Purchase Request Form
Purchase Request Form
Purchase Request Form
Barangay: _____________
P.R. No.: _____________
City/Municipality: ________
Date.:________________
Province: ______________
REQUISITION
Unit of Estimate
Item Qt Estimated
Measureme Item description d
Number y Unit Cost
nt Amount
_________________________ _________________________
Signature over Printed Name
Requesting Officer Signature over Printed Name
Punong Barangay
_____________
Date _____________
Date