Take-Off Form: Date Requested: Date Needed: Customer Name

TAKE-OFF FORM
Date Requested: Date Needed:

Customer
Name: JO/SO NO:
PROJECT NAME:
ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.
Required attachment:
REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

ENGR. IN CHARGE /
OPERATION COORDINATOR WAREHOUSE DEPARTMENT ENGINEERING HEAD PURCHASING
TAKE-OFF FORM
Date Requested: 2-Jan-20 Date Needed: 2-Jan-20

Customer
Name:
SIAEP JO/SO NO: JO19-0403-034
PROJECT NAME: CONSTRUCTION OF CLASSROOM
1 2" PPR pipe 2 pcs

2 2" PPR elbow 6 pcs
3 1" to 2" PPR coupling reducer 1 pcs
CHESTER FERNAN ZEDRICK MARVIN ATIENZA FERDINAND ANTHONY CRUZ SHERWIN UY

CHESTER FERNAN ZEDRICK MARVIN ATIENZA FERDINAND ANTHONY CRUZ SHERWIN UY
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
PROJECT NAME: RENOVATION OF MARKETING OFFICE
LABOR AND MATERIALS FOR COUNTER TOP TABLE/

CABINET DUCO FINISH
SIZE: 2m length, 0.6m width, 1m height
CABINET: 2 pairs
COLOR: Semi gloss, light gray 26,000.00
BAR COUNTERTABLE
SIZE: 2.4m x 0.6m x 1.2m
COLOR: Semi gloss, light gray
TERMS OF PAYMENT:
50% DOWN PAYMENT
50% UPON COMPLETION
Chinabank: 105400000812
Name: Mario Cayanan Cruz
Contact No. 09154243203
AILEEN FERNAN ZEDRICK FERDINAND ANTHONY CRUZ SHERWIN UY

AILEEN FERNAN ZEDRICK FERDINAND ANTHONY CRUZ SHERWIN UY
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
MUNICIPALITY OF LIMAY JO/SO NO: JO19-1015-090
PROJECT NAME: CONSTRUCTION OF ROOFING
1 MS plate 10mm 4x8 2 PCS 11,400.00

2 Angle bar 2x2x 4mm THK 25 PCS
3 Cutting Disc 14" 20 PCS
4 Paint Brush 4" 4 PCS
5 Welding rod 3.2mm 40 KG
AILEEN FERNAN ZEDRICK MARVIN ATIENZA FERDINAND ANTHONY CRUZ SHERWIN UY

ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
MEAD JOHNSON JO/SO NO: JO19-1118-096
PROJECT NAME: PHASE 1 - NEW COMFORT ROOM
1 ADDITIONAL FOR EXISTING PLAN (LABOR AND MATERIALS) 1 LOT 125,556.00

2 ADDITIONAL WORKS OF MEAD JOHNSON 1 LOT 149,560.00
3 ADDITIONAL OF FEMALE TOILET AND BATH 1 LOT 42,920.00
4 ADDITIONAL FOR MALE TOILET AND BATH 1 LOT 50,200.00
5 ADVANCE LABOR COST 1 LOT 100,000.00
TOTAL 468,236.00
LESS DEDUCTION
1 SALARY DEDUCTION 58,760.97
2 11,930.00
LABOR AND MATERIALS
3 103,000.00
JAYNEL FERNAN ZEDRICK MARVIN ATIENZA FERDINAND ANTHONY CRUZ MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
LIMAY JO/SO NO: JO19-1015-034
1 SCAFFOLDING 10 SETS
CHESTER/
ENGR. IN CHARGE /
TAKE-OFF FORM
Date Requested: 24-Jan-20 Date Needed: 7-Feb-20

Customer
Name:
PVC Folding door

Color : deluxe mahogany 1 LOT
Height : 2.7m
Length : 5.8m
CHESTER FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE BABYLYN MARAMOT

ENGR. IN CHARGE /
TAKE-OFF FORM
Date Requested: 4-Feb-20 Date Needed: 5-Feb-20

Customer
Name:
Municipality of Limay JO/SO NO: JO19-1015-090
PROJECT NAME: CONSTRUCTION OF ROOFING ON EXISTING COURT AT ST. FRANCIS 1 LIMAY, BATAAN
1 Guilder epoxy primer gray 86-850-G 8 Gallon

