PURCHASE REQUEST

Barangay BATINO P.R. No.:

City/Municipality CALAPAN CITY Date:
Province ORIENTAL MINDORO

REQUISITION
Item Unit Estimated Unit
Qty Item Description Estimated Amount
Number Measurement Cost
1 1 set Stainless Tank with 1 – hp motor ₱ 9,500.00 ₱ 9,500.00
2 2 Unit Grass Cutter ₱ 8,400.00 ₱ 16,800.00
3 4 unit Floodlight LED (400watts) ₱ 5,250.00 ₱ 21,000.00
4 1 gal Latex Flat ₱ 750.00 ₱ 750.00
5 1 pc Paint Brush 4” ₱ 90.00 ₱ 90.00
6 2 pcs Door Knob ₱ 375.00 ₱ 750.00
7 2 pcs Pad Lock ₱ 250.00 ₱ 500.00

Total Estimated Amount: Forty-Nine Thousand Three Hundred Ninety Pesos 49,390.00
Purpose:

Requested by: Approved:

_____________________________ HON. JAMESON E. COZ

Signature Over Printed Name Signature Over Printed Name
Requesting Officer Punong Barangay

__________________ ________________
Date Date