Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

unit SOFTWARE Anti-Virus Software, 3 users, 1 year 32.00 1700.00 54,400.00

subscription

set 13.00 50000.00 650,000.00

LAPTOP PC i3, 4GB, 1TB, Windows 10, MS Office
unit UNINTERRUPTIBLE POWER SUPPLY (UPS) 12.00 2000.00 24,000.00
pack FLASH DRIVE 32GB capacity, 1 pc / pack 9.00 500.00 4,500.00

piece EXTERNAL HARD DRIVE 2TB, 2.5 HDD, USB 3.0, one 7.00 5000.00 35,000.00
unit / box

set 5.00 40000.00 200,000.00

DESKTOP PC i3, 4GB, 1TB, Windows 10, MS Office
unit MS Office 2019 4.00 4000.00 16,000.00
unit PRINTER, HP LASERJET PRO P1102 3.00 0.00 0.00
PC, IDS 200 Pro G4 21.5 NT AIO, Intel Core i5-
unit 10210U, 4GB (1x4GB) DDR4 2666 SODIMM, 1TB 2.00 40000.00 80,000.00
7200RPM SATA 3.5in, Windows 10 Pro 64
unit Flow Document Flatbed Scanner 1.00 45000.00 45,000.00
unit SCANNER WITH FEEDER 1.00 45000.00 45,000.00
unit WIFI Router,LINKSYS EA7500 1.00 11000.00 11,000.00

Compact document scanner, 25ppm/50ipm, (A4) 2-

unit sided colour scan speed, DOCUMENT SIZE - 1.00 17000.00 17,000.00
MULTIPLE PAPERS, Duplex Scan,automativ
document feeder, with USB interface (His Peed 2.0
and Superspeed 3.0)

Desktop PC, intel Core i7-8700T Processor (12M

Cache, up to 4.00 GHz) / 8GB / 1TB / NVIDIA
unit Geforce MX130 2GB GDDR5 / Panel LCD 23.8inch 1.00 70000.00 70,000.00
FHD (1920x1080) Brightview WLED UWVA 72 250
LVDS slimG / Windows 10, wireless mouse and
keyboard, 3-in-1 Media Card Reader, with Antivirus
and MS Office

Laptop PC, 0124AU Nightfall Black/AMD Ryzen 3

unit 3300U / 8GB / 512 GB PCIe NVMe M.2 SSD / 13.3 1.00 55000.00 55,000.00
diagonal FHD IPS Touch / AMD Radeon Vega 6
Graphics / Windows 10, with Antivirus and MS
Office, optical wireless mouse,

unit Photocopier FS-1125MFP (Kyocera) Monochrome 1.00 22000.00 22,000.00

Multifunctional for A4 format
piece Keyboard, USB wired 1.00 750.00 750.00
piece Power Cord for HP Laptop 1.00 600.00 600.00

TOTAL 1,330,250.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 24, 2021
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Lease of 60 monochrome printers and 9 color
lot 1
printers for 1 year
Delivery place of printers to be determined by CSC
NCR
Free maintenance of printers
1st delivery - August 2021
cart Toners for monochrome printer 25 650.00 16,250.00
cart TONER for color printer, black 5 1275.00 6,375.00
cart TONER for color printer, yellow 0 1275.00 0.00
cart TONER for color printer magenta 0 1275.00 0.00
cart TONER for color printer cyan 0 1275.00 0.00

2nd delivery - November 2021

cart Toners for monochrome printer 25 650.00 16,250.00
cart TONER for color printer, black 16 1275.00 20,400.00
cart TONER for color printer, yellow 11 1275.00 14,025.00
cart TONER for color printer magenta 6 1275.00 7,650.00
cart TONER for color printer cyan 0 1275.00 0.00

3rd delivery - February 2022

cart Toners for monochrome printer 25 650.00 16,250.00
cart TONER for color printer, black 7 1275.00 8,925.00
cart TONER for color printer, yellow 5 1275.00 6,375.00
cart TONER for color printer magenta 5 1275.00 6,375.00
cart TONER for color printer cyan 9 1275.00 11,475.00

4th delivery - May 2022

cart Toners for monochrome printer 25 650.00 16,250.00
cart TONER for color printer, black 15 1275.00 19,125.00
cart TONER for color printer, yellow 13 1275.00 16,575.00
cart TONER for color printer magenta 8 1275.00 10,200.00
cart TONER for color printer cyan 8 1275.00 10,200.00

Lease of Heavy Duty Color Printers with ADF

scanner, monthly refill of inks, free maintenance, 12.00 7000.00 84,000.00
can print using special paper (CSC NCR Training
month Certificates)
TOTAL 286,700.00
Purpose: lease of printers with toners for 1 year; as requested by all offices

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 18, 2021
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
box SURGICAL MASK, 3-ply, FDA approved 193 100.00 19,300.00
VITAMIN C, sodium ascorbate, at lease 500mg, 77 15,400.00
box generic, 100 capsules per box 200.00
ALCOHOL, 70% ethyl, FDA approved, well-known 65 39,000.00
gallon and trusted brand 600.00
bottle BLEACH, 1 liter 46 70.00 3,220.00
SANITIZING GEL, pump type bottle, 1 liter, well- 41 15,990.00
bottle known and trusted brand 390.00
piece face shield Standard 48 10.00 480.00

DISINFECTANT SPRAY, kills cold and flue virus, in 40 22,400.00

can can, big size, at least 510 grams disinfectant, big 560.00
box Surgical gloves Large 16 460.00 7,360.00
box Surgical gloves medium 14 460.00 6,440.00
box Surgical gloves Small 4 460.00 1,840.00
box UV Disinfection Box 5 1999.75 9,998.75

DISINFECTANT SPRAY, kills cold and flue virus, in 1 300.00

can can, big size, at least 510 grams disinfectant, big 300.00

TOTAL 141,728.75
Purpose: As requested by various offices per 2021 APP-CSE supplies for 2nd quarter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 18, 2021
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

reams PAPER, MULTICOPY, 80gsm, size: 210mm x 297mm 185 170.56 31,553.60
pack FOLDER, TAGBOARD, for legal size documents 150 321.36 48,204.00
piece SIGN PEN, BLACK, liquid/gel ink, 0.5mm needle tip 145 34.61 5,018.45
piece CORRECTION TAPE, film base type, UL 6m min 124 14.02 1,738.48
box RUBBER BAND, 70mm min lay flat length (#18) 110 109.50 12,045.00
reams PAPER, Multi-Purpose (COPY) A4, 70 gsm 102 133.12 13,578.24
pack TOILET TISSUE PAPER, 2-ply, 100% recycled 92 87.40 8,040.80
piece SIGN PEN, RED, liquid/gel ink, 0.5mm needle tip 65 34.61 2,249.65
box STAPLE WIRE, STANDARD, (26/6) 59 21.09 1,244.31
MAGAZINE FILE BOX, LARGE size, made of
piece 52 41.60 2,163.20
chipboard
pad NOTE PAD, stick on, 76mm x 76mm (3" x 3") min 48 47.73 2,291.04
roll TAPE, TRANSPARENT, width: 24mm (±1mm) 44 10.09 443.96
pad NOTE PAD, stick on, 50mm x 76mm (2" x 3") min 38 37.06 1,408.28
piece SIGN PEN, BLUE, liquid/gel ink, 0.5mm needle tip 37 34.61 1,280.57
box FASTENER, METAL, 70mm between prongs 34 83.41 2,835.94
pad NOTE PAD, stick on, 76mm x 100mm (3" x 4") min 32 59.28 1,896.96
pack TRASHBAG, GPP specs, black, 940mmx1016mm 31 134.68 4,175.08
CLIP, BACKFOLD, all metal, clamping: 32mm (-
box 25 20.80 520.00
1mm)
can AIR FRESHENER, aerosol, 280ml/150g min 23 90.22 2,075.06
CLIP, BACKFOLD, all metal, clamping: 25mm (-
box 20 15.27 305.40
1mm)
box PAPER CLIP, vinyl/plastic coat, length: 32mm min 20 7.76 155.20
roll TAPE, TRANSPARENT, width: 48mm (±1mm) 19 19.97 379.43
can INSECTICIDE, aerosol type, net content: 600ml min 14 139.36 1,951.04
pack BATTERY, dry cell, AAA, 2 pieces per blister pack 14 19.73 276.22
CLIP, BACKFOLD, all metal, clamping: 19mm (-
box 14 9.05 126.70
1mm)
bundle RAGS, all cotton, 32 pieces per kilogram min 13 53.82 699.66
bundle LOOSELEAF COVER, made of chipboard, for legal 12 794.96 9,539.52
piece ERASER, PLASTIC/RUBBER, for pencil draft/writing 12 4.42 53.04
STAPLER, STANDARD TYPE, load cap: 200 staples
piece 10 176.80 1,768.00
min
STAMP PAD, FELT, bed dimension: 60mm x 100mm
piece 9 34.95 314.55
min
DATA FILE BOX, made of chipboard, with closed
piece 8 77.20 617.60
ends
CLEANER,TOILET BOWL AND URINAL, 900ml-
bottle 7 41.60 291.20
1000ml cap
FURNITURE CLEANER, aerosol type, 300ml min per
can 7 115.53 808.71
can
piece DATA FOLDER, made of chipboard, taglia lock 6 68.64 411.84
set MARKER, FLUORESCENT, 3 assorted colors per set 4 46.68 186.72
pack DETERGENT POWDER, all purpose, 1kg 3 37.43 112.29
piece EXTERNAL HARD DRIVE, 1TB, 2.5"HDD, USB 3.0 2 2650.83 5,301.66
MOUSE, OPTICAL, USB CONNECTION TYPE, 1 unit
unit 1 111.30 111.30
in ind
unit MOUSE, WIRELESS, USB 1 154.00 154.00
piece CUTTER BLADE, for heavy duty cutter 1 14.82 14.82
piece PENCIL SHARPENER, manual, single cutter head 1 202.80 202.80
TOTAL 166,544.32
Purpose: As requested by various offices per 2021 APP-CSE; supplies for 2nd quarter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 18, 2021
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

lot 2 way Wired Video Intercom System 1.00

A. General System Description
1. Every transaction window (total of 6 windows)
will be provided with a 2way standalone Video
Intercom system between the teller and the Client
per window.

2. Every system will be provided with an

independent power supply.
3. All cable wires will be provided with Plastic
Moulding (on-wall) for protection.

4. Wall-to-wall punch through application will be

applied to penetrate walls where applicable.

5. 4 wall outlets will be installed to be used a power

source. This will be tapped to the nearest electrical
source.
6. All affected areas will be restored and painted as
needed.

7. Branded CAT5E UTP cable wires will be used to

ensure the long-term stability of the system.

8. Plastic Moulding will be used as conduits to

protect the cable wires.
B. CSC NCR Responsibilities:
1. CSC NCR will provide all the electrical
requirement of the system.
2. Work permit and passes, if required, will be
client provided.
3. CSC NCR will allow Supplier to create wall-to-wall
punch-throughs as needed.
4. CSC NCR will allow Supplier to work at night so
that the project implementation will not affect the
daily office operations.
C. Scope of Work:
1. Commissioning and System Design.
2. Supply and Delivery of Equipment, Devices, and
Materials.
3. Site Preparation, Roughing In, Laying of Conduits,
and Cable Pulling.

4. Installation of Provisions, Equipment and Devices.

5. Programming, Testing, Orientation and Turn Over

1Intercom System (LEM-1 Master Station, LEA Sub

Station, SR-1K Power Supply, accessories) 6 sets
11,100.00 66,600.00

2 Cabling, Electrical and Local Materials, Painting

and Restoration Materials, Connectors and
Accessories 1 lot 6,750.00
3 Hardware, Miscellaneous and Consumables 1 lot
1,500.00
4 Mobilization & Deployment 1 lot 2,000.00
5 Labor: Site Preparation, Roughing In, Laying of
Conduits, Cabling, Rough Masonry Restoration 1 lot
7,500.00
 6 Engineering: System Components Installation,
Termination, Programming, Configuration, Testing,
and Implementation 1 lot 5,000.00 7 PPE 1 lot
1,000.00
TOTAL 106,700.00
Purpose: As requested by MSD to be installed at the CSC NCR Lobby and ESD, per approved PPMP

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 11, 2021
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

box Plastic Fastener, 50pcs per box 250.00 30.00 7,500.00

TOTAL 7,500.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 3, 2021
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

PC CERTIFICATE Training Certificate 1,445.00 8.00 11,560.00

REAM PAPER CSC-NCR, Letterhead with logo, colored 98.00 900.00 88,200.00
REAM PAPER CSC-NCR, Letterhead with logo, black and whi 8.00 600.00 4,800.00

TOTAL 104,560.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Supply, delivery and installation of CCTV System

CCTV CAMERA,19 high resolution camera, Smart IR,
unit 1080p, at least 1/2 7" 2 megapixel CMOS, IP 19.00 1500.00 28,500.00
camera, 12v

VIDEO RECORDER CCTV Cameras, 1080p non-

unit realtime 720p realtime, 1 HDMI, VGA, minimum of 2.00 6000.00 12,000.00
16 channels
unit Adapter for CCTV camera 19.00 300.00 5,700.00

lot Cables, wires and other electircal devices and 1.00 50000.00 50,000.00
materials for installtion of the CCTV System
unit LED TV for CCTV sysem, 32 inches 2.00 10000.00 20,000.00

4.00 7500.00 30,000.00

unit Hardrive for video recording CCTV System, 4TB
lot Mobilization and Installation Charge 1.00 25000.00 25,000.00
171,200.00

TOTAL 342,400.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
unit SOFTWARE Anti-Virus Software 32.00 4000.00 128,000.00

set 13.00 60000.00 780,000.00

LAPTOP PC i3, 4GB, 1TB, Windows 10, MS Office
unit UNINTERRUPTIBLE POWER SUPPLY (UPS) 12.00 3000.00 36,000.00
pack FLASH DRIVE 32GB capacity, 1 pc / pack 9.00 900.00 8,100.00

piece EXTERNAL HARD DRIVE 2TB, 2.5 HDD, USB 3.0, one 7.00 6000.00 42,000.00
unit / box

set 5.00 60000.00 300,000.00

DESKTOP PC i3, 4GB, 1TB, Windows 10, MS Office
unit MS Office 2019 4.00 4000.00 16,000.00
unit PRINTER, HP LASERJET PRO P1102 3.00 10620.00 31,860.00
PC, IDS 200 Pro G4 21.5 NT AIO, Intel Core i5-
unit 10210U, 4GB (1x4GB) DDR4 2666 SODIMM, 1TB 2.00 40000.00 80,000.00
7200RPM SATA 3.5in, Windows 10 Pro 64
unit Flow Document Flatbed Scanner 1.00 45000.00 45,000.00
unit SCANNER WITH FEEDER 1.00 45000.00 45,000.00
unit WIFI Router,LINKSYS EA7500 1.00 8000.00 8,000.00

Compact document scanner, 25ppm/50ipm, (A4) 2-

unit sided colour scan speed, DOCUMENT SIZE - 1.00 17000.00 17,000.00
MULTIPLE PAPERS, Duplex Scan,automativ
document feeder, with USB interface (His Peed 2.0
and Superspeed 3.0)

