SUPPLIES REQUISITION FORM

Date
Requesting Branch:

Barcode Unit of Measure Description Qty.

Purpose:
Prepared by: Approved by:

SUPPLIES REQUISITION FORM

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Barcode Unit of Measure Description Qty.

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Prepared by: Approved by:

SUPPLIES REQUISITION FORM

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Requesting Branch:
Barcode Unit of Measure Description Qty.

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Prepared by: Approved by:

SUPPLIES REQUISITION FORM

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Requesting Branch:
Barcode Unit of Measure Description Qty.

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Prepared by: Approved by:

SUPPLIES REQUISITION FORM

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 SUPPLIES REQUISITION FORM
Date 16-Jul-21
Requesting Branch: CITI OTON

Unit of Budgeted Qty Qty on Hand

Qty Description/Stock No./Barcode No.
Measure
2 Bundle KRAFT BAG #8 1 Bundle 200pcs
2 Bundle KRAFT BAG #25 1 Bundle 100pcs.
2 Bundle KRAFT BAG #45 1 Bundle 150pcs.

Purpose: BUDGET FOR THE MONTH OF SEPTEMBER 2021

*use additional sheets if necessary

Prepared by: Approved by:

JULIE LEDESMA -CCIC JOEMARIE BETALAC-TL

 Sheet14

SUPPLIES REQUISITION FORM

Date 12/02/21
Requesting Branch: CITIHARDWARE – OTON

Unit of
Qty Barcode Description
Measure
PUMP AQUASTRONG SHALLOW WELL JET EJM60LB PLASTIC
1 PC 1090100097399 IMP.COPPER WINDING
NFS-PRESSURE TANK AQUASTRONG 60CTT1 EPDM MEMBRANE 60L
1 PC 1090100097474 HORIZONTAL

1 PC 1090100425901 FLEXIBLE HOSE VODA TD DS-5301 33MMX60CM STAINLESS STEEL

Purpose: Store use (materials for additional pressure on water line to store comfort room)

*use additional sheets if necessary

Prepared by: Approved by:

MA. KLEAH SAELMO-SII JOEMARIE BETALAC-TL

Page 3
 SUPPLIES REQUISITION FORM
Date 12/02/21
Requesting Branch: CITIHARDWARE – OTON

Unit of Selling Price

Qty Barcode Description
Measure

1 PC 2080100499513 SWITCH BOLZANO PRESSURE SWITCH SQ. D 384.75

1 PC 2080100252750 VAREM PARTS BOLZANO MANOMETER 299.75

1 PC 2080100252347 VAREM PARTS EUROSTAR 5 WAY CONNECTOR 299.75

1 PC 2080100775310 TEFLON TAPE VODA TVK1119-19 0.075MMX19MMX10M 25.00

1 PC 2080100679748 STAINLESS HEX CAP THALUS SCREW 1/4X3/4 6' 59.75

1 PC 2080100681260 STAINLESS FLAT THALUS WASHER 3/8 44.75

1 PC 2080100746181 UNION VODA 1" F/F SS304 958.00

1 PC 2080100251753 VALVE EASYFLOW HC-113 (C6014) 1 SWING BRASS CHE 499.75

1 PC 2080100251739 VALVE EASYFLOW HC-204 (B1004) 1 BRASS BALL VALV 499.75

1 PC 2080100111996 FITTINGS EASYFLOW S/S STRAIGHT ELBOW 1" 399.75

1 PC 2080100746426 NIPPLE VODA 1"X54MM SS304 208.00

TOTAL 3,679.00

Purpose: Store use (materials for additional pressure on water line to store comfort room)

*use additional sheets if necessary

Prepared by: Approved by:

MA. KLEAH SAELMO-SII JOEMARIE BETALAC-TL

 SUPPLIES REQUISITION FORM

Date
Requesting Branch:
Unit of QTY Remarks
BARCODE Description/Stock No./Barcode No.
Measure

Purpose:

Prepared by: Approved by:

SUPPLIES REQUISITION FORM

Date
Requesting Branch:
Unit of QTY Remarks
BARCODE Description/Stock No./Barcode No.
Measure

Purpose:

Prepared by: Approved by:

SUPPLIES REQUISITION FORM

Date
Requesting Branch:
Unit of QTY Remarks
BARCODE Description/Stock No./Barcode No.
Measure

Purpose:

Prepared by: Approved by:

 SUPPLIES REQUISITION FORM
Date June 16, 2016
Requesting Branch: CT-Ormoc

PSS GM
RCP Store C
Unit of MKTG.
Qty Description/Stock No./Barcode No. SHERWIN LILIBETH
Measure
09261122699 09335070380
11 units Fire Extinguisher Refill-10lbs 800.00 750.00
3 pcs Gauge 60.00 150.00
1 pcs Belt 15.00 35.00
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Purpose: Refill of Discharged Fire Extinguisher Units and replacements of defective parts.

