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PURCHASE REQUEST

Province of Bataan
LGU

Department: OFFICE OF THE PROVINCIAL ENGINEER - ADMINISTRATION PR No. : 100-19-8-02252 Date: 08/02/2019
SAI No. Date:
Section: GENERAL ADMINISTRATION
ALOBS No.: Date:

Item Quantity Unit of Item Description Estimated Estimated


No. Issue Unit Cost Cost

1 1 lot FOR: TOYOTA HILUX A6U273 56,600.00 56,600.00


Scope of Work -
replace 4 pcs tire
wheel weights
complete alignment

TOTAL (₱) 56,600.00

Purpose: Parts and labor for the replacement of four (4) pcs tire 265/65 R17 for TOYOTA HILUX
A6U273 of PEO owned by the Provincial Government of Bataan

Requested by : Cash Availability : Approved by :


Signature

Printed Name ENRICO T. YUZON ALICIA R. MAGPANTAY ALBERT S. GARCIA

Designation PROV'L ENGINEER ACTING PROVINCIAL TREASURER PROV'L GOVERNOR

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