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Purchase Request Form

This document contains 15 purchase requests from the Agusan del Sur State College of Agriculture and Technology for office supplies. The total cost of supplies requested is P13,685. The supplies will be used by various offices and are requested from the college's General Appropriations Act funds for the 1st quarter of 2018. The purchase request was prepared by the Supply Officer and approved by the College President.

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Es Claro
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0% found this document useful (0 votes)
161 views

Purchase Request Form

This document contains 15 purchase requests from the Agusan del Sur State College of Agriculture and Technology for office supplies. The total cost of supplies requested is P13,685. The supplies will be used by various offices and are requested from the college's General Appropriations Act funds for the 1st quarter of 2018. The purchase request was prepared by the Supply Officer and approved by the College President.

Uploaded by

Es Claro
Copyright
© © All Rights Reserved
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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PURCHASE REQUEST

Agusan del Sur State College of Agriculture and Technology


Bunawan, Agusan del Sur

Fund Cluster: GAA


PR No.: 16-08-173 Date: 8/23/2016
Section: Administration
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

1 lot Bulletin Information 1 57,127.19 57,127.19

TOTAL 57,127.19
Purpose: For the use of the Administration from APP 3rd Quarter 2016

Requested by: Approved by:


Signature :
Printed Name : PRIMO T. ADEM JUARLITO V. GARCINES, Ph. D.
Designation : Supply Officer III SUC President II

151
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster: GAA


PR No.: 16-08-174 Date: 8/23/2016
Section: ADMIN Offices
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

1 Unit Calculator 8 1,462.50 11,700.00

TOTAL 11,700.00
Purpose: For the use of various offices from APP 3rd Quarter 2016

Requested by: Approved by:


Signature :
Printed Name : PRIMO T. ADEM JUARLITO V. GARCINES, Ph. D.
Designation : Supply Officer III SUC President II

151
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster: GAA


PR No.: 16-08-201 Date: 8/23/2016
Section: OP
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Wooden Cabinet with Glass 7


1 set 1 45,000.00 45,000.00
ft.x17inchx30inch
17ft.x17inch x 30 inch

TOTAL 45,000.00
Purpose: For the use of the OP from APP 3rd Quarter 2016

Requested by: Approved by:


Signature :
Printed Name : PRIMO T. ADEM JUARLITO V. GARCINES, Ph. D.
Designation : Supply Officer III SUC President II

151
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster: GAA


PR No.: 16-08-200 Date: 8/23/2016
Section: VPA/VPAA
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

1 unit Printer 10 10,500.00 105,000.00

2 unit Computer 5 20,000.00 100,000.00

TOTAL 205,000.00
Purpose: For the use of the various offices from APP 3rd Quarter 2016

Requested by: Approved by:


Signature :
Printed Name : PRIMO T. ADEM JUARLITO V. GARCINES, Ph. D.
Designation : Supply Officer III SUC President II

151
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster: STF


PR No.: 16-08-175 Date: 8/23/2016
Section: Administration
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Industrial fan Airblaster Evap. Air Cooler


1 unit 6 27,000.00 162,000.00
(IWATA)
2 unit Drum Fan 3 Blades 3 10,000.00 30,000.00

TOTAL 192,000.00
Purpose: For the use of college gym from APP 3rd Quarter 2016

Requested by: Approved by:


Signature :
Printed Name : PRIMO T. ADEM JUARLITO V. GARCINES, Ph. D.
Designation : Supply Officer III SUC President II

151
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster: GAA

PR No.: Date: 1/5/2018


Section: Administration
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
ream Bookpaper-long (GSM 70) 15 190.00 2,850.00
ream Bookpaper-A4 8 150.00 1,200.00
ream Mimeo Paper 8 120.00 960.00
packs Board Paper-long 8 55.00 440.00
piece Folder (long/white/thick) 100 4.50 450.00
bottle Computer Ink (Epson)-black 7 370.00 2,590.00
bottle Computer Ink (colored-MCY) 7 370.00 2,590.00
piece Correction Tape 4 35.00 140.00
piece Correction Fluid (Touch and Go) 2 40.00 80.00
box Plastic Paper Fastener 4 40.00 160.00
box Staple Wire #35 (HD) 3 55.00 165.00
piece Pentel Pen 3 50.00 150.00
roll Scotch Tape 2 30.00 60.00
piece Tape Dispenser 1 200.00 200.00
bottle Rubbing Alcohol 3 90.00 270.00
box Battery-AA 1 45.00 45.00
roll Duct Tape 1 140.00 140.00
box Carbon Paper (Pelikan blue) 1 130.00 130.00
piece Flash Drive-32GB 1 575.00 575.00
box PVC Cover (Long) 1 750.00 750.00
TOTAL 13,945.00
Purpose: To be used for the Budget Office.

Requested by: Approved by:


Signature :
Printed Name : ELINOR M. AMARANTE JUARLITO V. GARCINES, Ph. D.
Designation : Budget Officer III SUC President II
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster:

PR No.: Date: 10/5/2018


Section: Budget Office
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Desktop Computer with Computer Table


unit 1 100,000.00 100,000.00
(License)
Ultimate-N6300
Bluetooth: QMI 9WBM102QCE01Q2
·Qcom QBT410UB-012
Ports:
· (6) High Speed USB 2.0 (2 side/4 rear)
· (2) Side audio ports: headphone &
microphone
· (2) PS/2 ports2 ·
Serial2 ·
Integrated display port ·
VGA-in ·
RJ-45
· AC-in
Slots: (1) Mini PCI-e z 1 slot ·
Express card slot2
Bays: (1) Internal HDD Bay
3.5 inch · Internal ODD Bay 5.25 inch
Display/Monitor: Integrated 21
inch/23-inch widescreen (16:9)
Graphics Card: Intel® GMA
HD (integrated)
Power Supply: 150 W 85 plus (auto-
sensing)
Keyboard: USB
Mouse: USB Optical Wheel Mouse
Speakers: One set External speakers
plus a headphone
Onsite Warranty: Up to 3 years
(Extendable uo to 4 years)
Priority Support: Provision
for technical support for the business which
increases helpdesk productivity with 24x7
unit Binding Machine 1 15,000.00 15,000.00
unit Cabinet 1 30,000.00 30,000.00
unit Swivel Chair 4 5,000.00 20,000.00

TOTAL 165,000.00
Purpose: For Budget Office

Requested by: Approved by:


Signature :
Printed Name : ELINOR M. AMARANTE JUARLITO V. GARCINES, Ph. D.
Designation : Budget Officer III SUC President III
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster:

PR No.: Date: 10/8/2018


Section: Accounting Office
Responsibility Center Code : ___________

Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
Desktop Computer with Computer Table
unit 2 100,000.00 200,000.00
(License)
Specifications:
Processors: Intel® Core™ i3-5x0
1333MHz (or higher) 4T/dual
core/4M/73W/LGA 1156
Operating Systems: Genuine Windows® 7
Professional (64-bit) pre-installed (OEM
media for OS and Drivers will be supplies
by the vendor, (with licensed CD or back
up CD)
Chipset: Intel® Q57 chipset
Form Factor: All-in-one
Serial ATA Hard Drive: 500GB 7200
RPM SATA or 1TB 7200 RPM SATA8
Memory: 2GB 1333 MHz DDR3 SoDIMM
expandable Up to 4GB memory
Optical Drive: DVD Recordable
Integrated Communications: Intel®
Centrino® Wireless-N100 ·Intel®
Centrino® Ultimate-N6300
Bluetooth: QMI 9WBM102QCE01Q2
·Qcom QBT410UB-012
Ports:
· (6) High Speed USB 2.0 (2 side/4 rear)
· (2) Side audio ports: headphone &
microphone
· (2) PS/2 ports2
· Serial2
· Integrated display port
· VGA-in
· RJ-45
· AC-in
Slots: (1) Mini PCI-e z 1 slot · Express card
slot2
Bays: (1) Internal HDD Bay 3.5 inch ·
Internal ODD Bay 5.25 inch
Display/Monitor: Integrated 21 inch/23-
inch widescreen (16:9)
Graphics Card: Intel® GMA HD
(integrated)
PR No.: Date: 10/8/2018
Section: Accounting Office
Responsibility Center Code : ___________

Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
Power Supply: 150 W 85 plus (auto-
sensing)
Keyboard: USB
Mouse: USB Optical Wheel Mouse
Speakers: One set External speakers plus a
headphone
Onsite Warranty: Up to 3 years (Extendable
uo to 4 years)
Priority Support: Provision for technical
support for the business which increases
helpdesk productivity with 24x7 advanced-
level onsite technical support and service
call-tracking tools
Preloaded Software:
· OS Windows 7 Professional/Windows XP
· Acrobat® Reader®
· Flash® Player
· Skype
· PC-Doctor for WinPE
· SUN JRE
· Corel® Burn SE Lenovo Edition
· Corel® DVD Moviefactory
· InterVideo WinDVD
· Norton Internet Security Latest-One year
(extandable every year)
· Rescue and Recovery
· Password Manager
· Power Manager
· Toolbox
Laptop (Intel Core i5/i7 7th generation w/
unit 1 60,000.00 60,000.00
license MS Office)
(ASUS ROG Strix GL503)-50,125 15.6
inch Anti Glare, wide-view
Specifications:
CPU: Athlon
Processor Speed: 1.7GHz
Processor Model: Athlon K125
RAM: 2GB
Memory: DDR3 SDRAM
Display Size: 12.1 inch
Resolution: 1440x900
WiFi: 802.11b/g/n
Connectivity:
· HDMI
· USB 2.0
· Bluetooth
· Camera
PR No.: Date: 10/8/2018
Section: Accounting Office
Responsibility Center Code : ___________

Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
Operating System: Windows 7
OS Version: Windows 7 Home Premium
Dimension: 296x38x203
Weight: 1.45 kg
Epson L360 Printer with complete
unit 2 9,000.00 18,000.00
accessories
unit Stapler HD #35 2 350.00 700.00
unit Wooden Cabinet with Glass Door 2 50,000.00 100,000.00
2TB External Drive (Seagate Back Up Plus
unit 2 2,950.00 5,900.00
Slim External HDD)
unit Calculator, JS -40TS 14-digit Two-Way Pow 4 650.00 2,600.00
Uninterruptible Power Supply (1KVA/650
unit 4 6,000.00 24,000.00
KVA)
unit Executive Chair (High Back) 1 7,000.00 7,000.00
unit Swivel Chair 3 2,250.00 6,750.00
pc 16 Port Switch 1 2,500.00 2,500.00
box UTP Cable 1 4,500.00 4,500.00
pcs RJ45 20 10.00 200.00
meter Wire (for extension) 30 25.00 750.00
pcs Male Plug HD 3 35.00 105.00
pcs Outlet HD (3 Gang) 3 70.00 210.00
TOTAL 433,215.00
Purpose: For Accounting Office

Requested by: Approved by:


Signature :
Printed
BERLITO A. OLIVER, JR., CPA JUARLITO V. GARCINES, Ph. D.
Name :
Designatio OIC-Accounting Office SUC President III
n:
PURCHASE REQUEST
Agusan del Sur State College of Agriculture and Technology
Bunawan, Agusan del Sur

Fund Cluster:

PR No.: Date: 10/5/2018


Section: OSA
Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost
No.

TOTAL
Purpose: For Office for Student Affairs (OSA)

Requested by: Approved by:


Signature :
Printed Name : GLENE A. NALLA JUARLITO V. GARCINES, Ph. D.
Designation : OSA-Director SUC President III
y

: 10/5/2018

Total Cost

GARCINES, Ph. D.
III

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