Documente Academic
Documente Profesional
Documente Cultură
Signature:
Printed Name MARISSA B. BORMATE JESSE D. CONTADO HON. DANIEL C. BOCO
Designation Vocational School Administrator Municipal Treasurer Municipal Mayor
PURCHASE REQUEST
Llorente, Eastern Samar
LGU
Department: Llorente Technical PR No. Date:
Institute SAI No. Date:
Section: ALOBS No. Date:
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
OFFICE SUPPLIES
1.) 10 rms Bond Paper, Long (subs 20) 300.00 3,000.00
2.) 4 doz Ballpen Blue 100.00 400.00
3.) 4 doz Ballpen Black 100.00 400.00
4.) 12 pcs Correction Tape 35.00 420.00
5.) Bond Paper, A4 (subs 20) 276.00 8,280.00
30 rms
Ink SET (Brother BT5000C; BT5000M; 2,000.00
6.) 8,000.00
4 SET BT5000Y; BT6000BK )
7.) 5 pads DTR 115.00 575.00
8.) 24 pcs Pencil Mongol 2 10.00 240.00
9.) 48 pcs Folder Ordinary Long 9.00 432.00
10.) 4 pcs. Stapler heavy duty, standard 150.00 600.00
11.) 4 rms Brown Envelope Long 90.00 360.00
12.) 4 rms Brown Envelope Short 80.00 320.00
13.) 2 doz Sliding Folder Long (CLEAR COVER) 350.00 700.00
14.) 2 pcs Pencil Sharpener ,single cutter head 210.00 420.00
parchment paper(short;pack of 10-20pcs) for 70.00
15.) 7,000.00
100 pack diploma
Purpose : For office/School use, Charged to LTI Fund MOOE (Office supplies)
Requested By :Approved:
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Vocational School Administrator Municipal Mayor
Designation
PURCHASE REQUEST
Llorente, Eastern Samar
LGU
Department: Llorente Technical PR No. Date:
Institute SAI No. Date:
Section: ALOBS No. Date:
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
OTHER SUPPLIES
Office ID (4"x3", colored, laminated, with costumized
15 pcs 175.00 2,625.00
lanyard )
15 pcs Office ID (wallet size, pvc type ) 200.00 3,000.00
Purpose : For office/School use, Charged to LTI Fund MOOE (OTHER SUPPLIES AND MATERIALS EXPENSES)
Requested By :Approved:
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Designation Vocational School Administrator Municipal Mayor
PURCHASE REQUEST
Llorente, Eastern Samar
LGU
Department: Llorente Technical PR No. Date:
Institute SAI No. Date:
Section: ALOBS No. Date:
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
OTHER SUPPLIES
1 3 box Albatross 50.00 150.00
2 2 packs Tissue Paper (12 rolls) 90.00 180.00
3 4 pcs Tamboo 200.00 800.00
4 4 pcs Oil All Purpose 92.00 368.00
5 2 bag Surf Powder Big 150.00 300.00
6 2 liter Hand liquid Soap (scented) 160.00 320.00
7 20 pcs Trash bag (xl) 15.00 300.00
8 6 pcs Toilet Brush with Handle 140.00 840.00
9 3 ltr Toilet Bowl Cleaner (1000ml) 300.00 900.00
10 2 pcs Baygon Spray Big 180.00 360.00
11 2 btls Alcohol 70%, ethyl 42.85 85.70
12 4 pcs Mop Head with Handle, cotton 195.00 780.00
13 2 pcs Scoth Brite double 35.00 70.00
Trash bin (plastic with hood or cover (black); 3 pcs
14 17 units per classroom (EIM,HK,PL,IT room,FBS, and 2 pcs 250.00 4,250.00
for LTI Admin
Purpose : For office/School use, Charged to LTI Fund MOOE (OTHER SUPPLIES AND MATERIALS EXPENSES)
Requested By :Approved:
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Designation Vocational School Administrator Municipal Mayor
PURCHASE REQUEST
Llorente, Eastern Samar
LGU
Department: Llorente Technical PR No. Date:
Institute SAI No. Date:
Section: ALOBS No. Date:
