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PURCHASE REQUEST

Bulacan Agricultural State College


Agency

Administrative
Department____________________
Section _______________________
Stock
No.

Unit

PR No.: _______________
SAI No.: ______________

Item Description

Date: _________________
Date: _________________

Quantity

Unit Cost

Total

Pc

ARROW T-50 STAPLES

850.00

850.00

Pc

Tornado Mop 360

900.00

900.00

Purpose : ____Admin Use______________________________________________


_____________________________________________________________________________
Requested by:
Signature:
Printed Name:
Designation:
Date:

Approved by:

Funds Available:

MINERVA D. ARCILLA

GERARDO I. MENDOZA, Ph. D.

MA. DOLORES G. BERSAMINA

Administrative Officer V

President

Accountant III

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