PURCHASE REQUEST FORM

BUREAU OF FIRE PROTECTION

(Agency)
PR. No.: 2016- Date: 24-Nov-16
Department: Pateros Fire Station
SAI No.: Date:
Section: FSEU ALOBS No.: Date:

Stock Unit of Estimated Estimated

Item Description Quantity
No. Issue Cost Cost
Iconz AVR (Automatic Voltage
1 pc
Regulator) 1 380.00 380.00
***Nothing follows*** -
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TOTAL ESTIMATED COST OF SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380.00

Purpose:

Requested by: Approved by:

Signature:
Printed Name: FO2 Marco O Arpon SINSP REYNALDO F PANGANIBAN
Designation: NCOIC, SAO/Logistics Municipal Fire Marshal
Date: 24-Nov-16 24-Nov-16
 PURCHASE REQUEST FORM
BUREAU OF FIRE PROTECTION
(Agency)
PR. No.: 2016-025 Date: 7-Oct-16
Department: Pateros Fire Station
SAI No.: Date:
Section: Logistics ALOBS No.: Date:

Stock Unit of Estimated Estimated

Item Description Quantity
No. Issue Cost Cost
1 pc Dong A Gel Pen 12 3,360.15
2 pc Penball Lotus 36 -
3 pc Duracell Battery 4 -
4 pc Round Rags 4 -
5 pc Alcohol 40% 4 -
6 pc CLNE ET AL500 4 -
7 pc GS paper cup 100 -
8 pc Glue 2 -
9 pc Muriatic Acid 2 -
10 pc Linix ting ting 2 -
11 pc Diswashing paste 14 -
12 pc SB Walis broom stick 2 -
13 pc Starwax 6 -
14 pc Cup Stainless Cird steel wool 5 -
15 pc Albatross 6 -
16 pc Brush 1 -
17 pc Turbo spin map 1 -
18 pc GS P Cup G 2 -
19 pc SGS P cup 1 -
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TOTAL ESTIMATED COST OF SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,360.15

Purpose:

Requested by: Approved by:

Signature:
Printed Name: FO2 Marco O Arpon SINSP REYNALDO F PANGANIBAN
Designation: C, SAO/Logistics Municipal Fire Marshal
Date: 07-Oct-16 07-Oct-16
 PURCHASE REQUEST FORM
BUREAU OF FIRE PROTECTION
(Agency)
PR. No.: 2016-028 Date: 28-Oct-16
Department: Pateros Fire Station
SAI No.: Date:
Section: Logistics ALOBS No.: Date:

Stock Unit of Estimated Estimated

Item Description Quantity
No. Issue Cost Cost
1 pc Change Tires-Labor 6 400.00 2,400.00
***Nothing follows*** -
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TOTAL ESTIMATED COST OF SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,400.00

Purpose:

Requested by: Approved by:

Signature:
Printed Name: SFO4 Ronaldo V Delmoro SINSP REYNALDO F PANGANIBAN
Designation: C, SAO/Logistics Municipal Fire Marshal
Date: 28-Oct-16 28-Oct-16