PURCHASE REQUEST
Barangay: RABON City/Municipality: SAN FABIAN
Tel. No: Province: PANGASINAN
Supplier: _Keanu Jan B. Garcia P.R NO.: 100-2024-06
Address: Talogtog, Pozzurobio, Pangasinan Date: 06-29-2024
ITEM QTY. ITEM DESCRIPTION ESTIMATED ESTIMATED
NO. UNIT COST AMOUNT
1 21 Pad Paper 280.00 5,880.00
2 17 ¼ Pad Paper 100.00 1,700.00
3 21 Black Ballpen 100.00 2,100.00
4 21 Blue Ballpen 100.00 2,100.00
5 21 Red Ballpen 100.00 2,100.00
6 21 Pencil 206.00 4,326.00
7 180 Correction Tape 20.00 3,600.00
8 326 Notebook 30.00 9,870.00
9 200 Sharpener 12.00 2,400.00
10 200 Clear Envelope 50.00 10,000.00
11 200 Brown Envelope 14.00 2,800.00
(Total Amount) Forty-six thousand eight hundred seventy-six pesos 46,876.0
Purpose: For the students
Requested By: Approved:
DALE MARK N. CARREON JAY CARLO B. DUCUSIN
Signature Over Printed Name Signature Over Printed Name
Requisition SK Chairman
Sk Kagawad
________________ __________________
Date Date