PURCHASE REQUISITION SLIP采购申请单

DATE REQUESTED申请日期: CONTROL NO.编号:

DATE NEEDED所需日期: DEPARTMENT部门:
PURPOSE目的:

TO BE FILLED UP BY PURCHASING & ACCTG. REP.

NO. REQUESTED AVAILABLE 由采购&财务代表填充
ITEM 品名 DESCRIPTION 描述 UNIT
序号 QTY/UNIT数量 STOCK 库存 QTY NEEDED SUPPLIER NAME
PRICE 单 AMOUNT金额
所需数量 供应商
价

REQUESTED BY: RECOMMENDED BY: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

____________ ______________ _____________ _______________ ______________ _________________

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ASST. RMM OIC RMM ACCTG. /PURCHASER

PURCHASE REQUISITION SLIP采购申请单

DATE REQUESTED申请日期: CONTROL NO.编号:
DATE NEEDED所需日期: DEPARTMENT部门:
PURPOSE目的:

TO BE FILLED UP BY PURCHASING & ACCTG. REP.

NO. REQUESTED AVAILABLE 由采购&财务代表填充
ITEM 品名 DESCRIPTION 描述 UNIT
序号 QTY/UNIT数量 STOCK 库存 QTY NEEDED SUPPLIER NAME
PRICE 单 AMOUNT金额
所需数量 供应商
价

REQUESTED BY: RECOMMENDED BY: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

____________ ______________ _____________ _______________ ______________ _________________

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ASST. RMM OIC RMM ACCTG. /PURCHASER
 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: 20-Oct-22 CONTROL NO.编号:
DATE NEEDED所需日期: Urgently needed DEPARTMENT部门: ETSD-MDS INC-22-0953
PURPOSE目的:
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY UNIT
序号 STOCK 库存 SUPPLIER NAME
量 NEEDED PRICE 单 AMOUNT金额
所需数量 供应商
价
Road Roller Side Mirror(3 units Bomag BW211D-40;2 units See attached picture for your
1 Volvo SD110B) reference. 10 pcs.

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Moriel R. Galili __________________ ____________________ __________________ Segundo Villanueva

__________________
Alex C. Arabis
NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ASST. RMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）
 PURCHASE REQUISITION SLIP采购申请单
May 14, 2023
DATE REQUESTED申请日期: CONTROL NO.编号: INC-23-1789
DATE NEEDED所需日期: Urgently needed DEPARTMENT部门: ETSD-MDS INC-22-0953
PURPOSE目的: To provide safety for all vehicles on mine haul roads, driveways and in alleys where there is a lack of visibility.
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
供应商
所需数量 价
1 Road Safety Convex Mirror 36 inches diameter 12 pcs.

2 GI PIPE 3 Inches Diameter 12 pcs.

3 Boysen Paint Scarlet Red Color 3 gallon

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

B. Felizarte M.GALILI Segundo A. Villanueva Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ASST. RMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）
 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: May 28, 2023 CONTROL NO.编号: INC-23-1849
DATE NEEDED所需日期: DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Safety materials use in the field for operational activities
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
Hi-Viz Safety Glove Grabber Handy Holder with Interlock Belt See attached picture for your
1 Clip Glove Clip Glove Holder reference. 600 pcs

2 Sheffield Traffic Cone Retractable Barrier Yellow - Lengths - 5m 5 pcs.

3 Sheffield Traffic Cone Retractable Barrier Red - Lengths - 5m 5 pcs.

Outdoor Safety Traffic Signal Control Warning LED Light Green

4 Flashing Wand Baton See attached picture for your reference.
4 pcs.

5 Outdoor Safety Traffic Signal Control Warning LED Light Red 4 pcs.
Flashing Wand Baton See attached picture for your reference.

Hi-Viz Caution Construction Area Barricade Tape Strong

6 Weather Resistant Safety Tape 3x1000 ft
2 rolls

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ASST. RMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: June 4, 2023 CONTROL NO.编号: INC-2023-1893
DATE NEEDED所需日期: June 20, 203 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Fabrication of Emergency Siren Stand
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
1 G.I Pipe 1-1/2"Ø sch40 10 pcs

2 Deformed Bar 12mm 7 pcs

3 Cutting Disc 4", 1mm thick 5 pcs

4 Cement 2 bags

5 Red Oxide 4L/gal 1 gal

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel R. Galili Segundo A. Villanueva Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ASST. RMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: June 4, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: June 30, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的:
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
1 Ballpen black, FlexOffice 0.7 30 pcs

2 Binder Clip 1'' 3 box

3 Binder Clip 2'' 3 box

4 Bond paper size A4, AA 24 ream

5 Bond paper size long, AA 5 ream

6 Correction tape JOY, J-855 15m 10 pcs

7 Envelope expandable w/ garter 30 pcs

8 Folder long 30 pcs

9 Glue Elmers's, Multipurpose, 130g 5 pcs

10 Highlighters STABILO boss, assorted colors 15 pcs

11 Marker permanent, black, Pilot Broad 5 pcs

12 Marker permanent, black, Faber Castel Slim 10 pcs

13 Marker white board, black, Pilot 10 pcs

14 Marker, white board refill ink white board, black, Pilot 2 box

15 Paper clip small 5 box

16 Paper clip big 5 box

17 Paper fastener colored,50mm capacity, 50 pcs/box 2 box

18 Pencil Mongol, no.2 10pcs

19 Post-It notes 3 M 3X3 15 pad

20 Push Pin 30's 1 box

21 Staple wires 5000pcs/box, no 35-5m 3 box

22 Tape scotch, 1 inch width 5 roll

23 Tape double sided, 2 inch width 5 roll

24 Tape masking, 2 inch width 5 roll

25 HP Smart Tank Ink 720 GT52 Cyan 8 pcs

26 HP Smart Tank Ink 720 GT52 Magenta 8 pcs

27 HP Smart Tank Ink 720 GT52 Yellow 8 pcs

28 HP Smart Tank Ink 720 GT53 Black 15 pcs

3-Ring Binder, A4, Blue, Spine Width:
29 Lever Arch File Folder 3" 20 pcs
2" Rings
30 Scissors Joy Scissors 8" Stainless Steel 2 pcs

31 Laminating Film, Sheets A4 size, 250 microns 100 sheets

32 Nescafe Original Extraforte 230G 6 jar

33 Nestle Coffe Mate Cream Original 110oz 6 oz

34 Light Brown Sugar 1kg. 6 kg

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel R. Galili Segundo A. Villanueva A

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: June 5, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: June 30, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: For maintainance of lawn and grounds of INC New Camp Site and others
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
1 Grass Cutter Honda, GX35 4 Stroke Engine 1 pc

2 Plastic Pail Orocan, 20 liters 2pcs

3 Dipper Plastic, 1 liter 2pcs

4
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REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Jeambern B. Pondales Moriel R. Galili Segundo A. Villanueva A

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: July 11, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: July 31, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: For maintenance, replacement, and spare of ambulance tire
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
Bridgestone 195/65 R15 91H Ecopia EP150
1 2022 4 pcs

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REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel R. Galili Segundo A. Villanueva A

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: June 26, 2023 CONTROL NO.编号: INC-23-2081
DATE NEEDED所需日期: June 26, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: For INC Safety and Health Policy Tarpaulin
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
1 Tarpaulin 4x8ft 2 pcs

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REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Harlene Madjini Moriel Galili Segundo A. Villanueva Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: June 17, 2023 CONTROL NO.编号: INC-23-2082
DATE NEEDED所需日期: June 17, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: For Ball Mirror
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
1 HT Bolt 10mm x 60 20 pcs

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REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Harlene Madjini Moriel Galili Segundo A. Villanueva Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: July 05,, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: July 10, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Emergency purchase for QAQC Sample Prep. Crew
TO BE FILLED UP BY PURCHASING & ACCTG. REP.
REQUESTED 由采购&财务代表填充
NO. AVAILABLE UNIT
ITEM 品名 DESCRIPTION 描述 QTY/UNIT数 QTY
序号
量
STOCK 库存 NEEDED PRICE 单 AMOUNT金额 SUPPLIER NAME
所需数量 供应商
价
1 Gloves Rubber coated 110 pairs

