Republic of the Philippines

Department of Education
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen

PANGASINAN SCHOOL OF ARTS AND TRADES

Lingayen, Pangasinan

PURCHASE REQUEST

Delivery/Shipment to:PANGASINAN SCHOOL OF ARTS AND PR No. ___________________

TRADES - Lingayen, Pangasinan SAI No. __________________
OBR No. __________________

Estimated Estimated
Item no. Qty Unit Decription
Unit Cost Total Cost
1 50 pcs G.E. LED Bulb 9W
2 1 box AWG #14 Stranded (wire)
3 6 rolls Electric Tape
4 5 box U-nail
**** NOTHING FOLLOWS *****

GRAND TOTAL -
Purpose: I hereby certify that the supplies purchase are necessary for school use.

Prepared By: Approved by:

GERALD M. BAUTISTA FERDINAND S. BRAVO

PROPERTY CUSTODIAN PRINCIPAL IV

CERTIFICATION
1. Estimated Expenditure 2. Funds Available
Obligated

SHEILA MARIE M. TEJADA SHEILA MARIE M. TEJADA

ADMIN. ASSISTANT III ADMIN. ASSISTANT III
 Republic of the Philippines
Department of Education
Region I
OLS DIVISION OFFICE I PANGASINAN
Lingayen

SINAN SCHOOL OF ARTS AND TRADES

Lingayen, Pangasinan

PURCHASE REQUEST

Date: ____________
Date: ____________
Date: ____________

Quantity
on hand
0
0
0
0

CERTIFICATION
2. Funds Available

SHEILA MARIE M. TEJADA

ADMIN. ASSISTANT III