Annex 23



PURCHASE REQUEST

Barangay: _____________
City/Municipality: ________
Province: ______________
P.R. No.: _____________
Date.:________________
REQUISITION
Item
Number
Qty Unit of
Measurement
Item description Estimated
Unit Cost
Estimated
Amount














Total Estimated Amount
Purpose:


Requested by:

_________________________
Signature over Printed Name
Requesting Officer

_____________
Date
Approved:

_________________________
Signature over Printed Name
Punong Barangay

_____________
Date


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