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/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
sq.m Glass with aluminum frame partition 28.80 2,200.00 63,360.00
sets 1.2x2.10m alum. Door with glass 1.00 5,500.00 5,500.00
pcs Laminated white board 2.00 1,800.00 3,600.00
bd.ft. 2" x 3" - Good Lumber 72.00 50.00 3,600.00
bd.ft. 2" x 2" - Good Lumber 54.00 50.00 2,700.00
sets Lock set /Door knob 4.00 850.00 3,400.00
ft Quarter moon cornice 10.00 90.00 900.00
kgs. Assorted finishing nails(1/2", 1", 2", 2 1/2", 3", 4") 20.00 85.00 1,700.00
pcs 1/4" thk marine plywood 14.00 565.00 7,910.00
ltr. Semi gloss latex 12.00 720.00 8,640.00
ltr. Easytite 3.00 640.00 1,920.00
pcs 3" paint brush 2.00 85.00 170.00
pcs # 120 sand paper 30.00 30.00 900.00
bags Portland Cement 1.00 250.00 250.00
pcs Faucet 2.00 360.00 720.00
sets Led tubular 25.00 1,800.00 45,000.00
sets 3 gang switch 5.00 210.00 1,050.00
sets ACU outlet tandem type 1.00 250.00 250.00
pcs Electrical tape 5.00 30.00 150.00
pcs Surface box 8.00 220.00 1,760.00
sets 2.5HP ACU window type 1.00 10,000.00 10,000.00
boxes 3.5mm₂ THHN copper wire 1.00 3,500.00 3,500.00
sets Fire alarm device 3.00 2,800.00 8,400.00
-
175,380.00
Purpose:
For the additional improvement of CHIM Building for this up coming accreditation

Requested by: Approved by:

Signature :

Printed Name : DENNIS S. OPIANO SAMUEL O. BENIGNO,Ph.D.

Designation : OIC-Director, Physical Plant & Site
Development University President
 Republic of the Philippines
QUIRINO STATE UNIVERSITY
Diffun Quirino

PURCHASE ORDER
Supplier : Quirino Primes Lumber Hardware & Gen. Merchandise P.O. No. : _____________________
Address : Gundaway, Cabarroguis, Quirino Date : _______________________
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : _______________________________ Delivery Term : __________________
Date of Delivery : ________________________________ Payment Term : __________________
Stock/ Property
Unit Description Quantity Unit Cost Amount
No.
pc/s. 150mmØWye 3.00 910.00 2,730.00
pc/s. 150mmØ x 90 degree Wye 4.00 435.00 1,740.00
pc/s. 150mmØ x 45 degree elbow 3.00 460.00 1,380.00
pc/s. 150mmØ Clean out 5.00 495.00 2,475.00
pc/s. 150mmØ x 100mmØ Wye 4.00 640.00 2,560.00
pc/s. 150mmØ x 150mmØ Tee 5.00 640.00 3,200.00
pc/s. 150mmØ x 3.00m PVC 17.00 1,365.00 23,205.00
pc/s. 25mmØ x 25mmØ Tee 8.00 35.00 280.00
pc/s. 25mmØ Gate Valve 3.00 245.00 735.00
set/s Water Closet, Lever Type & Acc. HCG 9.00 8,000.00 72,000.00
set/s Lavatory and Accessories HCG 3.00 4,000.00 12,000.00
set/s Urinal and Accessories HCG 3.00 7,000.00 21,000.00
pc/s. Chrome Plated faucet (12mmØ) 10.00 250.00 2,500.00
pc/s. Floor Drain (S/S) 12.00 145.00 1,740.00
pc/s. Teflon plate 3.00 35.00 105.00
liter solvent Cement 2.00 250.00 500.00
bag/s Portland cement 34.00 235.00 7,990.00
cu.m. sand, S-1 5.00 650.00 3,250.00
cu.m. Gravel, 3/4" 2.00 750.00 1,500.00
kg/s 10mmØ x 6.00m RSB 14.80 45.00 666.00
pc/s. Hacksaw Blade 4.00 50.00 200.00
kg/s #16 G.I Tie Wire 2.00 70.00 140.00
pc/s. 100mm (4") CHB 455.00 12.00 5,460.00
pc. 0.30 x 0.30 Unglazed Floor 330.00 55.00 18,150.00
pc. 0.30 x 0.30 Wall tiles 1140.00 45.00 51,300.00
pc. 0.40 x 0.40 Unglazed tiles 1600.00 65.00 104,000.00
bag. Tile Adhesive 30.00 260.00 7,800.00
kg. Tile Grout Verify color 20.00 80.00 1,600.00
bag. Cement portland 40.00 235.00 9,400.00
pc Tile cutter-4 5.00 200.00 1,000.00
cu.m. sand, S-1 6.00 650.00 3,900.00
1 x 16 watts, LED tubular, DL, Industrial
set/s
Firefly Powder coated frame, Assy,
54.00 230.00 12,420.00
pc/s. 5 watts-LEDlight-3 watts, LED 44 x 0.7W, 22
Emergency 21.00 79.00 1,659.00
set/s Firefly leds 2.00 2,000.00 4,000.00
Electronic Kilowatt Hourmeter class 200 w/
set/s
meter base 5 Jaws, Single Phase
1.00 3,500.00 3,500.00
set/s Orbit Fan-E16B 3D 18.00 1,985.00 35,730.00
set/s Exhaust Fan-12"x12" square Standard 2.00 1,945.00 3,890.00
set/s Fire alarm 2.00 650.00 1,300.00
pcs. Powder fire Extinguisher, 10lbs 2.00 2,000.00 4,000.00

