Purchased Request (PR) (Repaired)

Appendix 34

PURCHASE REQUESTBukidnon

LGU

Department BENRO/MMT P.R. No. ___________________ Date ________________________ SAI No. _______________________Date___________Section ________________________ ALOBS No. ____________________ Date_________

Item No.

Quantity UnitOf Issue Item Description

Estimated Unit Cost

Estimated Cost

1.

2.

3.

4.

5. 6.

7. 8.

9.10.11.12.

13..

14.15.16.

17.18.19.

5

3

2

1

17

111111

1

412

211

COMMON OFFICE SUPPLIES: (PS-DBM)

Paper,multicopy, legal size, 216mm x 330mm (8-1/2" x 13") - 80gsm, bookpaper, for laser/ink-jet printers,high-speed copier Paper, multicopy, A-4 size, for laser ink-jet printers, high speed copiers 2012mmx297mm, 80gsm bookpaperEnvelope, expanding, plastic, 0.50mm, min platic thickness with plastic strap,380mm x 260mm, min size, 30mm, min ex-pansion, assorted colors Sign pen, liquid gel ink, 0.5mm needle tip color black Pencil, lead with eraser, 12 pcs/box Notebook, stenographer, spiral, 40 leaves, ruled both sides 55 gsm, GSP bond Ring Binder , 24mm x 1.2M (1"x44") plastic Ring Binder , 19mm x 1.2M (3/4"x44") plastic Ring Binder, (1/2" x 44") plasticRing Binder, (1/4" x 44") plastic Note pad (3"x4"),75mm x 102mmTape, transparent, (1”),24mmFile Organizer, expanding, plastic, legal, with 12 inside pock-ets with index tab, for legal size paper/document, with elas-tic strap, snap, etc. for closing or binding the organizer, as-sorted Marker, flourescent, 3 colors per setData File Box, double with closed ends and finger ring Correction Tape,disposable, usable length of 6 meters(min), 5mm width, 0.02mm(min) thickness, white opaque, with protective cap Fastener,plastic, 25mm, 50 sets/boxTime Card, for Amano

271.50

266.50

46.80

43.14 20.53 15.00

40.00 39.75 17.50 11.00 38.50

14.98 76.32

41.08 205.00

13.00

44.00 82.68

P 1, 357.50

799.50

93.60

43.14 20.53

105.00

40.00 39.75 17.50 11.00 38.50

14.98 76.32

164.32205.00

26.00

88.0082.68

P 3,223. 32

Charged to : Monitoring Re-Environmental Protection (MRP) – 2nd Qtr.

Purpose: For Multi-Partite Monitoring Team (MMT).

Signature Printed NameDesignation

Requested by Cash availability Approved by:

ALFEO U. BAGUIOMMT Chairman & SP Chairperson

Committee on Environment

TEODORA D.DINLAYAN Acting Provincial Treasurer

JOSE MA. R. ZUBIRI, JR. Provincial Governor


LGU

Department BENRO/MMT P.R. No. ___________________ Date ________________________ SAI No. _______________________Date___________Section ________________________ ALOBS No. ____________________ Date_________

Item No.


Estimated Unit Cost

Estimated Cost

1.

2.

25

25

25

25

pax

pax

Pax

Pax

DAY 1

Meals- Pork Sinigang, Pork Barbecue, Four Seasons, Rice, Fruit Salad, SoftDrinks(assorted)

Snacks- Sandwich(cheezepimiento), Canned juice drinks(assorted)/coffee in cream in cream(3 in 1)

DAY 2

Meals- Beef Steak, Chicken Cordon Blue, Festive Party Pancit, Rice, Macaroni Salad, Soft drinks(assorted)

Snacks- Special Mammon, Canned Juice Drinks(assorted)/coffee and cream (3 in 1)

Charged to: Monitoring Re-Environmental Protection (MRP) – 2nd Quarter

150.00

50.00

150.00

50.00

P 3,750.00

1,250.00P 5,000.00

P 3,750.00

1, 250.00P 5,000.00








Appendix 34


LGU

Department BENRO/MMT P.R. No. ___________________ Date ____________ SAI No. ____________ Date___________Section ________________________ ALOBS No. ____________________ Date_________

Item No.


Estimated Unit Cost

Estimated Cost

1. Liters Fuel/Gasoline

Charged to: Monitoring Re-Environmental Protection(MRP) – 2nd Quarter

P 25,000.00

25, 000.00








s


LGU

Department BENRO/MMT P.R. No. ___________________ Date ____________ SAI No. ____________ Date___________

Section ________________________ ALOBS No. ____________________ Date_________

Item No.

Quantity UnitOf

Issue

Item Description Estimated Unit Cost Estimated Cost

1

1.2.

3.

4

14

1

COMPUTER SUPPLIES ( PS-DBM)

DVD Rewritable, 4x speed, 4.7GB capacity, 120 min recording time, individually pack in non breakable slim plastic case

COMPUTER SUPPLIES (NON PS-DBM)

Headphone, MDR-E-12LP Computer Ink Cartridge, HP 704, black for deskjet printer Computer Ink Cartridge, HP 704, colored for deskjet printer


83.00

1,100.00799.00

919.00

332.00

P 1,100.003, 196.00

9 19.00 5, 879.00




ALFEO U.BAGUIOMMT Chairman & SP

Chairperson Committee on Environment




LGU

Department BENRO/MMT P.R. No. ___________________ Date ____________ SAI No. ____________ Date___________

Section ________________________ ALOBS No. ____________________ Date_________

Item No.

Quantity UnitOf

IssueItem Description

Estimated Unit Cost

Estimated Cost

1.2.3.4.5.6.

7.

8.

2571111

1

1

II. NON-COMMON OFFICE SUPPLIES: (NON-PS-DBM)

Folder, transparent sliding white, long size Folder, expanding w/ inde tab-green (long coated) Correction, pen tube, 9 mlTape, Double adhesive tape ½" Tape, adhesive, transparent, 72mm (3")Record Book, 500 pages, white bond, non-blot, smythe sewn, 55 gsm., pre-numbered, with printing of " Official Record Book" Cutter, L500, general purposes, heavy duty, plastic molded body with built in blade snapper, with metal sliding guide with screw mechanism.Calculator 12 digits HL Casio

Charged to : Monitoring Re-Environmental Protection (MRP) – 2nd Quarter

7.0014.0026.0042.0076.00

520.00

450.00

429.00

P 175.00 98.0026.0042.0076.00

520.00

450.00

429.00

P 1,816.00

Purpose: For Multi-Partite Monitoring Team (MMT).Signature

Printed NameDesignation

Requested by Cash availability Approved by:ALFEO U. BAGUIO

MMT Chairman & SP Chairperson Committee on

Environment

TEODORA D. DINLAYAN Acting Provincial Treasurer



LGU

Department BENRO/MMT P.R. No. ___________________ Date ____________ SAI No. ____________ Date___________Section ________________________ ALOBS No. ____________________ Date_________

Item No.


Estimated Unit Cost

Estimated Cost

1. 1

HOUSEKEEPING SUPPLIES (PS-DBM)

Bathroom tissue, 2 ply, 12rolls/pack


73.00 73.00








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Purchased Request (PR) (Repaired)