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PURCHASE REQUEST

Cagayan State University


(Agency)

Department: Carig, Campus PR No:


Section: Auxilliary (Dorm) Date: 6/14/18
BTN No:
Date:
Stock No. Unit Items description Quantity Unit Cost Total Cost

1 bronze faucet 20 pcs 50.00 1,000.00


2 shower 8 pcs 120.00 960.00
3 big plastic pail 500 ltrs content 4 pcs 560.00 2,240.00
4 Bulb LED 50 watts 12 pcs 235.00 2,820.00
5 Fluorescent with case 17 pcs 250.00 4,250.00
6 Ceiling fan with oscillator 6 pcs 1500.00 9,000.00
7 Assorted cartolina 20 pcs 5.00 100.00
8 Rubber hand gloves 20 pcs 60.00 1,200.00
9 doormat 40 pcs 20.00 800.00
10 Floor wax big can 20 cans 380.00 7,600.00
11 Toner HP lazer jet CE285AC 1 pcs 2785.00 2,785.00
12 Bond paper premium grade A-4 2 reams 190.00 380.00
13 Bond paper premium grade legal 2 reams 200.00 400.00
14 Folder green 20 pcs 4.50 90.00
15 Envelope long 20 pcs 3.00 60.00
16 Ball pen blue/black 12 pcs 5.00 60.00
17 Signing pen 10 pcs 15.00 150.00
18 Muriatic acid 4 gal. 120.00 480.00
19 Soft broom 10 pcs 50.00 240.00
20 Hard broom 10 pcs 35.00 350.00
21 Data file box 5 pcs 105.00 525.00
22 Masking tape 1 ‘ 2 pcs 22.00 44.00
23 Scotch tape 1’ 2 pcs 22.00 44.00
24 Fire alarm 2 units 500.00 1,000.00
25 Trash bags black XL 10 rolls 65.00 650.00
26 Detergent powder 500 grams 10 pks 25.00 250.00
27 Bygon spray 10 cans 162.00 1,620.00
28 Air freshner glade 6 cans 192.00 1,152.00
29 Floor mop with handle 6 pcs 190.00 1,140.00
30 Waste basket plastic big size 6 pcs 295.00 1,770.00
st nd
PURPOSE: for use in the 2 dormitories for the 1 and 2 semester 2018-2019. 43,160.00
REQUESTED BY: Approved By:
Signature:
Printed Name: OFELIA P. OLALIA
Designation:Dorm Manager II Engr. Arthur G. Ibanez, Ph.D.
Date: 6/14/18 Campus Executive officer