Page 2 of 5
 pail Flat Latex 25.00 2,065.00 51,625.00

pail Semi-Gloss Latex (interior) boysen-davies 15.00

2,415.00 36,225.00

2,750.00 41,250.00
pail Exterior paint - Boysen/davies (veify color) 15.00
pail Q.D.E white 15.00 2,525.00 37,875.00
pail Flat Wall 15.00 2,000.00 30,000.00
gal Plexibond 6.00 3,085.00 18,510.00
gal Paint Thinner 30.00 260.00 7,800.00
gal Acrylic Thinner A. Plus 20.00 385.00 7,700.00
pcs. Sanding Paper#80 100.00 55.00 5,500.00
pcs. Sanding Paper3120 50.00 15.00 750.00
pcs. Sanding Paper#220 50.00 15.00 750.00
pcs. Roller Brush#6 20.00 75.00 1,500.00
pcs. Paint Brush#2 10.00 45.00 450.00
pcs. Paint Brush#1 10.00 25.00 250.00
pcs. Masking Tape 3/4 20.00 35.00 700.00
pcs. Baby Roller 20.00 45.00 900.00
bags Skim Coat 30.00 750.00 22,500.00
gal. Q.D.E Chocolate brown 10.00 465.00 4,650.00
lit. Oil Tinting Color Burne Sienna 5.00 265.00 1,325.00
lit. Oil tinting color Lamp Black 5.00 265.00 1,325.00
lit Oil Tinting Color Hansa Yellow 5.00 415.00 2,075.00
gal. Easy tite 20.00 555.00 11,100.00
gal. Plasolux Putty 20.00 575.00 11,500.00
1/4 lit. Raw Sienna OTC 20.00 67.00 1,340.00
bags Portland Cement 206.00 235.00 48,410.00
cu.m Fine Aggregates 12.00 650.00 7,800.00
pcs 4.5mm Hardiflex 165.00 485.00 80,025.00
pcs 19mm
150mmx x50mmx
65mm Metal furring
x 20mm x 3mm thk. Steel 350.00 250.00 87,500.00
pcs C-purlins 130.00 900.00 117,000.00
pcs 25mm x 25mm x 2.4mm x 0.4mm wall angle 150.00 50.00 7,500.00
pcs W-clip 900.00 10.00 9,000.00
box Blind rivets1/8 x 3/8 10.00 210.00 2,100.00
kls Concrete nail 25.00 90.00 2,250.00
pcs Gypsum screw 1200.00 2.00 2,400.00
lin.m 0.5mm thk. X 8' end mouldings 25.00 9.00 225.00
1,092,815.00
(Total Amount in Words): One Million Ninety Two Thousand Eight Fifteen pesos only
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one
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 : _____________________
LEILA M. SABBALUCA

Page 3 of 5
 Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit

Page 4 of 5
 Republic of the Philippines
QUIRINO STATE UNIVERSITY
Diffun Quirino

PURCHASE ORDER
Supplier : P.O. No. : _____________________
Address : Date : _______________________
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : _______________________________ Delivery Term : __________________
Date of Delivery : ________________________________ Payment Term : __________________
Stock/ Property
Unit Description Quantity Unit Cost Amount
No.
sq.m Glass with aluminum frame partition 28.80 2,200.00 63,360.00
sets 1.2x2.10m alum. Door with glass 1.00 5,500.00 5,500.00
pcs Laminated white board 2.00 1,800.00 3,600.00
bd.ft. 2" x 3" - Good Lumber 72.00 50.00 3,600.00
bd.ft. 2" x 2" - Good Lumber 54.00 50.00 2,700.00
sets Lock set /Door knob 4.00 850.00 3,400.00
ft Quarter moon cornice 10.00 90.00 900.00
kgs. Assorted finishing nails(1/2", 1", 2", 2 1/2", 3", 4") 20.00 85.00 1,700.00
pcs 1/4" thk marine plywood 14.00 565.00 7,910.00
ltr. Semi gloss latex 12.00 720.00 8,640.00
ltr. Easytite 3.00 640.00 1,920.00
pcs 3" paint brush 2.00 85.00 170.00
pcs # 120 sand paper 30.00 30.00 900.00
bags Portland Cement 1.00 250.00 250.00
pcs Faucet 2.00 360.00 720.00
sets Led tubular 25.00 1,800.00 45,000.00
sets 3 gang switch 5.00 210.00 1,050.00
sets ACU outlet tandem type 1.00 250.00 250.00
pcs Electrical tape 5.00 30.00 150.00
pcs Surface box 8.00 220.00 1,760.00
sets 2.5HP ACU window type 1.00 10,000.00 10,000.00
boxes 3.5mm₂ THHN copper wire 1.00 3,500.00 3,500.00
sets Fire alarm device 3.00 2,800.00 8,400.00

175,380.00
(Total Amount in Words): One Hundred Seventy Five Thousand Three Hundred Eighty Pesos & 95/100 only

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one
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 : _____________________
LEILA M. SABBALUCA
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit

Page 5 of 5