Purchase Request: Unit Item Description Quantity Unit Cost Total Cost

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1 Republic of the Philippines

Department of Education
Region VI - Western Visayas

PURCHASE REQUEST

Office/Section: Brgy.E.Lopez NHS PR No.: Date :


Responsibility Center Code: _______________ Source of Fund:

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
pcs CHAIR, monobloc, with backrest,w/o armrest 50
-
-

TOTAL P
Purpose: TO BE USED BY THE SCHOOL FACULTY AND STAFF DURING TIME IN AND OUT

Requested by: Approved by:

Signature:
Printed Name:
Designation: Designated supply Officer Teacher In-Charge

√ In accordance with the approved CY 2018 Allotment Available:


Annual
Not Procurement
included Plan
in the approved CY 2018 Annual
Procurement Plan Designated Disbursing Officer

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