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PURCHASE ORDER ,,,,, PURCHSE REQUEST Form

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Angeline Rosel Andoy
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41 views5 pages

PURCHASE ORDER ,,,,, PURCHSE REQUEST Form

Uploaded by

Angeline Rosel Andoy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines

Province of Leyte
Municipality of Villaba
BARANGAY HIBULANGAN
REQUEST FOR PRICE QUOTATION
A.R.S.Enterprises

A. Please quote your unit price for each of the articles listed below.
B. Submit this request for price quotation, duly accomplished, in sealed envelope plainly mark “CANVASS “No.
To be opened by dropping it inside the CANVASA BOX of the Purchase unit of this office hour 10:00 A.M.
of the said date.
C. The Purchase of the articles listed hereunder is subject to the terms and condition governing government
purchase.

QTY. Unit Particulars Unit Cost Total


5
20
15

TIME OF DELIVER :__________________


PLACE OF DELIVERY:___________________
Working days from the receipt of the delivery order

Signature of the owner or Representative


Canvasser
LBE Form No. 13 PURCHASE REQUEST
Department: Brgy, Villaba Leyte PR No: Date:
Section : SAI No: Date:

REQUISITION
Item No. Unit Item Description QTY. Unit Cost Total Cost
unit

Purpose: _________________________

Requested By: Approved By:


_____________________ Hon. _________________
BRGY. Treasurer Punong Barangay
Republic of the Philippines
Province of Leyte
Municipality of Villaba
BARANGAY CANQUIASON
ABSTRACT OF CANVASS AND AWARDS
NOTE: Unless otherwise stated all prices appearing below unit prices

3 2 1
QTY. UNIT ARTICLES
Unit

TOTAL
BASED ON CANVASS DATED: By:

REFERENCE: .
AWARDS is hereby recommended to be given to .
PURPOSE:______________________________________

Hon.__________________ Hon.__________________
SBM SBM

Hon. __________________ Hon. __________________


SBM SBM

Hon.___________________ Hon.___________________
SBM SBM

Hon.___________________ Hon.__________________
SBM SK Chair-person

Hon._______________
Punong Barangay

PURCHASE ORDER
Barangay: A. TUAMAMAK City/ Municipality: VILLABA
Tel. No.: Province : LEYTE
Supplier: P.O No. :
Address: VILLABA, LEYTE Date :
TIN : Mode of Procurement
Bidding Negotiated Over the counter
Gentlemen:
Please deliver to this office the following articles to the term and condition contained herein.
Place of delivery: Delivery Terms:
Date of delivery: Payment term
UNIT PARTICULARS QUANTITY UNIT COST AMOUNT
UNIT

Amount in words: TWENTY THOUSAND pesos only 20,000


In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10)
of one Percent for everyday of delay shall imposed.

Confirm: Very truly yours,

_____________________________ ____________________________
Signature over printed Name Signature over Printed Name

Date: .
Existence of available Appropriation

INSPECTION AND ACCEPTANCE REPORT


Barangay : Municipality : VILLABA
Tel No. Province : LEYTE
Supplier: A.R..S Enterprises Invoice No. . IAR No.: . RIS No.: .

PO No.: _________________ Date : ____________ Date: . Date: .

Unit DESCRIPTION QUANTITY AMOUNT


INIT

TOTAL
INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified as to quantity and Specification. Complete Partial (Pls. specify quantity received)

Hon. __________________ Hon.___________________


Signature over Printed Name . Signature over Printed Name
Authorized Inspector Punong Barangay

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