PR Drrm-Health Bike

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PURCHASE REQUEST

SAN CARLOS CITY, PANGASINAN


BARANGAY MAGTAKING
OFFICE OF THE
Department:
SANGGUNIANG KABATAAN
Section:
Unit of
Item No. Quantity Item/Description
ISSUE
1 4 UNIT Aluminum Bicycle
2 4 UNIT Carrier w/ box
3 4 SET Bicycle Head and Tail Light
4 4 PC Bottle Cage
5 4 PC Bicycle Helmet
6 4 PC Bicycle Speedometer
7 4 SET Hand Pump w/ Gauge
*NOTHING FOLLOWS*
Purpose: DRRM AND HEALTH RESPONSE VEHICLES
Requested by:
Signature
Name LEMUEL GIO FERNANDEZ CAYABYAB
Position SK CHAIRPERSON
QUEST
NGASINAN
TAKING
PR No. ______ Date: __________
SAI No: ______ Date: __________
ALOBS No.: ____ Date: __________
Estimated PRICE Estimated COST

₱ 5,700.00 ₱ 22,800.00
₱ 1,700.00 ₱ 6,800.00
₱ 790.00 ₱ 3,160.00
₱ 580.00 ₱ 2,320.00
₱ 1,200.00 ₱ 4,800.00
₱ 1,580.00 ₱ 6,320.00
₱ 600.00 ₱ 2,400.00
WS*
TOTAL ₱ 48,600.00

Funds Availabilty: Approved by:

MARLENE P. POQUIZ LUDUVICO ALANZALON


BRGY. TREASURER PUNONG BARANGAY

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