Annex 14

PURCHASE REQUEST
SK of Barangay:.______________________________________ PR No.: ______________
City/Municipality: _____________________________________ Date: _________________
Province: ____________________________________________
Unit of Estimated Estimated
Item No. Qty. Item description
Measurement Unit Cost Amount

Total Estimated Amount

Purpose:

Requested by: Approved by:

____________________________ ___________________________
Signature over Printed Name Signature over Printed Name
SK Requesting Official SK Chairperson

_____________ _____________
Date Date