Purchase Request 2021

Annex 23
PURCHASE REQUEST
Barangay: STA CRUZ P.R. No.: ___012_________

City/Municipality: CARMEN Date: December 25, 2022
Province: SURIGAO DEL SUR
REQUISITION
Item Unit of Estimated Estimated
Qty. Item Description
Number Measurement Unit Cost Amount
Lot 1
1 2 Sack Rice 2,100.00 4,200.00
2 24 Pcs Noodles (Beef Flavor) 10.00 240.00
3 24 Pcs Noodles (Chicken Flavor) 10.00 240.00
4 1 Kl Bihon 85.00 85.00
5 1 Liter Vinegar 50.00 50.00
6 1 Liter Soy sauce 60.00 60.00
7 1 Kl Cooking oil 90.00 90.00
8
5 Dozen 3 in 1 coffee 130.00 650.00
9
2 Dozen Sardines 250.00 500.00
10
11 2 Dozen Champion (Twin Pack) 130.00 260.00
12 6 Bags Biscuits 60.00 120.00
13 1 Pc Dishwashing Paste 30.00 30.00
14 1 Tray Eggs 240.00 240.00
15 2 Bags Disposable Spoon 50.00 100.00
16 1 Box Match Stick 20.00 20.00
17 2 Bags Styro cup 50.00 100.00
18 2 Bags Odong 50.00 100.00
19 2 Pcs Mop 200.00 400.00
20 2 Pcs Dustpan 150.00 300.00
Total Estimated Amount: Seven Thousand Seven Hundred Eighty-Five Pesos Only P 7,785.00
Purpose:
Food item and Paraphernalia needed for the evacuation center.
Requested by: Approved:
PRIMO M. PLAZA JR. PAULITA E. CORREOS

Signature over Printed Name Signature over Printed Name
Requesting Officer Punong Barangay
December 25, 2022 December 25, 2022

Date Date
Annex 23
PURCHASE REQUEST

City/Municipality: CARMEN Date: February 18, 2021
REQUISITION
Lot 2
1 10 Kls Pork 300.00 2,900.00

2 12 Tray Egg 260.00 3,060.00
3 3 Kls Dried fish 320.00 900.00
4 1 Gr. Onion 25.00 25.00
5 1 Gr. Garlic 20.00 20.00
Lot 3
6 30 Mtrs Trapal 60.00 1,800.00

7 50 Mtrs. Nylon 13.00 325.00
8 10 Pcs. LED Bulb 81.00 810.00
9 1 Kls. Nails #2 65.00 65.00
Total Estimated Amount : Nine Thousand Nine Hundred Five Pesos Only P9,905.00
Purpose:
Food item and Paraphernalia needed for the evacuation center.
EUTIQUIO E. ESTRADA PAULITA E. CORREOS

February 18, 2021 February 18, 2021

Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
1 75 Liters Diesel 54.49 4,086.75

2 65 liters Gasoline 45.45 2,954.25
Total Estimated Amount : Seven Thousand Forty One Pesos Only P 7,041.00
Purpose:
Diesel and Gasoline needed for the operation of rescue vehicle in the barangay.


Date Date
Annex 23
PURCHASE REQUEST
Barangay: STA CRUZ P.R. No.: _______________

City/Municipality: CARMEN Date: November 12, 2020_
REQUISITION
Lot 1 (Hardware Materials)
1 800 Pcs CHB 4” 12.00 9,600.00

2 32 Pcs 12mm DSB x 6m 260.00 8,320.00
3 92 Pcs 10mm DSB x 6m 170.00 15,640.00
4 22 Kls Tie wire #16 75.00 1,650.00
5 15 Cu.m Washed Sand 450.00 6,750.00
6
5 Cu.m Screened gravel 450.00 2,250.00
7
84 Bags Portland Cement 280.00 23,520.00
8
9 4 Pcs Ordinary plywood(1/4”) 420.00 1,680.00
10 12 Pcs Marine plywood(1/4”) 460.00 5,520.00
11 10 Pcs Corr. GI sheets Ga 24 x 8’ 340.00 3,400.00
12 2 Kls Roof nails 2 ½ (umbrella) 100.00 200.00
13 18 kls CW nails (assorted) 75.00 1,350.00
Total Estimated Amount: Seventy Nine Thousand Eight Hundred Eighty Pesos Only P 79,880.00
Purpose:
Extension for dressing room, repair of column, roofing of ramps and flower box.

