PURCHASE REQUEST

Entity Name: DEPED-DIVISION OF SAN PABLO CITY Fund Cluster: 01101101

Office/Section : PR No.: 366 Date:

CID Responsibility Center Code : 11/28/2022

Unit Item Description Quantity Unit Cost Total Cost

REAMS BOND PAPER (A4) I40 203.43 28,480.00

BOT BROTHER INK BT-D60 BLACK 5 432.00 2,160.00
BOT BROTHER INK BT-D60 YELLOW 5 432.00 2,160.00
BOT BROTHER INK BT-D60 MAGENTA 5 432.00 2,160.00
BOT BROTHER INK BT-D60 CYAN 5 432.00 2,160.00
BOT CANON 01-790 BLACK 4 385.00 1,540.00
BOT CANON 01-790 CYAN 4 385.00 1,540.00
BUT CANON GI-790 MAGENTA 4 385.00 1,540.00
BUT CANON 01-790 YELLOW 4 385.00 1,540.00
BUT EPSON 664 INK BLACK 4 385.00 1,540.00
BUT EPSON 664 INK CYAN 4 385.00 1,540.00
BUT EPSON 664 INK YELLOW 4 385.00 1,540.00
BOT EPSON 664 INK MAGENTA 4 385.00 1,540.00
BOT EPSON 003 INK BLACK 4 385.00 1,540.00
BOT EPSON 003 INK YELLOW 4 385.00 1,540.00
BOT EPSON 003 INK CYAN 4 385.00 1,540.00
BUT EPSON 003 INK MAGENTA 4 385.00 1,540.00
PCS PACKAGING TAPE 6 62.50 375.00
PCS SIGN PEN - BLACK(0.3) 45 89.96 4,048.00
PCS WHITE ENVELOPE (MAIL SIZE) 50 6.00 300.00
PCS BROWN ENVELOPE -LONG 250 6.00 1,500.00
PCS CORRECTION 'TAPE 13 50.00 650.00
PACK PARCHMENT PAPER 100 56.00 5,600.00
PCS SCISSOR-BIG 1 72.00 72.00

GRAND TOTAL 68,145.00

Purpose:

FOR REPRODUCTION OF ALS MODULE ‘---

rto -4A^ lg.— 2to eq

Requested by: Approved by:
Signature : iiii,04,60444-410
Printed Name : LERMA M. BALDONADO D SY Z. MIRANDA, CESO VI
Designation : EPS SDS