Appendix 60

PURCHASE REQUEST

Entity Name: _KATIDTUAN CES____ Fund Cluster: GENERAL FUND

Office/Section : _____________ PR No.: __2019-09-001_______ Date: ____________
Responsibility Center Code : ___________
_________________________

Stock/ Property No. Unit Item Description Quantity Unit Cost Total Cost

1 bags Cement 25 250.00 6,250.00

2 load Sand & Gravel 1 2,900.00 2,900.00
3 pcs Round Bar (9mm) 20 150.00 3,000.00
4 roll Tie Wire 2 210.00 420.00

12,570.00
Purpose: __Continuation of Path Way (Grade 5 to Grade 6)_____________________
_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:

Signature : _________________________ ___________________________
Printed Name : ___CAROLYN A. ENDOY_______ ____EVELYN E. BAREZ_______
Designation : ___ Supply Officer_______ ___ __Principal I___________

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