Appendix 60
PURCHASE REQUEST
Entity Name: QUEZON SCIENCE HIGH SCHOOL                                     Fund Cluster: MOOE
Office/Section :                 PR No.: ______________                                   Date: ____________
   _________________________     Responsibility Center Code : ___________
Stock/ Property
                        Unit                   Item Description               Quantity     Unit Cost           Total Cost
      No.
                                 Asia data file 6 1/2 close legal                     9        156.88                  1,411.92
                                 Crystal deskpen 0.7mm                                6         35.51                    213.06
                                 HBW key ring 6's                                    11         24.91                    274.01
                                 Joy sticky note SS-05                                1         26.81                     26.81
                                 Pilot white board marker refill ink                  3        122.43                    367.29
                                 Pilot white board marker (black) 12's                3        630.70                  1,892.10
                                 Swivel lateral filing cabinet 3 layers               1     11,283.70                 11,283.70
                                 Kraft paper bag large                               20         29.68                    593.60
                                 xxxNothingxFollowsxxx
                                        xxxNOTHING FOLLOWSxxx
                                                                                                                      16,062.49
Purpose:
       _______________________________________________________________
       _______________________________________________________________
                   Requested by:                                                 Approved by:
Signature :        _________________________                                     ___________________________
Printed Name :     NORMAN A. ABDON                                               CYNTHIA P. CUYA, EdD
Designation :      Property Custodian                                            Principal II
                                                                  151