November 12, 2020 November 12, 2020

Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
Lot 2 (Lumber Materials)
1 12 Pcs 2x6x16 lauan (192 bd.ft) 25.00 4,800.00

2 16 Pcs 2x3x16 lauan (128 bd.ft) 25.00 3,200.00
3 60 Pcs 2x2x16 lauan (320 bd.ft) 25.00 8,000.00
Total Estimated Amount: Sixteen Thousand Pesos Only P 16,000.00

Purpose:


Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
Lot 3 (Painting Works)
1 4 Gals Flat latex paint white 650.00 2,600.00

2 6 Gals Ready mixed paint (color is optional) 1,200.00 7,200.00
3 3 Gals Flatwall enamel paint white 650.00 1,950.00
4 3 Gals QDE paint white 650.00 1,950.00
5 4 Gals Roof paint baguio green 650.00 2,600.00
6 18 Bags Patching compound 80.00 1,440.00
7 4 Pcs Paint brush #4 75.00 300.00
8 2 Pcs Paint brush #2 50.00 100.00
9 2 Pcs Roller brush #4 120.00 240.00
10 20 Pcs Sand paper #120 20.00 400.00
11 2 Pcs Paint tray 85.00 170.00
Total Estimated Amount: Eighteen Thousand Nine Hundred Fifty Pesos Only P 18,950.00
Purpose:


Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
1 264 Bags Odong 50.00 13,200.00

2 792 Cans Sardines 20.00 15,840.00
3 264 pcs Ecobag 6.81 1,800.00
Total Estimated Amount: Thirty Thousand Eight Hundred Forty Pesos Only P 30,840.00
Purpose:
Food and Non Food item needed for the relief assistance for the affected families of the barangay.


Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
1 18 sacks Rice 2,000.00 36,000.00
Total Estimated Amount: Thirty Six Thousand Pesos Only P 36,000.00

Purpose:
Food and Non Food item needed for the relief assistance for the affected families of the barangay.


Date Date
Annex 23
PURCHASE REQUEST

City/Municipality: CARMEN Date: _______________
REQUISITION
1 1 set Computer with complete accessories 35,000.00 35,000.00
Total Estimated Amount: Thirty Five Thousand Pesos Only P 35,000.00

Purpose:
For the day to day transaction in the barangay.
JUNIEL E. RULITE PAULITA E. CORREOS

___________________ ______________________
Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
Lot 3- Electrical Works
1 30 Mtrs Flexible Hose # ½ 9.00 270.00

2 2 Set Outlet Gang 185.00 370.00
3 2 Set Switch Single 165.00 330.00
4 1 Roll E.Tape (Big) 60.00 60.00
5 3 Pcs LED Bulb 450.00 1,350.00
6 6 Pcs PVC Pipe #1/2 85.00 510.00
7 4 Pcs PVC Elbow “long” 23.00 92.00
8 5 Pcs Utility Box 50.00 250.00
9 3 Pcs Junction Box 50.00 150.00
10 5 Pcs Receptacle 55.00 275.00
11 1 Box THHN WIRE #12 2,168.00 2,168.00
12 6 Pcs GI Sheet 10ft. 484.00 2,904.00
13 1 Ltr Vulca Seal 721.00 721.00
14 5 kls Umbrella Nails 110.00 550.00
Total Estimated Amount: Ten Thousand Pesos Only P 10,000.00

Purpose:
MATERIALS NEEDED FOR THE IMPROVEMENT OF STAGE.

___________________ ______________________
Date Date
Annex 23
PURCHASE REQUEST

REQUISITION
Lot 1 – Concrete and Steel Works
1 5 Le GI Pipe 3” sched. 20 x 6m 3,300.00 16,500.00

2 4 Le GI Pipe 2” sched. 20 x 6m 2,400.00 9,600.00
3 10 Pcs 12mm DSB x 6m 400.00 4,000.00
4 5 Pcs 8mm DSB x 6m 85.00 425.00
5 5 Kl Tie Wire #16 75.00 375.00
6 3 Sht Ordinary Plywood ¼ 360.00 1,080.00
7 10 Kl CW Nails Assorted 75.00 750.00
8 1 Box Welding Rod 400.00 400.00
Lot 2 – Electrical Works
1 200 Rm Service Drop Wire #6 35.00 7,000.00

