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Annex 14

PURCHASE REQUEST
SK of Barangay: PR No.:
City/Municipality: Date:
Province:
Unit of Estimated Estimated
Item No. Qty. Item description
Measurement Unit Cost Amount

Total Estimated Amount

Purpose:

Requested by: Approved by:

Signature over Printed Signature over Printed Name

Name Requesting SK SK Chairperson
Official

Date
Date

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