MATERIAL REQUEST FORM

REQUEST NO.: 17
REQUEST DATE: 11/22/2022
PROJECT LOCATION: B5L17 BATINO GREENWOODS CAINTA RIZAL
REQUESTED BY: ENGR.MARK SAN JUAN

ITEM DESCRIPTION QTY UNIT

Electrical Wire 3.5mm Blue 1 box

Electrical Wire 3.5mm White 1 box
Electrical Wire 3.5mm Red 1 box
Electrical Wire 5.5mm White 1 box
Electrical Wire 5.5mm Red 1 box
Orange pipe 1/2 15 pcs
long elbow 1/2 30 pcs
Utility Box 30 pcs
octagon box 30 pcs
Tiewire 2 rolls
Bolt on Panel Board 20 Branches 1 pcs

REQUESTER SIGNATURE: APPROVED BY:

Engr. Mark San Juan