PURCHASE REQUEST

Municipality of Concepcion
LGU

OFFICE LCRO PR NO. Date:

SAI NO. Date:
Section: Concepcion. Mis. Occ. ALOBS Date:

Item No. Quantity Unit of Issue Item Description Estimated Unit Cost Estimated Cost
1 1 unit AIRCON SPLIT TYPE 32,000.00 32,000.00

Total 32000 ### 32,000.00

Over - All Total
Purpose: Use for LCRO office.

Requested by: Approved by:

Signature

Printed Name DARYL CLARK V. REVIL HON. JESSE S. VIÑA

Designation SI-II/MCR DESIGNATE Municipal Mayor
 PURCHASE REQUEST
Municipality of Concepcion
LGU

OFFICE RHU PR NO. Date:

SAI NO. Date:
Section: ALOBS NO. Date:

Item No. Quantity Unit of Issue Item Description Estimated Unit Cost Estimated Cost
A. DAY 1
MORNING SNACK
1 13 BOXES ZEST. O 100.OO 1,300.00
2 131 PCS Star Bread 6.00 786.00
LUNCH
CHICKEN CURRY
1 14 KLS DRESSED CHICKEN 220.00 3,080.00
2 6 PCS CURRY POWDER ### 150.00
3 5 KLS POTATO 120.00 600.00
4 5 KLS CARROTS 110.00 550.00
5 1 KL BOMBAY 300.00 300.00
6 3 KLS AHOS 100.00 300.00
7 4 KLS ATSAL 180.00 720.00
8 3 PACKET MINOLA OIL 40.00 120.00
9 6 PACKS CURRY POWDER ### 168.00
10 ASSORTED SPICES 300.00 300.00
PORK ADOBO
11 9 KLS PORK 280.00 2,520.00
12 6 BOTTLE TOYO (ML) 1 LETER 65.00 390.00
13 5 BOTTLE VINEGAR 200 ML 25.00 125.00
ASSORTED SPICES 300.00 300.00
DRINKS
14 10 CASE COKE SWAKTO 200.00 2,000.00
15 5 CASE MINERAL 350ML 300.00 1,500.00
PM SNACK PM SNACK
16 6 PACKS BISCUITES 80.00 480.00
17 3 PACKS COFFEE 3N1 270.00 810.00
B. DAY 2
MORNING SNACK
18 6 PACKS BISCUITES 80.00 480.00
19 3 PACKS COFFEE 3N1 270.00 810.00

LUNCH
CHICKEN JOY
20 15 KLS DRESSED CHICKEN 220.00 3,300.00
21 3 PACKET MINOLA OIL ### 120.00
22 20 PCS BREADING 20.00 400.00
23 5 PACK MAGIC SARAP ### 420.00
24 5 PACK PAMENTA ### 140.00
25 2 TRAY EGG 210.00 420.00
26 6 PCS CORNSTARCH ### 140.00
BAM -E
27 10 KLS DRESSED CHICKEN 220.00 2,200.00
28 9 KILO BIHON 48.00 432.00
29 9 KILO CANTON 190.00 1710.00
 30 3 KLS CAROTS 110.00 330.00
31 4 KLS ATSAL 180.00 720.00
32 1 KLS BOMBAY 300.00 300.00
33 3 KLS AHOS 100.00 300.00
34 5 PACK MAGIC SARAP 84.00 420.00
35 9 PCS PAMENTA ### 252.00
36 6 PACKET TOYO (ML) 1 LETER 65.00 390.00
37 15 KILOS RICE 48.00 720.00
PM SNACK
38 13 BOXES ZEST O 100.00 1,300.00
39 131 PCS STAR BREAD 6.00 786.00
C. DAY 3
MORNING SNACK
40 13 BOXES ZEST. O 100.00 1,300.00
41 131 PCS Star Bread 6.00 786.00
LUNCH
CHICKEN CURRY
42 15 KLS DRESSED CHICKEN 220.00 3,300.00
43 5 PCS CURRY POWDER 25.00 125.00
44 5 KLS POTATO 120.00 600.00
45 3 KLS CARROTS 110.00 330.00
46 2 KLS BOMBAY 300.00 600.00
47 3 KLS AHOS 100.00 300.00
48 3 KLS ATSAL 100.00 300.00
49 3 PACKET MINOLA OIL 40.00 120.00
50 6 PACK CURRY POWDER 28.00 168.00
51 ASSORTED SPICES 300.00 300.00
PORK ADOBO
52 10 KLS PORK 280.00 2,800.00
53 3 BOTTLE TOYO 1 LETER 65.00 195.00
54 2 BOTTLE VINEGAR 25.00 125.00
55 ASSORTED SPICES 122.00 122.00
DRINKS
56 10 CASE COKE SWAKTO 200.00 2,000.00
57 5 CASE MINERAL 350ML 300.00 1,500.00
58 15 KLS RICE 48.00 720.00
PM SNACK
59 6 PACKS BISCUITES 80.00 480.00
60 3 PCKS COFFEE 3N1 270.00 810.00

Total 49,990.00
Over - All Total
Purpose: USED FOR MADAC

Requested by: Approved by:

Signature

Printed Name JEAN S. TOLENTINO, MD HON. JESSE S. VIÑA

Designation MHO/DTTB Municipal Mayor

 PURCHASE REQUEST
Municipality of Concepcion
LGU

OFFICE MPDC PR NO. Date:

SAI NO. Date:
Section: Concepcion. Mis. Occ. ALOBS NO. Date:

Item No. Quantity Unit of Issue Item Description Estimated Unit Cost Estimated Cost

1 E LOAD 800.00 2,400.00

Total 2,400.00
Over - All Total
Purpose:

Requested by: Approved by:

Signature

Printed Name ALVIN C. LAMOSTE, ME HON. JESSE S. VIÑA

Designation MPDC Municipal Mayor