOCKS 105 12.00 1,260.00
2 bags CEMENT 6 250.00 1,500.00
3 Length ROUND BAR #8mm 5 78.00 390.00

Total Amount 3,150.00


Purpose:
For school renovation use
_______________________________________________________________

Requested by: Approved by:

Signature :

Printed Name : CAIRAS, ESAU JR. S. JOSEPHINE A. ROMERO


Designation : Supply Officer Authorized Agency Head
170.00
170.00
13.00
13.00
13.00
13.00
13.00
13.00
8.00
8.00
7.00 8.00
7.00 8.00
7.00
7.00
7.00
7.00 28.00
28.00
28.00
28.00
28.00
28.00
PURCHASE REQUEST

Entity Name:: PALANDOK NATIONAL HIGH SCHOOL


Office/Section Fund Cluster: REG 01
_____________
____________________ PR No.: Date: October 19, 2018
_____ Responsibility Center Code : ___________
Stock/
Unit Quantity Unit Cost Total Cost
Property No.
1 f TARPAULIN 4x5 1 300.00 300.00
2 f TARPAULIN 5x5 1 375.00 375.00

Total Amount 675.00


Purpose:
For school citizen's charter and organizational chart
_______________________________________________________________

Requested by: Approved by:

Signature :

Printed Name : CAIRAS, ESAU JR. S. JOSEPHINE A. ROMERO


Designation : Supply Officer Authorized Agency Head
170.00
170.00
13.00
13.00
13.00
13.00
13.00
8.00
8.00
7.00 8.00
7.00 8.00
7.00
7.00
7.00
7.00 28.00
28.00
28.00
28.00
28.00
28.00

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