2 Laquer thinner 8 Gallon
3 Paint brush 2" 5 PCS
4 Paint brush 4" 5 PCS
5 Paint Roller 4" 5 PCS
SHARLEEN FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE BABYLYN MARAMOT
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
1 ADDITIONAL BIN FOR HAULING OF DEBRIS 1 LOT 20,000.00
CHESTER FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE SHERWIN UY
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
GRANITE FOR FINISHED EDGING

1 BIDING SLABS W/ 8 BIDING EDGING 2 LOT 7,000.00
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
1 DOOR CLOSER (65KG) 4 SETS
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
Mead Johnson JO/SO NO: JO19-1118-096
PROJECT NAME: Phase 1 New Comfort Room
1 60x60 WALL TILES 160 PCS 188.00
MARVIN ATIENZA RYAN DEDUQUE MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
1 DOOR STOPPER 12 PCS
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
UNITEC GLOBAL JO/SO NO: JO20-MAIN-001
PROJECT NAME: OFFICE DEVELOPMENT
1 BUFFING DISK FOR STAINLESS 2 PCS

2 BUFFING CLOTH DISC FOR STAINLESS 5 PCS
3 NYLON FIBER WHEEL BUFFING DISC 5 PCS
4 CUTTING DISC 14" FOR METAL 2 PCS
5 CUTTING DISC 4" FOR METAL (THIN) 10 PCS
FOR STAINLESS RAILINGS
BUDDY FERNAN ZEDRICK MARVIN ATIENZA MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
1 JUNCTION BOX 10 PCS

2 ELECTRICAL TAPE 5 PCS
3 CONCRETE NAIL #3 3 KG
4 CONCRETE NAIL #4 3 KG
5 COMMON NAIL #3 1 KG
6 UTILITY BOX 4 SETS
7 TIE WIRE #16 10 KG
8 VULCASEAL 4 LITER
9 LUMBER 2X2, 8ft or 10ft 6 PCS
10 ANGLE BAR 2X2 1.5mm thk 40 PCS
11 C PURLINS 2X6 10 PCS
SHARLEEN/
CHESTER FERNAN ZEDRICK MARVIN ATIENZA MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
PROJECT NAME: ACCOUNTING SOFTWARE AND SERVER
QUICKBOOKS
PAYROLL SYSTEM: 1 LOT 80,000.00
1 PAYROLL SOFTWARE
SOFTWARE CUSTOMIZATIONS
QUICKBOOKS TRAINING:
2-DAY SESSION TRAINING
*CLASSROOM TRAINING 1 LOT 20,000
2
*HANDS ON TRAINING
*PARALLEL TRAINING
*LIVE DATA TRAINING
FERNAN ZEDRICK MARVIN ATIENZA MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM
Date Requested: 20-Feb-20 Date Needed:

Customer
Name:
1 PORTLAND CEMENT 10 BAGS

2 COCO LUMBER 2X2X8 15 PCS
3 ORDINARY PLYWOOD 1/2 2 PCS
4 COMMON NAIL #3 1 KG
5 GLOVES 5 PAIRS
6 TIE WIRE #16 3 KG
7 NYLON STRINGS / TANSI 2 ROLLS
BUDDY FERNAN ZEDRICK MARVIN ATIENZA MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
1 PRIMER EPOXY GUILDER GRAY 10 GAL

2 LACQUER THINNER 2 GAL
3 PAINT BRUSH 2" 5 PCS
4 C-PURLINS 2X6X1.5MM THK 30 PCS
5
6
7
SHARLEEN/
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
1 PVC CONNECTOR 1/2 14 PCS

2 METAL SQUARE BOX 4X4 W/ COVER 1 PCS
3 PVC SOLVENT 400CC 1 CAN
4 CABLE TIE 50 PCS
5 METAL CLAMP 15 PCS
6 TEX AND SCREW 20 PCS
7 1 MC CONNECTOR 3/4 4 PCS
SHARLEEN/
ENGR. IN CHARGE /
TAKE-OFF FORM

Customer
Name:
UNITEC GLOBAL JO/SO NO: JO20 MAIN-001
1 WELDING ROD 6013 2.5 SPECIAL 2 BOX

2 CUTTING DISK 4" 2 BOX
3 EPOXY GRAY 2 GAL
4 BABY ROLLER 4" 5 PCS
5 PAINT BRUSH 2" 2 PCS
6 GLOVES RUBBER 5 PCS
7 REDUCER EPOXY 1 GAL
8 DARK GLASS NO. 10 2 PCS
9 ANGLE BAR 1 1/2 X 1 1/2 X 1/8 2 PCS
10 JACKSON SMALL (HANDLE OF WELDING ROD) 1 PCS
SHARLEEN/
ENGR. IN CHARGE /
TAKE-OFF FORM
Date Requested: 18-Nov-20 Date Needed: 18-Nov-20

Customer
Name:
MUNICIPALITY OF LIMAY JO/SO NO: JO20 MAIN-001
1 METAL SQUARE BOX 4X4 W/ COVER 1 PCS

2 1 MC CONNECTOR 3/4 4 PCS
4 PLAIN SHEET 2 PCS
5 FLAT BAR 1 1/2 X 2MM 10 PCS
6 SKIM COAT 5 BAG
7 LATEX PAINT 5 GAL
8 BUFFING DISK (PAMBATO) 1 PCS
9 ELECTRICAL WIRE YELLOW 50 M
10 ELECTRICAL WIRE RED 50 M
SHARLEEN MARVIN ATIENZA MONISSA ESCUDERO
ENGR. IN CHARGE /
TAKE-OFF FORM
Date Requested: 18-Nov-20 Date Needed: 18-Nov-20

Customer
Name:
1 POLYTELENE TAPE 10 PCS

2 AERO TAPE 5 PCS
3 CABLE STAP (LONGEST) PLASTIC 1 PCS
SHARLEEN MARVIN ATIENZA MONISSA ESCUDERO
ENGR. IN CHARGE /
MATERIALS/TOOLS REQUEST FORM
Date
Requested: 2-Mar-20 Date Needed: 18-Nov-20 MRF NO: UGEI20-001
Customer
Name: SIAP JO/SO NO: JO19-0403-034
PROJECT
NAME: CLASSROOM PROJECT
ENGG. BUDGET WAREHOUSE PRICE PR REF.

ITEM NO. PARTICULARS QTY. UNIT
QTY UNIT COST
1 CDA REGULATOR FILTER `
SPECS:
Quickconnect fittings
SIZE: 1/2" 2 PCS - - 0
1" 2 PCS - - 0
( PLEASE REF TO ATTACH PICTURES)
REQUESTED BY CHECKED BY: NOTED BY APPROVED BY RECEIVED BY: DATE
A. BIENES MARVIN ATIENZA R. PESONILA RYAN DEDUQUE MONISSA ESCUDERO

ENGR. IN
CHARGE / WAREHOUSE
OPERATION COORDINATOR DEPARTMENT SPA ENGINEERING HEAD PURCHASING
Date
Requested: 10-Jan-20 Date Needed: 17-Jan-20 MRF NO: UGEI20-002
Customer
Name: MAIN OFFICE JO/SO NO: JO20-MAIN-001
PROJECT
NAME: CALIBRATION OF TESTING EQUIPMENT

QTY UNIT COST
1 HANDHELD PARTICLE COUNTER 1 `
2 CLAMP-ON INDUSTRIAL MULTIMETER 1
3 5-IN-1 ENVIRONMENTAL METER 1
4 ANALOG INSULATION/CONTINUITY TESTER 1 -
5 INSULATION TESTERS/ANALOGY TYPE 1 - -
6 VOLTAGE DETECTOR 1
7 VOLTAGE DETECTOR 1
MARVIN A. MARVIN ATIENZA R. PESONILA RYAN DEDUQUE MONISSA ESCUDERO

ENGR. IN
CHARGE / WAREHOUSE
OPERATION COORDINATOR DEPARTMENT SPA ENGINEERING HEAD PURCHASING
Date
Requested: 3-Mar-20 Date Needed: 4-Mar-20 MRF NO: UGEI20-003
Customer
Name: MAIN OFFICE JO/SO NO: JO20-MAIN-001
PROJECT
NAME: OFFICE DEVELOPMENT

