Republic of the Philippines

QUIRINO STATE UNIVERSITY

Diffun Quirino

PURCHASE ORDER
Supplier: L.B GEPILANO HARDWARE P.O. No. : _____________________
Address: DIFFUN, QUIRINO Date : _______________________
TIN : Mode of Procurement :
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contai
herein:
Place of Delivery : QUIRINO STATE UNIVERSITY - MAIN CAMPUS Delivery Term : __________________
Date of Delivery : ________________________________ Payment Term : __________________
Stock/
Unit Description Quantity Unit Cost
Property No.
kls C.W.Nail 4" 7.50 80.00
kls C.W.Nail 3" 7.50 80.00
kls Umbrella Nail 4.00 100.00
kls C.W. Nail 2 1/2" 3.00 80.00
gal Paint Thinner 2.00 275.00
gal QDE Choco Brown 5.00 750.00
pcs Marine Plywood 1/4 std. 60.00 450.00
set Extension Wire 1.00 350.00
pcs Check valve 1/2" 3.00 550.00
pcs Chainsaw pile 2.00 100.00
pcs Hacksaw Blade 2.00 65.00
gal QDE White 1.00 750.00
gal Flatwall Enamel 3.00 750.00
pcs Baby Roller 2.00 65.00
can Burnt Sienna OTC 1/4lit" 1.00 175.00
pc. Grinding disc 1.00 275.00
pc Maso w/ Handle 1.00 1,750.00
pcs Kwikset Doorknob 3.00 1,050.00
pcs Orange Pipe 2" 7.00 375.00
pc Orange Pipe 3" 1.00 475.00
can Vulcaseal 1/2" lit 1.00 295.00
pcs Strainer 4x4 3.00 95.00
set P trap 1-1/2 1.00 175.00
packs Tile Grout 9.00 100.00
pcs Metal Catches 32.00 8.50
pc Sander 1.00 55.00
bags Portland Cement 80.00 265.00
pails Gloss Latex 2.00 2,750.00
gal Choco Brown 2.00 650.00
pail. Roofpaint 1.00 2,950.00
lit Easytite 2.00 200.00
pcs Paintbrush 2" 3.00 50.00
kls Finishing Nail 2" 2.00 100.00
pcs Quarter Round x 12ft 30.00 175.00
pcs Drillbit 2.00 200.00
lit Elastoseal 2.00 450.00
load Sand S1 1.00 2,500.00
pcs Hook 1/2" 100.00 5.00
kls C.W.N #2 3.00 80.00
kls C.W.N #1 1.00 80.00
rolls Mosquito screen 2.00 3,950.00
set Telephone Shower 1.00 1,550.00
pc Roller Brush 1.00 125.00
pcs Sand Paper #100 5.00 65.00
pcs Padlock 2.00 225.00
pc Door Spring 1.00 45.00
pcs Padlock 2.00 300.00
kls Grease 1.00 150.00
TOTAL:
(Total Amount in Words): One Hundred One Thousand Seven Hundred Forty Seven pesos
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of on
percent for every
QSU-PROC-F002 day of delay shall be imposed on the undelivered item/s.
Rev. 00 (Feb. 11, 2019)
 In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of on
percent for every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

__________________________ SAMUEL O. BENIGNO, Ph.D.

Signature over Printed Name of Supplier President
___________________________
Date
Fund Cluster : ___________________________________ ORS/BURS No. : ________________
Funds Available : _________________________________ Date of the ORS/BURS: ___________
Amount : _____________________
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit

QSU-PROC-F002
Rev. 00 (Feb. 11, 2019)
epublic of the Philippines
RINO STATE UNIVERSITY
Diffun Quirino

PURCHASE ORDER
P.O. No. : _____________________
Date : _______________________
Mode of Procurement :

following articles subject to the terms and conditions contained

Delivery Term : __________________

Payment Term : __________________
Amount
600.00
600.00
400.00
240.00
550.00
3,750.00
27,000.00
350.00
1,650.00
200.00
130.00
750.00
2,250.00
130.00
175.00
275.00
1,750.00
3,150.00
2,625.00
475.00
295.00
285.00
175.00
900.00
272.00
55.00
21,200.00
5,500.00
1,300.00
2,950.00
400.00
150.00
200.00
5,250.00
400.00
900.00
2,500.00
500.00
240.00
80.00
7,900.00
1,550.00
125.00
325.00
450.00
45.00
600.00
150.00
101,747.00
One Thousand Seven Hundred Forty Seven pesos
within the time specified above, a penalty of one-tenth (1/10) of one
on the undelivered item/s.
QSU-PROC-F002
Rev. 00 (Feb. 11, 2019)
 SAMUEL O. BENIGNO, Ph.D.
President