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REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Moriel Jhon Riel Moriel Galili Segundo A. Villanueva Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: July 13, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: July 14, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Emergency purchase for QAQC Sample Prep. Crew
TO BE FILLED UP BY PURCHASING & ACCTG.
REP.
REQUESTE 由采购&财务代表填充
NO. AVAILABLE QTY
ITEM 品名 DESCRIPTION 描述 D QTY/UNIT UNIT SUPPLIER
序号 STOCK 库存 NEEDE PRICE NAME
数量 D所需数 AMOUNT金额
单价 供应商
量
1 Gloves Cotton 150 pairs

2 Gloves Rubber Coated 150 pairs

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REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel Galili Segundo A. Villanu Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: July 21, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: August 21, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Additional safety and traffic materials
TO BE FILLED UP BY PURCHASING & ACCTG.
REP.
REQUESTE 由采购&财务代表填充
NO. AVAILABLE QTY
ITEM 品名 DESCRIPTION 描述 D QTY/UNIT UNIT SUPPLIER
序号 STOCK 库存 NEEDE PRICE NAME
数量 D所需数 AMOUNT金额
单价 供应商
量
1 Reflectorized Traffic Paint BOYSEN, Yellow 5 gal
2 Reflectorized Traffic Paint BOYSEN, Black 4 gal
3 Reflectorized Cone 36 " Height 10 pcs
4 Caution Tape 3x1000ft 10 rolls
5 Danger Tape 3x1000ft 5 rolls
thickness - 1/4 inch
6 Flat Bar 15 pcs
width - 1 inch
thickness - 1/8 inch
7 Flat Bar 10 pcs
width - 1 inch
8 Safety Logo for Hard Hat Reflectorized Sticker 900 pcs
Ipilan Nickel Corporation Logo for Hard
9 Reflectorized Sticker 900 pcs
Hat

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel Galili Segundo A. Villanu Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: July 22, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: August 22, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Additional Desktop unit for IAR Section and Safety Clerk.
TO BE FILLED UP BY PURCHASING & ACCTG.
REP.
REQUESTE 由采购&财务代表填充
NO. AVAILABLE QTY
ITEM 品名 DESCRIPTION 描述 D QTY/UNIT UNIT SUPPLIER
序号 STOCK 库存 NEEDE PRICE NAME
数量 D所需数 AMOUNT金额
单价 供应商
量
1 Desktop unit with Mouse and Keyboard 2 units
UPS
2 UPS 2 units
Model: UPS-650VA
3
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5
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7
8
9

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel Galili Segundo A. Villanu Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00

 PURCHASE REQUISITION SLIP采购申请单
DATE REQUESTED申请日期: July 28, 2023 CONTROL NO.编号:
DATE NEEDED所需日期: August 04, 2023 DEPARTMENT部门: SAFETY AND HEALTH
PURPOSE目的: Additional Safety gloves
TO BE FILLED UP BY PURCHASING & ACCTG.
REP.
REQUESTE 由采购&财务代表填充
NO. AVAILABLE QTY
ITEM 品名 DESCRIPTION 描述 D QTY/UNIT UNIT SUPPLIER
序号 STOCK 库存 NEEDE PRICE NAME
数量 D所需数 AMOUNT金额
单价 供应商
量
1 Gloves Rubber coated 350 pairs
2 Gloves Cotton 150 pairs
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9

REQUESTED BY: Recommended by: CHECKED BY: NOTED BY: Approved by: CONFIRMED BY:

Bernadeth B. Felizarte Moriel Galili Segundo A. Villanu Alex C. Arabis

NAME & SIGNATURE DEPARTMENT HEAD WAREHOUSE ARMM OIC RMM ACCTG. /PURCHASER
申请人 审核人（部门经理） 审核人（仓管 ) 确认者/采购者）

Form No.: INC-EMS-FRM-PUR-003 Effectivity Date: October 1, 2022 Revision No.: 00