PURCHASE REQUEST

Barangay: Lam-an P.R. No:

City/Municipality: Ozamiz City Date:

REQUISITION

Item Estimated Estimated

Qty Unit Item Description
Number Unit Cost Amount

1 80 Pcs. Senior Jersey Uniform 450.00 36,000.00

2 80 Pcs. Junior Jersey Uniform 450.00 36,000.00
3 80 Pcs. Midget Jersey Uniform 350.00 28,000.00
4 60 Pcs. Volleyball Uniform 400.00 24,000.00
5 15 Pcs. Sublimation Cloth 570.00 8,550.00

TOTAL 132,550
Purpose:

FOR TOURNAMENT DURING BARNGAY LAM-AN FIESTA 2019

Requested by: Approved for Issuance:

ANNABEL P. LAPEÑA SANCHO S. OAMINAL, JR.

Signature Over Printed Name of the Requestor Punong Barangay

Date ____________ Date ____________