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.

Bags Portland Cement 220.00 260.00

cu.m. Sand (S-1) 16.00 600.00
cu.m. Gravel (G-1) 20.00 600.00
pcs 12mm dia. RSB 144.00 260.00
pcs 10mm dia. RSB 270.00 180.00
kls. #16 G.I. Tie Wire 25.00 80.00
pcs CHB 4" 1,260.00 12.00
pcs C-Purlins 2 x 3 x 4mm thk 32.00 850.00
box Welding Rod (5kls/box) 4.00 850.00
gal Gray Primer 2.00 600.00
pcs 2-1/2Tekscrew 2,000.00 2.50
pcs Paint Brush 2" 3.00 65.00
pcs 4mm thk 63mm x 63mm angle bar 51.00 950.00
.40mm thk long span roofing sheet
pcs 18.00 480.00
(pre-painted, royal blue) 8.52m
pcs Wall flashing (pre-painted, royal blue) 18.00 450.00
pcs 12mm dia. Plain bar 14.00 450.00
pcs turn backle 12mm dia. 16.00 120.00
pcs Roller brush w/ Pan 3.00 110.00
pail Semi-gloss Latex white 2.00 2,400.00
lit Raw Siena 2.00 185.00
gal Flat Wall 3.00 650.00
Bags Skim Coat 5.00 250.00
pcs #80 sand paper 25.00 25.00
gal Sophie Shirt Gray 1.00 750.00
Roll-up including installation
l.s
(2.75mx2.8m) 1.00 35,000.00
LED Tubular Lamp 18 watts daylight
set with aluminum reflective surface type, 12.00 1,100.00
firefly
set/s 2 gang Switch wide series- Panasonic 3.00 110.00
pcs Junction box PVC 6.00 35.00
pcs Utility box, metal deep type 8mm 3.00 110.00
pcs 20mm PVC pipe, orange (atlanta) 10.00 100.00
2.0mmsq. THHN Copper wire
box 1.00 2,600.00
Columbia/sycwin
Panel board 6-branches; 60A, 1-15A, 4-
set 1.00 5,000.00
20A (KOTEN)
mtrs 8.0mmsq. THHN wire (PD) 80.00 100.00

TOTAL:
Purpose:
For the Construction of Supply Warehouse.

Requested by: Approved by:

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

Printed Name :
RICHARD P. PABLO SAMUEL O. BENIGNO, Ph.D.
Designation : OIC-Director-Physical Plant and Site President
Development

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

e: ____________

Total Cost

57,200.00
9,600.00
12,000.00
37,440.00
48,600.00
2,000.00
15,120.00
27,200.00
3,400.00
1,200.00
5,000.00
195.00
48,450.00
8,640.00
8,100.00
6,300.00
1,920.00
330.00
4,800.00
370.00
1,950.00
1,250.00
625.00
750.00

35,000.00

13,200.00

330.00
210.00
330.00
1,000.00

2,600.00

5,000.00

8,000.00

368,110.00

d by:

QSU-PROC-F001
Rev. 00 (Feb. 11, 2019)
O. BENIGNO, Ph.D.
sident

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