Annex “E”

Monthly Itemized List of Purchase Request

(Barangay Logo)
Province of Cavite
City/Municipality of Ternate
Barangay Sapang I

OFFICE OF THE SANGGUNIANG KABATAAN

MONTHLY ITEMIZED LIST OF PURCHASE REQUEST (PR)

(Month of , 2023)

DATE OF REQUESTED BY Total Estimated

No. PR NO. PR (Name of SK Official and Position) Amount
1 P
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total Amount of Purchase Request for the Month P

Prepared by: Noted by:

__________________________ _____________________________
SK Treasurer SK Chairperson

Note: Refer to the attached PR approved by the SK Chairperson.

 PURCHASE REQUEST
SK of Barangay: ___________________ PR No.:__________
City/Municipality: __________________ Date: ____________
Province: _________________________
Item No. Qty. Unit of Item Description Estimate Estimated
Measurement d Unit Amount
Cost

Total Estimated Amount

Purpose:

Requested by: Approved by:

___________________________
______________________________________
Signature Over Printed Name Signature Over Printed Name
Requesting SK Official SK Chairperson

__________ __________
Date Date