Purchase Request (Sample)

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DEPARTMENT OF EDUCATION

Region III
VICTORIA NATIONAL HIGH SCHOOL ANNEX II
Victoria, Tarlac
PURCHASE REQUEST

Department:________ PR No.: ___________________


Section: ___________ SAI No.: __________________
QTY.

Unit

Item Description

1
1
1
1
1
6
1

pc
pc
pc
set
pc
pcs
set

Dunlop Basketball
Dunlop Volleyball
Mascot Volleyball
Dunlop Tennis Ball
Marathon MT-101 Sepak Takraw
Dunlop Shuttlecock
Butterfly Table Tennis

Date: __________________

Stock No.

Unit
Cost
570.00
508.00
385.00
250.00
495.00
42.00
540.00

TOTAL:

Total Cost
570.00
508.00
385.00
250.00
495.00
252.00
540.00

3,000.00

Purpose: _____________________________________________________________________
Requested by:
Signature:
Printed Name:
Designation:

DOAN JOY G. AQUINO


Teacher-In-Charge

Approved by:
AMELIA I. CACHERO
Principal III

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