Appendix 60

PURCHASE REQUEST

Entity Name: Ramon Magsaysay Integrated School- SHS Fund Cluster:

Office/Section : _______ PR No.: 2021-07-0013 Date: 07/23/2021
_________________ Responsibility Center Code : 07001080130004
Stock/
Property No.
Unit Item Description Quantity Unit Cost Total Cost

1 pcs Alcohol 15 100.00 1,500.00

2 box Facemask 45 100.00 4,500.00
3 box Vitamin C 20 350.00 7,000.00
4 gallon Alcohol Gallon 2 450.00 900.00
5 pcs Toilet bowl cleanser 5 220.00 1,100.00

TOTAL 15,000.00
Purpose:
For School/Office Use
OK as to APP 2021

Requested by: Approved by:

Signature :
Printed Name : JOSE S. YANQUILING ARVEL V. OCAMPO

Designation: School Property Custodian School Head

151
 Appendix 61
PURCHASE ORDER
Ramon Magsaysay Integrated School - SHS
Entity Name

Supplier : SCS OFFICE SUPPLIES AND EQUIPMENT TRADING P.O. No. : 2021-07-0013
Address : Public Market, Poblacion, Labrador, Pangasinan Date : 07/26/2021
Mode of Procurement : Shopping
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/
Unit Description Quantity Unit Cost Amount
Property No.

1 pcs Alcohol 15 100.00 1,500.00

2 box Facemask 45 100.00 4,500.00
3 box Vitamin C 20 350.00 7,000.00
4 gallon Alcohol Gallon 2 450.00 900.00
5 pcs Toilet bowl cleanser 5 220.00 1,100.00

15,000.00
(Total Amount in Words) FIFTEEN THOUSAND PESOS ONLY

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent
for every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

ARVEL V. OCAMPO
Signature over Printed Name of Supplier School Head
07/26/2021 07/26/2021
Date Date

Fund Cluster : 01 ORS/BURS No. :

Funds Available : _________________________________ Date of the ORS/BURS:
ROBERT E. MAMARIL Amount :
ADAS III/SENIOR BOOKKEEPER
Signature over Printed Name