sf-good-59 ok_1
DESCRIPTION
2007 Government Procurement Policy Board FormTRANSCRIPT
Republic of the Philippines
Name of the Procuring Entity
Project Reference Number
Name of the Project
Location of the Project
Standard Form Number: SF-GOOD-59Revised on: May 24, 2004Standard Form Title: Purchase RequestPURCHASE REQUEST_____________________________
Agency / Procuring Entity
Department PR No.Date:
SectionSAI No.Date:
STOCK NO.UNITITEM DESCRIPTIONQTY.UNIT COSTTOTAL COST
Purpose / Remarks: _____________________________________________________ ______________________________________________________________________
_________________________________________________________________________________________
Requested by:Approved by:
Signature:
Printed Name:
Designation:
Date:
PURCHASE REQUEST
____________________________________
LGU
PR No.: ____________ Date: _________
SAI No.:_____________ Date: _________
ALOBS No.:__________ Date:_________
Item Unit of Item DescriptionEstimatedEstimated
No.Quantity IssueUnit CostCost
Purpose:
Requested by:Cash availability:Approved by:
Signature:
Printed Name:
Designation: