PURCHASE REQUEST

Barangay: Lam-an P.R. No:

City/Municipality: Ozamiz City Date:

REQUISITION

Item Estimated Estimated

Qty Unit Item Description
Number Unit Cost Amount

1 1 Pc. 2.2L Thermos 339.00 339.00

2 10 Pcs. 11 oz. Mug 35.00 350.00
*NOTHING FOLLOWS*

TOTAL 689.00
Purpose:

FOR BADAC Materials

Requested by: Approved for Issuance:

JASMINE SHANE S. MANINGO SANCHO S. OAMINAL, JR.

Signature Over Printed Name of the Requestor Punong Barangay
Date ____________ Date ____________