PURCHASE REQUEST
CALABANGA, CAMARINES SUR
LGU
Department : Public Safety Office PR No : Date :
SAI No : Date :
Section : ALOBS No: Date :
Unit of Estimated Estimated
Item No. Quantity Issue Item Description Unit Cost Cost
1 10 ream COUPON BOND, Sub.20, A4 230.00 2,300.00
2 10 ream COUPON BOND, Sub.20, long 240.00 2,400.00
3 10 ream COUPON BOND, Sub.20, short 220.00 2,200.00
4 10 pcs VALANT RECORD BOOK, 500 pages 300.00 3,000.00
5 5 sets EPSON INK 003 (BLK,Y,M,C) 1,200.00 6,000.00
6 2 pcs RECEIVED STAMP 250.00 500.00
7 2 pcs FLASH DRIVE 64gb 1,350.00 2,700.00
8 1 pc DATE STAMP 100.00 100.00
9 1 pc OFFICE CHAIR 18,000.00 18,000.00
10
11
12
13
14
15
16
17
18
19
20
TOTAL: 37,200.00
Purpose For use by the PSO Department
Requested by: Cash Availability: Approved by:
Signature:
Printed Name: MELBERT S. SAN JOSE EDEN R. BORROMEO EUGENE NORMAN B. SEVERO
Designation: Traffic Operation Officer I Municipal Treasurer Municipal Mayor