Desktop PC, intel Core i7-8700T Processor (12M

Cache, up to 4.00 GHz) / 8GB / 1TB / NVIDIA
unit Geforce MX130 2GB GDDR5 / Panel LCD 23.8inch 1.00 70000.00 70,000.00
FHD (1920x1080) Brightview WLED UWVA 72 250
LVDS slimG / Windows 10, wireless mouse and
keyboard, 3-in-1 Media Card Reader, with Antivirus
and MS Office

Laptop PC, 0124AU Nightfall Black/AMD Ryzen 3

unit 3300U / 8GB / 512 GB PCIe NVMe M.2 SSD / 13.3 1.00 55000.00 55,000.00
diagonal FHD IPS Touch / AMD Radeon Vega 6
Graphics / Windows 10, with Antivirus and MS
Office, optical wireless mouse,

unit Photocopier FS-1125MFP (Kyocera) Monochrome 1.00 22000.00 22,000.00

Multifunctional for A4 format
piece Keyboard, USB wired 1.00 750.00 750.00
piece Power Cord for HP Laptop 1.00 600.00 600.00

TOTAL 1,685,310.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 3, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

cart TONER CARTRIDGE, BROTHER, TN-2280, for fax 2840 1.00 2500.00 2,500.00
cart TONER CARTRIDGE, SAMSUNG, MLT-D116L, M2785 1.00 3000.00 3,000.00
cart TONER CARTRIDGE, SAMSUNG, MLT-D101S 43.00 2500.00 107,500.00
cart IMAGING UNIT Samsung Xpress M2875FD, , D116L 29.00 2500.00 72,500.00
cart TONER, CARTRIDGE, HP Laserjet, PRO M452DW 19.00 2500.00 47,500.00

TOTAL 233,000.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
unit Steel Filing, 4 drawers lateral 6.00 15,000.00 90,000.00

Metal Shelves, heavy duty, 5 layers,

set boltless, all metal, 100kg/shelf 5.00 9000.00 45,000.00
40x120x180cm

unit CABINET SERVICE CARD, Steel Filing, 36 4.00 60000.00 240,000.00

drawers, fabricated

unit CHAIR EXECUTIVE, Mid-Back, mesh type, 4.00 8000.00 32,000.00

metal star base, with armrest
unit CHAIR VISITORS 4.00 4000.00 16,000.00
piece Light Commercial Folding Table 4.00 2500.00 10,000.00

unit 3.00 8000.00 24,000.00

CABINET Steel Filing, 4 drawers, vertical

unit CHAIR Midback Padded Fabric Office Chairs, 3.00 5000.00 15,000.00
clerical chair with arm rest

unit 2.00 15000.00 30,000.00

CABINET Steel Filing, 3 drawers, with 1 vault

unit CHAIR EXECUTIVE, Hi-Back,, mesh type, 1.00 10000.00 10,000.00

metal star base, with armrest
unit SAFETY VAULT, Digital, Electronic 1.00 5000.00 5,000.00

set 2-pc sofa set, leatherette (3-seater and 2- 1.00 17500.00 17,500.00
seater)
unit SOFA, 3 Seater, Black Leather cover 1.00 20,000.00 20,000.00
set SOFA 3-seater, fabric 1.00 25000.00 25,000.00

TOTAL 579,500.00
Purpose: As requested by various Offices per APP-CSE

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
box VITAMIN C, sodium ascorbate, at lease 500mg, 77 200.00 15,400.00
gallon ALCOHOL, 70% ethyl, FDA approved 65 600.00 39,000.00
bottle BLEACH, 1 liter 46 70.00 3,220.00
bottle SANITIZING GEL, pump type bottle, 1 liter 41 390.00 15,990.00
piece face shield Standard 48 10.00 480.00
can DISINFECTANT SPRAY, kills cold and flue virus, 40 560.00 22,400.00
box Surgical gloves Large 16 460.00 7,360.00
box Surgical gloves medium 14 460.00 6,440.00
box Surgical gloves Small 4 460.00 1,840.00
box UV Disinfection Box 5 1999.75 9,998.75
can Lysol small disinfectant 1 300.00 300.00
bo

TOTAL 122,428.75
Purpose: As requested by various Offices per APP-CSE 2021 1st Quarter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

AIR CONDITIONING UNIT Supply and

Unit Installation, 3.0TR, Split-type Inverter, 1.00 160000.00 160,000.00
ceiling mounted, simple federline

Unit AIR CONDITIONING UNIT Supply and 1.00 80000.00 80,000.00

Installation, Window-type Inverter, 2HP

TOTAL 240,000.00
Purpose: As requested by various Offices per APP-CSE 2021

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 10, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit WALL CLOCK Heavy duty; 10 inch (diameter); 6.00 1500.00 9,000.00
Unit TELEVISION 32 inch, LED 3.00 15000.00 45,000.00
Unit TELEVISION Digital TV Receiver 3.00 1300.00 3,900.00
Unit Oven Toaster 3.00 1000.00 3,000.00
Unit MICROWAVE OVEN 20 liter 2.00 3500.00 7,000.00
Unit Air Purifier with Humidifier 48 sqm air purife 2.00 26000.00 52,000.00
Unit REFRIGERATOR, 7 Cubic Feet, Two-door, No-fro 2.00 15000.00 30,000.00
Unit Television, wall bracket for 32 inc. 2.00 1,500.00 3,000.00
Unit Water Dispenser, Bottom Load, Hot/Cold/Warm 1.00 10000.00 10,000.00
Unit WATER DISPENSER Hot and Cold function 1.00 4000.00 4,000.00
Unit REFRIGERATOR, Capacity: 3.5 cu.ft., two-door, 1.00 8000.00 8,000.00
Unit AIR PURIFIER with UVC LIGHT AND HEPA FILT 1.00 2800.00 2,800.00
Unit TRANSISTOR RADIO (Portable, AM/FM) 1.00 1500.00 1,500.00
Unit TV Movable Bracket with Accessories (hanger 1.00 1,600.00 1,600.00
Unit Smart TV, 43' full HD, with WIFI, USB, HDMI p 1.00 18000.00 18,000.00
TOTAL 198,800.00
Purpose: As requested by various Offices per APP-CSE 2021

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: Decemebr 16, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
pc Service Record Card 66800 1.00 66,800.00

TOTAL 66,800.00
Purpose: For use of Field Offices for 2021

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg HRS/Caretaker Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: September 30, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

cart Toner for Samsung Xpress M2875FD, black 72,000.00

D116L 24 3,000.00
cart Toner for Brother 3250 for 5340D 3 3,000.00 9,000.00

TOTAL 81,000.00
Purpose: For replenishment of printing supplies

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: September 30, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

lot Meals for conduct of Meeting with DPWH 2,400.00

Personnel and Contractor 16 150.00

TOTAL 2,400.00
Purpose: Lunch Meal for Meeting

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: September 30, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

pc BALLPOINT PEN Ballpen, ordinary, blue, 260.00

0.5mm 26 10.00

pc BALLPOINT PEN Ballpen, ordinary, red, 250.00

0.5mm 25 10.00

bottle CLEANER TOILET Bowl and Urinal, 900ml- 450.00

1,000ml cap 3 150.00
box CLIP BACKFOLD, 19mm, 12 pcs/box 3 15.00 45.00
box CLIP BACKFOLD, 25mm, 12 pcs/box (1") 0 20.00 0.00

box 0.00
CLIP BACKFOLD, 32mm, 12 pcs/box (1 1/4") 0 25.00

roll CORRECTION TAPE Film base type, UL 6m 0.00

min 0 25.00
pack CUTTER Blade, 18mm, 10 pcs / pack 0 18.00 0.00
pc DETERGENT BAR, 140g 3 25.00 75.00
liter DISHWASHING LIQUID 1 liter 14 175.00 2,450.00

can DISINFECTANT SPRAY, Aerosol type, 400- 2,250.00

550 grams 5 450.00

pc ERASER PLASTIC/RUBBER, for pencil 90.00

draft/writing 9 10.00
box FASTENER 50 set / box, Metal 35 80.00 2,800.00
pack FLASH DRIVE 16GB capacity, 1 pc / pack 4 400.00 1,600.00
pc FLUORESCENT LAMP 18 watts 4 50.00 200.00

pc 28,750.00
FOLDER TAGBOARD, with TAB, Legal size 5750 5.00

can FURNITURE CLEANER Aerosol type, 300ml 0.00

per can 0 150.00

can INSECTICIDE Aerosol type, net content: 0.00

600ml 0 150.00

pc MOP HEAD, made of rayon, weight: 400 300.00

grams min 2 150.00

pc MOUSE OPTICAL, USB Connection Type, 1 250.00

unit in individual case 1 250.00

box PAPER CLIP 32MM, 100 pieces per box or 52 210.00

grams 21 10.00

bundle RAG ALL COTTON, 32 pieces per kilo per 1,300.00

bundle 13 100.00

box RUBBER BAND All Purpose, 70mm min lay 0.00

flat length (#18) 0 150.00

pc SIGN PEN BLACK, liquid gel ink, 0.5mm 3,990.00

needle tip 114 35.00

pc SIGN PEN RED, liquid gel ink, 0.5mm needle 2,380.00

tip 68 35.00

pc STAMP PAD FELT, bed dimension: 60mm x 35.00

100mm, 3x4 1 35.00
pc STAPLER STANDARD TYPE, # 35 2 200.00 400.00

roll TAPE TRANSPARENT, width: 24mm 510.00

(±1mm) 34 15.00

roll TAPE TRANSPARENT, width: 48mm 405.00

(±1mm) 9 45.00

pack TISSUE TOILET TISSUE PAPER, 2-plys sheets, 0.00

150 pulls,12 rolls per pack 0 100.00
 pack TRASHBAG BLACK, 940mm x 1,016mm, 2,700.00
10pcs / pack 18 150.00
pc WASTEBASKET Non-rigid plastic 0 30.00 0.00
TOTAL 51,700.00
Purpose: for replensihment of Common-Use Supplies and Equipment for 4th Quarter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: September 23, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

lot 1,800,000.00
Lease of Photocopying Machines for 1 year 1 1,800,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 1,800,000.00
Purpose: for use of various offices in CSC NCR HQ

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: September 23, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Unit 1,500.00
Solid State Drive, fit for standard laptop 1 1,500.00
Unit Charger for Samsung Tablet PC T285 1 1,500.00 1,500.00
Unit Power Adapter for Samsung TV DC 19V 1 1,500.00 1,500.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 4,500.00
Purpose: for repair of LAPTOP PC and replacement of defective power charger/adapter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60
PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section :
_____________ PR No.: ______________ Date: June 17, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Pest control service 1

See attached Terms of Reference

TOTAL
Purpose: for monthly Pest Control at CSC NCR HQ, and Quarterly Spot Spraying for Termites at Fos
Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60
PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section :
_____________ PR No.: ______________ Date: June 17, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Supply of Toners with free use of printers of the following
printers:
unit monchrome printers 60 0.00 0.00
unit color printers 9 0.00 0.00

Delivery of toners every three (3) months

1st delivery
cart monchrome printer 0 650.00 0.00
set color printer 4 1,275.00 5,100.00
2nd delivery 0.00
cart monchrome printer 0 650.00 0.00
set color printer 19 1,275.00 24,225.00
3rd delivery 0.00
cart monchrome printer 0 650.00 0.00
set color printer 38 1,275.00 48,450.00
4th delivery 0.00
cart monchrome printer 40 650.00 26,000.00
set color printer 26 1,275.00 33,150.00
TOTAL 136,925.00
Purpose: As requested by various Offices. Included in the APP 2020
Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section :
_____________ PR No.: ______________ Date: March 6, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

cart RIBBON Ink Ribbon, AMANO PIX 200 date & time stamping 12 1,000.00 12,000.00
machine

TOTAL 12,000.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
STAMP PAD INK Purple or Violet, 50ml 1101 0.00
MARKER WHITEBOARD, black 228 0.00
STAPLER BINDER TYPE, Max 12N-13 17 0.00
STAPLE WIRE REMOVER, Plier Type 590 0.00
ACETATE COVER, A4, 100 pcs / pack 13 0.00
ENVELOPE EXPANDING, Plastic, Legal 145 0.00
MOP BUCKET, Heavy duty, hard plastic 1 0.00
ALCOHOL Ethyl, 70%, 500 ml 46 0.00
MOP HEAD, made of rayon, weight: 400 grams min 7 0.00
PENCIL SHARPENER, 1 piece in individual plastic box 4 0.00
MOP HANDLE, Heavy duty 5 0.00
TAPE TRANSPARENT, width: 48mm (±1mm) 17 0.00
TAPE DISPENSER Table Top 5 0.00
AIR FRESHENER Aerosol, 280ml/150g min 1 0.00
ERASER PLASTIC/RUBBER, for pencil draft/writing 13 0.00
TOTAL 0.00

QTY TOTAL
PENCIL LEAD WITH ERASER 1815 0.00
SIGN PEN BLUE, liquid gel ink, 0.5mm needle tip 891 0.00
TAPE MASKING, width: 24mm (±1mm) 485 0.00

PAPER SHREDDER Strip-cut or Cross-cut; Paper Bin: 20 liters

min capacity, translucent;
Sheet Capacity: 10 sheets max 70gsm paper or 8 sheets 0.00
max 80gsm paper
Cutting Width: 4mm max; Cutting Speed: 50mm/sec; Electric
Motor: 150 watts min
Can also shred paper clips, staples & CDs 2

0.00
PAPER TRIMMER/CUTTING MACHINE Max Paper size: B4 1
TAPE MASKING, width: 48mm (±1mm) 83 0.00
SIGN PEN BLACK, liquid gel ink, 0.5mm needle tip 143 0.00

0.00
RUBBER BAND All Purpose, 70mm min lay flat length (#18) 33
SIGN PEN RED, liquid gel ink, 0.5mm needle tip 104 0.00
FLASH DRIVE 16GB capacity, 1 pc / pack 20 0.00
FILE TAB DIVIDER Legal, 5 color per set 115 0.00
RAG ALL COTTON, 32 pieces per kilo per bundle 26 0.00
BATTERY Dry cell, AAA, 2 pcs per blister pack 37 0.00
MARKER PERMANENT, bullet type, black 124 0.00
CLIP BACKFOLD, 32mm, 12 pcs/box (1 1/4") 25 0.00
WASTEBASKET Non-rigid plastic 17 0.00
CORRECTION TAPE Film base type, UL 6m min 24 0.00
CLIP BACKFOLD, 25mm, 12 pcs/box (1") 16 0.00
BALLPOINT PEN Ballpen, ordinary, black, 0.5mm 35 0.00
BALLPOINT PEN Ballpen, ordinary, blue, 0.5mm 28 0.00
BALLPOINT PEN Ballpen, ordinary, red, 0.5mm 31 0.00
BINDER FOLDER 3-Ring, Short 20 0.00
BINDER FOLDER 3-Ring, Long 20 0.00
CLICKER Wireless Rechargeable 2.4GHz PPT Presenter 1 0.00
DETERGENT POWDER, 1kg 5 0.00
DISHWASHING LIQUID 1 liter 15 0.00
FLUORESCENT LAMP 18 watts 4 0.00
PIN Push 3 0.00
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section :
_____________ PR No.: ______________ Date: January 27, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
STAMP PAD INK Purple or Violet, 50ml 1101 31.52 34,703.52
MARKER WHITEBOARD, black 228 13.38 3,050.64
STAPLER BINDER TYPE, Max 12N-13 17 914.16 15,540.72
STAPLE WIRE REMOVER, Plier Type 590 24.90 14,691.00
ACETATE COVER, A4, 100 pcs / pack 13 847.82 11,021.66
ENVELOPE EXPANDING, Plastic, Legal 145 30.49 4,421.05
MOP BUCKET, Heavy duty, hard plastic 1 2,288.00 2,288.00
ALCOHOL Ethyl, 70%, 500 ml 46 43.79 2,014.34
MOP HEAD, made of rayon, weight: 400 grams min 7 123.76 866.32
PENCIL SHARPENER, 1 piece in individual plastic box 4 202.80 811.20
MOP HANDLE, Heavy duty 5 145.60 728.00
TAPE TRANSPARENT, width: 48mm (±1mm) 17 19.97 339.49
TAPE DISPENSER Table Top 5 64.20 321.00
AIR FRESHENER Aerosol, 280ml/150g min 1 86.06 86.06
ERASER PLASTIC/RUBBER, for pencil draft/writing 13 4.42 57.46
TOTAL 90,940.46

QTY UNIT COST TOTAL

PENCIL LEAD WITH ERASER 1815 20.79 37,733.85
SIGN PEN BLUE, liquid gel ink, 0.5mm needle tip 891 34.61 30,837.51
TAPE MASKING, width: 24mm (±1mm) 485 54.60 26,481.00

PAPER SHREDDER Strip-cut or Cross-cut; Paper Bin: 20 liters

min capacity, translucent;
Sheet Capacity: 10 sheets max 70gsm paper or 8 sheets 11,398.40
max 80gsm paper
Cutting Width: 4mm max; Cutting Speed: 50mm/sec; Electric
Motor: 150 watts min
Can also shred paper clips, staples & CDs 2 5,699.20

9,297.60
PAPER TRIMMER/CUTTING MACHINE Max Paper size: B4 1 9,297.60
TAPE MASKING, width: 48mm (±1mm) 83 106.60 8,847.80
SIGN PEN BLACK, liquid gel ink, 0.5mm needle tip 143 34.61 4,949.23

3,613.50
RUBBER BAND All Purpose, 70mm min lay flat length (#18) 33 109.50
SIGN PEN RED, liquid gel ink, 0.5mm needle tip 104 34.61 3,599.44
FLASH DRIVE 16GB capacity, 1 pc / pack 20 167.44 3,348.80
FILE TAB DIVIDER Legal, 5 color per set 115 14.23 1,636.45
RAG ALL COTTON, 32 pieces per kilo per bundle 26 53.82 1,399.32
BATTERY Dry cell, AAA, 2 pcs per blister pack 37 36.30 1,343.10
MARKER PERMANENT, bullet type, black 124 8.98 1,113.52
CLIP BACKFOLD, 32mm, 12 pcs/box (1 1/4") 25 20.80 520.00
WASTEBASKET Non-rigid plastic 17 23.59 401.03
CORRECTION TAPE Film base type, UL 6m min 24 14.02 336.48
CLIP BACKFOLD, 25mm, 12 pcs/box (1") 16 15.27 244.32
BALLPOINT PEN Ballpen, ordinary, black, 0.5mm 35 0.00
BALLPOINT PEN Ballpen, ordinary, blue, 0.5mm 28 0.00
BALLPOINT PEN Ballpen, ordinary, red, 0.5mm 31 0.00
BINDER FOLDER 3-Ring, Short 20 0.00
BINDER FOLDER 3-Ring, Long 20 0.00
CLICKER Wireless Rechargeable 2.4GHz PPT Presenter 1 0.00
DETERGENT POWDER, 1kg 5 0.00
DISHWASHING LIQUID 1 liter 15 0.00
 FLUORESCENT LAMP 18 watts 4 0.00
PIN Push 3 0.00
TOTAL 147,101.35
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section :
_____________ PR No.: ______________ Date: January 27, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

47,756.80
PAPER MULTI-COPY, 80gsm, size: 210mm x 297mm (A4) 280 170.56 1
STAMP PAD INK Purple or Violet, 50ml 1352 31.52 42,615.04 1
MARKER WHITEBOARD, black 1767 13.38 23,642.46 1
PAPER MULTI-PURPOSE, 70 gsm., size: 216mm x 330mm 21,683.20
(Legal) 128 169.40 1

17,571.84
PAPER MULTI-PURPOSE, 70 gsm, size: 210mm x 297mm (A4) 132 133.12 1
STAPLER BINDER TYPE, Max 12N-13 17 914.16 15,540.72 1
STAPLE WIRE REMOVER, Plier Type 590 24.90 14,691.00 1
ACETATE COVER, A4, 100 pcs / pack 13 847.82 11,021.66 1
PRINTER IMPACT DOT Matrix, 9 pins, 80 columns 1 9,191.52 9,191.52 1
FLAG Philippine, standard 25 284.84 7,121.00 1
TISSUE TOILET TISSUE PAPER, 2-plys sheets, 150 pulls,12 6,467.60
rolls per pack 74 87.40 1
STAPLE WIRE STANDARD, 26/6, No. 35 244 22.55 5,502.20 1
ELECTRIC FAN STAND, 18" 6 856.86 5,141.16 1
ENVELOPE EXPANDING, Plastic, Legal 145 30.49 4,421.05 1
CALCULATOR CALCULATOR, Casio 12 digits, standard 11 346.85 3,815.35 1
NOTEPAD STICK-ON, 3X3, 100 sheets per pad 77 47.73 3,675.21 1
MOP BUCKET, Heavy duty, hard plastic 1 2,288.00 2,288.00 1
ALCOHOL Ethyl, 70%, 500 ml 46 43.79 2,014.34 1
NOTEPAD STICK-ON, 3X4, 100 sheets per pad 33 59.28 1,956.24 1

1,363.05
STAMP PAD FELT, bed dimension: 60mm x 100mm, 3x4 39 34.95 1

1,109.68
ELECTRIC FAN INDUSTRIAL, ground type, metal blade, 16" 1 1,109.68 1

1,109.68
ELECTRIC FAN INDUSTRIAL, ground type, metal blade, 24" 1 1,109.68 1
MOP HEAD, made of rayon, weight: 400 grams min 7 123.76 866.32 1
PENCIL SHARPENER, 1 piece in individual plastic box 4 202.80 811.20 1
MOP HANDLE, Heavy duty 5 145.60 728.00 1
INDEX TAB Self-adhesive, transparent 11 56.68 623.48 1
TAPE TRANSPARENT, width: 48mm (±1mm) 17 19.97 339.49 1
MOUSE OPTICAL, USB Connection Type, 1 unit in individual 333.90
case 3 111.30 1
TAPE DISPENSER Table Top 5 64.20 321.00 1
NOTEPAD STICK-ON, 2X3, 100 sheets per pad 7 37.06 259.42 1
AIR FRESHENER Aerosol, 280ml/150g min 1 86.06 86.06 1
ERASER PLASTIC/RUBBER, for pencil draft/writing 13 4.42 57.46 1
FIRE EXTINGUISHER DRY CHEMICAL, 4.5kgs 1 1,144.00 1,144.00
CUTTER Blade, 18mm, 10 pcs / pack 2 14.82 29.64 1
DIGITAL VOICE RECORDER Recorder, memory: 4GB 2.00
(expandable) 2 1.00 1
TOTAL 255,300.77

QTY UNIT COST TOTAL

PENCIL LEAD WITH ERASER 1815 20.79 37,733.85
SIGN PEN BLUE, liquid gel ink, 0.5mm needle tip 891 34.61 30,837.51
TAPE MASKING, width: 24mm (±1mm) 485 54.60 26,481.00

PAPER SHREDDER Strip-cut or Cross-cut; Paper Bin: 20 liters

min capacity, translucent;
Sheet Capacity: 10 sheets max 70gsm paper or 8 sheets 11,398.40
max 80gsm paper
Cutting Width: 4mm max; Cutting Speed: 50mm/sec; Electric
Motor: 150 watts min
Can also shred paper clips, staples & CDs 2 5,699.20
 9,297.60
PAPER TRIMMER/CUTTING MACHINE Max Paper size: B4 1 9,297.60
TAPE MASKING, width: 48mm (±1mm) 83 106.60 8,847.80
SIGN PEN BLACK, liquid gel ink, 0.5mm needle tip 143 34.61 4,949.23

3,613.50
RUBBER BAND All Purpose, 70mm min lay flat length (#18) 33 109.50
SIGN PEN RED, liquid gel ink, 0.5mm needle tip 104 34.61 3,599.44
FLASH DRIVE 16GB capacity, 1 pc / pack 20 167.44 3,348.80
TRASHBAG BLACK, 940mm x 1,016mm, 10pcs / pack 22 134.68 2,962.96
DATA FILE BOX Made of chipboard, with closed ends, Size: 2,933.60
125mm x 230mm x 400mm 38 77.20
FILE TAB DIVIDER Legal, 5 color per set 115 14.23 1,636.45
RAG ALL COTTON, 32 pieces per kilo per bundle 26 53.82 1,399.32
BATTERY Dry cell, AAA, 2 pcs per blister pack 37 36.30 1,343.10
MARKER PERMANENT, bullet type, black 124 8.98 1,113.52
CLIP BACKFOLD, 32mm, 12 pcs/box (1 1/4") 25 20.80 520.00
MAGAZINE FILE BOX Large, Made of chipboard 11 41.60 457.60
WASTEBASKET Non-rigid plastic 17 23.59 401.03
CORRECTION TAPE Film base type, UL 6m min 24 14.02 336.48
CLIP BACKFOLD, 25mm, 12 pcs/box (1") 16 15.27 244.32
DISINFECTANT Bleaching Solution 1 128.96 128.96
BALLPOINT PEN Ballpen, ordinary, black, 0.5mm 35 0.00
BALLPOINT PEN Ballpen, ordinary, blue, 0.5mm 28 0.00
BALLPOINT PEN Ballpen, ordinary, red, 0.5mm 31 0.00
BINDER FOLDER 3-Ring, Short 20 0.00
BINDER FOLDER 3-Ring, Long 20 0.00
CHALK White, ENAMEL 50 0.00
CLICKER Wireless Rechargeable 2.4GHz PPT Presenter 1 0.00
DETERGENT POWDER, 1kg 5 0.00
DISHWASHING LIQUID 1 liter 15 0.00
FLUORESCENT LAMP 18 watts 4 0.00
HANDBOOK (RA 9184) 7th Edition 10 0.00
PIN Push 3 0.00
TOTAL 153,584.47
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section :
_____________ PR No.: ______________ Date: January 27, 2020
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
ACETATE COVER, A4, 100 pcs / pack 13 847.82 11,021.66
AIR FRESHENER Aerosol, 280ml/150g min 1 86.06 86.06
ALCOHOL Ethyl, 70%, 500 ml 46 43.79 2,014.34
BALLPOINT PEN Ballpen, ordinary, black, 0.5mm 35 0.00
BALLPOINT PEN Ballpen, ordinary, blue, 0.5mm 28 0.00
BALLPOINT PEN Ballpen, ordinary, red, 0.5mm 31 0.00
BATTERY Dry cell, AAA, 2 pcs per blister pack 37 36.30 1,343.10
BINDER FOLDER 3-Ring, Short 20 0.00
BINDER FOLDER 3-Ring, Long 20 0.00
CALCULATOR CALCULATOR, Casio 12 digits, standard 11 346.85 3,815.35
CHALK White, ENAMEL 50 0.00
CLICKER Wireless Rechargeable 2.4GHz PPT Presenter 1 0.00
CLIP BACKFOLD, 25mm, 12 pcs/box (1") 16 15.27 244.32
CLIP BACKFOLD, 32mm, 12 pcs/box (1 1/4") 25 20.80 520.00
CORRECTION TAPE Film base type, UL 6m min 24 14.02 336.48
CUTTER Blade, 18mm, 10 pcs / pack 2 14.82 29.64
DATA FILE BOX Made of chipboard, with closed ends, Size: 2,933.60
125mm x 230mm x 400mm 38 77.20
DETERGENT POWDER, 1kg 5 0.00
DIGITAL VOICE RECORDER Recorder, memory: 4GB 2.00
(expandable) 2 1.00
DISHWASHING LIQUID 1 liter 15 0.00
DISINFECTANT Bleaching Solution 1 128.96 128.96

1,109.68
ELECTRIC FAN INDUSTRIAL, ground type, metal blade, 16" 1 1,109.68

1,109.68
ELECTRIC FAN INDUSTRIAL, ground type, metal blade, 24" 1 1,109.68
ELECTRIC FAN STAND, 18" 6 856.86 5,141.16
ENVELOPE EXPANDING, Plastic, Legal 145 30.49 4,421.05
ERASER PLASTIC/RUBBER, for pencil draft/writing 13 4.42 57.46
FILE TAB DIVIDER Legal, 5 color per set 115 14.23 1,636.45
FIRE EXTINGUISHER DRY CHEMICAL, 4.5kgs 1 1,144.00 1,144.00
FLAG Philippine, standard 25 284.84 7,121.00
FLASH DRIVE 16GB capacity, 1 pc / pack 20 167.44 3,348.80
FLUORESCENT LAMP 18 watts 4 0.00
HANDBOOK (RA 9184) 7th Edition 10 0.00
INDEX TAB Self-adhesive, transparent 11 56.68 623.48
MAGAZINE FILE BOX Large, Made of chipboard 11 41.60 457.60
MARKER PERMANENT, bullet type, black 124 8.98 1,113.52
MARKER WHITEBOARD, black 1767 13.38 23,642.46
MOP BUCKET, Heavy duty, hard plastic 1 2,288.00 2,288.00
MOP HANDLE, Heavy duty 5 145.60 728.00
MOP HEAD, made of rayon, weight: 400 grams min 7 123.76 866.32
MOUSE OPTICAL, USB Connection Type, 1 unit in individual 333.90
case 3 111.30
NOTEPAD STICK-ON, 2X3, 100 sheets per pad 7 37.06 259.42
NOTEPAD STICK-ON, 3X3, 100 sheets per pad 77 47.73 3,675.21
NOTEPAD STICK-ON, 3X4, 100 sheets per pad 33 59.28 1,956.24

47,756.80
PAPER MULTI-COPY, 80gsm, size: 210mm x 297mm (A4) 280 170.56

17,571.84
PAPER MULTI-PURPOSE, 70 gsm, size: 210mm x 297mm (A4) 132 133.12
 PAPER MULTI-PURPOSE, 70 gsm., size: 216mm x 330mm 21,683.20
(Legal) 128 169.40

PAPER SHREDDER Strip-cut or Cross-cut; Paper Bin: 20 liters

min capacity, translucent;
Sheet Capacity: 10 sheets max 70gsm paper or 8 sheets 11,398.40
max 80gsm paper
Cutting Width: 4mm max; Cutting Speed: 50mm/sec; Electric
Motor: 150 watts min
Can also shred paper clips, staples & CDs 2 5,699.20

9,297.60
PAPER TRIMMER/CUTTING MACHINE Max Paper size: B4 1 9,297.60
PENCIL LEAD WITH ERASER 1815 20.79 37,733.85
PENCIL SHARPENER, 1 piece in individual plastic box 4 202.80 811.20
PIN Push 3 0.00
PRINTER IMPACT DOT Matrix, 9 pins, 80 columns 1 9,191.52 9,191.52
RAG ALL COTTON, 32 pieces per kilo per bundle 26 53.82 1,399.32

3,613.50
RUBBER BAND All Purpose, 70mm min lay flat length (#18) 33 109.50
SIGN PEN BLACK, liquid gel ink, 0.5mm needle tip 143 34.61 4,949.23
SIGN PEN BLUE, liquid gel ink, 0.5mm needle tip 891 34.61 30,837.51
SIGN PEN RED, liquid gel ink, 0.5mm needle tip 104 34.61 3,599.44

1,363.05
STAMP PAD FELT, bed dimension: 60mm x 100mm, 3x4 39 34.95
STAMP PAD INK Purple or Violet, 50ml 1352 31.52 42,615.04
STAPLE WIRE STANDARD, 26/6, No. 35 244 22.55 5,502.20
STAPLE WIRE REMOVER, Plier Type 590 24.90 14,691.00
STAPLER BINDER TYPE, Max 12N-13 17 914.16 15,540.72
TAPE MASKING, width: 24mm (±1mm) 485 54.60 26,481.00
TAPE MASKING, width: 48mm (±1mm) 83 106.60 8,847.80
TAPE TRANSPARENT, width: 48mm (±1mm) 17 19.97 339.49
TAPE DISPENSER Table Top 5 64.20 321.00
TISSUE TOILET TISSUE PAPER, 2-plys sheets, 150 pulls,12 6,467.60
rolls per pack 74 87.40
TRASHBAG BLACK, 940mm x 1,016mm, 10pcs / pack 22 134.68 2,962.96
WASTEBASKET Non-rigid plastic 17 23.59 401.03
TOTAL 408,885.24
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
FASTENER 50 set / box, Plastic 0.00
PUNCHER Paper, Heavy Duty, with Three (3) 0.00
Hole guide
SIGN PEN VIOLET, liquid gel ink, 0.5mm
needle tip
SIGN PEN BLACK, liquid gel ink, 1.0mm
SIGN PEN BLUE, liquid gel ink, 1.0mm

TAPE ADHESIVE, Double-sided, Half-inch

TISSUE JUMBO ROLL TISSUE, mall type
TRASHBAG TRANSPARENT, plastic

TRASHBAG TRANSPARENT, XL, 100pcs / pack

WHITEBOARD 4 x 6 ft

WHITEBOARD With CORKBOARD, 4 x 6 ft

Max Stapler Heavy Duty Hd12n24
Book End, Heavy Duty
DUCT TAPE, BOOK TAPE, green
DUCT TAPE, BOOK TAPE, red
MAGAZINE FILE BOX w/ Handle
PAPER, MULTICOPY, 80gsm, size: 297mm x
420mm (A3)
Desk Ballpen

DRY SEAL Heavy duty with CSC Logo, Metal

ENVELOPE PAY, 190mm x 102mm
FRAME Certficate Frame
MEMORY CARD SD, 32GB, Class 10
RIBBON Ink Ribbon, AMANO PIX 200 date &
time stamping machine
Roll up Tarpaulin
Digno UNIK Clear Barrel Semi Gel Ballpen
(.07) Blue
Digno UNIK Clear Barrel Semi Gel Ballpen
(.07) Black
Digno UNIK Clear Barrel Semi Gel Ballpen
(.07) Red

0.00
0.00

0.00
0.00
 0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 0.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
pcs CERTIFICATE Training Certificate 6288 8.00 50,304.00

ream PAPER CSC-NCR, Letterhead with logo, 73,800.00

colored 82 900.00

ream PAPER CSC-NCR, Letterhead with logo, black 4,800.00

and white 8 600.00

pcs 22,000.00
Pre-Labeled Legal Size Envelope (per Room) 4400 5.00

pcs Pre-Labeled Legal Size Envelope (Unused 22,000.00

AS) 4400 5.00

pcs Pre-Labeled Legal Size Envelope (Unused 22,000.00

TB) 4400 5.00

pcs Pre-Labeled Legal Size Envelope 22,000.00

(Application Form) 4400 5.00
pcs Picture-Seat-Plan Form 9000 5.00 45,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 261,904.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
SERVICE CARD Service Record card, Form 80,045.00
No. 67 80045 1.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 80,045.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
DESKTOP PC i3, 4GB, 1TB, Windows 10, MS 360,000.00
Office 6 60,000.00
EXTERNAL HARD DRIVE 2TB, 2.5 HDD, USB 18,000.00
3.0, one unit / box 3 6,000.00
FLASH DRIVE 32GB capacity, 1 pc / pack 8 900.00 7,200.00
LAPTOP PC i3, 4GB, 1TB, Windows 10, MS 60,000.00
Office 1 60,000.00
SOFTWARE Anti-Virus Software 9 4,000.00 36,000.00
UPS Uninterruptible Power Supply 9 8,000.00 72,000.00
PRINTER, HP LASERJET PRO P1102 2 10,620.00 21,240.00
Globe WIFI Broadband Unit 1 1,500.00 1,500.00
Internet Device 1 1,500.00 1,500.00
Flow Document Flatbed Scanner 1 45,000.00 45,000.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 622,440.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
CABINET SERVICE CARD, Steel Filing, 36 360,000.00
drawers, fabricated 6 60,000.00

120,000.00
CABINET Steel Filing, 4 drawers, vertical 15 8,000.00
CHAIR EXECUTIVE, Mid-Back, mesh type, 48,000.00
metal star base, with armrest 6 8,000.00
CHAIR EXECUTIVE, Hi-Back,, mesh type, 10,000.00
metal star base, with armrest 1 10,000.00
SOFA
SUMO3-seater,
FOLDINGfabric
TABLE, 8FT. COMMERCIAL 2 25,000.00 50,000.00
BANQUET TABLE 1 5,000.00 5,000.00
SUMO FOLDING TABLE, 8FT. COMMERCIAL 5,000.00
BANQUET TABLE 1 5,000.00
Light Commercial Folding Table 4 2,500.00 10,000.00
Steel Filing, 4 drawers lateral 6 15,000.00 90,000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
TOTAL 698,000.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
ENVELOPE PLASTIC with Zipper, Long 1070 44.75 47,882.50

880.00
FACE MASK Ear Loof, Med Aid, 50 pcs / box 11 80.00
GLUE STICK 5942 15.00 89,130.00
ID HOLDER EXAM, with String 250 15.00 3,750.00
OHP PEN Permanent, fine, black 2206 20.00 44,120.00
OHP PEN Permanent, fine, bue 4 20.00 80.00
PAPER MULTI-COPY, 80gsm, colored, yellow 2,190.00
(Legal) 6 365.00
PAPER MULTI-COPY, 80gsm, colored, pink 365.00
(Legal) 1 365.00
PAPER MULTI-PURPOSE, 70gsm, colored, 9,490.00
yellow (Legal) 26 365.00
PAPER MULTI-PURPOSE, 70gsm, colored, 7,300.00
light pink (Legal) 20 365.00
PAPER MULTI-PURPOSE, 70gsm, colored, 5,840.00
green (Legal) 16 365.00
PLASTIC BAG With zip lock, 18"x13" (100s / 5,000.00
pack) 10 500.00
PREPAID CARD Load Card (P100) 172 100.00 17,200.00
PREPAID CARD Load Card (P300) 25 300.00 7,500.00
WET WIPES Wet Wipes 2200 30.00 66,000.00
PAPER, MULTI-COPY, 80gsm, colored, Light 598.00
Blue (Legal) 2 299.00
TOTAL 307,325.50
Purpose: As requested by ESD for 1st Quarter. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Unit COFEE NOOK SUPPLY (One-Stop-Shop) 8,400.00

COFFEE, Roasted Ground, 1kg 28 300.00

Unit COFEE NOOK SUPPLY (One-Stop-Shop) 12,600.00

CREAMER, 450g 140 90.00

Unit COFEE NOOK SUPPLY (One-Stop-Shop) 11,200.00

SUGAR, White 140 80.00

Unit COFEE NOOK SUPPLY (One-Stop-Shop) 14,000.00

STIRRER, 100 pcs / pack, plastic 140 100.00

TOTAL 46,200.00
Purpose: As requested by PALD. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Unit CORRUGATED BOX H-9 x L-14 x W-10 1/2, 16,720.00

extra small 304 55.00

Unit CORRUGATED BOX H-11 x L-16 x W-12, with 68,495.00

cover and handle 1030 66.50

Unit CORRUGATED BOX H-11 x L-17 1/2 x W-16, 43,230.00

small 524 82.50

Unit CORRUGATED BOX H-21 x L-18 1/2 x W-16, 101,480.00

big 860 118.00

Unit CORRUGATED BOX; H-12 x L-24.5 x W-11 40,000.00

inch 200 200.00

TOTAL 269,925.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Unit MICROWAVE OVEN 20 liter 4,000.00 8,000.00

2
Unit TELEPHONE Wireless 3 1,500.00 4,500.00
Unit TELEVISION 32 inch, LED 4 15,000.00 60,000.00
Unit TELEVISION Digital TV Receiver 5 1,500.00 7,500.00
Unit Oven Toaster 1 2,000.00 2,000.00
Unit Oven Toaster 1 2,000.00 2,000.00
Unit Television, wall bracket for 32 inc. 1 1,500.00 1,500.00

TV Movable Bracket with Accessories

Unit (hanger of the Samsung Smart TV)
1,567.00 1,567.00
1
TOTAL 87,067.00
Purpose: As requested by various Offices. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 26, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

lot 1 17,000.00 17,000.00

AIR CONDITIONING UNIT, Supply and
Installation, Window-type Inverter, .75 HP

lot AIR CONDITIONING UNIT Supply and 80,000.00 80,000.00

Installation, Window-type Inverter, 2HP 1

Purpose: As requested by CSC DOST AND PNP FO. Included in the APP 2020

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supvg. HRS/ Caretaker MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: November 27, 2019
Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Rental Fee and cost of electricity and
lot maintenance services expenses of COA 1 12,800.00 12,800.00
Gym

Purpose: Rental fee for venue of Intercolor games 2019

Requested by: Approved by:

Signature :
Printed Name : VINCENT NIÑO N. FABELLA MARICAR T. AQUINO
Designation : Senior HRS Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: November 4, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

lot Notarial Fee 1

Purpose: for notarization of Deed of Donation for 22 units of orbit fans to Deped Makati

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supervising HRS Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: November 4, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Supply, delivery and installation of

lot 1 25,200.00 25,200.00
Elevator Car Fan

Purpose: for replacement of malfunctioning elevator car fan

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Supervising HRS Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: October 29, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

lot Lease of 7 Photocopiers for FY 2020 1 1,800,000.00 1,800,000.00

Purpose: for use of all Offices at the CSC NCR headquarter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Director II Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: September 3, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Supply of labor and materials to

construct Standard Shell Scheme
Package of 2.0m x 2.0m, for CSC NCR
lot 700.00 700.00
JOB Fair on September 24, 2019 at the
Universitry of the Philippines, complete
with the following features:
1

1 Partitions* Set of rear and dividing

walls of 3mm thick and 2500mm high
white melamine panels supported by
white coated aluminum system. Corner
booths will no partition wall at the end
side but will have extra fascia board.

2 Furniture* 1 unit Information Table 2

units White folding chair
3 Electrical* 2 units 40 watts Fluorescent
Lamp Sets 1 unit 220V 2-prong
convenience outlet
4 Flooring* Needle punch carpet lay
directly to the floor

5 Manpower Ingress-Opening-Egress

For set-up or ingress, minimum of 4

hours
• For dismantling or egress, minimum of
4 hours

Electrical layout

No additional cost for manpower

Purpose: Rental of booths for CSC Job Fair on September 24, 2019

Requested by: Approved by:

Signature :
Printed Name : HANS R. ALCANTARA MARICAR T. AQUINO
Designation : Director II Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: August 15, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

pc 1x1x12 kiln dry lumber 120.00 7,200.00

60

Purpose: 2019 R.A.C.E. to Serve Fun Run

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker, MSD Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: August 6, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
sets Medal with Lace 18 330.00 5,940.00
with stickers
Moulding Charge 4,000.00 4,000.00
pc Printing of Mock Checks for winners 18 500.00 9,000.00

18,940.00
Purpose: for use in Fun Run

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: July 11, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
pc T SHIRT with Collar 135 700.00 94,500.00
dri fit, sublimation printing tech
sportswear for fun run

94,500.00
Purpose: for use during Fun Run

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: June 10, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
AIR FRESHENER, aerosol, 280ml/150g min
Glade 20 365.00 7,300.00
BATTERY Dry Cell, D, Eveready 2's 2 77.00 154.00
BATTERY Dry Cell, AAA 2's 7 60.00 420.00
BATTERY Dry Cell, AA 2's 92 40.00 3,680.00
BROOM-TINGTING, Thick 2 30.00 60.00
BROOM-TAMBO, Thick 5 250.00 1,250.00
CLIP BACKFOLD, 33mm, 1 1/4 55 33.00 1,815.00
CONTINUOUS FORM, 280mm X 378mm,
11x14 7/8, 1 ply, 56 gsm 40 975.00 39,000.00
CUTTER KNIFE 4 30.00 120.00
DATA FILE BOX 22 95.00 2,090.00
FASTENER, METAL, 70mm 121 130.00 15,730.00
FILE TAB DIVIDER, A4, 5 position 10 20.50 205.00
FLASH DRIVE, 16 GB 3 395.00 1,185.00
FOLDER, FANCY, legal 100's 20 545.00 10,900.00
FOLDER, L-TYPE, Short 12's 25 63.00 1,575.00
FOLDER, L-TYPE, LEGAL, 12's 15 78.00 1,170.00
FOLDER, PRESSBOARD, local, 100's 10 1,280.00 12,800.00
FOLDER, with metal TAB, LEGAL 600 29.50 17,700.00
FURNITURE CLEANER 280ml Glade 13 365.00 4,745.00
GLUE, 200 grams, Redstone 3320 28.00 92,960.00
INDEX TAB, 5 sets per box 26 65.00 1,690.00
INSECTICIDE, aerosol type, net content:
500ml min 16 385.00 6,160.00
MAGAZINE FILE BOX, LARGE 28 120.00 3,360.00
MARKER, FLUORESCENT, 3 colors per set 24 58.50 1,404.00
MARKER, PERMANENT, bullet type, blue 185 12.50 2,312.50
MARKER, PERMANENT, bullet type, red 117 12.50 1,462.50
MARKER, WHITEBOARD, blue 281 25.00 7,025.00
MOPHEAD, made of rayon, weight: 400
grams min 5 250.00 1,250.00
PAD PAPER, RULED, Yellow 1 40.00 40.00
PAPER CLIP, 33MM, 100 pieces per box or
52 grams 71 10.50 745.50
PAPER, MULTICOPY, 80gsm, size: 216mm x
330mm (Legal) 73 275.00 20,075.00
PAPER, MULTI-PURPOSE, 70 gsm., size:
210mm x 297mm 161 195.00 31,395.00
PHILIPPINE NATIONAL FLAG, 3x5 nylon 18 150.00 2,700.00
PUNCHER, paper, heavy duty, with two hole
guide 2 285.00 570.00
STAMP PAD INK, purple or violet, 50ml 8,690.00
(min.) 79 110.00
STAPLE WIRE, HEAVY DUTY, 23/13 23 35.00 805.00

151
 STAPLE WIRE, STANDARD 122 30.00 3,660.00
STAPLER, STANDARD TYPE, # 35 18 95.00 1,710.00
TABLE, MONOBLOC, BEIGE Uratex 450.00 0.00

25,350.00
TAPE, MASKING, width: 48mm (±1mm) 390 65.00

7,875.00
TAPE, PACKAGING, width: 48mm (±1mm) 175 45.00
TAPE, TRANSPARENT, width: 24mm 884.00
(±1mm) 68 13.00
TAPE, TRANSPARENT, width: 48mm 1,665.00
(±1mm) 37 45.00
TOILET TISSUE PAPER, 2-plys sheets, 150 10,750.00
pulls,12 rolls per pack 86 125.00
TWINE, PLASTIC 8 75.00 600.00
WASTEBASKET, NON RIGID PLASTIC 1 45.00 45.00
357,082.50
Purpose: as requested by various offices; supplies included in the PS-DBM Catalogue

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: June 10, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
AIR FRESHENER, aerosol, 280ml/150g min
Glade 20 365.00 7,300.00
ALCOHOL, ethyl, 70%, 500 ml 101 75.00 7,575.00
BATTERY Dry Cell, D, Eveready 2's 2 77.00 154.00
BATTERY Dry Cell, AAA 2's 7 60.00 420.00
BATTERY Dry Cell, AA 2's 92 40.00 3,680.00
BROOM-TINGTING, Thick 2 30.00 60.00
BROOM-TAMBO, Thick 5 250.00 1,250.00
CALCULATOR, Casio 12 digits 1 390.00 390.00
CALCULATOR, Casio 12 digits DJ-120Dplus
12 digits 0 1,300.00 0.00
CARTOLINA, assorted, 10's 242 65.00 15,730.00
CHAIR, MONOBLOC, beige, Uratex 450.00 0.00
CHALK, white, ENAMEL 40 50.00 2,000.00
CLEANER- toilet and urinal 9 220.00 1,980.00
CLEANSER, scouring powder 2 39.50 79.00
CLIP BACKFOLD, 25mm, 1" 40 21.00 840.00
CLIP BACKFOLD, 33mm, 1 1/4 55 33.00 1,815.00
CLIP BACKFOLD, 55mm, 2" 49 75.00 3,675.00
CONTINUOUS FORM, 280mm X 378mm,
11x14 7/8, 1 ply, 56 gsm 40 975.00 39,000.00
CORRECTION TAPE 333 24.00 7,992.00
CUTTER BLADE 5 18.00 90.00
CUTTER KNIFE 4 30.00 120.00
DATA FILE BOX 22 95.00 2,090.00
DATA FOLDER 22 110.00 2,420.00
DETERGENT BAR, 140g, 4's 6 38.00 228.00
DETERGENT POWDER, 1kg 15 125.00 1,875.00
DIGITAL VOICE RECORDER, Sony ICD PX 470 0 5,800.00 0.00
DISINFECTANT SPRAY 17 360.00 6,120.00
DUST PAN 1 75.00 75.00
DVD REWRITABLE w/ case 103 45.00 4,635.00
ELECTRIC FAN, INDUSTRIAL, 24" 0 9,200.00 0.00
ELECTRIC FAN, STAND 18" 0 1,825.00 0.00
ENVELOPE, Short size 0 700.00 0.00
ENVELOPE, legal size 16 875.00 14,000.00
ENVELOPE, Expanding, legal w/ string, 100's 110 850.00 93,500.00
ENVELOPE, Expanding, plastic 416 35.00 14,560.00
ENVELOPE, MAILING, long 1 490.00 490.00

151
ENVELOPE, mailing, window, long 0 610.00 0.00
ERASER, black/whiteboard 1 15.00 15.00
ERASER, PLASTIC OR RUBBER 5 15.00 75.00
EXTERNAL HARD DRIVE, 1TB Seagate 0 4,275.00 0.00
FASTENER, METAL, 70mm 121 130.00 15,730.00
FILE ORGANIZER, LEGAL 0 95.00 0.00
FILE TAB DIVIDER, A4, 5 position 10 20.50 205.00
FILE TAB DIVIDER, LEGAL, 5 position 10 21.00 210.00
FLASH DRIVE, 16 GB 3 395.00 1,185.00
FOLDER, FANCY, Short 100's 0 450.00 0.00
FOLDER, FANCY, legal 100's 20 545.00 10,900.00
FOLDER, L-TYPE, Short 12's 25 63.00 1,575.00
FOLDER, L-TYPE, LEGAL, 12's 15 78.00 1,170.00
FOLDER, PRESSBOARD, local, 100's 10 1,280.00 12,800.00
FOLDER, with metal TAB,Short 0 28.50 0.00
FOLDER, with metal TAB, LEGAL 600 29.50 17,700.00
FURNITURE CLEANER 280ml Glade 13 365.00 4,745.00
GLUE, 200 grams, Redstone 3320 28.00 92,960.00
INDEX TAB, 5 sets per box 26 65.00 1,690.00
INSECTICIDE, aerosol type, net content:
500ml min 16 385.00 6,160.00
LOOSELEAF COVER, 50 sets per bundle 0 800.00 0.00
MAGAZINE FILE BOX, LARGE 28 120.00 3,360.00
MARKER, FLUORESCENT, 3 colors per set 24 58.50 1,404.00
MARKER, PERMANENT, bullet type, black 2085 12.50 26,062.50
MARKER, PERMANENT, bullet type, blue 185 12.50 2,312.50
MARKER, PERMANENT, bullet type, red 117 12.50 1,462.50
MARKER, WHITEBOARD, black 464 25.00 11,600.00
MARKER, WHITEBOARD, blue 281 25.00 7,025.00
MARKER, WHITEBOARD, red 129 25.00 3,225.00
MOPHANDLE, 6' aluminum 1 380.00 380.00
MOPHEAD, made of rayon, weight: 400
grams min 5 250.00 1,250.00
MOUSE, OPTICAL, USB CONNECTION TYPE,
1 unit in individual case 3 260.00 780.00
NOTEBOOK, STENOGRAPHER, spiral, 40
leaves 12 12.00 144.00
NOTEPAD, STICK-ON, 2X3, 100 sheets per
pad 63 22.00 1,386.00
NOTEPAD, STICK-ON, 3X3, 100 sheets per
pad 56 27.00 1,512.00
NOTEPAD, STICK-ON, 3X4, 100 sheets per
pad 84 34.00 2,856.00
PAD PAPER, RULED, Yellow 1 40.00 40.00
PAPER CLIP, 33MM, 100 pieces per box or
52 grams 71 10.50 745.50
PAPER CLIP, 50MM, 100 pieces per box or
120 grams 72 18.00 1,296.00
PAPER, MULTICOPY, 80gsm, size: 210mm x
297mm (A4) 653 235.00 153,455.00
PAPER, MULTICOPY, 80gsm, size: 216mm x
330mm (Legal) 73 275.00 20,075.00
PAPER, MULTI-PURPOSE, 70 gsm., size:
210mm x 297mm 161 195.00 31,395.00
PAPER, MULTI-PURPOSE, 70 gsm., size:
216mm x 330mm, legal 416 240.00 99,840.00
PAPER, PARCHMENT, 100 sheets per box
Short 0 230.00 0.00
PAPER, THERMAL, 216MM X 30M 17 58.00 986.00

151
 PENCIL SHARPENER, 1 piece in individual
plastic case 5 4.50 22.50
PENCIL, LEAD WITH ERASER, 12 pieces per
box "Joy" 154 38.00 5,852.00
PHILIPPINE NATIONAL FLAG, 3x5 nylon 18 150.00 2,700.00
PUNCHER, paper, heavy duty, with two hole
guide 2 285.00 570.00
RAGS, ALL COTTON, 32 pieces per kilo per
bundle 26 110.00 2,860.00
RECORD BOOK, 300 PAGES, size: 214mm x
278mm min 6 48.00 288.00
RECORD BOOK, 500 PAGES, size: 214mm x
278mm min 13 65.00 845.00
RING BINDER, PLASTIC, 32MM, 84 rings,1
1/4" 10's 4 350.00 1,400.00
RUBBER BAND, 70mm min lay flat length
(#18) 24 165.00 3,960.00
RULER, PLASTIC, 450MM, 1 piece in 0.00
individual plast, 18" 0 56.00
SCISSORS, symmetrical, blade length: 9,750.00
65mm, 1 piece 325 30.00
SIGN PEN, BLACK, liquid/gel ink, 0.5mm 2,944.00
needle tip, My Gel Dong-A 128 23.00
SIGN PEN, BLUE, liquid/gel ink, 0.5mm 4,324.00
needle tip, My Gel Dong-A 188 23.00
SIGN PEN, RED, liquid/gel ink, 0.5mm 2,185.00
needle tip, My Gel Dong-A 95 23.00
STAMP PAD INK, purple or violet, 50ml 8,690.00
(min.) 79 110.00
STAMP PAD, FELT, bed dimension: 60mm x 74,520.00
100mm, 3x4 1656 45.00
STAPLE WIRE, HEAVY DUTY, 23/13 23 35.00 805.00
STAPLE WIRE, STANDARD 122 30.00 3,660.00
STAPLER, STANDARD TYPE, # 35 18 95.00 1,710.00
TABLE, MONOBLOC, BEIGE Uratex 450.00 0.00
TAPE DISPENSER, TABLE TOP 1 85.00 85.00
TAPE, ELECTRICAL 1 40.00 40.00

15,675.00
TAPE, MASKING, width: 24mm (±1mm) 285 55.00

25,350.00
TAPE, MASKING, width: 48mm (±1mm) 390 65.00

7,875.00
TAPE, PACKAGING, width: 48mm (±1mm) 175 45.00
TAPE, TRANSPARENT, width: 24mm 884.00
(±1mm) 68 13.00
TAPE, TRANSPARENT, width: 48mm 1,665.00
(±1mm) 37 45.00
TOILET TISSUE PAPER, 2-plys sheets, 150 10,750.00
pulls,12 rolls per pack 86 125.00
TWINE, PLASTIC 8 75.00 600.00
WASTEBASKET, NON RIGID PLASTIC 1 45.00 45.00
963,909.50
Purpose: as requested by various offices; supplies included in the PS-DBM Catalogue

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: June 10, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

piece Ballpen, black, .05mm 442

piece Ballpen, blue, .05mm 104
piece Ballpen, red, .05mm 103
piece Staple Wire Remover 1631
ream PAPER, multi-purpose, legal size, colored 1
pc FOLDER, with TAB, LEGAL 7772
cart Ink Ribbon for AMANO PIX 200 8
pack SCOURING PAD, 5 pieces per pack 2
box FASTENER, PLASTIC, 70mm 252
pack ACETATE COVER, A4 (210x297mm), 100 sheet 28
piece Sign Pen, (10pt) black 11
pc Prepaid Sim Card 3
pc Prepaid Load Card (P100) 103
pc Prepaid Load Card (P300) 25
ream PAPER, MULTI-PURPOSE, Legal (Yellow) 3
ream PAPER, MULTI-PURPOSE, Legal (Light Pink) 1
pack INDEX CARD, 3x5, 500 pcs/pack 18
pc SIGN PEN, VIOLET, liquid/gel ink, 0.5mm need 18
piece Glue Stick 1559
pack Envelope, white, small, 10pcs/pack 165
box Ear Loop Face Mask, Med Aid, 50/box 8
box Plastic bag with zip lock, 18"x13" (100s per p 20
pack Wet Wipes 1626
pc ENVELOPE, Plastic with Zipper, Long 630
pack Candle, white, big, 20pcs/pack 2
pack Candle, white, small #3, 20pcs/pack 27
piece Candle Holder for vigil candle, small 4
pack Morocco Board, 100pcs/pack (210x297mm) 25
pad Tear Sheets/Easel Sheets, 50pcs/pad 75
bundle Barbecue Sticks 54
piece ID Holder with String 3250
unit PENCIL SHARPENER, manual, desktop 1
pc BOX, Balikbayan, size: 20 x 20 x 20 13
pack CANDLE, Vigil, 6 pcs/pack 1
pc CLAYPOT (Palayok) 1

151
 bundle RING BINDER, PLASTIC, 12MM, 84 rings, 1/2" 139
pc OHP Pen, permanent, finr, 1200pcs black, and 1753
Purpose: as requested by various offices; supplies not included in the PS-DBM Catalogue

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: June 10, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
AIR FRESHENER, aerosol, 280ml/150g min
Glade 20 365.00 7,300.00
ALCOHOL, ethyl, 70%, 500 ml 101 75.00 7,575.00
BATTERY Dry Cell, D, Eveready 2's 2 77.00 154.00
BATTERY Dry Cell, AAA 2's 7 60.00 420.00
BATTERY Dry Cell, AA 2's 92 40.00 3,680.00
BROOM-TINGTING, Thick 2 30.00 60.00
BROOM-TAMBO, Thick 5 250.00 1,250.00
CALCULATOR, Casio 12 digits 1 390.00 390.00
CALCULATOR, Casio 12 digits DJ-120Dplus
12 digits 0 1,300.00 0.00
CARTOLINA, assorted, 10's 242 65.00 15,730.00
CHAIR, MONOBLOC, beige, Uratex 450.00 0.00
CHALK, white, ENAMEL 40 50.00 2,000.00
CLEANER- toilet and urinal 9 220.00 1,980.00
CLEANSER, scouring powder 2 39.50 79.00
CLIP BACKFOLD, 25mm, 1" 40 21.00 840.00
CLIP BACKFOLD, 33mm, 1 1/4 55 33.00 1,815.00
CLIP BACKFOLD, 55mm, 2" 49 75.00 3,675.00
CONTINUOUS FORM, 280mm X 378mm,
11x14 7/8, 1 ply, 56 gsm 40 975.00 39,000.00
CORRECTION TAPE 333 24.00 7,992.00
CUTTER BLADE 5 18.00 90.00
CUTTER KNIFE 4 30.00 120.00
DATA FILE BOX 22 95.00 2,090.00
DATA FOLDER 22 110.00 2,420.00
DETERGENT BAR, 140g, 4's 6 38.00 228.00
DETERGENT POWDER, 1kg 15 125.00 1,875.00
DIGITAL VOICE RECORDER, Sony ICD PX 470 0 5,800.00 0.00
DISINFECTANT SPRAY 17 360.00 6,120.00
DUST PAN 1 75.00 75.00
DVD REWRITABLE w/ case 103 45.00 4,635.00
ELECTRIC FAN, INDUSTRIAL, 24" 0 9,200.00 0.00
ELECTRIC FAN, STAND 18" 0 1,825.00 0.00
ENVELOPE, Short size 0 700.00 0.00
ENVELOPE, legal size 16 875.00 14,000.00
ENVELOPE, Expanding, legal w/ string, 100's 110 850.00 93,500.00
ENVELOPE, Expanding, plastic 416 35.00 14,560.00
ENVELOPE, MAILING, long 1 490.00 490.00

151
ENVELOPE, mailing, window, long 0 610.00 0.00
ERASER, black/whiteboard 1 15.00 15.00
ERASER, PLASTIC OR RUBBER 5 15.00 75.00
EXTERNAL HARD DRIVE, 1TB Seagate 0 4,275.00 0.00
FASTENER, METAL, 70mm 121 130.00 15,730.00
FILE ORGANIZER, LEGAL 0 95.00 0.00
FILE TAB DIVIDER, A4, 5 position 10 20.50 205.00
FILE TAB DIVIDER, LEGAL, 5 position 10 21.00 210.00
FLASH DRIVE, 16 GB 3 395.00 1,185.00
FOLDER, FANCY, Short 100's 0 450.00 0.00
FOLDER, FANCY, legal 100's 20 545.00 10,900.00
FOLDER, L-TYPE, Short 12's 25 63.00 1,575.00
FOLDER, L-TYPE, LEGAL, 12's 15 78.00 1,170.00
FOLDER, PRESSBOARD, local, 100's 10 1,280.00 12,800.00
FOLDER, with metal TAB,Short 0 28.50 0.00
FOLDER, with metal TAB, LEGAL 600 29.50 17,700.00
FURNITURE CLEANER 280ml Glade 13 365.00 4,745.00
GLUE, 200 grams, Redstone 3320 28.00 92,960.00
INDEX TAB, 5 sets per box 26 65.00 1,690.00
INSECTICIDE, aerosol type, net content:
500ml min 16 385.00 6,160.00
LOOSELEAF COVER, 50 sets per bundle 0 800.00 0.00
MAGAZINE FILE BOX, LARGE 28 120.00 3,360.00
MARKER, FLUORESCENT, 3 colors per set 24 58.50 1,404.00
MARKER, PERMANENT, bullet type, black 2085 12.50 26,062.50
MARKER, PERMANENT, bullet type, blue 185 12.50 2,312.50
MARKER, PERMANENT, bullet type, red 117 12.50 1,462.50
MARKER, WHITEBOARD, black 464 25.00 11,600.00
MARKER, WHITEBOARD, blue 281 25.00 7,025.00
MARKER, WHITEBOARD, red 129 25.00 3,225.00
MOPHANDLE, 6' aluminum 1 380.00 380.00
MOPHEAD, made of rayon, weight: 400
grams min 5 250.00 1,250.00
MOUSE, OPTICAL, USB CONNECTION TYPE,
1 unit in individual case 3 260.00 780.00
NOTEBOOK, STENOGRAPHER, spiral, 40
leaves 12 12.00 144.00
NOTEPAD, STICK-ON, 2X3, 100 sheets per
pad 63 22.00 1,386.00
NOTEPAD, STICK-ON, 3X3, 100 sheets per
pad 56 27.00 1,512.00
NOTEPAD, STICK-ON, 3X4, 100 sheets per
pad 84 34.00 2,856.00
PAD PAPER, RULED, Yellow 1 40.00 40.00
PAPER CLIP, 33MM, 100 pieces per box or
52 grams 71 10.50 745.50
PAPER CLIP, 50MM, 100 pieces per box or
120 grams 72 18.00 1,296.00
PAPER, MULTICOPY, 80gsm, size: 210mm x
297mm (A4) 653 235.00 153,455.00
PAPER, MULTICOPY, 80gsm, size: 216mm x
330mm (Legal) 73 275.00 20,075.00
PAPER, MULTI-PURPOSE, 70 gsm., size:
210mm x 297mm 161 195.00 31,395.00
PAPER, MULTI-PURPOSE, 70 gsm., size:
216mm x 330mm, legal 416 240.00 99,840.00
PAPER, PARCHMENT, 100 sheets per box
Short 0 230.00 0.00
PAPER, THERMAL, 216MM X 30M 17 58.00 986.00

151
 PENCIL SHARPENER, 1 piece in individual
plastic case 5 4.50 22.50
PENCIL, LEAD WITH ERASER, 12 pieces per
box "Joy" 154 38.00 5,852.00
PHILIPPINE NATIONAL FLAG, 3x5 nylon 18 150.00 2,700.00
PUNCHER, paper, heavy duty, with two hole
guide 2 285.00 570.00
RAGS, ALL COTTON, 32 pieces per kilo per
bundle 26 110.00 2,860.00
RECORD BOOK, 300 PAGES, size: 214mm x
278mm min 6 48.00 288.00
RECORD BOOK, 500 PAGES, size: 214mm x
278mm min 13 65.00 845.00
RING BINDER, PLASTIC, 32MM, 84 rings,1
1/4" 10's 4 350.00 1,400.00
RUBBER BAND, 70mm min lay flat length
(#18) 24 165.00 3,960.00
RULER, PLASTIC, 450MM, 1 piece in 0.00
individual plast, 18" 0 56.00
SCISSORS, symmetrical, blade length: 9,750.00
65mm, 1 piece 325 30.00
SIGN PEN, BLACK, liquid/gel ink, 0.5mm 2,944.00
needle tip, My Gel Dong-A 128 23.00
SIGN PEN, BLUE, liquid/gel ink, 0.5mm 4,324.00
needle tip, My Gel Dong-A 188 23.00
SIGN PEN, RED, liquid/gel ink, 0.5mm 2,185.00
needle tip, My Gel Dong-A 95 23.00
STAMP PAD INK, purple or violet, 50ml 8,690.00
(min.) 79 110.00
STAMP PAD, FELT, bed dimension: 60mm x 74,520.00
100mm, 3x4 1656 45.00
STAPLE WIRE, HEAVY DUTY, 23/13 23 35.00 805.00
STAPLE WIRE, STANDARD 122 30.00 3,660.00
STAPLER, STANDARD TYPE, # 35 18 95.00 1,710.00
TABLE, MONOBLOC, BEIGE Uratex 450.00 0.00
TAPE DISPENSER, TABLE TOP 1 85.00 85.00
TAPE, ELECTRICAL 1 40.00 40.00

15,675.00
TAPE, MASKING, width: 24mm (±1mm) 285 55.00

25,350.00
TAPE, MASKING, width: 48mm (±1mm) 390 65.00

7,875.00
TAPE, PACKAGING, width: 48mm (±1mm) 175 45.00
TAPE, TRANSPARENT, width: 24mm 884.00
(±1mm) 68 13.00
TAPE, TRANSPARENT, width: 48mm 1,665.00
(±1mm) 37 45.00
TOILET TISSUE PAPER, 2-plys sheets, 150 10,750.00
pulls,12 rolls per pack 86 125.00
TWINE, PLASTIC 8 75.00 600.00
WASTEBASKET, NON RIGID PLASTIC 1 45.00 45.00
963,909.50
Purpose: as requested by various offices; supplies included in the PS-DBM Catalogue

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: May 29, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Ladder 7 5,000.00 35,000.00
300lb capacity
4 oversized steps
foldable

2 DOST
1 BIR
1 PNP
1 LSD
1 DBP
1 Manila

Purpose: as requested by various offices

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: May 27, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Ladder 7 5,000.00 35,000.00
300lb capacity
4 oversized steps
foldable

2 DOST
1 BIR
1 PNP
1 LSD
1 DBP
1 Manila

Purpose: as requested by various offices

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: May 28, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Notary Fee 1

Purpose: for notarization of Contract for Service Vehicle

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: August 6, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

roll Plastic Twine, 1 kilo/roll 85 50.00 4,250.00

66 rolls (blue)
19 rolls (green)

Purpose: 2019 R.A.C.E. to Serve Fun Run (Ribbon Committee)

Requested by: Approved by:

Signature :
Printed Name : CLAUDIA ABALOS-TAN MARICAR T. AQUINO
Designation : Ribbon Committee Chairperson Director III
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 1, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Serivce, Repair and Parts of Samsung TV 1

Purpose: for repair of TV

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 28, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Dishwashing Liquid 12 bottle
Sign Pen 10 pt., black 11 pc
Trashbag, transparent, XL, 100pcs/pack 2 pack
SIGN PEN, VIOLET, liquid/gel ink, 0.5mm need 18 pc
Push Pin 1 box
ERASER, PLASTIC OR RUBBER 22 pc
ALCOHOL, ethyl, 70%, 500 ml 112 bottle
CALCULATOR, Casio 12 digits 8 pc
CHAIR, MONOBLOC, beige, Uratex 23 pc
CLIP BACKFOLD, 33mm, 1 1/4 58 box
DETERGENT BAR, 140g, 4's 6 bar
DIGITAL VOICE RECORDER, Sony ICD PX 470 2 unit
DISINFECTANT SPRAY 19 can
FOLDER, with metal TAB, LEGAL 605 pc
GLUE, 200 grams, Redstone 500 jar
MAGAZINE FILE BOX, LARGE 48 pc
MARKER, FLUORESCENT, 3 colors per set 30 set
MOPHEAD, made of rayon, weight: 400 gram 7 pc
NOTEPAD, STICK-ON, 2X3, 100 sheets per pa 71 pad
SIGN PEN, BLACK, liquid/gel ink, 0.5mm need 153 pc
STAPLER, STANDARD TYPE, # 35 59 pc
SIGN PEN, BLUE, liquid/gel ink, 0.5mm needle 229 pc
Glue Stick 500 pc
Ear Loop Face Mask, Med Aid, 50/box 12 box
Purpose: for replenishment of office supplies

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 28, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Supply of toners for 1 year with

lot free use of printers
Free maintenance and repair of printers
Fixed price for toners
for monochrome printers 650/cart
for color printers 2500/cart
Free use of 50 monochrome printers
Free use of 7 monochrome printers

-
Purpose: for use of various offices

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 28, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Supply of toners for 1 year with

lot free use of printers
Free maintenance and repair of printers
Fixed price for toners
for monochrome printers 650/cart
for color printers 2500/cart
Free use of 50 monochrome printers
Free use of 7 monochrome printers

-
Purpose: for notarization of contracts

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 12, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
ream CSC NCR Customized Letterhead Pa 264 800.00 211,200.00
box CSC NCR Customized Mailing Envel 160 1200 192,000.00

403,200.00
Purpose: for Office Use, replenishment of supplies for 2nd quarter. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 6, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
bottle ALCOHOL, ethyl, 70%, 500 ml 101 75.00 7,575.00
pack BATTERY Dry Cell, AA 2's 86 40.00 3,440.00
pack BATTERY Dry Cell, AAA 2's 3 60.00 180.00
bottle CLEANER- toilet and urinal 6 220.00 1,320.00
box CLIP BACKFOLD, 33mm, 1 1/4 46 33.00 1,518.00
box CLIP BACKFOLD, 55mm, 2" 40 75.00 3,000.00
piece DATA FILE BOX 10 95.00 950.00
piece DATA FOLDER 20 110.00 2,200.00
piece DETERGENT BAR, 140g, 4's 5 38.00 190.00
pack DETERGENT POWDER, 1kg 10 125.00 1,250.00
can DISINFECTANT SPRAY 11 360.00 3,960.00
piece DVD REWRITABLE w/ case 28 45.00 1,260.00
box ENVELOPE, Expanding, legal w/ string, 100's 4 850.00 3,400.00
box ENVELOPE, legal size 3 875.00 2,625.00
box FASTENER, METAL, 70mm 444 130.00 57,720.00
box FOLDER, PRESSBOARD, local, 100's 3 1,280.00 3,840.00
piece FOLDER, with metal TAB, LEGAL 600 29.50 17,700.00
jar GLUE, 200 grams, Redstone 73 28.00 2,044.00
piece MAGAZINE FILE BOX, LARGE 16 120.00 1,920.00
piece MOPHEAD, made of rayon, weight: 400 grams min 2 250.00 500.00
pad NOTEPAD, STICK-ON, 2X3, 100 sheets per pad 50 22.00 1,100.00
pad NOTEPAD, STICK-ON, 3X3, 100 sheets per pad 35 27.00 945.00
pad NOTEPAD, STICK-ON, 3X4, 100 sheets per pad 46 34.00 1,564.00
ream PAPER, MULTICOPY, 80gsm, size: 210mm x 297mm (A4) 652 235.00 153,220.00
roll PAPER, THERMAL, 216MM X 30M 6 58.00 348.00
box PENCIL, LEAD WITH ERASER, 12 pieces per box "Joy" 157 38.00 5,966.00
piece PHILIPPINE NATIONAL FLAG, 3x5 nylon 18 150.00 2,700.00
bundle RAGS, ALL COTTON, 32 pieces per kilo per bundle 20 110.00 2,200.00
bundle RING BINDER, PLASTIC, 32MM, 84 rings,1 1/4" 10's 3 350.00 1,050.00
box RUBBER BAND, 70mm min lay flat length (#18) 13 165.00 2,145.00
piece RULER, PLASTIC, 450MM, 1 piece in individual plast, 18" 1 56.00 56.00
pair SCISSORS, symmetrical, blade length: 65mm, 1 piece 336 30.00 10,080.00
piece SIGN PEN, BLACK, liquid/gel ink, 0.5mm needle tip, My Gel Don 109 23.00 2,507.00
piece SIGN PEN, BLUE, liquid/gel ink, 0.5mm needle tip, My Gel Dong 183 23.00 4,209.00
piece SIGN PEN, RED, liquid/gel ink, 0.5mm needle tip, My Gel Dong- 86 23.00 1,978.00
box STAPLE WIRE, HEAVY DUTY, 23/13 12 35.00 420.00
box STAPLE WIRE, STANDARD 88 30.00 2,640.00
309,720.00
Purpose: for replenishment of supplies for 2nd qtr 2019, included in PPMP

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker MSD/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 6, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
piece Sign Pen, (10pt) blue 37 55.00 2,035.00
pack Sticker Paper 6 32.00 192.00
piece Ballpen, black, .05mm 203 5.00 1,015.00
piece Ballpen, blue, .05mm 82 5.00 410.00
piece Ballpen, red, .05mm 82 5.00 410.00
piece Staple Wire Remover 0 20.00 0.00
ream PAPER, multi-purpose, legal size, colored 0 299.00 0.00
pc FOLDER, with TAB, LEGAL 7000 5.00 35,000.00
cart Ink Ribbon for AMANO PIX 200 1 500.00 500.00
pack SCOURING PAD, 5 pieces per pack 0 95.00 0.00
box FASTENER, PLASTIC, 70mm 21 25.00 525.00
roll TAPE, Double Adhesive, Half Inch 25.00 0.00
pack ACETATE COVER, A4 (210x297mm), 100 sheets/pack 16 560.00 8,960.00
pack PAPER, Specialty board, A4, ivory, 220 gsm 0 200.00 0.00
pack PAPER, Specialty board, A4, white, 220 gsm 0 200.00 0.00
pc WHITEBOARD, 4 x 8 ft 3,800.00 0.00
pc WHITEBOARD, 4 x 6 ft 2,975.00 0.00
pc WHITEBOARD with CORKBOARD, 4 x 6 ft 0 2,400.00 0.00
pc CORKBOARD, 4 x 6 ft 0 2,200.00 0.00
piece Sign Pen, (10pt) black 11 55.00 605.00
pc Prepaid Sim Card 30.00 0.00
pc Prepaid Load Card (P100) 33 100.00 3,300.00
pc Prepaid Load Card (P300) 300.00 0.00
ream PAPER, MULTI-PURPOSE, Legal (Yellow) 0 365.00 0.00
ream PAPER, MULTI-PURPOSE, Legal (Light Pink) 0 365.00 0.00
ream PAPER, MULTI-PURPOSE, Legal (Green) 0 365.00 0.00
pc Certficate Frame 300.00 0.00
pc Trodat Self-Inking Stamp 0 2,000.00 0.00
pack INDEX CARD, 3x5, 500 pcs/pack 18 165.00 2,970.00
pc SIGN PEN, VIOLET, liquid/gel ink, 0.5mm needle tip, My Gel Do 0 23.00 0.00
pc Training Certificate 0 8.00 0.00
box PUSH PIN 0 35.00 0.00
pc CARTON BOX, size L16, W5 1/2, H10 0 85.00 0.00

55,922.00
Purpose: for replenishment of supplies for 2nd qtr 2019, included in PPMP

Requested by: Approved by:

151
Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker MSD/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 6, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
box CRAYONS, 16pc/box 105 15.00 1,575.00
pack Candle, white, big, 20pcs/pack 0 56.00 0.00
pack Candle, white, small #3, 20pcs/pack 27 42.00 1,134.00
piece Candle Holder for vigil candle, small 4 49.00 196.00
pack Morocco Board, 100pcs/pack (210x297mm) 13 250.00 3,250.00
bundle Barbecue Sticks 54 30.00 1,620.00
pc CLAYPOT (Palayok) 1 200.00 200.00
pack COLORED PENS, 10's 5 137.50 687.50
8,662.50
Purpose: for replenishment of supplies for 2nd qtr 2019, included in PPMP

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker MSD/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 24, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Supply, Customization and Delivery of the following
Sports Uniforms:
set Basketball Uniform 12
set Volleyball Uniform 8
set Badminton 8
set Table Tennis 4
pc Scrabble Top Shirt 3
pc Darts Top Shirt 2
pc Chess Top Shirt 3
pc Common Team Shirts 38

Textile is spandex using sublimation printing technology

-
Purpose: for use in 2019 Luzon Friendship Games

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker MSD/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 24, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Supply, Customization and Delivery of the following
Sports Uniforms:
set Basketball Uniform 12
set Volleyball Uniform 8
set Badminton 8
set Table Tennis 4
pc Scrabble Top Shirt 3
pc Darts Top Shirt 2
pc Chess Top Shirt 3
pc Common Team Shirts 38

Textile is spandex using sublimation printing technology

-
Purpose: for use in 2019 Luzon Friendship Games

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker MSD/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 23, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Lease of Venue for Accomodation at Vigan, Ilocos Sur 1
for the Luzon Friendship Games, for 40 pax

-
Purpose: for hotel accomodation for CSC Luzon Friendship Games 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker MSD/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 1, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
TONER for HP P1102/CE285AC, BLACK 29 3,500.00 101,500.00
TONER for Samsung Xpress M2875FD, MLT D101S, black 28 3,500.00 98,000.00
TONER for HP 1020/Q2612AC, BLACK 3 3,500.00 10,500.00
INK RIBBON Cart, EPSON LX310 22 300.00 6,600.00
TONER for Samsung ML2164 4 3,500.00 14,000.00
IMAGING UNIT for Samsung Xpress M2875FD, MLT D101S 22 3,500.00 77,000.00
TONER for BROTHER FAX 2840 30 3,500.00 105,000.00
TONER for BROTHER MFC-7290 2 3,500.00 7,000.00
TONER for Brother HL5350DN 1 3,500.00 3,500.00
INK Refill for EPSON L800, all colors 5 3,500.00 17,500.00

440,600.00
Purpose: for use of various offices as included in APP 2019 (Supplemental)

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 11, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
set DESKTOP PC, I3, 4GB, 1TB, WINDOWS 10, MS OFFICE 2016, ANT 18 60,000.00 1,080,000.00
set Laptop PC, i3, 4GB, 1 TB 5 60,000.00 300,000.00
pc CLICKER, Wireless Rechargeable 2.4GHz PPT Presenter 4 2,000.00 8,000.00
pc HP 640 Probook Smart Power Adapter | Specs.: Max. Output Po 1 750.00 750.00
pc MULTIMEDIA PROJECTOR 2 25,000.00 50,000.00
pc EXTERNAL HARD DRIVE, 2TB 2 5,600.00 11,200.00
pc Microsoft Office 2016 2 3,700.00 7,400.00
pc Wireless Mouse 1 600.00 600.00
pc Uninterruptible Power Supply (UPS) 2 5,000.00 10,000.00
meter LAN CABLE, AT5E CAT5 RJ45, Ethernet Internet Network 30 30.00 900.00

1,468,850.00
Purpose: for use of various offices as included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 11, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Lease of Venue for Function Room with Meals 1 44,000.00 44,000.00

44,000.00
Purpose: for Seminar on RA 9184, Governement Procurement Act on January 29, 2019

Requested by: Approved by:

Signature :
Printed Name : ATTY. PRISCO S. RIVERA, JR. MARICAR T. AQUINO
Designation : Director III, BAC Chairperson Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 19, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Snacks for 22 pax 22 100.00 2,200.00

2,200.00
Purpose: for BAC first official meeting scheduled on January 10, 2019 attended by BAC Members, BAC Secretariat, and BAC TWG.

Requested by: Approved by:

Signature :
Printed Name : JAMES FRAWLEY S. SAVELLANO MARICAR T. AQUINO
Designation : BAC Secretariat Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: January 19, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Water Dispenser, hot and cold function (COA, DBP, DOST) 3 3,000.00 9,000.00
Unit ACU, Window-type, 2HP, Inverter (HRD) 1 70,000.00 70,000.00
Unit Microwave Oven (QCG,DA,DOST) 3 4,000.00 12,000.00
Unit TV, 32 inch, LED (DOST) 1 15,000.00 15,000.00
Unit Digital TV Receiver (PALD, SSS,QCG,DOST) 4 1,499.00 5,996.00

111,996.00
Purpose: for Office Use per PPMPs from various Offices for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT MARICAR T. AQUINO
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Mailing Envelope Customized for CSC NCR, long size, white 192,000.00
box envelope 10xx Full/O, offset, 500 pc/box 160 1,200.00

192,000.00
Purpose: for replenishment of supplies for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Mailing Envelope Customized for CSC NCR, long size, white 192,000.00
box envelope 10xx Full/O, offset, 500 pc/box 160 1,200.00

192,000.00
Purpose: for replenishment of supplies for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
box CRAYONS, 16pc/box 90 15.00 1,350.00
pack Candle, white, big, 20pcs/pack 2 56.00 112.00
pack Candle, white, small #3, 20pcs/pack 27 42.00 1,134.00
piece Candle Holder for vigil candle, small 4 49.00 196.00
pack Morocco Board, 100pcs/pack (210x297mm) 29 250.00 7,250.00
pad Tear Sheets/Easel Sheets, 50pcs/pad 75 320.00 24,000.00
bundle Barbecue Sticks 54 30.00 1,620.00
piece ID Holder with String 4000 15.00 60,000.00
unit PENCIL SHARPENER, manual, desktop 8 535.00 4,280.00
pc BOX, Balikbayan, size: 20 x 20 x 20 319 150.00 47,850.00
pc 3-RING BINDER FOLDER, Short 10 100.00 1,000.00
pc 3-HOLE PUNCHER, Heavy Duty 1 380.00 380.00
unit ELECTRIC SHARPENER 1 2,000.00 2,000.00
pack CANDLE, Vigil, 6 pcs/pack 1 85.00 85.00
pc CLAYPOT (Palayok) 1 200.00 200.00
bundle RING BINDER, PLASTIC, 12MM, 84 rings, 1/2" 10's 137 137.50 18,837.50

170,294.50
Purpose: for Training Supplies for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
roll JUMBO ROLL TISSUE, mall type 24 120.00 2,880.00
bottle DISHWASHING LIQUID, 1 liter 12 175.00 2,100.00
pc Glass and Window Cleaner Brush with Sponge 1 300.00 300.00
pack Trashbag, plastic, transparent XL, 100pcs/pack 2 650.00 1,300.00

6,580.00
Purpose: for Janitorial Supplies for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
piece Glue Stick 1559 11.00 17,149.00
pack Envelope, white, small, 10pcs/pack 162 13.00 2,106.00
box Ear Loop Face Mask, Med Aid, 50/box 12 70.00 840.00
box Plastic bag with zip lock, 18"x13" (100s per pack) 20 25.00 500.00
pack Wet Wipes 1628 20.00 32,560.00
pc ENVELOPE, Plastic with Zipper, Long 600 67.00 40,200.00
OHP Pen, permanent, finr, 1200pcs black, and 100 pcs blue 1768 22.00 38,896.00

132,251.00
Purpose: for use in CSE-PPT for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
piece Sign Pen, (10pt) blue 55 55.00 3,025.00
pack Sticker Paper 9 32.00 288.00
piece Ballpen, black, .05mm 465 5.00 2,325.00
piece Ballpen, blue, .05mm 138 5.00 690.00
piece Ballpen, red, .05mm 114 5.00 570.00
piece Staple Wire Remover 1671 20.00 33,420.00
ream PAPER, multi-purpose, legal size, colored 4 299.00 1,196.00
pc FOLDER, with TAB, LEGAL 10100 5.00 50,500.00
cart Ink Ribbon for AMANO PIX 200 16 500.00 8,000.00
pack SCOURING PAD, 5 pieces per pack 2 95.00 190.00
box FASTENER, PLASTIC, 70mm 267 25.00 6,675.00
roll TAPE, Double Adhesive, Half Inch 1 25.00 25.00
pack ACETATE COVER, A4 (210x297mm), 100 sheets/pack 34 560.00 19,040.00
pack PAPER, Specialty board, A4, ivory, 220 gsm 65 200.00 13,000.00
pack PAPER, Specialty board, A4, white, 220 gsm 25 200.00 5,000.00
pc WHITEBOARD, 4 x 8 ft 2 3,800.00 7,600.00
pc WHITEBOARD, 4 x 6 ft 1 2,975.00 2,975.00
pc WHITEBOARD with CORKBOARD, 4 x 6 ft 1 2,400.00 2,400.00
pc CORKBOARD, 4 x 6 ft 1 2,200.00 2,200.00
piece Sign Pen, (10pt) black 11 55.00 605.00
pc Prepaid Sim Card 3 30.00 90.00
pc Prepaid Load Card (P100) 103 100.00 10,300.00
pc Prepaid Load Card (P300) 25 300.00 7,500.00
ream PAPER, MULTI-PURPOSE, Legal (Yellow) 3 365.00 1,095.00
ream PAPER, MULTI-PURPOSE, Legal (Light Pink) 1 365.00 365.00
ream PAPER, MULTI-PURPOSE, Legal (Green) 1 365.00 365.00
pc Trodat Self-Inking Stamp 11 2,000.00 22,000.00
pack INDEX CARD, 3x5, 500 pcs/pack 18 165.00 2,970.00
pc SIGN PEN, VIOLET, liquid/gel ink, 0.5mm needle tip, My Gel Do 18 23.00 414.00
pc Training Certificate 14 8.00 112.00
box PUSH PIN 1 35.00 35.00
pc CARTON BOX, size L16, W5 1/2, H10 30 85.00 2,550.00
207,520.00
Purpose: for Office Use per PPMPs from various Offices for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 18, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
piece Sign Pen, (10pt) blue 55 55.00 3,025.00
pack Sticker Paper 9 32.00 288.00
piece Ballpen, black, .05mm 465 5.00 2,325.00
piece Ballpen, blue, .05mm 138 5.00 690.00
piece Ballpen, red, .05mm 114 5.00 570.00
piece Staple Wire Remover 1671 20.00 33,420.00
ream PAPER, multi-purpose, legal size, colored 4 299.00 1,196.00
pc FOLDER, with TAB, LEGAL 10100 5.00 50,500.00
cart Ink Ribbon for AMANO PIX 200 16 500.00 8,000.00
pack SCOURING PAD, 5 pieces per pack 2 95.00 190.00
box FASTENER, PLASTIC, 70mm 267 25.00 6,675.00
roll TAPE, Double Adhesive, Half Inch 1 25.00 25.00
pack ACETATE COVER, A4 (210x297mm), 100 sheets/pack 34 560.00 19,040.00
pack PAPER, Specialty board, A4, ivory, 220 gsm 65 200.00 13,000.00
pack PAPER, Specialty board, A4, white, 220 gsm 25 200.00 5,000.00
pc WHITEBOARD, 4 x 8 ft 2 3,800.00 7,600.00
pc WHITEBOARD, 4 x 6 ft 1 2,975.00 2,975.00
pc WHITEBOARD with CORKBOARD, 4 x 6 ft 1 2,400.00 2,400.00
pc CORKBOARD, 4 x 6 ft 1 2,200.00 2,200.00
piece Sign Pen, (10pt) black 11 55.00 605.00
pc Prepaid Sim Card 3 30.00 90.00
pc Prepaid Load Card (P100) 103 100.00 10,300.00
pc Prepaid Load Card (P300) 25 300.00 7,500.00
ream PAPER, MULTI-PURPOSE, Legal (Yellow) 3 365.00 1,095.00
ream PAPER, MULTI-PURPOSE, Legal (Light Pink) 1 365.00 365.00
ream PAPER, MULTI-PURPOSE, Legal (Green) 1 365.00 365.00
pc Trodat Self-Inking Stamp 11 2,000.00 22,000.00
pack INDEX CARD, 3x5, 500 pcs/pack 18 165.00 2,970.00
pc SIGN PEN, VIOLET, liquid/gel ink, 0.5mm needle tip, My Gel Do 18 23.00 414.00
pc Training Certificate 14 8.00 112.00
box PUSH PIN 1 35.00 35.00
pc CARTON BOX, size L16, W5 1/2, H10 30 85.00 2,550.00
207,520.00
Purpose: for Office Use per PPMPs from various Offices for 1st qtr. Not available at PS as of December 18, 2018. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 17, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Service Record Cards 78,315 1.00 78,315.00
form no. 67

