PURCHASE REQUEST

Barangay: ANGOLUAN P.R. NO___________________________

City/Municipality: ECHAGUE Date: _____________________________
REQUISITION
Item Unit of Estimated
Number Qty Measur Item Description Estimated Amount
ement Unit Cost
1 17 Set Basketball Jersey 20,400.00

Total Estimated Amount----------

Purpose:
Requested by: Approve:

Signature Over Printed Name MARLON M. VIDEZ

Requisitioner Signature Over Printed Name
SK Chairman
Date
Date