Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur
CSPC-F-PROC-28

CANVASS SHEET

OFFICE/SECTION:_____________________ Date:________________

REMARKS
Technical ( Indicate Brand &
No. ITEM(S) Qty AMOUNT
Specification Model of Item
Offered)

NOTE: The above quoted prices are inclusive of all cost and applicable taxes.
Kindly indicate the brand name. Thank you.

Signature : _______________________________________
Name : _______________________________________
Name of Supplier : _______________________________________
Address : _______________________________________
E-mail Address : _______________________________________
Contact # : _______________________________________

Effectivity Date: June 2019 Rev. 0 Page 1 of 1