Appendix 60
PURCHASE REQUEST
Entity Name: _______________________ Fund Cluster: __________________
Office/Section : _____________ PR No.: ______________ Date: ____________
_________________________ Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Purpose: ____________________________________________________________
_______________________________________________________________
_______________________________________________________________
Requested by: Approved by:
Signature : _________________________ ___________________________
Printed Name : _________________________ ___________________________
Designation : _________________________ ___________________________
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