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 SNACKS 150 25.00 3,750.00
Assorted 3 in 1
Assorted biscuits with disposable cups

2 LUNCH 150 120.00 18,000.00

Adobo, pinakbet, with rice

TOTAL 21,750.00

Purpose/Remarks: For People's in January 17, 2018

Requested by: Approved by:

Signature:
Printed Name: BGEN. RODOLFO G. ALVARADO (RET.) BGEN. RODOLFO G. ALVARADO (RET.)
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
1 pcs. Ink cartridge # 60 (black) 20 950.00 19,000.00
2 pcs. Ink cartridge # 60 (colored) 6 1,350.00 8,100.00
3 pcs. Ink cartridge # 21 (black) 10 950.00 9,500.00
4 pcs. Ink cartridge # 22 (colored) 10 1,350.00 13,500.00
5 pcs. parker signing pen .05 (black refill) 10 175.00 1,750.00
6 pcs. pilot pen (black) 30 19.00 570.00
7 rolls tissue paper 24 15.00 360.00
8 pcs. Folder (long) 75 8.00 600.00
9 pcs. Folder (short) 30 7.00 210.00
10 pcs. Toner sharp AR 153-E 3 3,600.00 10,800.00
11 pcs. Drum kit sharp AR 153-E 2 1,800.00 3,600.00
12 pcs. White board marker (black) 5 45.00 225.00
13 pcs. White board marker (blue) 5 45.00 225.00
14 bxs Staple wire remover #35 5 35.00 175.00
15 set Photo paper (short) 1 280.00 280.00
16 pcs. Pentel pen permanent (black) 6 65.00 390.00
17 pcs. Pentel pen permanent (blue) 6 65.00 390.00
18 pcs. Brown Envelop (long) 50 5.00 250.00
19 pcs. USB Flash Drive 2 GB 2 600.00 1,200.00
20 pcs. Foot rule -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL 71,125.00

Purpose/Remarks:

Requested by: Approved by:

Signature:
Printed Name: ENGR. TITO A. PERLAS, JR. ATTY. ALVARO T. ANTONIO
Designation: Provincial Administrator Governor
Date:
c of the Philippines
ince of Cagayan
VERNMENT OF CAGAYAN
ills, Tuguegarao City

ASE REQUEST

Total Cost
19,000.00
8,100.00
9,500.00
13,500.00
1,750.00
570.00
360.00
600.00
210.00
10,800.00
3,600.00
225.00
225.00
175.00
280.00
390.00
390.00
250.00
1,200.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
71,125.00