Appendix 60

PURCHASE REQUEST FOR COMMON-USE SUPPLIES

Entity Name: _FCD- NBI Manila__________________ _ Fund Cluster: _____

Office/Section: PR No.: _____________________________ Date: January 11, 2018

FCD-Research Responsibility Center Code: ____________

Instrumentation Section

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

Can Airfreshner 2 81.12 162.24

Btl Alcohol (70%) 4 43.14 86.28

Pcs Ballpen 2 8.00 56

Pc Blackboard eraser 1 10.07 20.14

Bx Brown envelope 1 bx 507.40 507.4

Pc Calculator 1 153.92 153.92

Pc Computer Ink HP#678 Black 4 346.32 1,385.28

Pc Computer Ink HP#678 Colored 4 346.32 692.64

Rms Copy Paper Short 3 130.00 390

Rms Copy Paper Long 1 132.02 528.08

Pcs Correction Pen 1 160.00 320

Pcs Cutter 6 22.86 137.16

Can Disinfectant Spray 2 114.40 228.8

Pcs DVD Rewritable 15 21.37 320.55

Pc External Hard Drive 1TB 3 3,316.56 9,949.68

Bx Fastener 2 57.09 114.18

Pck Folder 1 299.98 299.98

Jar Glue 2 48.88 97.76

Pcs Index Card 3x5 (Plain) 50 1.00 50

can Insecticide 2 117.52 235.04
bx Jumbo Paper Clip 2 13.52 27.04

Bx Mailing envelope (White) 1 139.36 139.36

Pc Dry Seal 1 1,498.00 1498

Pc Marking Pen (Highlighter) 3 35.55 71.1

Pc Marking Pen (Permanent) 3 9.65 19.3

Pc Marking Pen (White Board) 1 11.80 23.6

Rl Masking Tape 1” 1 55.12 110.24

Rl Packaging Tape 2” 1 33.28 66.56

pad Pad Paper 2 17.47 34.94

bx Paper Clip 2 6.76 13.52

Pcs Peerless box 10 100.00 1000

Bx Pencil 1 19.62 19.62

Pc Puncher 1 123.43 123.43

Pck Interfolded paper towel(pull) 5 43.68 43.68

Pcs Record Book 10 86.85 868.5

Bx Rubber Band 1 105.85 105.85

Pcs Ruler 7 15.53 108.71

Pair Scissors 7 15.60 109.2

Rl Scotch Tape 1” 2 17.37 34.74

Pcs Sharpener 2 176.80 353.6

Pcs Sign Pen 7 44.01 308.07

Pcs Stamp Pad 5 31.08 155.4

Btl Stamp Pad Ink 2 22.88 45.76

Bx Staple Wire 1 18.92 18.92

Pcs Staple Wire Remover 7 17.63 123.41

Pcs Stapler 7 92.23 645.61

Pcs Tape Dispenser 7 47.72 334.04

Rl Toilet Tissue Paper 6 75.57 453.42

Pcs Trash Can 6 30.68 1,84.08
 Pcs USB Flash Drive 16 GB 8 234.00 1872

xxxxxxxxxxxxxxxxxx
Total 24,646.83

Noted By:
Edwin C. Purificando

Forensic Chemist IV

Purpose: For Office of the Chief and Records Section Use in monthly requirements

Requested by: Approved by:

Signature: _____________________ __________________________

Printed Name: Julieta C. Flores FERDINAND M. LAVIN

Designation: Chemist III OIC, ODDFIS