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Purchase Request: Provincial Government of Cagayan

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Republic of the Philippines

Province of Cagayan
PROVINCIAL GOVERNMENT OF CAGAYAN
Capitol Hills, Tuguegarao City

PURCHASE REQUEST
Department:
Office of the Provincial Administrator PR No.: Date:
Section: SAI No.: Date:
Item No. Unit Article Quantity U-Price Amount
1 pax AM SNACKS: 45 90.00 4,050.00
special sotanghon
juice in can

LUNCH: 45 150.00 6,750.00


rice
karahay
fish
salad

PM SNACKS 50 110.00 5,500.00


clubhouse sandwich
juice in can

TOTAL 16,300.00

Purpose/Remarks: For Administrative Officers' Meeting

Requested by: Approved by:


Signature:
Printed Name: EDNA T. JUNIO EDNA T. JUNIO
Designation: Provincial Administrator Provincial Administrator
Date:
Republic of the Philippines
Province of Cagayan
PROVINCIAL GOVERNMENT OF CAGAYAN
Capitol Hills, Tuguegarao City

PURCHASE REQUEST
Department: Office of the Provincial Administrator PR No.: Date:
Section: SAI No.: Date:
Item No. Unit Item Description Quantity Unit Cost Total Cost
OFFICE SUPPLIES
1 pcs. Energizer battery AA 20 65.00 1,300.00
2 pcs. Energizer battery AAA 20 65.00 1,300.00
3 rms. bond paper long S-24 50 190.00 9,500.00
4 rms bond paper A4 S-24 25 230.00 5,750.00
5 rms. bond paper short S-24 50 170.00 8,500.00
6 pcs. correction joy tape J-213 (10 meters) 40 45.00 1,800.00
7 btls. elmers glue 130 grms 5 29.00 145.00
8 pcs. signing pen pilot (green, black, blue) V-5 10 45.00 450.00
9 pcs. Pilot hi-techpoint V-10 Grip 20 80.00 1,600.00
10 box ballpen pilot black & blue 4 250.00 1,000.00
11 pcs hp 678 black 20 390.00 7,800.00
12 pcs. hp 678 colored 20 390.00 7,800.00
13 bxs signing pen my gel black & blue 4 220.00 880.00
14 pcs. signing pen my gel refill (black,blue, and green) 60 16.00 960.00
15 box brown envelope short 60 5.00 300.00
16 pcs. brown envelope long 60 8.00 480.00
17 pcs. expanding folder long 60 15.00 900.00
18 pcs. flash drive 32 GB 4 750.00 3,000.00
19 pcs. post it (note pad size) 5 40.00 200.00
20 pcs. masking tape "2 10 56.00 560.00
21 pcs. scotch tape "1 LEAS US 10 35.00 350.00
22 box fastener 8 35.00 280.00
23 pads folder long ginza 50 7.50 375.00
24 rolls folder short ginza 50 5.00 250.00
25 pcs log book 500 pages 20 210.00 4,200.00
26 pcs log book 150 pages 20 75.00 1,500.00
27 pcs. post it 2x5 5 40.00 200.00
28 pcs. whiteboard marker pilot black, blue and red 6 384.00 2,304.00
29 pcs. carbon paper armor long 6 250.00 1,500.00
30 pcs. scissors (maped) 5 95.00 475.00
31 btls. epson 6641 black 10 245.00 2,450.00
32 btls. epson 6642 magenta 10 245.00 2,450.00
33 btls. epson 6643 cyan 10 245.00 2,450.00
34 btls. epson 6644 yellow 10 245.00 2,450.00
35 pcs DVD rewrittable sony 100 35.00 3,500.00
36 pack photo paper A4 glossy 5 150.00 750.00
37 pads yellow paper merit 4 40.00 160.00
38 pcs staple wire remover (maped) 15 20.00 300.00
39 pcs sticky notes joy film index (rectangle, arrow) 10 25.00 250.00
40 pcs HBW Stamp pad 10 35.00 350.00
41 rolls white letter envelope (short/100 sheets) 5 90.00 450.00
42 rolls white letter envelope (long/100 sheets) 5 90.00 450.00
43 pcs HBW Stamp pad ink 20 25.00 500.00
44 pcs Casio Calculator 3 450.00 1,350.00
45 pcs Filing box (single) 10 150.00 1,500.00
46 pcs. cutter good quality 5 60.00 300.00
Total 85,319.00
Purpose/Remarks: FOR OFFICE USE (1st quarter)
Signature: Requested by: Approved by:
Printed Name: BGEN. RODOLFO G. ALVARADO (RET.) BGEN. RODOLFO G. ALVARADO (RET.)
Designation: Provincial Administrator Provincial Administrator
Republic of the Philippines
Province of Cagayan
PROVINCIAL GOVERNMENT OF CAGAYAN
Capitol Hills, Tuguegarao City

PURCHASE REQUEST

Department: Office of the Provincial Administrator PR No.: Date:


Section: SAI No.: Date:

Item No. Unit Item Description Quantity Unit Cost Total Cost
JANITORIAL
1 pcs. baygon insect spray 600ml water base 10 320.00 3,200.00
2 pcs. air freshener 280 ml glade 10 220.00 2,200.00
3 rms. axion paste 350 grms 10 75.00 750.00
5 pcs. toilet bowl cleaner 900ml 10 180.00 1,800.00
6 pcs. tissue paper cleene 2 ply 60 18.00 1,080.00
7 btls. downy 900ml 15 85.00 1,275.00
8 pcs. scotch brite 10 45.00 450.00
9 pcs. toilet deodorizer big 200 grms 10 38.00 380.00
10 box tide powder 475g 10 75.00 750.00
11 box lysol disinfectant 500ml 6 520.00 3,120.00
12 jar tide bar 3 35.00 105.00
13 pcs. zonrox big 1000ml 6 38.00 228.00
14 pcs. walis tambo (Sta. Fe) 2 185.00 370.00
15 pcs. walis tingting 2 25.00 50.00
16 box mop with handle HD screw type 1 148.00 148.00
17 pcs. doormat (good quality) oblong 5 35.00 175.00
18 pcs. garbage bag XL 5 55.00 275.00
19 pcs. garbage bag L 5 50.00 250.00
20 pcs. muriatic acid 1000ml 10 60.00 600.00
21 pcs. mophead cotton #24 3 65.00 195.00
22 pcs. Alcohol (Cleene) 70% solution 500mL 50 90.00 450.00
23 pcs. Furniture Polish (330 mL) 5 250.00 1,250.00
24 pcs. dishwashing sponge 10 10.00 100.00
25 pcs. Lysol liquid toilet bowl cleaner 5 165.00 825.00
26 box Boxed Tissue 10 200.00 2,000.00
27 pcs. Glade Scented gel 5 165.00 825.00

Total 22,851.00
Purpose/Remarks: FOR OFFICE USE (1st quarter)
Requested by: Approved by:
Signature:
Printed Name: BGEN. RODOLFO G. ALVARADO (RET) BGEN. RODOLFO G, ALVARADO (RET)
Designation: Provincial Administrator Provincial Administrator

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