PURCHASE REQUEST

Barangay: Salvacion P.R. No.:

City/ Municipality: Sto. Tomas, Davao del Norte Date :

REQUISITION
Unit of Estimated Estimated Amount
Item Qty Item Description
Issue
Number Unit Cost
1 55 Bags Portland Cement 280.00 15,400.00
2 65 lgths 12mm dia. X 6.00 m DRB 330.00 21,450.00
3 76 lgths 10mm dia. X 6.00 m DRB 220.00 16,720.00
4 6 cu.m. Mix Sand and Gravel 600.00 3,600.00
5 6 pcs. 5mm thk. Ordinary plywood 400.00 2,400.00
6 3 kgs. Tire Wire #16 100.00 300.00
7 3 pcs. Hack Saw Blade (sanvik) 90.00 270.00
8 186.67 bd. ft. 2"x2"x10' coco lumber/form lumber (56pcs) 25.00 4,166.67
9 230 bd. ft. 2"x3"x10' coco lumber/form lumber (406pcs) 25.00 5,750.00
10 2 kgs. CW nails #2 1/2 100.00 200.00
11 2 kgs. CW nails #3 100.00 200.00
12 3 kgs. CW nails #4 100.00 300.00
13 300 pcs. 4"x8"x16" CHB 15.00 4,500.00
14 3 cu.m. Good mixed Sand & Gravel 600.00 1,800.00
15 1m 1/8" screen wire 170.00 170.00
16 48 lgths 1.2mm x 3/4" x 3/4" Stainless Square Tube 800.00 38,400.00
17 10 kgs. Welding Rod 160.00 1,600.00
18 3 gal Red Oxide Paint 570.00 1,710.00
19 3 gal QDE Black 830.00 2,490.00
20 2 gal Lacquer Thinner 575.00 1,150.00
21 4 pcs. Steel Brush 90.00 360.00
22 64 sq. ft 8'x8' Tarpaulin printed w/ project breif/info 20.00 1,280.00

Total Estimated Amount 124,216.67

For: Construction of fence of KALAHI Training Center (Isolation facilities) at Purok 2

Requested by: Approved for Issuance:

RONIE O. MALLORCA RONALD D. GALO

Signature over Printed Name of the Requestor Punong Barangay
_________________ _________________
Date Date
 PURCHASE REQUEST

Barangay: Salvacion P.R. No.:

City/ Municipality: Sto. Tomas, Davao del Norte Date :

REQUISITION
Unit of Estimated
Item Qty
Issue
Number Item Description Unit Cost
1 12 cu.m Mix Sand and Gravel 600.00
2 127 bags Portland Cement 270.00
3 20 lngths 12mm dia. X 6.00 m DRB 350.00
4 52 lngths 10mm dia. X 6.00 m DRB 240.00
5 5 kgs Tire Wire #16 100.00
6 4 shts. 3mm thk x 1.20m x 2.40 ord. plywood 370.00
7 100 bd. ft 2"x2"x10" coco lumber/form lumber (30pcs) 25.00
8 100 bd. ft 2"x3"x10" Coco lumber/form lumber (20pcs) 25.00
9 4 pcs Hack saw blade (sanvik) 90.00
10 800 pcs 4'x8'16' CHB 15.00
11 2m 1/8" screen wire 120.00
5mm thk. hardiFLEX ceiling on 1"x1" Angle Bar metal
12 35 sq. m furring with complete accessiories (supply and installation) 1,100.00
13 4 sets Plastic Air-vent 950.00
14 3 sets 0.90m x 2.10 solid panel door 6,625.00
6mm thk x 0.60m x 0.60m bronze sliding glass window on
15 0.72 sq. m aluminum frame anolok fin. (supply and installation) 3,200.00
16 3 sets KW100 Door knob w/ complete accessories 1,430.00
17 6 sets Hinges #4 (loose pin) 120.00
18 15 lgnths 1/4"x2"x2"x6.00m Angle Bar 1,560.00
19 30 lgnths 1/4"x1"x1"x6.00m Angle Bar 770.00
20 15 lgnths 1.5mm x 2" x 4" cee purlins 820.00
21 8 lgnths 1/8' x 1" x 6.00m flat bar (fascia frame) 380.00
22 5 kgs Ordinary welding rod 160.00
23 3 gals Epoxy Primer 1,060.00
24 1 lgnths 1.5mm x 2" x 4" steel tubular (girt) 1,200.00
25 7 pcs 0.40mm x 0.447m x 2.44m spanish type flashing 600.00
26 20 shts. 0.40mm x 1065mm x 3.70m Rib Type Roofing 1,480.00
27 15 shts. 0.40mm x 1065 x 3.45 Rib Type Roofing 1,380.00
Toilet Bowl (la fonza) push bttn flush type w/ lavatory
complete accessories including flexible hose, fittings and
28 2 sets other accessories 13,000.00
29 2 pcs Stainless Floor drain #4" x 4" 170.00
30 2 sets Bidet PVC Chrome w/ complete accessories 1,000.00
31 2 sets Stainless towel holder 950.00
32 2 sets Stainless safety handrail U-shape 4,200.00
33 2 sets Stainless grab bar right angle w/ soap basket 2,300.00
34 2 sets Signage (male/female) for CR 300.00
35 2 pcs Stainless Tissue Holder 470.00
36 2 sets Telephone hand shower w/ 2-way faucet complete accessories 1,550.00
37 4 lgnths 4"0 x 3.00m PVC Sanitary Pipe S-900 500.00
38 50 mtrs 1"0 x PE pipe SDR 11 50.00
39 1 pcs 4" x 4" PVC tee 140.00
40 2 pcs 4"x2" PVC Tee reducer 85.00
41 1 pcs 4" x 4" PVC coupling 50.00
42 1 pcs 90' x 4"0 PVC elbow 80.00
43 1 pcs 4"0 clean out w/ plug 60.00
44 2 pcs Assorted Fittings 120.00
45 3 lgnths 1"0 x PE Tee 225.00
46 2 pcs 90' x 1"0 PE elbow 125.00
47 2 pcs 1" x 1" PE coupling 115.00
48 2 pcs 4'0 end cap 70.00
49 2 pcs 4'0 clean out 60.00
50 1 can PVC Solvent 190.00
51 2 roll Ceelon Tape 20.00
52 35 pcs 30cm x 60cm wall tiles 100.00
53 100 pcs 60cm x 60cm Granite floor Tiles 240.00
54 3 cu.m Washed Sand 700.00
55 2 packs Tile grout (2kg/pack) 120.00
56 5 bags Tile Adhesive (25kg/bag) 320.00
57 20 m THNN Wire #2.0mm6² Stranded Copper 45.00
58 20 m Moldfllex Tube #3/4 30.00
59 6 pcs Junction Box 65.00
60 6 pcs Utility Box 65.00
61 3 pcs Receptacle #2 85.00
62 3 pcs Led bulb 9watss 230.00
63 1 pcs 2-gang Switch w/ plate & screw 160.00
64 1 roll electrical tape 70.00
65 5 gals Pre-mix latex Paint 900.00
66 15 sacks Skim Coat 530.00
67 5 gals Paint Thinner 500.00
68 6 gals Polituff w/ hardener 270.00
69 6 gals Concrete Neutralizer 740.00
70 5 gals Flat Latex 490.00
71 3 kgs Old news paper 40.00
72 3 rolls Masking Tape 80.00
73 10 mtrs Sand Paper #120 30.00
74 2 pcs Roller Brush w/ Tray #9 220.00
75 2 pcs Paint Brush #2 50.00
76 2 pcs Paint Brush #4 ceiling 120.00
77 2 gals Flat Wall Enamil 800.00
78 2 gals Gloss Enamil 870.00
79 5 mtrs Sand Paper #120 30.00
80 2 pcs Roller Brush w/ Tray #9 220.00
81 2 pcs Paint Brush #4 120.00
82 64 sq. ft 8'x6' Tarpaulin printed w/ project brief/info 20.00
 83 30 bd. ft 6pcs- 2" x 3 " x 10" coco lumber 25.00
84 20 bd. ft 6pcs - 2" x 2" x 10" coco lumber 25.00
85 1 kgs CW Nails #4 100.00
Total Estimated Amount
For: Rehabilitation of Multi-purpose Hall

