Purchase Request: Office/Section

Appendix 60
PURCHASE REQUEST
Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

Office/Section : PR No.: Date: 04/21/2021
_________________________ Responsibility Center Code :

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 units Epson cont. printer L3110 3 in 1 4 ₱11,850.00 47,400.00
2 bots. Epson cont. ink 003 blk. 15 420.00 6,300.00
3 bots. Epson cont. ink 003 C/Y/M 21 450.00 9,450.00
4 box my Gel sign pen blk. 1 360.00 360.00
5 roll masking tape 1/2 1 24.55 24.55
₱63,534.55
_______________________________________________________________
_______________________________________________________________
Requested by: Approved by:

Signature :
Printed Name : ROLEN A. SANTA-ANA ALDRIN O. ROSOPA
Designation : PROPERTY CUSTODIAN PRINCIPAL II
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 pcs. Homeroom Guidance module 3 15864 ₱0.50 7,932.00
₱7,932.00
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 boxes Face mask 45 ₱95.00 4,275.00
2 pcs. Face shield 130 15.00 1,950.00
3 pcs. Broom stick 45 55.00 2,475.00
4 sets Broom soft w/ dust pan, big 20 320.00 6,400.00
5 bots Dermistat anti-bacterial hand soap 45 165.00 7,425.00
6 unit Epson cont. printer L3110, 3 in 1 1 11850.00 11,850.00
7 bots Epson cont. ink 003, black 12 420.00 5,040.00
8 bots Epson cont. ink 003-cyan, yellow, magenta 23 450.00 10,350.00
9 boxes Copy paper, long 1 1450.00 1,450.00
10 pcs. Pilot whiteboard marker 2 80.00 160.00
11 pack Red ballpen-6's 1 25.49 25.49
₱51,400.49
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 ream copy paper, a4 size 190 ₱280.00 53,200.00
2 gal Doctor J Isopropyl alcohol, 70% 12 850.00 10,200.00
3 pc face shield 25 15.00 375.00
4 box masking tape 1/2 1 26.00 26.00
₱63,801.00
_______________________________________________________________
_______________________________________________________________

Signature :
Printed Name : JOSEPH B. FERRER ALDRIN O. ROSOPA
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 bundle round bag 10 ₱70.00 700.00
2 pc broomstick 40 60.00 2,400.00
3 set plastic dustpan w/soft broom 40 370.00 14,800.00
4 pc plastic pail, 16 ltrs 5 165.00 825.00
5 ltr all purpose liquid soap cleaner 6 290.00 1,740.00
6 gal zonrox belach 15 235.00 3,525.00
7 sachet surf powder 50 8.00 400.00
8 pc garbage bag, jumbo 150 8.50 1,275.00
9 pc albatross 10 95.00 950.00
10 can glade spray 10 290.00 2,900.00
11 can baygon spray 6 790.00 4,740.00
12 pc dipper 12 50.00 600.00
13 gal Dr. J. Isopropyl Alcohol 70% 20 850.00 17,000.00
14 gal dermistat anti-bac, hand soap 5 550.00 2,750.00
15 pc spray bottle, small 1 33.43 33.43
₱54,638.43
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No. vitamin C (sodium ascorbate)
1 box +zinc 45 ₱450.00 20,250.00
2 set apron type PPE (disposable) 100 110.00 11,000.00
3 box facemask, LVTA 3 ply 180 95.00 17,100.00
4 pack KF94 face mask 91 65.00 5,915.00
5 pc acrylic face shield 45 75.00 3,375.00
dermistat anti-bac, hand soap,
500ml
45 165.00
6 bottle 7,425.00
7 pack lysol disinfectant solution 9 285.00 2,565.00
8 tin lysol spray disinfectant 3 790.00 2,370.00
Dr. J. Isopropyl Alcohol 70%
9 bottle 500ml
45 170.00 7,650.00
10 gal Dr. J. Isopropyl Alcohol 70% 10 720.00 7,200.00
heavy duty thermal scanner w/
11 set automatic alcohol dispenser with 2 5700.00 11,400.00
aluminum stand
12 pc spray bottle 50 25.00 1,250.00
13 box disposable gloves 10 550.00 5,500.00
₱103,000.00
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 Unit epson printer L3110 2 ₱11,850.00 23,700.00
2 ream copy paper a4 50 280.00 14,000.00
3 pc magazine box 10 290.00 2,900.00
4 box staple wire #35 25 50.00 1,250.00
5 bottle epson ink 003 blk 10 420.00 4,200.00
6 bottle epson ink 003 c/y/m 15 450.00 6,750.00
7 jar binder clip 5 285.00 1,425.00
8 roll scotch tape 1' 8 25.00 200.00
9 pc sticky note 1 28.90 28.90
₱54,453.90
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 pc RISO master roll 2 ₱2,900.00 5,800.00
₱5,800.00
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 boxes Copy paper, A4 19 ₱1,400.00 26,600.00
2 bots binder clip, big 3 250.00 750.00
3 roll scotch tape 1/2' 1 24.61 24.61
₱27,374.61
_______________________________________________________________
_______________________________________________________________

Signature :
Printed Name : JOSEPH B, FERRER ALDRIN O. ROSOPA
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 Unit water dispenser w/smart chill 1 ₱10,850.00 10,850.00
2 pc headset with microphone 15 950.00 14,250.00
3 bot epson ink 664 black 20 450.00 9,000.00
4 jar binder clip jumbo 1 280.93 280.93
5 box copy paper a4size 11 1400.00 15,400.00
₱49,780.93
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
105-01 ream copy paper a4size 202 ₱280.00 56,560.00
105-15 bot epson ink 003 black 45 420.00 18,900.00
105-15 bot epson ink 003 magenta,cyan,yellow 8 450.00 3,600.00
105-15 bot epson ink T664 black 14 420.00 5,880.00
105-14 pc clear book a4 35 95.00 3,325.00
105-14 pack interfolded tissue paper 8 25.00 200.00
105-09 bundle round rag 1 70.92 70.92
₱88,535.92
Purpose: For school operation
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
1 pc RISO master roll 4 ₱2,900.00 11,600.00
₱11,600.00
Purpose: FOR PRINTING OF LEARNING MATERIALS/MODULES
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
105-01 ream paper one a4 size 175 ₱240.00 42,000.00
Epson EcoTank L3210 A4 All-in-One Ink
101-12 Unit
Tank Printer
2 10500.00 21,000.00
₱63,000.00
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
100-17 Unit laminator machine 1 ₱5,500.00 5,500.00
105-16 box laminating film 5 1850.00 9,250.00
105-15 bot epson ink 003 magenta,cyan,yellow 17 450.00 7,650.00
105-14-19 pc pencil no.2 1 6.59 6.59
105-14-20 pc paper clip 1 35.00 35.00
₱22,441.59
_______________________________________________________________
_______________________________________________________________

Signature :
151
Appendix 60
PURCHASE REQUEST


Stock/ Property
No.
Learners' Progress Report Card Kinder
104-06 pc
w/envelope
218 ₱9.00 1,962.00
Learners' Progress Report Card Grade 1-6
104-05 pc
w/envelope
1102 ₱10.75 11,846.50
₱13,808.50
_______________________________________________________________
_______________________________________________________________

Signature :
151

Purchase Request: Office/Section

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Appendix 60

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

Entity Name: AGUINALDO ES Fund Cluster: 01-101-101

_________________________ Responsibility Center Code :

Requested by: Approved by:

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