BILL NO.

:
DATE : July 14, 2016
ALFIES CONST. & CONST. SUPPLY, INC.
(Name of Contractor/Supplier)
Bacolod City
(Address)

NO. OF TEST TEST DESCRIPTION TESTING FEE/TEST TOTAL AMOUNT

4 Abrasion Loss Test P 500.00 P 2,000.00
60 Flexural Test 140.00 8,400.00
3 Compression Test 120.00 360.00

Note:
Rehab. / Recons't. / Upgrading of Damaged Paved Nat'l. Roads along Bacolod North Road, Calatrava & Escalante Section
K0092+069 - K0128+759 (15R00021)

PAY THIS AMOUNT P 10,760.00

I hereby certify that this bill represents a just claim for services rendered and/or supplies and materials furnished, payment for which
have not been received.

ARNEL P. TORREFRANCA
Engineer III

APPROVED:

JAIME SJ. JAVELLANA

District Engineer