Municipality of Sta.

Josefs Project Reference Number

Province of Agusan del Sur Name of Project
Caraga Region Location of the Project

Standard Form Number SF-FOOD-60 Date: ____________________

Revised on May 24, 2005 Quotation No. ____________

___________________________________________

________________________________
________________________________

Please quote your lowest price on the item/s listed below, subject to the General conditions on the last page stating the shortest time on delivery and

submit your quotation duly signed your representative not later than ________ in the return envelop attached herewith.

DENNIS C. VIAJAR
Procurement Officer
ITEM ITEM & DESCRIPTION Quantity Unit Unit Price
NO.
1 OIL 40 liter 60
2 OIL 10 liter 60
3 Oil 90 liter 45
4 Oil 140 liter 45
5 Automatic Transmission Fluid liter 20
6 Engine Coolant liter 10
7 Grease pail 4

TOTAL

Printed Name/Signature

Tel. No. / Cellphone No.

Date
 Reference Number

n of the Project

___________________
on No. ____________

ating the shortest time on delivery and

th.

NIS C. VIAJAR
urement Officer
TOTAL
AMOUNT

d Name/Signature

o. / Cellphone No.