Requested by: Approved for Issuance:

RONALD D. GALO RONALD D. GALO

Signature over Printed Name of the Requestor Punong Barangay
_________________ _________________
Date Date
Estimated
Amount

7,200.00
34,290.00
7,000.00
12,480.00
500.00
1,480.00
2,500.00
2,500.00
360.00
12,000.00
240.00

38,500.00
3,800.00
19,875.00

2,304.00
4,290.00
720.00
23,400.00
23,100.00
12,300.00
3,040.00
800.00
3,180.00
1,200.00
4,200.00
29,600.00
20,700.00

26,000.00
340.00
2,000.00
1,900.00
8,400.00
4,600.00
600.00
940.00
3,100.00
 2,000.00
2,500.00
140.00
170.00
50.00
80.00
60.00
240.00
675.00
250.00
230.00
140.00
120.00
190.00
40.00
3,500.00
24,000.00
2,100.00
240.00
1,600.00
900.00
600.00
390.00
390.00
255.00
690.00
160.00
70.00
4,500.00
7,950.00
2,500.00
1,620.00
4,440.00
2,450.00
120.00
240.00
300.00
440.00
100.00
240.00
1,600.00
1,740.00
150.00
440.00
240.00
1,280.00
 750.00
500.00
100.00
392,919.00

GALO

______
 PURCHASE REQUEST

Barangay: Salvacion P.R. No.:

City/ Municipality: Sto. Tomas, Davao del Norte Date :

REQUISITION
Item Unit of Estimated Estimated
Qty Item Description
Number Issue Unit Cost Amount
1 1 unit Gen-set elect Starter, gtx 50,000.00 50,000.00
335 e 3.2 kva -
-
-
-
-
-

Total Estimated Amount 50,000.00

For: BDRMM equipment

Requested by: Approved for Issuance:

RONIE O. MALLORCA RONALD D. GALO

Signature over Printed Name of the Requestor Punong Barangay
_________________ _________________
Date Date
 PURCHASE REQUEST

Barangay: Salvacion P.R. No.:

City/ Municipality: Sto. Tomas, Davao del Norte Date :

REQUISITION
Item Unit of Estimated
Qty Item Description
Number Issue Unit Cost
1 1 unit Electornic Timer and Scoring Board 61,800.00

Total Estimated Amount

For: SK Sports Equipment

Requested by: Approved for Issuance:

JAYZYL QUEEN J. FAILAMAN RONALD D. GALO

Signature over Printed Name of the Requestor Punong Barangay
_________________ _________________
Date Date
 Estimated Amount

61,800.00
-
-
-
-
-
-

61,800.00

. GALO

_______