Appendix 34

PURCHASE REQUEST
Bukidnon
LGU
Department BENRO/MMT
P.R. No. ___________________
Date ________________________
SAI No. _______________________Date___________
Section
________________________
ALOBS No. ____________________
Date_________
Item
No.

Quantity

Unit
Of Issue

Item Description

Estimated Unit
Cost

Estimated Cost

COMMON OFFICE SUPPLIES:

1.

reams

2.

2
4
4
1
1
1
4
1
3
1
3

reams

3.
4.
5.
6.
7.

pcs
pcs
pcs
box
pcs

8.
9.
10.
11.
12.
13.
14.
15.

1
1
10
10
10
6

each
each
each
each
pad
box
box
pcs

16.
17.
18.
19.
20.

1
10
6
1
2

set
pcs
pcs
box
pcs

box

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 bookpaper
Tape Dispenser, heavy duty, for 24mm(1")
Envelope, expanding, plastic, 0.50mm, min platic
thickness with plastic strap,380mm x 260mm, min
size, 30mm, min expansion, 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") plastic
Ring Binder, (1/4" x 44") plastic
Note pad (3"x4"),75mm x 102mm
Paper clip, gem type, small, 33mm, 100s/box
Paper Clip, gem type,jumbo, 50mm,100s/box
File Organizer, expanding, plastic, legal, with 12
inside pockets with index tab, for legal size
paper/document, with elastic strap, snap, etc. for
closing or binding the organizer, assorted
Marker, flourescent, 3 colors per set
Folder, - Expanding w/index tab-green(long, coated)
Folder, transparent sliding white, long size
Data 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/box

271.00

P 1,900.50

266.00

1,066.00

95.60
46.80

95.00

43.14
20.53
15.00

43.14
20.53
105.00

40.00
39.75
17.50
11.00
38.50
9.00
22.00
76.32

40.00
39.75
17.00
11.00
38.00
18.00
44.00
76.32

41.08
14.00
7.00
205.00
13.00

164.32
28.00
42.00
205.00
26.00

44.00

88.00

21.
23.
24.
25.
26.
27.

1
1
2
1
2

box
pack
unit
bottle
dozen
pcs

Time Card, for Amano

Calculator 12 digits HL Casio
Alcohol, 70% ethyl, 250ml
Bathroom tissue, 2 ply, 12rolls/pack
DVD Rewritable, 4x speed, 4.7GB capacity, 120 min
recording time, individually pack in non breakable
slim plastic case

82.68
429.00
39.00
73.00
83.00

82.68
429.00
78.00
73.00
166.00
P 4,990.84

II. NON-COMMON OFFICE SUPPLIES:

7
4

28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.

44.
45.
46.

1
1
1
1
1
1
1
1
1
50

piece
piece
piece
box
piece
piece
roll
roll
roll
roll
roll
box
piece
sheet
sheet

1
2
2

piece
piece
pie
ce

Folder, transparent sliding white, long size

Folder, expanding w/ inde tab-green (long coated)
Correction, pen tube, 9 ml
Pen, ballpen, B4-45 black, 50 pcs/box
Stapler HD 50/50 max with remover
Scissor, stainless steel, 8 1/4" heavy duty
Tape, Magic Tape
Tape, Double adhesive tape "
Tape, adhesive, transparent, 72mm (3")
Tape, transparent (3") 72mm
Tape , double adhesive mounting tape , 1" 5M
Paper, Photopaper, glossy, 100's
Record Book, 500 pages, white bond, non-blot,
smythe sewn, 55 gsm., pre-numbered, with printing
of " Official Record Book"
Form, Provincial Payroll, Form No. 38 (A)
Forms daily time record (DTR), regular, 500's

COMPUTER SUPPLIES (NON PS-DBM)

Flash Drive, 16 GB capacity, USB,
Computer Ink Cartridge, HP 704, black for deskjet
printer
Computer Ink Cartridge, HP 704, colored for deskjet
printer

7.00
14.00
26.00
261.00
280.00
65.00
305.00
42.00
76.00
76.00
143.00
980.00
520.00
5.00
87.00

49.00
56.00
261.00
280.00
65.00
305.00
42.00
76.00
76.00
143.00
980.00
250.00
1
74.00

P
2,757.00

1096.00
799.00
919.00

1,096.00
1,598.00
1,8
38.00

P
4,532.00

Charged to : Monitoring Re-Environmental Protection (MRP)

1st Qtr.

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

Requested by

Cash availability

ALFEO U. BAGUIO
MMT Chairman & SP Chairperson
Committee on Environment

VIOLETA B. CRUZ
Acting Provincial
Treasurer

Approved by:

Signature
Printed Name
Designation
ALEX P. CALINGASAN
Provincial Governor

PURCHASE REQUEST
Bukidnon
LGU
Department BENRO/MMT
P.R. No. ___________________
Date ________________________
SAI No. _______________________Date___________
Section
________________________
ALOBS No. ____________________
Date_________
Item
No.

Quantity

Unit
Of Issue

Item Description

Estimated Unit
Cost

Estimated Cost

DAY 1
1.

