PURCHASE REQUEST

Barangay: Holy Redeemer P.R NO.

City/Municipality : Butuan City Date:
REQUISITION
Item Unit of Estimated
Qty. Item Description Estimated Amount
Number Issue Unit Cost
1 11.04 cu.m. Common Borrow 550.00 6,072.00
2 5.28 cu.m. Mix Sand and Gravel 950.00 5,016.00
3 74 bags Portland Cement 285.00 21,090.00
4 3.6 cu.m. Screened Sand 1,000.00 3,600.00
5 7.2 cu.m. Washed Gravel 1,100.00 7,920.00
6 453.333 bd.ft. 34 Coco Lumber - 2" x 8" x 10' 25.00 11,333.33
7 20 bndls. 1 x 2 x 8 Sticks 290.00 5,800.00
8 20.75 kgs. Assorted C.W. Nail 75.00 1,556.25
62,387.58

FUNDS AVAILABLE:

Chair. Comm. on Appropriation

Amount:
Funds:

Total Estimated Amount:

Sixty Two Thousand Three Hundred Eighty Seven Pesos and 58/100

Purpose:

Requested by: Approved:

HON. EFREN T. ACASO

Signature Over Printed Name of the Requestor Punong Barangay

Date Date