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
FURNITURES AND FIXTURES
4.) 1 set eight seater round dining table ( with chairs) 31,000.00 31,000.00
Purpose : for office/school use, Charged to LTI Fund Property, Furnitures & Fixtures
Requested By :Approved:
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
MATERIALS AND CONSUMABLE
Meals and snacks (for COURSE
1.) 40 pack registration;ASSESSMENT CENTER reg; one 500.00 20,000.00
(1)Competency Aassessment) Breakfast,lunch,dinner
Lodging or accomodation for 10
2.) 6 days inspectors;assessors;TESDA personnel during course 800.00/head 48,000.00
registration/competency assessment
GRAND TOTAL 68,000.00
Purpose :for training center/assesment center registration: TESDA assesment, Charged to LTI Fund (TRAINING EXPENSES)
Requested By :Approved:
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Designation Vocational School Administrator Municipal Mayor
PURCHASE REQUEST
Llorente, Eastern Samar
LGU
Department: Llorente Technical PR No. Date:
Institute SAI No. Date:
Section: ALOBS No. Date:
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
1 heavy lunch
Menu - beef steak, fish fillet, ampalaya con carne, fruit
salad, bottled water and unli rice
2 heavy snacks
Menu:
Am snack - spaghetti and sandwich 6 bottled water and
1.) 50 pax 300.00 15,000.00
20pcs c2,
Pm snack - canton, puto cheese and coke sakto 20pcs, 6
bottled water.
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Designation Vocational School Administrator Municipal Mayor
REQUISITION AND ISSUE SLIP
Llorente, Eastern Samar
LGU
Division : Responsib
: RIS No. : Date:
Office :LTI Code : SAI No. : Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks/Amount
Estimated Unit
Item No. Quantity Unit of Issue Item Description Estimated Cost
Cost
Signature:
Printed Name MARISSA B. BORMATE HON. DANIEL C. BOCO
Designation Vocational School Administrator Municipal Mayor
REQUISITION AND ISSUE SLIP
Llorente, Eastern Samar
LGU
Division : Responsib
: RIS No. : Date:
Office :LTI Code : SAI No. : Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks/Amount
1 Bond Paper, Long (subs 20)
rms 10
2 Ballpen Blue
doz 4
3 Ballpen Black
doz 4
4 Correction Tape
pcs 12
5 Bond Paper, A4 (subs 20)
rms 30
Ink SET (Brother BT5000C; BT5000M;
6
SET BT5000Y; BT6000BK ) 4
7 DTR
pads 5
8 Pencil Mongol 2
pcs 24
9 Folder Ordinary Long
pcs 48
10 Stapler heavy duty, standard
pcs. 4
11 Brown Envelope Long
rms 4
12 Brown Envelope Short
rms 4
13 Sliding Folder Long (CLEAR COVER)
doz 2
14 Pencil Sharpener ,single cutter head
pcs 2
parchment paper(short;pack of 10-20pcs) for
15
pack diploma 100
16 Folder Ordinary Short
pcs 48
17 Paper fastener plastic
box 5
18 Paper Clip
box 5
19 Puncher heavy duty
pc 1
20 Staple wire#35
box 4
21 Scoth Tape (2 inch)
roll 3
22 Calculator Scientific 12 digits
pc 1
23 White board eraser
pcs 5
24 White board marker (black)
pcs 5
25 Sign pen, black
doz 3
26 USB Flashdrive, 32 GB
pcs 6
27 Paper trimmer (long bond paper capacity)
unit 1
28 Masking tape (3 inch)
pcs 5
29 Expanding Folder, long
pcs 30
EDP BINDER, TB, for 11" X 9-1/2" CCF,
30
pcs plastic, spring rod type 50
EDP BINDER, TB, for 11" X 14-7/8" CCF,
31
pcs plastic, spring rod type 50
32 office ID (wallet size,pvc, digitized)
pcs 14
33 pcs Office ID (laminated, w/ costumized lanyard) 14
