Annex G-6

PURCHASE REQUEST
Department of Education

Department: PR No.: ______________ Date: ____________

Section: SAI No.:
ALOBS No.:

Project Title: Supply, Delivery and Installation of Radio-Based Learning Resources

Unit of Estimated Estimated Total

Quantity Item Description Stock No.
Issue Unit Cost Cost

FM TRANSMITTER AND AUDIO EQUIPMENT

₱14,895.00
1 Unit 25w FM Transmitter PLLM 87-108MHZ ₱14,895.00
₱1,250.00
1 Unit Power Supply 12v 5a ₱1,250.00

₱1,800.00
2 Unit Headset Monitor (PL 6.35mm Plug) ₱900.00
1 Unit FM Antenna 87-108MHZ ₱3,675.00 ₱3,675.00
BM800 Condenser Microphone with Scissor
₱3,200.00
2 set Arm Stand & Pop filter ₱1,600.00
2 pc XLR Balanced Microphone Wire ₱385.00 ₱770.00
3 pc Audio Cable (3.5mm to RCA) ₱120.00 ₱360.00
4 pc RCA to PL Adapter ₱65.00 ₱260.00

₱180.00
1 pc PL259 Connector ₱180.00

₱365.00
1 pc N Type Connector ₱365.00
1 pc 500 watts AVR Servo-type ₱2,300.00 ₱2,300.00
20 mtr RG8u Coaxial Cable ₱210.00 ₱4,200.00
1 unit 4-6 ch Audio Mixer ₱6,495.00 ₱6,495.00
10 unit transistor Radio with solar ₱700.00 ₱7,000.00
Sub-Total ₱46,750.00
1 Intallation ₱4,000.00 ₱4,000.00
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GRAND TOTAL 50,750.00

Purpose: For the implementation of Radio-Based Instruction Program.

Requested by: Approved by:

Signature:
Printed Name:
Designation: