Republic of the Philippines
PROVINCE OF ORIENTAL NEGROS
DEPARTMENT OF EDUCATION
Region VII, Central Visayas
Division of Negros Oriental
Date
Canvass No.
Name of Dealer
______________________
Address
REQUEST FOR SEALED QUOTATION
Gentlemen:
Please quote your government price/taxes, F.O.B. Division Office, Division of Negros Oriental, Dumaguete City,
starting the shortest time of delivery on the items list as per specification indicated furnishing brochures, catalogues and
If you do not have the exclusive manufactures on the exclusive dealers or distribution in the locality, state so in your
quotation.
NOTE: TO BE OPENED ON _____________________________ AT THE DIVISION OFFICE ,
DIVISION OF NEGROS ORIENTAL DUMAGUETE CITY
Very truly yours,
MARIA TERESITA P. DUMALAG
School Head
(Purchasing Agent)
Item No. Quantity Unit Articles and Description Unit Price Total Price Auditor's Inspection
1 Meat
2 Chicken
3 Eggs
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
FE E. LAGRADILLA JANE RUTEMAR D. TUSO RHEA M. MOLEÑO
Member Member Member
RHEA N. MOLEÑO ERJIN M. UNABIA QUENNIE VI P. CHUA
Member Chairperson Member
Time of delivery: ___________________________
Purpose: for students' use and for administrative reports __________________
Requested by: (Signature of Dealer)
RHEA N. MOLEÑO
Supply Officer
Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Negros Oriental
AVOCADO ELEMENTARY SCHOOL
Nagbinlod, Sta. Catalina, Negros Oriental
ABSTRACT OF SEALED QUOTATION
Item Qty. Unit Articles to be Puschased or Work to be done Bethsiah Enterprises
No.
1 MALUNGGAY
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
WE HEREBY CERTIFY that the price appearing hereon is true and correct
to the best of our knowledge being the lowest in the locality at the titme of the purchase.
BIDS AND AWARDS COMMITTEE
QUENNIE VI P. CHUA RHEA N. MOLEÑO
Member Member
blic of the Philippines
rtment of Education
n VII, Central Visayas
on of Negros Oriental
O ELEMENTARY SCHOOL
a. Catalina, Negros Oriental
OF SEALED QUOTATION
Date:
Canvass No.:
Sheet No.:
Remarks
Items 1- 7 are awarded to
Bethsiah Enterprises
FE E. LAGRADILLA JANE RUTEMAR D. TUSO ERJIN M. UNABIA
Member Member Chairperson
NAGS - New Government Accounting Section
PURCHASE REQUEST
DEPARTMENT OF EDUCATION, Division of Negros Oriental
(Agency)
PR No: Date:
Department: AVOCADO ELEMENTARY SCHOOLSAI: Date:
Section: Sta. Catalina North ALOBS No: Date:
Unit of STOCK Estimated Estimated
Qty. Item Description
Issue NO. Unit Cost Cost
MALUNGGAY
ok as to funds: MARIA TERESITA P. DUMALAG
Teacher In-charge -
Purpose: for School Based Feeding Program of Avocado Elementary School pupils.
Requested by: Approved by:
Signature:
Printed Name: RHEA N. MOLEÑO MARIA TERESITA P. DUMALAG
Designation: Supply Officer Teacher In-Charge
PURCHASE ORDER
PURCHASE ORDER
Department of Education, Div. of Neg. Or.
(Agency)
Supplier: BETHSIAH ENTERPRISES PO No.:
Address: Poblacion, Sta. Catalina, Neg. Or. Date:
Mode of Procurement: Shopping
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein.
Place of delivery: Avocado ElementarySchool Delivery term: ______________________
Date of delivery: Payment term:
Item No. Qunatity Unit Description Unit Cost Amount
1 MALUNGGAY
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
(Total Amount In Words.)
V
Conforme:
MARIA TERESITA P. DUMALAG
School Head
________________________
(Signature over printed name)
________________________
Date
Requistioning Office/Dept. Funds available: Amount: -
ALOBS No.:
RHEA N. MOLEÑO MARIA TERESITA P. DUMALAG
Supply Officer Teacher-in-Charge
LIQUIDATION REPORT
DepEd, Division of Negros Oriental No.:
Date:
Responsibility Center
Code:
PARTICULAR AMOUNT
To liquidate the cash advances (SBFP- Malunggay) of Avocado Elementary School
(Sta. Catalina District II ) for the S.Y. 2016- 2017.
