PURCHASE REQUEST

Municipality of Hagonoy
Hagonoy, Davao del Sur
Department: OMAD PR No.
SAI No.
Section: OBR No.

Item Unit of Estimated Estimated

No. Quantity Issue Item Description Unit Cost Total Cost
1 14 Pcs. Batteries 93.50 1,309.00
2 10 Pcs. Batteries ( Eveready AA) 35.00 350.00
3 10 Pcs. Batteries ( Eveready AAA) 45.00 450.00

***Nothings Follow***

TOTAL P 2,109.00
This is to certify that:
1. There is an unforeseen contingency requiring immediate purchase and that the amount not exceeded Fifty Thousand Pesos (P 50,000.00)
and that the need for this item./supply is exceptionally urgent and necessary for the use in the General Services Unit thus avoiding serious
detriment to the delivery of public service;
2. The procurement of ordinary or regular office supplies and equipment not available in the Procurement Service involving an amount not
exceeding One Hundred Thousand Pesos (P 100,000.00) and that the Procurement not resulted in Splitting of Contracts and atleast three (3)
price quotation from bonafide suppliers obtained; and
3. It is deemed practical, economicaL and efficient to resort to this mode of procurement considering that the item/supply is ordinary that can bel
procured from establishment of known qualifications and credibility;

MARLON C. BRABAT
MUN. ADMINISTRATOR

Purpose: Used at Conference Room.

Requested by: Cash Availability:

Signature
Printed Name MARLON C. BRABAT RUTH J. DIEZ CONRADO E. LAZA,MM, MBA
Designation MUN. ADMINISTRATOR MUN. TREASURER- ICO MUNICIPAL MAYOR
CISS - CONTINUOUS INK SUPPLY SYSTEM