Purchase Request Form

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PURCHASE REQUEST

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

Total Estimated Amount


Purpose:

Requested by: Approved:

_________________________ _________________________
Signature over Printed Name
Requesting Officer Signature over Printed Name
Punong Barangay
_____________
Date _____________
Date

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