25
25

pax
pax

Meals
Snacks

150.00
50.00

P 3,750.00
1,250.00
P 5,000.00

DAY 2

2.

25
25

pax

Meals
Snacks

150.00
50.00

P 3,750.00
1, 250.00
P 5,000.00

Charged to: Monitoring Re-Environmental Protection

(MRP) 1st Quarter
Purpose: For Multi-Partite Monitoring Team (MMT).
Signature
Printed Name
Designation

Requested by

Cash availability

ALFEO U. BAGUIO
MMT Chairman & SP Chairperson
Committee on Environment

VIOLETA B. CRUZ
Acting Provincial
Treasurer

Approved by:
ALEX P. CALINGASAN
Provincial Governor

Appendix 34

PURCHASE REQUEST
Bukidnon
LGU
Department BENRO/MMT
P.R. No. ___________________
SAI No. ____________
Date___________
Section
________________________
ALOBS No. ____________________
Item
No.

Acct.
Code

BAC
Code

1.

Quantity

Unit
Of Issue

liters

Date_________
Estimat
ed Unit
Cost

Item Description

Estimated
Cost

Fuel/Gasoline

25,000.00

Charged to: Monitoring Re-Environmental

Protection(MRP) 1st Quarter

25, 000.00

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

Requested by
Signature
Printed Name
Designation

Date ____________

ALFEO U. BAGUIO
MMT Chairman & SP Chairperson
Committee on Environment

Cash availability

Approved by:

VIOLETA B. CRUZ

ALEX P. CALINGASAN
Provincial Governor

Acting Provincial
Treasurer

Appendix 34

PURCHASE REQUEST
Bukidnon
LGU
Department BENRO/MMT
P.R. No. ___________________
SAI No. ____________
Date___________
Section
________________________
ALOBS No. ____________________
Item
No.

Acct.
Code

BAC
Code

Quantity

Unit
Of Issue

Date ____________
Date_________

Item Description

Estimate
d Unit
Cost

Estimated
Cost

15.00

90.00

190.00
120.00
60.00
80.00
513.00
4.05
40.00
28.50
28.50

570.00
120.00
120.00
320.00
1,026.00
40.50
280.00
28.50
28.50
2,623.50
228.50

500.00

1,000.00

48.00

144.00

660.00
760.00

1,320.00
760.00
2,080.00

DBM
Common Office Supplies:
1.

755

COS-0130

pc

2.

755

COS-0142

pc

3.
4.
5.
6.
7.
8
9.
10.

755
755
755
755
755
755
755
755

COS-0141
COS-0181
HKS-0003
HKS-0005
COS-0097
COS-0191
COS-0261
COS-0266

1
2
4
2
10
7
1
1

pc
box
btl
pck
pcs
pcs
roll
roll

Notebook, stenographer, spiral, 40 leaves, ruled

both sides 55 gsm, GSP bond
Paper, mimeo, whitewove, 216mmx339mm(811/2"x13) legal size, subs 20
Paper, mimeo, ground wood, 210mmx297mm A4 size
Pencil, lead with eraser, 12pcs/box
Alcohol, 70% isoprophyl, 500ml
Bathroom tissue, 2ply, industrial pack of 48
Folder, tagboard, legal size (ordinary brown color)
Pen, sign pen, high tech,0.5mm ball,fine color black
Tape, masking, 24mm
Tape, transparent, 24mm
Common Computer Supplies/Consumables:

11.

755

CMS-0131

pcs

Flash drive 4 GIG

Common Electrical Supplies:

12.

755

COS-0004

755
755

CMS-0040
CMS-0041

pck

Battery dry cel, size AA,1.5volts,alkaline

2pcs/pack
Computer Supplies:

13.
14.

2
1

pcs
pc

Computer Ink Cartridge, HP 703, Black

Computer Ink Cartridge, HP 703, Colored

P 5,847.50

Charged to : BENRO/MMT (ISF Project)

(3rd Quarter)

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

Requested by
Signature
Printed Name
Designation

ALFEO U. BAGUIO
MMT Chairman & SP Chairperson
Committee on Environment

Cash availability

Approved by:

VIOLETA B. CRUZ

ALEX P. CALINGASAN
Provincial Governor

Acting Provincial
Treasurer

Appendix 34

PURCHASE REQUEST
Bukidnon
LGU
Department BENRO/MMT
P.R. No. ___________________
SAI No. ____________
Date___________
Section
________________________
ALOBS No. ____________________
Item
No.

Acct.
Code

BAC
Code

Quantity

125

Unit
Of Issue

pcs

Item Description

Photocopy (Clear copy)

Date ____________
Date_________
Estimate
d Unit
Cost

Estimated
Cost

2.00

250.00

Charged to : BENRO/MMT (ISF Project)

(3rd Quarter)
P 250.00

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

Requested by

Cash availability

Approved by:

Signature
Printed Name
Designation

ALFEO U. BAGUIO
MMT Chairman & SP Chairperson
Committee on Environment

VIOLETA B. CRUZ
Acting Provincial
Treasurer

ALEX P. CALINGASAN
Provincial Governor