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  • Requisition & Canvass Form Samal Shores Ubi: Quantity Unit Particulars Supplier Total Amount Remarks 1 2 3

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    Jezreel Orquina
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    This document is a requisition and canvass form requesting supplies for construction projects from May 24-30, 2021. It requests 1 Bosch brand jigsaw cutter, 1 Bosch brand circular saw cutter, 20 meters of 3/4" steel cable, 3 maintenance free batteries for generators, 100 manhole lift handles, steel bars and flat bars for drainage, and 27 sets of sewer manhole cast iron covers and frames. The form provides details of the items and quantities needed and requires signatures for request, recommendation, and approval.

    Original Description:

    Samal Blue print hotel

    Original Title

    Samal Shores UBI_F-PUR-003b RCF_05.24-30.2021

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    This document is a requisition and canvass form requesting supplies for construction projects from May 24-30, 2021. It requests 1 Bosch brand jigsaw cutter, 1 Bosch brand circular saw cutter, 20 meters of 3/4" steel cable, 3 maintenance free batteries for generators, 100 manhole lift handles, steel bars and flat bars for drainage, and 27 sets of sewer manhole cast iron covers and frames. The form provides details of the items and quantities needed and requires signatures for request, recommendation, and approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    33 views14 pages

    Requisition & Canvass Form Samal Shores Ubi: Quantity Unit Particulars Supplier Total Amount Remarks 1 2 3

    Uploaded by

    Jezreel Orquina
    This document is a requisition and canvass form requesting supplies for construction projects from May 24-30, 2021. It requests 1 Bosch brand jigsaw cutter, 1 Bosch brand circular saw cutter, 20 meters of 3/4" steel cable, 3 maintenance free batteries for generators, 100 manhole lift handles, steel bars and flat bars for drainage, and 27 sets of sewer manhole cast iron covers and frames. The form provides details of the items and quantities needed and requires signatures for request, recommendation, and approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 14

    REQUISITION & CANVASS FORM

    SAMAL SHORES UBI


    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    1 unit JigSaw Cutter, Bosch Brand For General


    Construction Works

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    1 unit Circular Saw Cutter, Bosch Brand For General


    Construction Works

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    20 m 3/4" dia Steel Cable For Lifting Works

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    3 pcs Maintenance Free Battery For 3 unit GenSet


    6 Plates

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 17, 2021 CRF No.:


    Approved External Provider: Bend and Peel Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    100 pcs Manhole Lift Handle for Drainage Manhole


    See attachement for details Cover lift handles

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 17, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    75 length 3"x3"x4mm thk Angle Bar for Drainage Manhole


    50 length 2"x2"x3mm thtk Angle bar Cover, Catch Basin
    8 length 1 1/2 x 1 1/2"x5mm thk Angle Bar Cover and Area
    20 length 1 1/2"x5mm thk Flat Bar Drain Cover
    Steel Frame and
    Gratings

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 17, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    27 sets Sewer Manhole Cast-Iron for Drainage Manhole


    Cover and Frame Cover, Catch Basin
    Light Traffic Rating Cover and Area
    See Details Drain Cover
    Steel Frame and
    Gratings

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: GCS Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks
    GCS
    1 Unit AD-5 1.0x1.0x0.990m Manhole 1,370.00 1,370.00 Area Drain Manholes
    1 Unit AD-6 1.0x1.0x1.64m Manhole 2,430.00 2,430.00
    1 Unit AD-7 1.0x1.0x1.95m Manhole 2,940.00 2,940.00
    1 Unit AD-8 1.0x1.0x1.46m Manhole 2,150.00 2,150.00
    1 Unit AD-9 1.0x1.0x0.990m Manhole 1,370.00 1,370.00
    1 Unit AD-10 1.0x1.0x1.54m Manhole 2,270.00 2,270.00
    1 Unit AD-11 1.0x1.0x1.93m Manhole 2,850.00 2,850.00

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Pilipinas Shell Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    6,000 Liters Regular Diesel For Heavy Equipment


    fuel use

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    2 rolls Laminated Sack 12 feet width for PCCP Works


    fuel use

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    400 bags 40kg Holcim Cement For Drainage manholes


    Sewer Manholes and
    Electrical DuctBanks

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    5 pcs 200mm dia PVC Wye for Sewer Line


    200mmx100mm Neltex
    5 pcs 200mm dia Elbow 45deg
    Neltex

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    200 pcs 12mm dia x 6m Deformed Bar For Drainage manholes


    Sewer Manholes and
    Electrical DuctBanks

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez


    REQUISITION & CANVASS FORM
    SAMAL SHORES UBI
    F-PUR-003b | Rev 1 | 10/01/2019

    Date Requested: May 08, 2021 CRF No.:


    Approved External Provider: Date Needed: May 24-30, 2021
    Supplier
    Quantity Unit Particulars 1 2 3 Total Amount Remarks

    4 gal Cold Galvanize Paint for Ladder Rung


    Inlet Grill
    Steel Gratings

    Requested by: Recommending Approval: Approved by:

    Engr. Paulino M. Orquina Jr Engr. Junizon C. Ortega Jose Simeon Gonzalez

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