PURCHASE REQUEST

DEPARTMENT OF AGRARIAN REFORM

Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster: __________________

Office/Section : PR No.: Date:
Responsibility Center Code : ___________
Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
pc corkboard 2ft x 3ft 1 1000.00 1000.00
pc styrofoam 1/2" 1 100.00 100.00
pck push pin 1 20.00 20.00
pc yarn 1 15.00 15.00

Purpose: 1135.00
____________
____________
For DARPO- GSO use for Organizational Chart
____________
____________
____________ Requested by: Approved by:
Signature :
Printed
NIKKY T. BUQUEL VAL M. CRISTOBAL
Name :
Designation : CAO PARPO II

151
 PURCHASE REQUEST
DEPARTMENT OF AGRARIAN REFORM
Provincial Agrarian Reform Office
Tuguegarao City

Entity Name: _______________________ Fund Cluster: __________________

Office/Section : PR No.: Date: May 31, 2023
Responsibility Center Code : ___________
Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
pcs mechanical pencil 0.5 2 83.00 166.00
pcs glue stick 23 16.00 368.00
pack hard copy paper 1 250.00 250.00
pc color pen pilot (black) 1 80.00 80.00
pc color pen pilot (blue) 1 80.00 80.00
x-x-x-x-x-x -
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944.00
Purpose: Procurement for the construction of Organizational Chart of LTI Division

Requested by: Approved by:

Signature :
Printed
ENGR. CHARLEMAGNE TAGARINO VAL M. CRISTOBAL
Name :
Designation : CARPO-LTID Chief PARPO II

151