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(Agency) : FO2 Marco O Arpon Sinsp Reynaldo F Panganiban

The purchase request form is from the Pateros Fire Station requesting the purchase of an Iconz AVR (Automatic Voltage Regulator) for 380 pesos. The form provides the item description, quantity needed, estimated cost, purpose of the purchase, and approval signatures from the requestor and approver.

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Marco Arpon
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© © All Rights Reserved
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217 views3 pages

(Agency) : FO2 Marco O Arpon Sinsp Reynaldo F Panganiban

The purchase request form is from the Pateros Fire Station requesting the purchase of an Iconz AVR (Automatic Voltage Regulator) for 380 pesos. The form provides the item description, quantity needed, estimated cost, purpose of the purchase, and approval signatures from the requestor and approver.

Uploaded by

Marco Arpon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PURCHASE REQUEST FORM

BUREAU OF FIRE PROTECTION


(Agency)
PR. No.: 2016- Date: 24-Nov-16
Department: Pateros Fire Station
SAI No.: Date:
Section: FSEU ALOBS No.: Date:

Stock Unit of Estimated Estimated


Item Description Quantity
No. Issue Cost Cost
Iconz AVR (Automatic Voltage
1 pc
Regulator) 1 380.00 380.00
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TOTAL ESTIMATED COST OF SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380.00


Purpose:

Requested by: Approved by:

Signature:
Printed Name: FO2 Marco O Arpon SINSP REYNALDO F PANGANIBAN
Designation: NCOIC, SAO/Logistics Municipal Fire Marshal
Date: 24-Nov-16 24-Nov-16
PURCHASE REQUEST FORM
BUREAU OF FIRE PROTECTION
(Agency)
PR. No.: 2016-025 Date: 7-Oct-16
Department: Pateros Fire Station
SAI No.: Date:
Section: Logistics ALOBS No.: Date:

Stock Unit of Estimated Estimated


Item Description Quantity
No. Issue Cost Cost
1 pc Dong A Gel Pen 12 3,360.15
2 pc Penball Lotus 36 -
3 pc Duracell Battery 4 -
4 pc Round Rags 4 -
5 pc Alcohol 40% 4 -
6 pc CLNE ET AL500 4 -
7 pc GS paper cup 100 -
8 pc Glue 2 -
9 pc Muriatic Acid 2 -
10 pc Linix ting ting 2 -
11 pc Diswashing paste 14 -
12 pc SB Walis broom stick 2 -
13 pc Starwax 6 -
14 pc Cup Stainless Cird steel wool 5 -
15 pc Albatross 6 -
16 pc Brush 1 -
17 pc Turbo spin map 1 -
18 pc GS P Cup G 2 -
19 pc SGS P cup 1 -
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TOTAL ESTIMATED COST OF SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,360.15


Purpose:

Requested by: Approved by:

Signature:
Printed Name: FO2 Marco O Arpon SINSP REYNALDO F PANGANIBAN
Designation: C, SAO/Logistics Municipal Fire Marshal
Date: 07-Oct-16 07-Oct-16
PURCHASE REQUEST FORM
BUREAU OF FIRE PROTECTION
(Agency)
PR. No.: 2016-028 Date: 28-Oct-16
Department: Pateros Fire Station
SAI No.: Date:
Section: Logistics ALOBS No.: Date:

Stock Unit of Estimated Estimated


Item Description Quantity
No. Issue Cost Cost
1 pc Change Tires-Labor 6 400.00 2,400.00
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TOTAL ESTIMATED COST OF SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,400.00


Purpose:

Requested by: Approved by:

Signature:
Printed Name: SFO4 Ronaldo V Delmoro SINSP REYNALDO F PANGANIBAN
Designation: C, SAO/Logistics Municipal Fire Marshal
Date: 28-Oct-16 28-Oct-16

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