Division : Responsib
: RIS No. : Date:
Office :LTI Code : SAI No. : Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks/Amount
Purpose: For office/School use, Charged to LTI Fund MOOE (OTHER SUPPLIES AND MATERIALS EXPENSES)
Requested By: Approved: Issued by:
Signature
Division : Responsib
: RIS No. : Date:
Office :LTI Code : SAI No. : Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks/Amount
1 box Albatross 3
3 pcs Tamboo 4
Purpose: For office/School use, Charged to LTI Fund MOOE (OTHER SUPPLIES AND MATERIALS EXPENSES)
Requested By: Approved: Issued by:
Signature
Division : Responsib
: RIS No. : Date:
Office :LTI Code : SAI No. : Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks/Amount
4-6 seater Wooden Dining Table with dining 2
1 set
chairs(square/rectangle)
Purpose: for office/school use, Charged to LTI Fund Property, Furnitures & Fixtures
Requested By: Approved: Issued by:
Signature
Division : Responsib
: RIS No. : Date:
Office :LTI Code : SAI No. : Date:
Requisition Issuance
Stock No. Unit Description Quantity Remarks/Amount
1 heavy lunch
Menu - beef steak, fish fillet, ampalaya con
carne, fruit salad, bottled water and unli rice
2 heavy snacks
Menu:
1 pax Am snack - spaghetti and sandwich 6 bottled
50
water and 20pcs c2,
Pm snack - canton, puto cheese and coke
sakto 20pcs, 6 bottled water.
Purpose: for LTI Site Inspection/Registration , Charged to LTI Fund (TRAINING EXPENSES))
Requested By: Approved: Issued by:
Signature
Company Name:
Address:
__________Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the
shortest time of delivery and submit your quotation duly signed by your representative not later than _______________________ in
the return envelope attached herewith.
ITEM
ITEM & DESCRIPTION QTY. UNIT PRICE AMOUNT
NO.
1.) Err:509 Err:509 Err:509
2.) Err:509 Err:509 Err:509
3.) Err:509 Err:509 Err:509
4.) Err:509 Err:509 Err:509
5.) Err:509 Err:509 Err:509
6.) Err:509 Err:509 Err:509
7.) Err:509 Err:509 Err:509
8.) Err:509 Err:509 Err:509
9.) Err:509 Err:509 Err:509
TOTAL
_____________After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above.
ABSTRACT OF QUOTATION
Date Prepared:
Name of Sup
Item No. Quantity Unit Description
We hereby certify to the correctness of the foregoing abstract of canvass and recommend the same for approval and award
BSTRACT OF QUOTATION
Name of Supplier
Awarded To
Place of Delivery : LGU Llorente Eastern Samar Delivery term : As specified in delivery date
Date of Delivery : Payment Term : Check
1.)
TOTAL
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of
delay shall be imposed.
Very truly yours,
Funds Available
Amount
ALB Request No.
Municipality of Llorente
1.)
ACCEPTANCE: INSPECTION
Date Received:____________ Date Inspected:_____________
JESSE D. CONTADO
Member, Inspection Committee
JUAN B. GUARINO
Property Officer JONIE BORJA
Member, Inspection Committee
ROMMEL C. BOCO
Requesitioning Officer//Representative
SUPPLIES AVAILABILITY INQUIRY
LGU
Purpose:
Signature :
Printed Name: ROMMEL C. BOCO
Designation : Assistant Municipal Engineer Bookkeeper
Republic of the Philippines
Province of Eastern Samar
Municipality of Llorente
ARE No.
DATE
QTY UNIT DESCRIPTION UNIT VALUE TOTAL VALUE
ACQUIRED PROPERTYNO.
1 IF NECESSARY ONLY
Electrician
Position
Date Date