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Purchase Request Form
PDEA logistic management service form for purchase request form
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: FM-LMSgen-05
Rev. 01;
May 2, 2016
PURCHASE REQUEST
Fund Cluster: __________________
Entity Name: (Agency)
Office/Section :
PR No.: ______________
Responsibility Center Code : ___________
(NO/RO)
Stock/ Property
No.
Date: ____________
Unit
Item Description
Quantity
Unit Cost
Purpose: ____________________________________________________________
_______________________________________________________________
_______________________________________________________________
Signature :
Printed Name :
Designation :
Requested by:
_________________________
_________________________
_________________________
Approved by:
___________________________
___________________________
___________________________
151
Total Cost
