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Appendix 60

PURCHASE REQUEST
Republic of the Philippines
PROVINCE OF LANAO DEL NORTE
Barangay Curvada

Department:___________ PR No.: ______________ Date: ____________

Section:______________ SAI No: ______________

Stock No. Unit Item Description Quantity Unit Cost Total Cost

1 pcs. 2 TB Flash drive 35 950.00 33,250.00


2 pcs. Headset HS330 35 100.00 3,500.00

36,750.00
Purpose: ____________________________________________________________
_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:


Signature : _________________________ ___________________________
Printed Name : _________________________ ___________________________
Designation : _________________________ ___________________________

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