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Purchase Request Form

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Purchase Request

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Purchase Request Form

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Appendix 47

PURCHASE REQUEST

LGU: Fund: .
Department: PR No. : Date:
Section: _____ FFP : ____________________

Item
Unit Item Description Quantity Unit Cost Total Cost
No.

****nothing follows****

TOTAL -
PURPOSE:
Requested by: Cash Availability: Approved by:

Signature:
Printed Name:
Designation:

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