QTY UNIT COST
1 L BAR 1 1/2 X 1 1/2 X 1/8 10 PCS `
2 EPOXY REDUCER 1 GAL
3 CHALK STONE 1 BOX
4 PORTLAND CEMENT 1 PCS -
5 CONCRETE NAIL 3" 1 KG - -
BUDDY MARVIN ATIENZA R. PESONILA FREDERICK DIAZ MONISSA ESCUDERO
WAREHOUSE
COORDINATOR DEPARTMENT SPA ENGINEERING HEAD PURCHASING
Date
Requested: 9-Mar-20 Date Needed: 10-Mar-20 MRF NO: UGEI20-004
Customer
Name:
PROJECT
NAME: CONSTRUCTION OF ROOFING ON EXISTING COURT AT ST. FRANCIS 1 LIMAY,BATAAN

QTY UNIT COST
1 EPOXY PAINT WHITE 15 GAL `
2 EPOXY PAINT DARK BEIGE 4 GAL
-
- -
SHARLEEN MARVIN ATIENZA R. PESONILA FREDERICK DIAZ MONISSA ESCUDERO
WAREHOUSE
COORDINATOR DEPARTMENT SPA ENGINEERING HEAD PURCHASING

Take-Off Form: Date Requested: Date Needed: Customer Name

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TAKE-OFF FORM

Date Requested: Date Needed:

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

Date Requested: 2-Jan-20 Date Needed: 2-Jan-20

PROJECT NAME: CONSTRUCTION OF CLASSROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

1 2" PPR pipe 2 pcs

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

CHESTER FERNAN ZEDRICK MARVIN ATIENZA FERDINAND ANTHONY CRUZ SHERWIN UY

Date Requested: 3-Jan-20 Date Needed: 4-Jan-20

PROJECT NAME: RENOVATION OF MARKETING OFFICE

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

LABOR AND MATERIALS FOR COUNTER TOP TABLE/

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

AILEEN FERNAN ZEDRICK FERDINAND ANTHONY CRUZ SHERWIN UY

Date Requested: 3-Jan-20 Date Needed: 4-Jan-20

PROJECT NAME: CONSTRUCTION OF ROOFING

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

1 MS plate 10mm 4x8 2 PCS 11,400.00

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

AILEEN FERNAN ZEDRICK MARVIN ATIENZA FERDINAND ANTHONY CRUZ SHERWIN UY

Date Requested: 16-Jan-20 Date Needed: 17-Jan-20

PROJECT NAME: PHASE 1 - NEW COMFORT ROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

1 ADDITIONAL FOR EXISTING PLAN (LABOR AND MATERIALS) 1 LOT 125,556.00

3 ADDITIONAL OF FEMALE TOILET AND BATH 1 LOT 42,920.00

4 ADDITIONAL FOR MALE TOILET AND BATH 1 LOT 50,200.00

5 ADVANCE LABOR COST 1 LOT 100,000.00

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

Date Requested: 23-Jan-20 Date Needed: 27-Jan-20

PROJECT NAME: CONSTRUCTION OF CLASSROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

Date Requested: 24-Jan-20 Date Needed: 7-Feb-20

PROJECT NAME: CONSTRUCTION OF CLASSROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

PVC Folding door

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

CHESTER FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE BABYLYN MARAMOT

Date Requested: 4-Feb-20 Date Needed: 5-Feb-20

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

1 Guilder epoxy primer gray 86-850-G 8 Gallon

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

SHARLEEN FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE BABYLYN MARAMOT

Date Requested: 5-Feb-20 Date Needed: 5-Feb-20

PROJECT NAME: CONSTRUCTION OF CLASSROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

1 ADDITIONAL BIN FOR HAULING OF DEBRIS 1 LOT 20,000.00

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

CHESTER FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE SHERWIN UY

Date Requested: 6-Feb-20 Date Needed: 6-Feb-20

PROJECT NAME: CONSTRUCTION OF CLASSROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

GRANITE FOR FINISHED EDGING

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE

CHESTER FERNAN ZEDRICK MARVIN ATIENZA RYAN DEDUQUE BABYLYN MARAMOT

Date Requested: 10-Feb-20 Date Needed: 13-Feb-20

PROJECT NAME: CONSTRUCTION OF CLASSROOM

ITEM NO. PARTICULARS QTY. UNIT WAREHOUSE PRICE PR REF.

1 DOOR CLOSER (65KG) 4 SETS

REQUESTED BY: CHECKED BY: APPROVED BY RECEIVED BY: DATE