DISBURSEMENT VOUCHER DV No.

Barangay: SAN RAFAEL City/Municipality: BATO Date:

Payee: NEW ONGTO EXPRESSMART INC. Province of Camarines Sur Fund: Gen. Fund
Address: SAN MIGUEL, IRIGA CITY TIN:
PARTICULARS AMOUNT

TO: PAYMENT for the ….

8,386.50

A. Certified as to existence B. Certified as to availability C. Certified as to validity, propriety

of appropriation for obligation of funds for the purpose, and and legality of claim and approved for
completeness and propriety of payment
supporting documents

JAMAICA O. PILI RUSSEL B. PILI RODITH B. SANDRINO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Chairman, Committee on SK Treasurer SK Chairman
Appropriation
Date:___________________________ Date:___________________________ Date: _________________________
D. Received Payment:
Check No.___________________________
NEW ONGTO EXPRESSMART INC. Bank Name:__________________________ Date:____________
Signature Over Printed Name/ Date O.R. No._____________________________

Approved by:

___________________________ _____________
Barangay Bookkeeper Date
 DV No.
DISBURSEMENT VOUCHER
Date: July 10, 2025
Barangay: SAN RAFAEL City/Municipality: BATO
Tel. No.: __________________________ Province of Camarines Sur
Employee No. Fund:
Payee:/Office: NOVA M. CASILI
TIN________________ _______________________
PARTICULARS AMOUNT

TO: CASH ADVANCE for payment of July 2025 Brgy. Officials and
Employees Honorarium, per supporting papers hereto attached in
the amount of .. . 146,397.10

-
146,397.10

Per Diem (5 part.) 2,400.00

480.00 each participant 2,400.00

Certified: Certified: Certified:

Existence of Available Funds (Cash Available) As to validity, propriety, and
Appropriations for the legality of claim'
Charges/expenses indicated Approved
above For Payment:
Signature:________________________ Signature:________________________ Signature:_______________________
Printed Name: GENESIS S. CASILI Printed Name: NOVA M. CASILI Printed Name: ARLAN S. GEROBIN
Position: Chairman, Committee on Position: Barangay Treasurer Position: PUNONG BARANGAY
Appropriation
Date:___________________________ Date:___________________________ Date: _________________________
Received Payment:
Check No.___________________________Date:_____________
NOVA M. CASILI Bank Name:__________________________________________
Signature Over Printed Name/ Date O.R. No._____________________________Date:____________
 LIQUIDATION REPORT No.: ___________________
Bato, Camarines Sur Date : __________________
LGU Responsibility Center :_________
PARTICULARS AMOUNT

TOTAL AMOUNT SPENT P

AMOUNT OF CASH ADVANCE PER DISBURSEMENT VOUCHER NO.
AMOUNT REFUNDED PER O.R. NO. ___________ DTD.____________ P
AMOUNT TO BE REIMBURSED P

Submitted by: Received by:

__________________________ ________________________
Accountable Officer Accounting Staff

Date: ______________________ Date:____________________

Accounting Entries
Account Amount
Account Code Ref. Debit Credit

Prepared by: Approved by:

________________________ DANILO R. DURANTE

Barangay Recordkeeper Municipal Accountant

Date____________________ Date____________________
 Republic of the Philippines
PROVINCE OF CAMARINES SUR
Municipality of B a t o
BARANGAY SAN RAFAEL

OFFICE OF THE SANGGUNIANG KABATAAN

BUDGETARY REQUIREMENTS
OFFICE SUPPLIES AND MATERIALS
DATE:

1. OFFICE SUPPLIES AND MATERIALS

Bond paper (short) 636.69
Bond paper (Long) 750.00
Bond paper (A4) 1,130.30
EPSON 003 (Black, Cyan, Magenta, Yellow) 1,155.31
Ballpen (Black) 146.64
White folder (Long) 82.92
Vellum board (A4) 116.46
Vellum board (Long) 39.36
Paper clip (Big) 23.93
Binder clip 63.82
Trash pail (18L) 234.04
Everyready Battery (2AA) 468.05
Sticker paper 31.64
Masking tape (1 inch) 76.59
Double sided tape (3/4) 71.79
Correction tape 70.20
Flash drive (128GB) 707.44
Stapler 961.70
Staple 188.28
Glue gun 217.02
Glue stick 79.60
Office table 4244.68
Mongol 2 pencils 108.48
Yellow pad 140.40
White glue (100g) 53.18
Scissors 191.46
Green Cross Pump Alcohol 209.57

Total Budgetary Requirements 12,199.55

Prepared by:

RUSSEL B. PILI
SK Treasurer
Approved by:

RODITH B. SANDRINO
SK Chairperson
 PURCHASE REQUEST
Barangay: SAN RAFAEL P.R. No. :______________________
City/Municipality:BATO, CAMARINES SUR Date:___________________________

REQUISITION

Item No. Quantity/UOM Item Description Estimated Estimated

Unit Cost Amount
PCS Solar Lights 240 watts 5,995.00 35,970.00
PCS GI Pipe 3” 3,535.00 10,605.00
PCS GI Pipe 2” 2,093.00 6,279.00
NTU Dropwire 45.00 3,600.00
CUBIC Sand 650.00 1,300.00
CUBIC GRAVEL 850.00 1,700.00
KGS TIG WIRE 68.00 68.00
BAGS CEMENT 208.00 2,080.00
PCS COCO LUMBER 2X2X12 125.00 1,250.00
PCS ½ PLYWOOD ORD 600.00 4,200.00
KGS ASSORTED NAIL 80.00 120.00
PCS RSB 10 TILTS 140.00 1,120.00
PCS CIRCUIT BREAKER 500.00 500.00
KGS WELDING ROD 90.00 360.00
PCS CUTTING DISK 40.00 400.00
GAL ENAMEL PAINT 595.00 595.00
LABOR 28,000.00
Total Estimated Amount 98,147.00
Purpose: FOR OFFICIAL USE OF THE BARANGAY

________________________________________________________________________________

Requested by:
Approved:
HON. EDGAR P. RAMOS
Signature Over Printed Name HON. ARLAN S. GEROBIN
Requisitioner Signature Over Printed Name
____________________ Punong Barangay
Date ________________________
Date
 PAYROLL
Period Covered: 'March 1-31, 2024

Barangay: SAN RAFAEL City.Municipality: BATO Payroll No. ______________

Barangay Treasurer: MARIA TERESA A. SANDRINO Province: CAMARINES SUR

Compensation Deductions
No. Name Position Salaries & BIR Withholding Net Amount Due Signature of Recepient
Honoraria Total Total
Wages Tax
1 KURT RUSSELL C. SANDRINO SK Kagawad 716.00 716.00 716.00
2 CJ S. MAJAYJAY SK Kagawad 716.00 716.00 716.00
3 KIM ARCHIE M. MATA SK Kagawad 716.00 716.00 716.00
4 JAMAICA O. PILI SK Kagawad 716.00 716.00 716.00
5 JETRO T. RICAFORT SK Kagawad 716.00 716.00 716.00
6 JOSEPH S. MARTIREZ SK Kagawad 716.00 716.00 716.00
7 JOVEN F. CAVITE SK Kagawad 716.00 716.00 716.00
8 JUAN MIGUEL L. GEROBIN SK Treasurer 716.00 716.00 716.00
9 QUEEN AUBREY B. RAMOS SK Secretary 716.00 716.00 716.00

Total - 6,444.00 - 6,444.00 - 6,444.00

A. Certified as to availability of Appropriation B. Certified as to availability of funds, and C. Certified as to validity, propriety and D. Certified that each official/employee whose name appears
for obligation in the amount of : completeness and propriety of supporting documents. legality of claim and approved for payment on the above roll has been paid the amount stated opposite his
name.

Signature :______________________________ Signature :______________________________ Signature :______________________________ Signature :______________________________

Printed name: GENESIS S. CASILI Printed name: MARIA TERESA A. SANDRINO Printed name: ARLAN S. GEROBIN Printed name: MARIA TERESA A. SANDRINO
Position :Chairman Committee on Appropriations Position :Barangay Treasurer Position :Punong Barangay Position : Barangay Treasurer
Date :______________________________ Date :______________________________ Date :______________________________ Date :______________________________

E. Accounting Entiries
Account Title Account Code Debit Credit Prepared By:

______________________ ________________
Honoraria 5-01-02-100 6,444.00 Barangay Bookkeeper Date

Advances for Payroll 1-03-05-020 6,444.00 Approved by:

DANILO R. DURANTE __________________

6,444.00 6,444.00 Municipal Accountant Date
 PURCHASE ORDER
Barangay: SAN RAFAEL City/Municipality: BATO
Tel. No.___________________________ Province :___________________

Supplier: BATO CCTV EQUIPMENT ELECTRICAL INSTALLATION SERVICES P. O. No. :_______________

Address: BATO, CAMARINES SUR Date :_______________
T.I.N :_________________________ Mode of Procurement:
Bidding Negotiated Over the counter
Gentlemen:
Please deliver to this office the following articles subject to the terms and conditions contained herein:
Place of Delivery: _________________________ Delivery Term :___________________
Date of Delivery : _________________________ Payment Term:___________________

Unit Particulars Quantity Unit Cost Amount

PCS Solar Lights 240 watts 6 5,995 35,970.00
PCS GI Pipe 3” 3 3,535 10,605.00
PCS GI Pipe 2” 3 2,093 6,279.00
NTU Dropwire 80 45 3,600.00
CUBIC Sand 2 650 1,300.00
CUBIC GRAVEL 2 850 1,700.00
KGS TIG WIRE 1 68 68
BAGS CEMENT 10 208 2,080.00
PCS COCO LUMBER 2X2X12 10 125 1,250.00
PCS ½ PLYWOOD ORD 7 600 4,200.00
KGS ASSORTED NAIL 2 80 120
PCS RSB 10 TILTS 8 140 1,120.00
PCS CIRCUIT BREAKER 1 500 500
KGS WELDING ROD 4 90 360
PCS CUTTING DISK 10 40 400
GAL ENAMEL PAINT 1 595 595
LABOR 28,000.00

(Total Amount in Words) TOTAL 98,147.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)
of one percent for every day of delay shall be imposed.

Very truly yours,

ARLAN S. GEROBIN
Signature Over Printed Name
Punong Barangay
Date:________________________
Conforme: Existence of Available Appropriations of:
__________________________________________
____________________________(P____________)

BATO CCTV EQUIPMENT ELECTRICAL INSTALLATION SERVICES GENESIS S. CASILI

Signature Over Printed Name Signature Over Printed Name
Supplier Chairman, Committee on Appropriations
Date:____________________________ Date:__________________________________
 INSPECTION & ACCEPTANCE REPORT
Barangay : San Rafael City/Municipality : BATO
Tel. No :________________________ Province : CAMARINES SUR

Supplier: NEW ONGTO EXPRESSMART INC. Invoice No. ___________ IAR No._____________ RIS
Date:No.__________
PO No. : _____________Date:_______________ Date: ___________ Date :_____________ ____________
Unit Description Quantity
reams Bond paper (Short) 3
reams Bond paper (Long) 3
box Bond paper (A4) 1
set EPSON 003 (Black, Cyan, Magenta, Yellow) 1
dozen Ballpen (Black) 2
dozen White Folder (Long) 1
pck. Vellum board (A4) 3
pck. Vellum board (Long) 1
box Paper clip (big) 1
box Bindr clip 1
pc. Trash pail (18L) 1
card Everyready Battery (2AA) 5
pad Sticker paper 1
roll Masking tape (1 inch) 3
roll Double sided tape (3/4) 3
pc. Correction tape 3
pc. Flash drive (128GB) 1
pc. Stapler 2
box Staple 3
pc. Glue gun 2
pc. Glue stick 20
pc. Office table 1
box Mongol 2 pencils 1
pad Yellow pad 3
pc. White glue (100g) 2
pc. Scissors 3
L Green Cross Alcohol Pump 1

INSPECTION ACCEPTANCE

Date Inspected : _______________ Date Received: ____________

Inspected, verified and found OK Complete

as to quantity and specifications.
Partial (Pls. specify quantity received)

QUEEN AUBREY B. RAMOS RUSSEL B. PILI

Signature over Printed Name Signature over Printed Name
Authorized Inspector SK Treasurer
 REPUBLIC OF THE PHILIPPINES
Province of Camarines Sur
MUNICIPALITY OF BATO
San Rafael
OFFICE OF SANGGUNIANG KABATAAN

REQUEST FOR PRICE QUOTATION

Date: ____________
Quotation No.______

_______________________________________
Name of Supplier

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating
the shortest time of delivery and submit your quotation duly sighed by your representative not later than 3 days.

RUSSEL B. PILI
CANVASSER
RODITH B. SANDRINO
Requester
General Conditions
1. All entries must be typewritten or legibly written.
2. Delivery period within ten (10) working days from the date of received of Purchase Order
3. Warranty shall be for a minimum of three (3) months for supplies and Materials; One (1) Year for equipment, from date
of Acceptance by the Procuring Entity.
4. Price validity shall be for a period of thirty (30) calendar days
5. G-EPS Registration Certificate shall be attached upon submission of the quotation
6. Bidders shall submit original brochures showing certification of the product if available
7. Please indicate the brand for each items being offered.

The approved budget for this procurement is Php. _________

Bidders Quote
No. ITEM & DESCRIPTION Unit Quantity Unit Cost Total Bidders Quote
per Unit
1 Bond Paper (Short) reams 3
2 Bond Paper (Long) reams 3
3 Bond Paper (A4) box 1
4 EPSON 003 (Black, Cyan, Magenta, Yellow) set 1
5 Ballpen (Black) dozen 2
6 White Folder (long) dozen 1
7 Vellum Board A4 pck. 3
8 Vellum Boad Long pck. 1
9 Paper Clip (big) box 1
10 Binder Clip box 1
11 Trash Pail (18 L) pc. 1
12 Everyready Battery (2AA) card 5
13 Sticker Paper pad 1
14 Masking Tape roll 3
15 Double sided tape roll 3
16 Correction Tape pc. 3
17 Flash Drive (128 GB) pc. 1
18 Stapler pc. 2
19 Staple box 3
20 Glue Gun pc. 2
21 Glue Stick pc. 20
22 Office table pc. 1
23 Mongol 2 pencils box 1
24 Yellow Pad pad 3
25 White Glue (100g) pc 2
26 Scissors pc. 3
27 Green Cross Alcohol Pump L 1
GRAND TOTAL
Delivery Period :______________________
Warranty :______________________
Price Validity :______________________
After having carefully read and accepted your General Conditions, I / we quote you on
item(s) at prices note above.
______________________________
Printed Name/Signature
______________________________
Complete Address
______________________________
Tel. No./ Cellphone No.
______________________________
TIN
______________________________
Date Signed
 Chart Title
200,000.00
180,000.00
160,000.00
140,000.00
120,000.00
100,000.00
80,000.00
60,000.00
40,000.00
20,000.00

