PURCHASE REQUEST

CATMON
LGU

Department Municipal Accounting Office PR No.: Date: 7/6/2005

SAI No.: Date:
Section ALOBS No.: Date:

Stock Estimated Estimated

Quantity Unit of Issue Item Description
No. Unit Cost Cost

1 pc Pail (big)
2 pcs Mop head
2 pcs Doormat (rug)
2 pcs Wastebasket (trash can)
1 pc Feather duster
1 pc Water dipper/ladle
1 pc Toilet bowl cleaner(big)

Purpose: Other Supplies for Accounting office maintenance.

Requested by: Cash Availability: Approved by:

Signature:
Printed Name: ANECITA A. MOLDE EULALIA B. JUBAN ESTRELLA C. ARIBAL
Designation Municipal Accountant Municipal Treasurer Municipal Mayor
 PURCHASE REQUEST
CATMON
LGU

Dept.: MAYOR'S OFFICE PR No.: Date:

SAI No.: Date:
Section ALOBS No.: Date:

Unit of Stock Estimated Estimated

Quantity Item Description
Issue No. Unit Cost Cost
27 packs 1 meal 130.00 3,510.00

Purpose: Meals during Sugbo Negosyo -Round II Orientation 3,510.00

Requested by: Cash Availability: Approved by:

Signature:
Printed Name: JOEL L. MOLIT KRISNA MARIE NUÑEZA AVIS GINOO-MONLEON
Designation Executive Assistant Municipal Treasurer Municipal Mayor
 PURCHASE REQUEST
CATMON
LGU

Dept.: MAYOR'S OFFICE PR No.: Date:

SAI No.: Date:
Section ALOBS No.: Date:

Unit of Stock Estimated Estimated

Quantity Item Description
Issue No. Unit Cost Cost

120 packs 1 meal 2 snacks 230.00 27,600.00

Purpose: Meals & snacks during Sugbo Kahanas Program Ceremonial Distribution for the 5th District 27,600.00

Requested by: Cash Availability: Approved by:

Signature:
Printed Name: JOEL L. MOLIT KRISNA MARIE NUÑEZAAVIS GINOO-MONLEON
Designation Executive Assistant Municipal Treasurer Municipal Mayor
 CATMON
LGU

Dept.: MAYORS OFFICE PR No.: Date:

SAI No.: Date:
Section ALOBS No.: Date:

Unit of Stock Estimated Estimated

Quantity Item Description
Issue No. Unit Cost Cost

25 reams Bondpaper, S20 long 280.00 7,000.00

25 reams Bondpaper, S20 short 270.00 6,750.00
15 reams Bondpaper, whitewove long 240.00 3,600.00
15 reams Bondpaper, whitewove short 230.00 3,450.00
2 box Signpen, blue 600.00 1,200.00
2 box Signpen, black 600.00 1,200.00
2 box Ballpen, black 200.00 400.00
2 box Ballpen, blue 200.00 400.00
5 pcs pentel pen 100.00 500.00
3 doz. Folder, white long 150.00 450.00
24 pcs. Expanded, folder long 30.00 720.00
4 box Paper clip, small 100.00 400.00
4 box paper clip, big 100.00 400.00
12 pcs. Brown envelope, long 15.00 180.00
12 pcs. Brown envelope, short 15.00 180.00
24 pcs. Craft folder, long 10.00 240.00
2 boxes Staple wire, #35 100.00 200.00
4 box Fastener 100.00 400.00
10 pcs. Correction tape 50.00 500.00
3 pcs. Magazine rack, long 400.00 1200.00
1 ream Colored paper yellow 300.00 300.00
2 box Double clip, big/small 150.00 300.00
1 box Ordinary white envelop, long 300.00 300.00
3 rolls Scotch tape, 1 inch 80.00 240.00
3 pcs. Packaging tape 1 inch 50.00 150.00
8 packs Specialty paper 50.00 400.00
3 pcs. Stapler #35 100.00 300.00
12 pads Post in notes 50.00 600.00
4 pads Sign here sticky notes 100.00 400.00
4 pcs. Scissors 100.00 400.00
1 bots. Elmer's glue big 200.00 200.00
1 pc. Stamp pad 150.00 150.00
1 pc. Stamp pad ink 100.00 100.00
12 pcs. Expanded envelop 35.00 420.00
5 pcs. Logbook 200.00 1000.00
1 pcs. White board Ink 200.00 200.00
3 pcs. White board marker 100.00 100.00

