PURCHASE REQUEST

Barangay: Pigdaulan P.R NO.

City/Municipality : Butuan City Date

REQUISITION
Item Unit of Estimated Unit
Qty. Item Description Estimated Amount
Number Issue Cost
1 36 pcs. 1-1/2"Ø x 20' sch. 40 GI Pipe 1,800.00 64,800.00
2 36 pcs. 1-1/2"Ø GI Coupling 200.00 7,200.00
3 3 pcs. Hacksaw Blade 120.00 360.00
4 3 sets Jetmatic Pump 4,000.00 12,000.00
5 2 pcs. 3/4" Ø sch. 40 GI Pipe 1,100.00 2,200.00
6 3 kgs. 3/4" Ø GI Coupling 100.00 300.00
7 3 pcs. 2" x 3/4"Ø Bushing Reducer 100.00 300.00
8 3 pcs. 3/4"Ø Clayton Foot Valve 850.00 2,550.00
Consumables (5% of Materials Cost) 867.50 867.50
9 9 bags Portland Cement 285.00 1,710.00
10 1 m³ Sand 850.00 850.00
11 3 pcs. 1/4 " Ordinary Plywood 375.00 1,125.00
12 3 bndle 1" x 2" x 4" MG Sticks 200.00 600.00
13 15.99 bd.ft. 4 1" x 4" x 4' 45.00 719.55
14 2 kgs. CW Nails #2 85.00 170.00

95,752.05

FUNDS AVAILABLE:

Chair. Comm. on Appropriation

Amount:
Funds:

Total Estimated Amount:

Ninety Five Thousand Seven Hundred Fifty Two Pesos and 05/100

Purpose:

Requested by: Approved:

HON. DINDO A. HIDALGO

Signature Over Printed Name of the Requestor Punong Barangay

Date Date