3NITY I.T. SOLUTIONS

Inst. Of CCTV
06/25/2024
-

1550244

47072.5
1550243 06/25/2024 BATO WATER DISTRICT 710.6 Water Expenses
1550242 06/25/2024 Bureau of Internal Revenue 1392.04 Electricity Expenses
1550241 06/25/2024 BEA BIANCA R. BUENA 2000 Donations
1550240 06/25/2024 KRIS V. RAYNERA 2100 CA-Probable Exp.
BDRRM
1550239 06/25/2024 ARLAN S. GEROBIN 2100 CA-Probable Exp.
BDRRM
1550238 06/25/2024 EDDIE TANAY 300 Reimb.-Transpo.
Exp.- KP
1550237 06/25/2024 RHODORA PILI 300 Reimb.-Transpo.
Exp.- KP
1550236 06/25/2024 KRIS V. RAYNERA 300 Reimb.-Transpo.
Exp.- KP
1550235 06/25/2024 ARLAN S. GEROBIN 300 Reimb.-Transpo.
Exp.- KP
1550234 06/25/2024 NOVA M. CASILI 12000 Reimb.-Reg. Fee KP
1550233 06/25/2024 NOVA M. CASILI 3000 Reimb-Expenses
for Blood Letting
Activity
1550232 06/25/2024 NOVA M. CASILI 7397.99 Reimb-Various Exp.
(June)
1550231 06/25/2024 NOVA M. CASILI 5372 Reimb-Various Exp.
(May)
1550230 06/25/2024 NOVA M. CASILI 6954.75 Reimb-Various Exp.
(April)
1550229 06/25/2024 NOVA M. CASILI 9161 Replenishment of
PCF
1550228 06/25/2024 ROAN PHARMA AND MEDICAL 26803.2 Medical Supplies
SUPPLIES TRADING
1550227 06/25/2024 NOVA M. CASILI 45000 CA-Payroll for
Declogging
2772-1037-62 1550226 06/25/2024 CANCELLED 0
Account No. Check No. Date PAYEE AMOUNT Purpose
This is to certify that the hereunder listed checks were duly issued by Barangay San Rafael, Bato, Camarines Sur, complete with respective
Disbursement Vouchers and supporting documents.
 Municipality of Bato
Province of Camarines Sur

PUNONG BARANGAY'S CERTIFICATION (PBC)

(FOR BARANGAY CHECK DISBURSEMENTS)

PBC No. 2024-San Rafael-____

D a t e: May 22,2025

To: THE BANK MANAGER

LAND BANK OF THE PHILIPPINES
IRIGA CITY

Sir/Madam:

This is to certify that the hereunder listed checks were duly issued by Barangay San Rafael, Bato, Camarines Sur,
complete with respective Disbursement Vouchers and supporting documents.

Account No. Check No. Date PAYEE AMOUNT Purpose

2772-1037-62 1636402 05/22/2025 NOVA M. CASILI 3,300.00 representation exp.
1636403 05/22/2025 NOVA M. CASILI 3,000.00 representation exp.
1636404 05/22/2025 NOVA M. CASILI 4,115.00 REIMB. (MAY)
1636405 05/22/2025 GENESIS S. CASILI 2,250.00 REIM. Travel exp.
1636406 05/22/2025 BATO WATER DISTRICT 161.50 water exp.
1636407 05/22/2025 NOVA M. CASILI 3,500.00 representation exp.
1636408 05/22/2025 GOVERNMENT SERVICE INSURANCE SYSTEM 3,560.00 insurance exp.
19,886.50

This certification is issued pursuant to COA Circular 2018-__________dated____________________.

The undersigned As condition
attest to the for the encashment
truthfullness of the of said checks
foregoing facts, under pain of Liability for falsification, pursuant
to Article 171 (4)
of the Revised Penal Code.
Very truly yours,

ARLAN S. GEROBIN
Punong Barangay

Delivered by: Received by:

NOVA M. CASILI _____________________________

Barangay Treasurer/Representative Bank Representative