78,315.00
Purpose: for Office Use per PPMPs from various Offices. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 17, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit SERVICE CARD CABINET, 36 drawers, 6 60,000.00 360,000.00
Unit Steel Filing Cabinet, 4 drawers, vert 8 8000 64,000.00
Unit Steel Filing Cabinet, 3 drawers, 1 va 3 15000 45,000.00
Unit Steel Filing Cabinet, 3 drawers, late 1 8000 8,000.00
Unit SOFA, three-seater, fabric 1 25000 25,000.00
Unit SOFA, synthetic leather, L shape 1 50000 50,000.00

552,000.00
Purpose: for Office Use per PPMPs from various Offices. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
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PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 12, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No. TONER for Inkrite (contractor) monochrome printers
cart (Canon LBP6000/CRG725) 65
cart TONER for Inkrite (contractor) color 23

-
Purpose: for Office Use, replenishment of supplies for 2nd quarter. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 6, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
can AIR FRESHENER, aerosol, 280ml/15 20
bottle ALCOHOL, ethyl, 70%, 500 ml 112
pack BATTERY Dry Cell, D, Eveready 2's 2
pack BATTERY Dry Cell, AAA 2's 7
pack BATTERY Dry Cell, AA 2's 96
piece BROOM-TINGTING, Thick 2
piece BROOM-TAMBO, Thick 9
unit CALCULATOR, Casio 12 digits 8
unit CALCULATOR, Casio 12 digits DJ-120 1
pack CARTOLINA, assorted, 10's 240
piece CHAIR, MONOBLOC, beige, Uratex 22
box CHALK, white, ENAMEL 40
bottle CLEANER- toilet and urinal 9
can CLEANSER, scouring powder 3
box CLIP BACKFOLD, 25mm, 1" 45
box CLIP BACKFOLD, 33mm, 1 1/4 58
box CLIP BACKFOLD, 55mm, 2" 53
box CONTINUOUS FORM, 280mm X 378mm 41
piece CORRECTION TAPE 340
piece CUTTER BLADE 16
piece CUTTER KNIFE 14
piece DATA FILE BOX 152
piece DATA FOLDER 22
piece DETERGENT BAR, 140g, 4's 6
pack DETERGENT POWDER, 1kg 15
unit DIGITAL VOICE RECORDER, Sony ICD 2
can DISINFECTANT SPRAY 19
piece DUST PAN 6
piece DVD REWRITABLE w/ case 299
unit ELECTRIC FAN, INDUSTRIAL, 24" 1
unit ELECTRIC FAN, STAND 18" 8
box ENVELOPE, Short size 10
box ENVELOPE, legal size 38
box ENVELOPE, Expanding, legal w/ strin 120
piece ENVELOPE, Expanding, plastic 434
box ENVELOPE, MAILING, long 12
box ENVELOPE, mailing, window, long 5
piece ERASER, black/whiteboard 9
piece ERASER, PLASTIC OR RUBBER 22
piece EXTERNAL HARD DRIVE, 1TB Seagat 16
box FASTENER, METAL, 70mm 126
piece FILE ORGANIZER, LEGAL 7
set FILE TAB DIVIDER, A4, 5 position 10

151
 set FILE TAB DIVIDER, LEGAL, 5 positio 10
piece FLASH DRIVE, 16 GB 38
bundle FOLDER, FANCY, Short 100's 1
bundle FOLDER, FANCY, legal 100's 30
pack FOLDER, L-TYPE, Short 12's 24
pack FOLDER, L-TYPE, LEGAL, 12's 16
box FOLDER, PRESSBOARD, local, 100's 12
piece FOLDER, with metal TAB,Short 5
piece FOLDER, with metal TAB, LEGAL 605
can FURNITURE CLEANER 280ml Glade 14
jar GLUE, 200 grams, Redstone 3468
box INDEX TAB, 5 sets per box 81
can INSECTICIDE, aerosol type, net con 18
bundle LOOSELEAF COVER, 50 sets per bun 3
piece MAGAZINE FILE BOX, LARGE 48
set MARKER, FLUORESCENT, 3 colors pe 30
piece MARKER, PERMANENT, bullet type, 2091
piece MARKER, PERMANENT, bullet type, 201
piece MARKER, PERMANENT, bullet type, 131
piece MARKER, WHITEBOARD, black 471
piece MARKER, WHITEBOARD, blue 285
piece MARKER, WHITEBOARD, red 132
piece MOPHANDLE, 6' aluminum 6
piece MOPHEAD, made of rayon, weight: 7
unit MOUSE, OPTICAL, USB CONNECTION TY 20
piece NOTEBOOK, STENOGRAPHER, spiral, 36
pad NOTEPAD, STICK-ON, 2X3, 100 shee 71
pad NOTEPAD, STICK-ON, 3X3, 100 shee 61
pad NOTEPAD, STICK-ON, 3X4, 100 shee 89
pad PAD PAPER, RULED, Yellow 2
box PAPER CLIP, 33MM, 100 pieces per 75
box PAPER CLIP, 50MM, 100 pieces per 73
ream PAPER, MULTICOPY, 80gsm, size: 598
ream PAPER, MULTICOPY, 80gsm, size: 141
ream PAPER, MULTI-PURPOSE, 70 gsm., 161
ream PAPER, MULTI-PURPOSE, 70 gsm., s 423
box PAPER, PARCHMENT, 100 sheets per 3
roll PAPER, THERMAL, 216MM X 30M 16
piece PENCIL SHARPENER, 1 piece in indivi 9
box PENCIL, LEAD WITH ERASER, 12 piec 159
piece PHILIPPINE NATIONAL FLAG, 3x5 ny 18
piece PUNCHER, paper, heavy duty, with 27
bundle RAGS, ALL COTTON, 32 pieces per ki 40
book RECORD BOOK, 300 PAGES, size: 33
book RECORD BOOK, 500 PAGES, size: 34
bundle RING BINDER, PLASTIC, 32MM, 84 ri 4
box RUBBER BAND, 70mm min lay flat le 37
piece RULER, PLASTIC, 450MM, 1 piece in i 12
pair SCISSORS, symmetrical, blade lengt 348
piece SIGN PEN, BLACK, liquid/gel ink, 0 153
piece SIGN PEN, BLUE, liquid/gel ink, 0. 229
piece SIGN PEN, RED, liquid/gel ink, 0.5 116
bottle STAMP PAD INK, purple or violet, 5 83
piece STAMP PAD, FELT, bed dimension: 1667
box STAPLE WIRE, HEAVY DUTY, 23/13 29

151
 box STAPLE WIRE, STANDARD 127
piece STAPLER, STANDARD TYPE, # 35 59
unit TABLE, MONOBLOC, BEIGE Uratex 1
piece TAPE DISPENSER, TABLE TOP 14
roll TAPE, ELECTRICAL 6
roll TAPE, MASKING, width: 24mm (± 292
roll TAPE, MASKING, width: 48mm (± 392
roll TAPE, PACKAGING, width: 48mm ( 219
roll TAPE, TRANSPARENT, width: 24mm 75
roll TAPE, TRANSPARENT, width: 48mm 47
pack TOILET TISSUE PAPER, 2-plys sheets, 91
roll TWINE, PLASTIC 14
piece WASTEBASKET, NON RIGID PLASTIC 10
-
Purpose: for Office Use, replenishment of supplies for 1st quarter. Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: December 17, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
set DESKTOP PC, branded,I3, 4GB, 1TB, WINDOWS 10, MS OFF 18 60,000.00 1,080,000.00
cart TONER for HP P1102/CE285AC, BLACK 108 3,500.00 378,000.00
cart TONER for Samsung Xpress M2875FD, MLT D101S, black 105 3,500.00 367,500.00
cart TONER for HP 1020/Q2612AC, BLACK 16 3,500.00 56,000.00
cart INK RIBBON Cart, EPSON LX310 46 300.00 13,800.00
cart INK RIBBON Cart, EPSON LX2190 120 600.00 72,000.00
cart TONER for Samsung
MULTIMEDIA ML2164
PROJECTOR 11 3,500.00 38,500.00
cart -IMAGING
RGB liquid crystal
UNIT shutter projection
for Samsung system MLT D101S
Xpress M2875FD, 57 3,500.00 199,500.00
- 3,300lm/2,0150lm; D-sub 15 pin: 1(blue molding);
cart TONER for BROTHER FAX 2840
- Composite: RCAx1(Yellow); HDMI: 1; 2 RCA (White/Red):1 92 3,500.00 322,000.00
unit -Anti
USBVirus
TypeSoftware
A: 1 (for USB Memory, USB Document Camera, for USB wireless 17 LAN Unit, Firmware Update)
1,300.00 22,100.00
pc -CLICKER,
USB Type B: 1 (forRechargeable
Wireless USB Display,2.4GHz
mouse,PPT
K/BPresenter
Control, Firmware Update 4 2,000.00 8,000.00
- 15,000:1; Auto-Keystone: Yes (vertical only)
unit HP 640 Probook
- 'Start-up period:Smart
aboutPower Adapter
6 seconds, | Specs.:
warm Max. 30
up period: Outp
seconds 1 750.00 750.00
unit - Sound Output: 2w Mono; LCD size: 0.55" (D7); Native Resolution: SVGA2 25,000.00 50,000.00
pc EXTERNAL HARD DRIVE, 2TB 2 5,600.00 11,200.00
pc Microsoft Office 2016 2 3,700.00 7,400.00
unit Wireless Mouse 1 600.00 600.00
unit Uninterruptible Power Supply (UPS) 2 5,000.00 10,000.00
meter LAN CABLE, AT5E CAT5 RJ45, Ethernet Internet Network 31 30.00 930.00
2,638,280.00
Purpose: for Office Use.Included in APP 2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: October 8, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Lease of Photocopying
lot Machines
1 1,000,000.00 1,000,000.00

1,000,000.00
Purpose: for Office Use

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: July 19, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Lumber for construction of
stand tarpaulin stand
5 1000 5,000.00
pc Printing of Tarpaulin 5 x3 5 300 1,500.00

6,500.00
Purpose: for use in Fun Run 2018

Requested by: Approved by:

Signature :
Printed Name : NOEL V. SALUMBIDES
Designation : Director II Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: July 19, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
pc OHP Pen 1800 22 39,600.00
pc Glue stick 1500 23 34,500.00
pc ID Card Holder with Lace 1000 20 20,000.00

94,100.00
Purpose: supplies for August 12, 2018 CSE PPT

Requested by: Approved by:

Signature :
Printed Name : CHRISTINE S. BUMANGLAG
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: May 8, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
box CLIP, backhold, 19mm 26
box CLIP, backhold, 25mm 27
box CLIP, backhold, 32mm 22

tube CUTTERBLADE, 10pcs/tube 2

bar DETERGENT BAR, 140grams 10

bag DETERGENT POWDER, 1kg 12

Unit Electric Fan 1
box Fastener, metal 108
Unit Mouse, optical 5
book Record Book, 500 pages 25
pad Stamp Pad, felt 8
roll Tape, transparent, 24mm 13
roll Tape, transparent, 48mm 45
pack Battery, AA 30
pack Deodorizer, 3pc/pack 5
cart Ribbon Cart, LX 300 30

-
Purpose: replenishment of supplies, 3rd quarter

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 24, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Lease of Venue: 1 104000 104000
Function Room for Seminar
for 2 days, with AM and PM
snacks

104,000.00
Purpose: for the Seminar-Workshop on RA 9184 on June 27 to 28, 2018

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 19, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Supply of toners for 1 year 1
Service inclusions:

Free use of printers

(monochrome or color printer)

Free maintenance of printers

Fixed Price of toners

-
Purpose: for Office use

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 10, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
roll Laminating Film 3 -
piece Rubber Stamp 3 -
-
-
-

-
Purpose: for Office use

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 10, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Microwave Oven 3 5,000.00 15,000.00
Unit Refrigerator 3 15,000.00 45,000.00
Unit LED Television 32" 5 20,000.00 100,000.00
Airconditioning Unit, window
Unit 5 40,000.00 200,000.00
type, inverter
Karaoke Microphone, with
Unit 1 26,500.00 26,500.00
song chips
Unit Water Dispenser 2 5,000.00 10,000.00

396,500.00
Purpose: provision of Office Appliances to Offices as discussed in MANCOM meeting on February 19, 2018

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 6, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Gang Chair, 4 -seater, stainless
Unit 3 7,000.00 21,000.00
steel
Mid Back Executive Chair,
Unit mesh type, metal starbase with 8 4,000.00 32,000.00
arm rest, fabric
Executive Office Table,
standard size, with drawers,
Unit 17 10,000.00 170,000.00
with one drawer with lock and
keys
Unit Sofa, three-seater, fabric 2 25,000.00 50,000.00
Round Dining Table, glass top,
Unit 1 20,000.00 20,000.00
with 4 chairs
Monobloc Chair Set (6 per
Set 1 2,500.00 2,500.00
set), beige, stacking

Steel Filing Cabinet, with 4

Unit drawers, centralize lock, 3 6,500.00 19,500.00
smooth finish
Steel Filing Cabinet, with 3
Unit drawers, centralize lock, 1 3 14,000.00 42,000.00
vault, smooth finish

357,000.00
Purpose: provision of Office Furnitures to Offices as discussed in MANCOM meeting on February 19, 2018

Requested by: Approved by:

Signature :

151
Printed Name : ISAN T. AMBAIT
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 8, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Heavy Duty Fax Machines 30 450,000.00

450,000.00
Purpose: for the supply of purified drinking water for CSC NCR HQ

Requested by: Approved by:

Signature :
Printed Name : JAMES FRAWLEY S. SAVELLANO
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: April 6, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

Mulitmedia Clicker for

pc 7 2,500.00 17,500.00
presentations

Desktop PC, (branded), i7

processor, 1TB HDD, 4 GB
Memory, 21 Inch Monitor,
set Keyboard, Mouse, UPS, 6 70,000.00 420,000.00
wireless capability, latest MS
Office Bundle, Windows 10,
Anti Virus Software

Laptop PC, i7 Processor, 1 TB

unit HDD, 4GB memory, anti virus 4 60,000.00 240,000.00
software
unit External HDD, 1 TB 2 5,000.00 10,000.00
Document Scanner, with ADF,
unit 3 27,000.00 81,000.00
Heavy duty

768,500.00
Purpose: upgrading of ICT equipment of Offices as discussed in MANCOM meeting on February 19, 2018

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT

151
Designation : Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: March 1, 2019

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Pest Control Serivces 1 200,000.00 200,000.00
for CSC NCR Offices
for 1 year

200,000.00
Purpose: to reduce risks of pest infestation resulting to damage to office records and property; Inlcuded in the APP
2019

Requested by: Approved by:

Signature :
Printed Name : ISAN T. AMBAIT
Designation : MSD Caretaker/Supervising HRS Director III

151
 Appendix 60

PURCHASE REQUEST

Entity Name: CSC-NCR Fund Cluster: __________________

Office/Section : _____________ PR No.: ______________ Date: February 8, 2018

MSD Responsibility Center Code : ___________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
lot Supply of Purified Drinking 1
Water for 1 year

-
Purpose: for the supply of purified drinking water for CSC NCR HQ

Requested by: Approved by:

Signature :
Printed Name : JAMES FRAWLEY S. SAVELLANO
Designation : Supervising HRS Director III

151