PR Form

BLGF form for purchase request

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Entity Name: BUREAU OF LOCAL GOVERNMENT FINANCE
Office/Section : _____________
_________________________
Stock/ Property No.

Unit

Fund Cluster:

PR No.: ______________

Regular Agency Fund
Date: ____________

Responsibility Center Code : ___________
Item Description

Quantity

Unit Cost

Total Cost

Purpose: ____________________________________________________________
_______________________________________________________________
_______________________________________________________________

Signature :
Printed Name :
Designation :

Requested by:
_________________________
_________________________
_________________________

151

Approved by:
___________________________
___________________________
___________________________