Materials Requisition Form

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Republic of the Philippines

Department of Education
DR. CARIDAD C. LABE EDUCATION CENTREX (CCL CENTREX), INC.
HIGH SCHOOL DEPARTMENT
G. Mangubat St., Poblacion, Lapu-Lapu City
Contact No.: 341-5826 / 0946-765-6194 / 0975-517-9547

MATERIALS REQUISITION FORM


(SCIENCE LABORATORY)

MATERIALS QUANTITY UNIT PRICE ACTUAL COST


2-way clamp 4 pcs 385 1,540
Acid burette – Pyrex 2 pcs 700 1,400
Beaker (250 mL) – Pyrex 3 pcs 180 540
Beaker (500 mL) – Pyrex 3 pcs 250 750
Droppers 20 pcs 5 100
Ethanol 1 liter 480 480
Hydrochloric acid (conc) – AR 1 liter 500 500
Iodine solution (conc) 50 mL 50 50
Iron filings 100 g 150 150
Litmus paper (blue) 2 sets 50 100
Litmus paper (red) 2 sets 50 100
Magnesium ribbon – AR 2 packs 285 570
Methanol 1 liter 400 400
Nitric acid (conc) – AR 1 liter 900 900
pH paper – US 2 sets 450 900
Pipette filler 4 pcs 35 140
Rubber stopper (for 25-mL TT) 30 pcs 30 900
Separating funnel – Pyrex 1 pc 750 750
Test tubes – Pyrex 20 pcs 25 500
Universal indicator 30 mL 1,000 1,000
Zinc metal – AR 100 g 380 380
Gentian violet 60 mL 2.67 160
TOTAL 12,310

JAYCEL MARIE L. MONTON


Science Lab In-charge

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