PURCHASE REQUISITION FORM

Ref No:

Company/ProjRGR DATE : MAY 14, 2018

Division / DeptAdmin Office
Subject :
Purpose : For Office Supplies

Item No. Description Unit Price Qty

1 folder long (green) 10.00 100 pcs

2 folder long (white) 3.80 50 pcs
3 FASTENER 25.00 10 box
4 NEWS PRINT (SHORT) 75.00 10 ream
5 NEWS PRINT (LONG) 85.00 5 ream
6 BOND PAPER SHORT 180.00 10 ream
7 BOND PAPER LONG 210.00 5 ream
8 SCISSOR 16.00 5 PCS
9 STAPLER WITH STPLE WIRE REMOVER 350.00 2 PCS
10 STAPLE WIRE # 35 38.00 5 BOX
11 LOG BOOK 45.00 10 PCS
12 LONG PLASTIC ENVELOPE 10.00 20 PCS
13 NOTE BOOK 12.00 5 PCS
14 BALLPEN RED 3.80 12 PCS
15 BALLPEN BLACK 3.80 12 PCS
16 STABILO MARKER (ASSORTED COLLOR) 30.00 3 PCS
17 PENTEL PEN BLACK 30.00 3 PCS
18 CORRECTION TAPE 25.00 3 PCS
19 SCOTCH TAPE 12.00 10 PCS
20 MASKING TAPE 28.00 10 PCS
21 ID PIN - FOR IDS VISITOR PASS&CONTRACTOR 2.50 100 pcs

TOTAL

Requested By: Approved by:

________________________________
Melanie Robles
Admin
 RFO RGR - 015

14, 2018

Total

0.00