Republic of the Philippines
BARANGAY QUIRINO 2-A
District III, Quezon City
Office of the Punong Barangay
PURCHASE REQUEST
Barangay : QUIRINO 2A P.R. No. :
City/Municipality : QUEZON CITY Date :
Province : METRO MANILA
REQUISITION
Item Qty Unit of Item description Estimated Estimated
Number Measurement Unit Cost Amount
1 12 BLACK BALLPEN, DONG A MY GEL,0.5 57.00 684.00
2 22 BOND PAPER LONG 581.00 12,782.00
3 10 BOND PAPER SHORT 545.00 5,455.00
4 2 COMPUTER PRINTER INK, CANON 810(BLACK) 2,100.00 4,200.00
5 1 COMPUTER PRINTER INK, CANON 811 (COL.) 2,600.00 2,600.00
6 1 COMPUTER PRINTER INK, EPSON 003 (BLACK) 900.00 900.00
7 8 DATA FOLDER 550.00 4,400.00
8 20 FILE FOLDER LONG 35.00 700.00
9 1 ELMER’S GLUE 437ml 700.00 700.00
10 60 MANILA PAPER 12.85 771.00
11 250 PAY ENVELOPE 8 ½ 4.00 1,000.00
12 6 PERMANENT MARKER (BLACK) 98.00 588.00
13 7 PERMANENT MARKER (RED) 98.00 686.00
14 5 RECORD BOOK (500 PAGES) 480.00 2,400.00
15 1 SCOTCH TAPE BIG 680.00 680.00
16 1 STAPLER HEAVY DUTY 936.00 936.00
17 1 TONER, KYOCERA TK-3165 8,600.00 8,600.00
Total Estimated Amount P48,082.00
Purpose : FOR OFFICIAL USE
Requested by: Approved:
GRACELDA Q. BASAL
Barangay Treasurer HON. MARIAN A. GARLIT
Signature over Printed Name Punong Barangay
Requesting Officer
_______________ _____________
Date Date