2 10 Set Doom Reflector Aluminum 900.00 9,000.00
3 10 Pcs Mogol Reducer E40-E27 porcelain 100.00 1,000.00
4 10 Pcs Mogol E40 porcelain 200.00 2,000.00
5 10 Pcs LED Bulb 25W 400.00 4,000.00
6 20 M PDX Wire #14 paciflex 55.00 1,100.00
7 1 Set Micro Computer Timer Switch 1,000.00 1,000.00
8 1 Set Magnetic Switch 100Amp 5,000.00 5,000.00
9 5 pcs Electrical Tape Big 30.00 150.00
Total Estimated Amount: Sixty Three Thousand Three Hundred Eighty Pesos Only P63,380.00
Purpose:
MATERIALS NEEDED FOR THE INSTALLATION OF STREETS LIGHT.
DAN MARK B. DEL ROSARIO PAULITA E. CORREOS

___________________ ______________________
Date Date
Annex 23
PURCHASE REQUEST
Barangay: STA CRUZ P.R. No.: 2021-010-010

City/Municipality: CARMEN Date: October 11, 2021
REQUISITION
1 1 Pcs Wind Shield 10,000.00 10,000.00

2 1 Pcs Power Window 8,000.00 8,000.00
Total Estimated Amount: Eighteen Thousand Pesos Only P 18,000.00

Purpose:
MATERIALS NEEDED FOR THE REPAIR OF RESCUE VIHECLE.
JUNRIE T. AZARCON PAULITA E. CORREOS

___________________ ______________________
Date Date

Purchase Request 2021

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Annex 23

Barangay: STA CRUZ P.R. No.: ___012_________

Requested by: Approved:

PRIMO M. PLAZA JR. PAULITA E. CORREOS

December 25, 2022 December 25, 2022

Barangay: STA CRUZ P.R. No.: ___002_________

1 10 Kls Pork 300.00 2,900.00

6 30 Mtrs Trapal 60.00 1,800.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

February 18, 2021 February 18, 2021

Barangay: STA CRUZ P.R. No.: ___003_________

1 75 Liters Diesel 54.49 4,086.75

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

February 18, 2021 February 18, 2021

Barangay: STA CRUZ P.R. No.: _______________

Lot 1 (Hardware Materials)

1 800 Pcs CHB 4” 12.00 9,600.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

November 12, 2020 November 12, 2020

Barangay: STA CRUZ P.R. No.: _______________

Lot 2 (Lumber Materials)

1 12 Pcs 2x6x16 lauan (192 bd.ft) 25.00 4,800.00

Total Estimated Amount: Sixteen Thousand Pesos Only P 16,000.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

November 12, 2020 November 12, 2020

Barangay: STA CRUZ P.R. No.: _______________

Lot 3 (Painting Works)

1 4 Gals Flat latex paint white 650.00 2,600.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

November 12, 2020 November 12, 2020

Barangay: STA CRUZ P.R. No.: ___004_________

1 264 Bags Odong 50.00 13,200.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

February 23, 2021 February 23, 2021

Barangay: STA CRUZ P.R. No.: ___005_________

1 18 sacks Rice 2,000.00 36,000.00

Total Estimated Amount: Thirty Six Thousand Pesos Only P 36,000.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

February 23, 2021 February 23, 2021

Barangay: STA CRUZ P.R. No.: _______________

1 1 set Computer with complete accessories 35,000.00 35,000.00

Total Estimated Amount: Thirty Five Thousand Pesos Only P 35,000.00

Requested by: Approved:

JUNIEL E. RULITE PAULITA E. CORREOS

Barangay: STA CRUZ P.R. No.: _______________

Lot 3- Electrical Works

1 30 Mtrs Flexible Hose # ½ 9.00 270.00

Total Estimated Amount: Ten Thousand Pesos Only P 10,000.00

Requested by: Approved:

EUTIQUIO E. ESTRADA PAULITA E. CORREOS

Barangay: STA CRUZ P.R. No.: _______________

1 5 Le GI Pipe 3” sched. 20 x 6m 3,300.00 16,500.00

Barangay: STA CRUZ P.R. No.: _012_______

Barangay: STA CRUZ P.R. No.: _002_______

Barangay: STA CRUZ P.R. No.: _003_______

Barangay: STA CRUZ P.R. No.: _004_______

Barangay: STA CRUZ P.R. No.: _005_______