Amount to be Reimbursed:
TOTAL AMOUNT SPENT
AMOUNT OF CASH ADVANCE PER DV NO. DTD
AMOUNT TO BE REFUNDED PER OR NO. DTD
AMOUNT TO BE REIMBURSED
A. Certified the correctness of B. Certified: Purpose of C. Certified: Supporting documents
the above data travel/cash advance duly complete and proper
accomplished
MA. JENNIFER P. PIODOS
Claimant Accountant II
MARIA TERESITA P. DUMALAG RENATO G. TANO
Teaher-in-Charge DIC, Sta. Catalina District II JEV NO.
NGAS - New Government Accounting System
INSPECTION & ACCEPTANCE REPORT
AVOCADO ELEMENTARY SCHOOL (Sta. Catalina)
Supplier: BETHSIAH ENTERPRISES AR No.:
PO No.: Invoice No.: Date:
Requesting Office/Dept.: AVOCADO ELEMENTARY SCHOOL (Sta. Catalina)
Item No. Quantity Unit Description Unit Cost Amount
1 MALUNGGAY
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
INSPECTION
Date Inspected:
Inspected, verified and found correct Complete
as to quantity and specification.
Partial
JANE RUTEMAR D. TUSO QUENNIE VI P. CHUA
Member Member
MARIA TERESITA P. DUMALAG
FE E. LAGRADILLA RHEA N. MOLEÑO Teacher In-Charge
ERJIN M. UNABIA
Chairman
Republic of the Philippines
DEPARTMENT OF EDUCATION
DIVISION OF NEGROS ORIENTAL
Dumaguete City
No.
DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others
Payment
TIN/Emlpoyee No.
Anabelle Tomong OR/BUR No.
Payee
Responsibility Center
Poblacion, Sta. Catalina, Negros Oriental
Office/Unit/Project Code
Address
EXPLANATION AMOUNT
To payment for the SBFP purchased from Anabelle
as per receipt hereto attached in the amount of… -
Amount
BIR 2%
A. Certified: B. Approved for Payment:
Cash Avialable
Subject to Authority to Deped (when applicable)
Supporting documents complete
Signature Signature
Printed Printed
MARIA TERESITA P. DUMALAG MARIA TERESITA P. DUMALAG
Name Name
Teacher In-Charge Teacher In-Charge
Position Position
Head Accounting Unit/Authorized Representative
Date Date
C. Received Payment JEV No.
Check/
Date Bank Name DBP
ADA No.
Date
Signature Date Printed Name Anabelle Tomong
Official Receipt/Other Documents
DIVISION OF NEGROS ORIENTAL
For the period of: November-March ( 2nd Tranche )20
CASH DISBURSEMENT REGISTER
Type of Working Fund: MOOE
CASH ADVANCES
OFFICE
REFERENCE TRAVEL TRAINING SUPPLIES
DATE PAYEE / PARTICULARS AMOUNT EXPENSES EXPENSES EXPENSES
(OR/RER/CHECK #) PAYMENTS BALANCE
RECEIVED
766 767 761
TOTAL
CERTIFIED CORRECT: CERTIFIED
SUPPORTING DOCUMENTS COMPLETE:
MARIA TERESITA P. DUMALAG MA. JENNIFER P. PIODOS
Teacher In-Charge Division Accountant II
Date Date
AL
( 2nd Tranche )2016
TER
BREAKDOWN OF PAYMENTS
REPAIRS & UTILITY EXPENCES OTHER ACCOUNTS
MAINTENANCE
WATER ELECTRICITY TELEPHONE
OF SCH. INTERNET
LANDLINE EXPENSES Account Account
BUILDING Name Code AMOUNT
804 766 767 772 774
RECAP: Amount Reimbursed: -
NOTED:
SALUSTIANO T. JIMENEZ,LI.B.,CESO VI Other accounts
Schools Division Superintendent TOTAL Amount Spent:
CASH ADVANCE
Date Amount to be Reimbursed:
INVENTORY CUSTODIAN SLIP
Avocado Elementary School (Sta. Catalina North II)
District/School
ICS No. ______________
Inventory
Qty. Unit Description Unit Cost Estimated Life Years
Item No.
Received by: Received from:
Signature Over Printed Name Signature Over Printed Name
ERJIN M. UNABIA MARIA TERESITA P. DUMALAG
Teacher-III / Property Custodian T-I/Teacher In-Charge
Position/Office Position/Office
Date: /2016 Date: /2016
White Beans
Green Peas
Mongo
Eggplant
Squash
Cabbage
Potatoes
Carrots
Garlic
Bulb Onion
Tomatoes
Bell Pepper
