PURCHASE REQUEST

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

Samar First District Engineering Office
Calbayog City

Annex G-5
PURCHASE REQUEST
REQUESITION OFFICE: P.R No. - - - Date:_______________
SAI No:_________________ Date:_______________
FINANCE SECTION
ALOBS No:________________ Date:_______________
Unit Of Item Estimated Estimated
QUANTITY Item Description
Issue No. Unit Cost Total Cost

1 PC Cleaning and Repair of Split Type Aircon 1 1,500.00 1,500.00

GRAND TOTAL 1,500.00

PURPOSE: For use in the office of Finance Section

REQUESTED BY: APPROVED BY:

CARLO C. RIVERA ALVIN A. IGNACIO

Chief, Financial Section District Engineer