PURCHASE REQUEST
CAPIZ PROVINCIAL GOVERNMENT
LGU
Department Provincial Health Office PR. No. Date:
Section: SAI No. Date:
Stock No. Unit ITEM DESCRIPTION QTY. UNIT COST
1 Pax Day 1: Food, Venue and Accommodation 20 2,250.00
Am Snacks: Spaghetti and bottled Juice
Lunch: Pork Sinigang, Chopsuey, rice & Soda
PM Snacks: Siopao and Bottled Juice
Dinner: Lechon manok, Pinakbet, rice, Soda,
2 Pax Day 1: Food and Venue 50 650.00
Am Snacks: Spaghetti and bottled Juice
Lunch: Pork Sinigang, Chopsuey, rice & Soda
PM Snacks: Siopao and Bottled Juice
3 Pax Day 2: Food and Venue 70 650.00
Breakfast: Corned beef, rice, juice/coffee
Am Snacks: Batchoy and bottled Juice
Lunch: Pork Pochero, Grilled Chicken, rice & Soda
PM Snacks: Cheese roll and Bottled Juice
TOTAL 140
Food:
Meal: Rice, 2 main courses, dessert/fruits, juice/soda
Snacks: Hot soup/Pasta/sandwiches with canned/bottled juice
Free flowing coffee/tea/chocolate drinks
Venue:
Fully airconditioned
Complete sound system with extra mic
Laptop, multimedia projector and screen
Whiteboard with pen
Backdrop
CR: Complete toiletries
Space for break-away groups
Compliant to minimum health standard with DOT certificate
Accommodation:
Twin Sharing (preferably individual bed)
Airconditioned; H/C Shower; with complete toiletries and hair dryer
Compliant to minimum health standard with DOT certificate
Purpose/Remarks: For the Training of Procurement and Supply Chain Management.
Requested by: Approved by:
Printed Name: RAMON ALEX T. NOLASCO, MD, MPA FREDENIL H. CASTRO
Designation: Provincial Health Officer II Governor
Date: `
TOTAL
45,000.00
32,500.00
45,500.00
123,000.00
Approved by:
DENIL H. CASTRO
Governor
`
PURCHASE REQUEST
CAPIZ PROVINCIAL GOVERNMENT
LGU
Department Provincial Health Office PR. No. Date:
Section: SAI No. Date:
Stock No. Unit ITEM DESCRIPTION QTY. UNIT COST
1 pcs Dri Fit Polo Shirt with Print 70 300.00
2 pcs Tailored Vest with Embroidery, midnight blue 70 1,500.00
TOTAL 140
Purpose/Remarks: For the Training of Procurement and Supply Chain Management.
Requested by: Approved by:
Printed Name: RAMON ALEX T. NOLASCO, MD, MPA FREDENIL H. CASTRO
Designation: Provincial Health Officer II Governor
Date: `
TOTAL
21,000.00
105,000.00
126,000.00
Approved by:
EDENIL H. CASTRO
Governor
`
PURCHASE REQUEST
CAPIZ PROVINCIAL GOVERNMENT
LGU
Department Provincial Health Office PR. No. Date:
Section: SAI No. Date:
Stock No. Unit ITEM DESCRIPTION QTY. UNIT COST
1 pcs Ballpen water gel, black 70 10.00
2 pcs Notebook, composition, 80 leaves 70 35.00
TOTAL 140
Purpose/Remarks: For the Training of Procurement and Supply Chain Management.
Requested by: Approved by:
Printed Name: RAMON ALEX T. NOLASCO, MD, MPA FREDENIL H. CASTRO
Designation: Provincial Health Officer II Governor
Date: `
TOTAL
700.00
2,450.00
3,150.00
Approved by:
EDENIL H. CASTRO
Governor
`
PURCHASE REQUEST
CAPIZ PROVINCIAL GOVERNMENT
LGU
Department Provincial Health Office PR. No. Date:
Section: SAI No. Date:
Stock No. Unit ITEM DESCRIPTION QTY. UNIT COST
1 Tabs
2 Packs
TOTAL 0
Purpose/Remarks: For the Training of Procurement and Supply Chain Management.
Requested by: Approved by:
Printed Name: RAMON ALEX T. NOLASCO, MD, MPA FREDENIL H. CASTRO
Designation: Provincial Health Officer II Governor
Date: `
TOTAL
-
-
-
Approved by:
EDENIL H. CASTRO
Governor
`
