Appendix 60

Republic of the Philippines

Department of Education
National Capital Region
Division of City Schools
PASAY CITY
P. Zamora St., Pasay City
831-0331 833-4085 831-7933
www.depedpasay.ph

PURCHASE REQUEST
Entity Name: Fund Cluster: __________________
Office/Section : PR No.: _____________________ Date: ____________
Responsibility Center Code : ___________

Stock/ Property No. Unit Item Description Quantity Unit Cost Total Cost

TOTAL -
Purpose:
_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:

Signature :
Printed Name : RONEL U. ARELLANO EVANGELINE P. LADINES, CESO V
Designation : Administrative Officer IV Schools Division Superintendent

151
 Appendix 60
Republic of the Philippines
Department of Education
National Capital Region
Division of City Schools
PASAY CITY
P. Zamora St., Pasay City
831-0331 833-4085 831-7933
www.depedpasay.ph

PURCHASE REQUEST
Depaartment of Education Pasay City Division-Pasay
Entity Name: Fund Cluster: __________________
City
Office/Section : PR No. Date: ____________
SAI No.
ALOBS No.

Stock/ Property No. Unit Item Description Quantity Unit Cost Total Cost

TOTAL -
Purpose:
_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:

Signature :
Printed Name : RONEL U. ARELLANO EVANGELINE P. LADINES, CESO V
Designation : Administrative Officer IV Schools Division Superintendent

151
 Republic of the Philippines
Department of Education
National Capital Region
School Division Office - Pasay City
PADRE BURGOS ELEMENTARY SCHOOL
P. Burgos St., Pasay City
padre.burgos@deped.gov.ph / tel. (02) 831-4632
https://depedpbes.ph

PURCHASE REQUEST
Entity Name: Department of Education Fund Cluster:
Padre Burgos Elem. School Responsibility Center:
Office /Section: PR No. Date:
Supply Section SAI No. Date:
ALOBS No. Date:
Stock./ Property Unit of Estimated Estimated
No. Issue Item Description Quantity Unit Cost Total Cost
SUPPLIES AND MATERIALS

pcs Angle bar 1 1/2 x 1 1/2 x 1/4 14 950.00 13,300.00

pcs Tube bar 3/4 9 700.00 6,300.00
kg welding rod 3 170 510.00
qrt metal primer 2 130 260.00
pcs paint brush #2 2 40 80.00
box TWH #12 3 2900.00 8,700.00
pcs set aircon outlet 20 160 3,200.00
pcs amco box pvc 20 40 800.00
pcs electrical tape big 2 35 70.00
roll flexible pipe 1/2 orange 2 700.00 1,400.00
pcs pvc clamp 1/2 150 3.5 525.00
pcs tox w/screw #6 100 1.5 150.00
pcs cutting disk 15 100 1,500.00

Charged against:
National Government Fund

Grand Total 36,795.00

Purpose: Installation of Air Condition Unit

Signature:
Printed Name OLIVER B. DIZON DANILO Q. GALERO
Designation School Property Costudian OIC - School Principal
Date: