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Republic of the Philippines

Province of Davao
Island Garden City of Samal
CITY GENERAL SERVICES OFFICE

REQUISITION FORM

Date:

PERCENITO O. BUSTAMANTE, MPA


City General Services Officer

Sir:

We would like to request the following facilities/ logistics/ services:


PARTICULARS NATURE OF REQUEST LOCATION OF ACTIVITY TIME NEEDED DATE OF ACTIITY
Facilities & Logistics:
Samal Cultural Gym

Babak Gym

Kaputian Gym

Tables
Qnty: __________
pcs.
Monoblock Chairs
Qnty: __________
pcs.
Sound System

Personnel:
Utility

Driver

Carpenter

Painter

Plumber

ACU Technician

Technician (Specify)

Others (Specify)

Your favorable action is highly appreciated.


Remarks:
Requested by:

(Name & Signature)

(Unit/ Office/ Department/ Bureau}

Recommending Approval: Approved:

PERCENITO O. BUSTAMANTE, MPA


(Section Head) City General Services Officer

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