Purpose: Signages for the Prone Areas 34,930.00

Requested by: Cash Availability: Approved by:

Signature:
Printed Name: JOEL L. MOLIT KRISNA MARIE NUÑEZA AVIS GINOO-MONLEON
Designation EXECUTIVE ASSISTANT Municipal Treasurer Municipal Mayor
 CATMON
LGU

Dept.: MAYORS OFFICE PR No.: Date:

SAI No.: Date:
Section ALOBS No.: Date:

Unit of Stock Estimated Estimated

Quantity Item Description
Issue No. Unit Cost Cost

6 set Epson ink multi color 1750.00 10,500.00

20 pcs. Epson ink black 500.00 10,000.00
1 pc White board 48"x 60" 3000.00 3,000.00
2 pcs. USB flash drive 1000.00 2,000.00
1 pcs. External hardrive 2TB 2000.00 2,000.00

Purpose: Office & other Supplies used for the Mayor's Office Consumption 27,500.00

Requested by: Cash Availability: Approved by:

Signature:
Printed Name: JOEL L. MOLIT KRISNA MARIE NUÑEZA AVIS GINOO-MONLEON
Designation EXECUTIVE ASSISTANT Municipal Treasurer Municipal Mayor
 CATMON
LGU

Dept.: MAYORS OFFICE PR No.: Date:

SAI No.: Date:
Section ALOBS No.: Date:

Unit of Stock Estimated Estimated

Quantity Item Description
Issue No. Unit Cost Cost
30 tie 3 in 1 coffee 150.00 4,500.00
3 bots. Toillet Bowl Cleaner 400.00 800.00
2 bots. Glass Cleaner 500.00 1,000.00
24 rolls Tissue 2 ply 25.00 600.00
24 sachet Soap powder 10.00 240.00
6 bar Soap bar 40.00 240.00
2 pcs. Floor map 500.00 1,000.00
3 pcs. Scotch brite 50.00 150.00
4 pcs. Dishwashing paste, big 50.00 200.00
4 pcs. Albatross 70.00 280.00
3 pcs. Broom (lanot) 100.00 300.00
4 pcs. Broom stick 75.00 300.00
3 bots. Liquid hand soap 300.00 900.00
3 bots. Air Freshener spray 500.00 1,500.00
3 pcs. Air Freshener for room 300.00 900.00
12 gals. Alcohol 500.00 6,000.00
4 pcs. Welcome mats 300.00 1,200.00
3 pcs. Trashcan 400.00 1,200.00
1 pc. Non - Stick frying pan 1500.00 1,500.00
10 rolls Garbage bag 60.00 600.00
3 pcs. Pail Big 300.00 900.00
3 pcs. Toilet Brush 300.00 900.00
2 pcs. Basin 200.00 400.00
3 pcs. Toilet pump rubber 300.00 900.00
2 boxes Disposable Rubber gloves\ 300.00 600.00
1 pcs. Dust pan 250.00 250.00

Purpose: Other Supplies used for the consumption of Mayor's Office 27,360.00

RequestedCash Availability: Approved by:

Signature:
Printed Name: JOEL L. MOLIT KRISNA MARIE NUÑEZA AVIS GINOO-MONLEON
Designation EXECUTIVE ASSISTANT Municipal Treasurer Municipal Mayor
 CATMON
LGU

Dept.: MAYORS OFFICE PR No.: Date:

SAI No.: Date:
Section ALOBS No.: Date:

Unit of Stock Estimated Estimated

Quantity Item Description
Issue No. Unit Cost Cost

12 cans floor wax/ dye wax 700.00 8,400.00

Purpose: Office & other Supplies used for the Mayor's Office Consumption 8,400.00

Requested by: Cash Availability: Approved by:

Signature:
Printed Name: JOEL L. MOLIT KRISNA MARIE NUÑEZA AVIS GINOO-MONLEON
Designation EXECUTIVE ASSISTANT Municipal Treasurer Municipal Mayor