Annex “E”

Monthly Itemized List of Purchase Request

Province of ALBAY
City/Municipality of LEGAZPI
Barangay 66 BANQUEROHAN

OFFICE OF THE SANGGUNIANG KABATAAN

MONTHLY ITEMIZED LIST OF PURCHASE REQUEST (PR)

(Month of JULY, 2023)

DATE OF REQUESTED BY Total Estimated

No. PR NO. PR Amount
(Name of SK Official and Position)

1 P

10

11

12

13

14

15

16

17

18

19

20

Total Amount of Purchase Request for the Month P

Prepared by: Noted by:

 __________________________ _____________________________
SK Treasurer SK Chairperson

Note: Refer to the attached PR approved by the SK Chairperson.

 PURCHASE REQUEST

SK of Barangay: ___________________ PR No.:__________

City/Municipality: __________________ Date: ____________
Province: _________________________
Item No. Qty. Unit of Item Description Estimated Estimated
Measurement Unit Cost Amount
Total Estimated Amount
Purpose:

Requested by: Approved by:

___________________________
______________________________________
Signature Over Printed Name
Signature Over Printed Name
SK Chairperson
Requesting SK Official

__________
__________
Date
Date