*use additional sheets if necessary

Prepared by: Approved by:

ARCHIE C. SRUPERINO-ATL MARICRIS A. CARZON-OIC

Note: write store name and provide contact person & number)
 SUPPLIES REQUISITION FORM
Date SEPTEMBER 22,2018
Requesting Branch: CT-OTON

Unit of Standard Qty Store Qty

Qty Description/Stock No./Barcode No.
Measure
15 PCS PROVISIONAL ID
10 PCS TRAINEE ID

Purpose: FOR STORE USE

*use additional sheets if necessary

Prepared by: Approved by:

MAY ANN FALAYAS-ATL MARBEE RUBITE-TL

 SUPPLIES REQUISITION FORM
Date JUNE 20, 2016
Requesting Branch: CITI ORMOC

Unit of Standard Qty Store Qty

Qty Description/Stock No./Barcode No.
Measure
100 pcs Generic Flyers 0 0
100 pcs Generic Calling Card 0 15

Purpose: For replacement of defective unit and additional ladder at storage area

*use additional sheets if necessary

Prepared by: Approved by:

Name & Signature//Date Name & Signature//Date

 SUPPLIES REQUISITION FORM
Date JULY 1, 2016
Requesting Branch: CITI-ORMOC

Unit of G LINK GREENWARE ORMOCNET

Qty Description/Stock No./Barcode No.
Measure
561-8858 561-6252/NANNY 561-9344/JOSEPH
1 Unit SEAGATE INTERNAL HD SATA 2TB FOR ORDER 4,800.00
Brand: WD
1 Pc SATA Cable N/A 50.00 50.00

Purpose: ADDITIONAL HDD FOR CCTV.

*use additional sheets if necessary

Prepared by: Approved by:

ARCHIE C. SUPERINO-ATL MARICRIS A. CARZON-OIC

Note: write store name and provide contact person & number)
 SUPPLIES REQUISITION FORM
Date JULY 2, 2016
Requesting Branch: CITI-ORMOC

Bañez and
Unit of HI-COOL MaxiCool
Qty Description/Stock No./Barcode No. Brazel Ref.
Measure
09228259697 09238496420 561-5218
3RD QUARTERLY CLEANING Edgar Rey Alex
10 Units Aircon Boston Bay 8 Tonner Floor Mounted 950.00 750.00 900.00

1 Unit Aircon GE Window Type ½ hp 250.00 250.00 350.00

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Purpose:3RD QUARTER ACU GENERAL CLEANING.

*use additional sheets if necessary

Prepared by: Approved by:

ARCHIE C. SUPERINO-ATL MARICRIS A. CARZON-OIC

Note: write store name and provide contact person & number)
 SUPPLIES REQUISITION FORM
Date JULY 2, 2016
Requesting Branch: CT-ORMOC

Unit of Standard Qty Store Qty

Qty Description/Stock No./Barcode No.
Measure
Empty Bags of Tile Adhesive
20 pcs Tile Adhesive Master Regular
20 pcs Tile Adhesive Master Heavy Duty
20 pcs Tile Adhesive ABC Regular
20 pcs Tile Adhesive ABC Heavy Duty

Purpose: Re-bagging of our Tile adhesive with damage packaging.

*use additional sheets if necessary

Prepared by: Approved by:

ARCHIE C. SUPERINO-ATL MARICRIS A. CARZON-OIC

 SUPPLIES REQUISITION FORM
Date July 21,2021
Requesting Branch: CT-OTON

Unit of Standard Qty Store Qty

Qty Description/Stock No./Barcode No.
Measure

9 PCS. EMERGENCY LIGHT BATTERY 6 volts 0

1 PC. MOTION DETECTOR 0

***NOTHINGS FOLLOW***

Purpose: For store use & spare

*use additional sheets if necessary
Prepared by: Approved by:

CHRISTINE B. BALGOS-ATL JOEMARIE BETALAC-TL

 SUPPLIES REQUISITION FORM
Date JULY 20, 2016
Requesting Branch: CITI-ORMOC

V.E. YAP CELLWORKS CELLMOBILE

Unit of
Qty Description/Stock No./Barcode No.
Measure 09073413573/ 09958913574/ 09065873924/
flora may christine rubilyn
1 pcs Mobile Phone Samsung B105E 899.00 899.00 899.00

Purpose: REPLACEMENT FOR DEFECTIVE STORE USED CELLPHONE

*use additional sheets if necessary

Prepared by: Approved by:

EDWIN C. ESPELITA JR. SOT MARICRIS A. CARZON-OIC

Note: write store name and provide contact person & number)
 SUPPLIES REQUISITION FORM
Date JULY 20, 2016
Requesting Branch: CITI-ORMOC

Unit of Jig Mangle Banez

Qty Description/Stock No./Barcode No.
Measure
1 unit Installation charge of Indoor Sensor for ACU #6 250.00 1,100.00

Purpose: Installation of Indoor sensor for ACU#6

*use additional sheets if necessary

Prepared by: Approved by:

ARCHIE C. SUPERINO-ATL MARICRIS A. CARZON-OIC

Note: write store name and provide contact person & number)