PURCHASE REQUEST

UNIVERSITY OF ANTIQUE - HAMTIC CAMPUS

Agency

Department: Computer Laboratory PR No. : Date: Oct. 15, 2014

Section: SAI No. : Date:

Stock No. Unit Item Description Quantity Unit Cost Total Cost

box UTP Cat 5e (305m) 1 2,500.00 2,500.00

pcs. RJ45 100 5.00 500.00
unit Crimping tools 2 350.00 700.00

TOTAL 3,700.00

Purpose: for Information System(IS) training

Requested by:
Signature:
Printed Name: Glenn J. Frencillo
Designation: Instructor 1
 PURCHASE ORDER

POLYTECHNIC STATE COLLEGE OF ANTIQUE - HAMTIC CAMPUS

Supplier : P. O. No.:
Address : Date :
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Gentlemen:

Please furnish this Office the following articles subject to the terms and conditions contained herein:

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In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)
of one percent for every day of delay shall be imposed.

Very truly yours,

Conforme:
IRENEO J. SALVALEON
College Administrator I
Signature over Printed Name of Supplier

Date
Funds Available: ALOBS No.:
Amount :
MARIA M. TAMAYO
Accountant I
 ACKNOWLEDGMENT RECEIPT FOR EQUIPMENT

POLYTECHNIC STATE COLLEGE OF ANTIQUE - HAMTIC CAMPUS

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