ORS/BURS No. : ________________

Date of the ORS/BURS: ___________
Amount : _____________________

QSU-PROC-F002
Rev. 00 (Feb. 11, 2019)
 Republic of the Philippines
QUIRINO STATE UNIVERSITY
Diffun Quirino
PURCHASE REQUEST

Entity Name: QUIRINO STATE UNIVERSITY Fund Cluster: ________________

Office/Section : PR No.: ______________ Date: ____________

Responsibility Center Code : ___________
Stock/
Unit Item Description Quantity Unit Cost
Property No.
kls C.W.Nail 4" 7.50 80.00
kls C.W.Nail 3" 7.50 80.00
kls Umbrella Nail 4.00 100.00
kls C.W. Nail 2 1/2" 3.00 80.00
gal Paint Thinner 2.00 275.00
gal QDE Choco Brown 5.00 750.00
pcs Marine Plywood 1/4 std. 60.00 450.00
set Extension Wire 1.00 350.00
pcs Check valve 1/2" 3.00 550.00
pcs Chainsaw pile 2.00 100.00
pcs Hacksaw Blade 2.00 65.00
gal QDE White 1.00 750.00
gal Flatwall Enamel 3.00 750.00
pcs Baby Roller 2.00 65.00
can Burnt Sienna OTC 1/4lit" 1.00 175.00
pc. Grinding disc 1.00 275.00
pc Maso w/ Handle 1.00 1,750.00
pcs Kwikset Doorknob 3.00 1,050.00
pcs Orange Pipe 2" 7.00 375.00
pc Orange Pipe 3" 1.00 475.00
can Vulcaseal 1/2" lit 1.00 295.00
pcs Strainer 4x4 3.00 95.00
set P trap 1-1/2 1.00 175.00
packs Tile Grout 9.00 100.00
pcs Metal Catches 32.00 8.50
pc Sander 1.00 55.00
bags Portland Cement 80.00 265.00
pails Gloss Latex 2.00 2,750.00
gal Choco Brown 2.00 650.00
pail. Roofpaint 1.00 2,950.00
lit Easytite 2.00 200.00
pcs Paintbrush 2" 3.00 50.00
kls Finishing Nail 2" 2.00 100.00
pcs Quarter Round x 12ft 30.00 175.00
pcs Drillbit 2.00 200.00
lit Elastoseal 2.00 450.00
load Sand S1 1.00 2,500.00
pcs Hook 1/2" 100.00 5.00
kls C.W.N #2 3.00 80.00
kls C.W.N #1 1.00 80.00
rolls Mosquito screen 2.00 3,950.00
set Telephone Shower 1.00 1,550.00
pc Roller Brush 1.00 125.00
pcs Sand Paper #100 5.00 65.00
pcs Padlock 2.00 225.00
pc Door Spring 1.00 45.00
pcs Padlock 2.00 300.00
kls Grease 1.00 150.00

QSU-PROC-F001
Rev. 00 (Feb. 11, 2019)
 TOTAL:
Purpose:
For materials use in the various repair of the university.

Requested by: Approved by:

Signature :
Printed Name : DENNIS S. OPIANO SAMUEL O. BENIGNO, Ph.D.
Designation : OIC-Director-Physical Plant and Site Development President

QSU-PROC-F001
Rev. 00 (Feb. 11, 2019)
________________

e: ____________

Total Cost

600.00
600.00
400.00
240.00
550.00
3,750.00
27,000.00
350.00
1,650.00
200.00
130.00
750.00
2,250.00
130.00
175.00
275.00
1,750.00
3,150.00
2,625.00
475.00
295.00
285.00
175.00
900.00
272.00
55.00
21,200.00
5,500.00
1,300.00
2,950.00
400.00
150.00
200.00
5,250.00
400.00
900.00
2,500.00
500.00
240.00
80.00
7,900.00
1,550.00
125.00
325.00
450.00
45.00
600.00
150.00

QSU-PROC-F001
Rev. 00 (Feb. 11, 2019)
 101,747.00

ed by:

O. BENIGNO, Ph.D.
sident

QSU-PROC-F001
Rev. 00 (Feb. 11, 2019)