Repair and Maintenance of Montero Sport Model 20219

LGU-KALILANGAN, BUKIDNON Standard Form Number: SF-GOOD-59 Project Reference Number : Nego/SVP2026-10-050 Revised on May 24, 2004 Name of the Project : Repair and Maintenance of Montero Sport Model 20219 Standard Form Title : Purchase Request Location of the Project : Kalilangan, Bukidnon PURCHASE REQUEST LGU-KALILANGAN, BUKIDNON Department: MMO PR No. GF2026-10-02099 Date: 10/20/2026 Section: SAI No. n/a Date: STOCK NO. UNIT ITEM DESCRIPTION QTY UNIT COST Total Cost 1 Set Oil Filter for Montero Sport Model 2019 1 780.00 780.00 2 Set Fuel Filter for Montero Sport Model 2019 1 850.00 850.00 3 Set Brake Pad (Front) for Montero Sport Model 2019, heavy duty 2 2,450.00 4,900.00 4 Set Brake Pad (Back) for Montero Sport Model 2019, heavy duty 2 2,450.00 4,900.00 5 Tires Tire for Montero Sport Model 2019 275/65 R18,heavy duty 4 18,500.00 74,000.00 6 pc Air cleaner Filter for Montero Sport Model 2019 1 1,535.00 1,535.00 7 pc Transmission Support (MB-581845) 1 2,875.00 2,875.00 8 unit Radiator for Montero Sport Model 2019 1 25,000.00 25,000.00 9 Tires Tire for Montero Sport Model 2019 275/65 R17,heavy duty 2 18,500.00 37,000.00 10 pc Battery 13 Plate, heavy duty 1 10,000.00 10,000.00 11 pc Turbo Hose Montero Sport Model 2019 1 6,200.00 6,200.00 12 pcs Brake pad Rear for Montero Sport Model 2019 2 2,450.00 4,900.00 13 pcs Brake pad Front for Montero Sport Model 2019 2 2,450.00 4,900.00 14 pc Brake shoe 1 2,000.00 2,000.00 Grand Total: 179,840.00 Requested by: Approved by: Signature: Printed Name: ATTY. RAYMON CHARL O. GAMBOA ATTY. RAYMON CHARL O. GAMBOA Designation: Municipal Mayor Municipal Mayor Date: LGU-KALILANGAN, BUKIDNON Project Reference Number: Nego/SVP2026-10-050 Standard Form Number: SF-GOOD-60 Name of the Project: Repair and Maintenance of Montero Sport Model 20219 Revised on: May 24, 2004 Location of The Project: Kalilangan, Bukidnon Standard Form Title: Request for Quotation Name of Supplier Address Please quote your lowest price on the item/s listed below, subjec