month of september

8/11/2019 Month of September

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Department: Division of Davao City PR No.: Date:

Office: SAI No.: Date:

Purpose:

REQUESTED BY: APPROVED BY:

End User Head of Procuring Entit

PURCHASE REQUESTDepartment of Education

QuantityUnit ofIssue

Item Description Stock No. EstimatedUnit Cost


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- - - - - -

- - - - - - - - - - - - - - -

y

EstimatedCost


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Wireless Elem. School Project Reference Numb er Name of the Project

Loca t iong o f the Pro jec t

Standard Form Number: SF-GOOD-60

RevisedStandard Form Title: Request for Quotaiton

Quotation No.Company Name

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the

page, stating the shortest time of delivery and submit your quotation duly signed by your representative not later

than SEPT 19,2014 in the return envelope attached herewith.

NOTE: 1 ALL ENTRIES MUST BE TYPEWRITTEN2 DELIVERY PERIOD WIHTIN _____________CALENDAR DAYS3 WARRANTY SHALL BE FOR A PERIOD OF SIX 960 MONTHS FOR SUPPLIES &

MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE

BY THE PROCURING ENTITY4 PRICE VALIDITY SHALL BE FOR A PERIOD OF ______________CALENDAR DAYS5 G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION

OF THE QUOTATION6 BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS

OF THE PRODUCT BEING OFFERED.ITEMNO. QTY UNIT PRICE

1 25 kg2 21 kg3 14kg4 4 bot5 2gal

6 3tray7 7kg8 5kg9 5 kg10 5kg11 2kg12 3kg13 10kg14 1kg15 1L16 2L17 2kg18 1kg

19 5kg20 5.5kg21 15kg22 2kg23 1kg

BRAND AND MODEL :Delivery Period :Warranty :Price Validity :

After having carefully read and accepted your General Conditions, I / We quote you on the item

at prices noted above.

Printed Name / Signature

Tel. No. / Cellphone No.e-mail address

tomato sauce

BeansEggplants

SayoteTomatoes

Vinegar

AmpalayaChicken Liver

SoysauceSalt/Seasoning

Onion Bulb

FlourBihon

Canton

Tuna fishChicken

ITEM & DESCRIPTION

Name of the Procuring Entry

Date:

Address

MELANIE M. CABRERASchool Canvasser

Beef

PotatoesCarrots

Oil

MongoEggs

squash


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Item

LILIA JUYO LORDEL LACSON CHYTCHY DALDE VISMINDA BALOLOTBAC Member BAC Member BAC Member BAC Member

ASUNCION S. INFIESTO

ESP-2

APPROVED/DISAPPROVED:

We hereby certify to the correctness of the quotation of prices.

CARD 300

No. Qty Unit Description BEVERLY CALLEDO TECKPO

Davao City

ABSTRACT OF BIDS/CANVASS Date of Canvass:

Department of Education Date Open:DIVISION OF DAVAO CITY Bid/Canvass No.:

Republic of the Philippines


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H.O.P.E


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TRINIDAD DAYOSBAC Member

300 300

ROYAL YTELCOMNE COM


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of IRR of RA 9184; WHEREAS ,in response to the requests/ invitations,the bid proposals submitted by the bidder/s were found substantially complying :

14-09-0514 9/6/2014 Groceries14-09-0515 9/6/2014 Groceries

14-09-0512 9/6/2014 Groceries14-09-0513 9/6/2014 Groceries

14-09-0511 9/6/2014 Groceries

GroceriesGroceries

9/6/20149/6/20149/6/201414-09-0509

14-09-0510

Name of Bidder

9/6/2014

GroceriesGroceriesGroceriesGroceriesGroceriesGroceriesGroceriesGroceries

9/6/20149/6/20149/6/2014

Date opened Particulars

9/6/20149/6/20149/6/2014

14-09-050514-09-050614-09-050714-09-0508

14-09-0504

Bid /Canvass

no.14-09-050114-09-050214-09-0503

REPUBLIC OF THE PHILIPPINES

REGION XIDIVISION OF DAVAO CITY

DAVAO CENTRAL DISTRICT

WHEREAS , at least (3) suppliers/contractors of known qualifications were requested /in-vited submit price quotations/proposals for every purchase request as provided in Rule XVI

WIRELESS ELEMENTARY SCHOOL

(Adopted by: University of the Immaculate Conception)Fr. Selga St. Davao City

DEPARTMENT OF EDUCATION


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Annex 3. Section 6.1

Supplier: NCCC SUPERMARKET P.O No. 1 Address RAMON MAGSAYSAY AVENUE DAVAO CITY Date: 9/6/2014T.I.N 006-171-689-002 Mode of Procurement SHOPPINGGentlemen,

Place of Delivery: WIRELESS ELEMENTARY SCHOOL Delivery Term: 5 DAYSDate of Delivery: 09-6-14/09-13-14/09-21-14/09-26-14 Payment Term: CASH

Stock No. Unit Item Description Qty. Unit Cost Amount1 Kg. Tuna fish 25 410 10,250.00 2 Kg. Chicken 21 180 3,780.00 3 Kg. Beef 14 250 3,500.00 4 bt tomato sauce 4 45 180.00 5 gal Oil 2 150 300.00 6 tray Eggs 3 155 465.00 7 Kg. Mongo 7 80 560.00 8 Kg. Potatoes 5 75 375.00 9 Kg. Carrots 5 85 425.00

10 Kg. squash 5 15 75.00 11 Kg. Beans 2 50 100.00 12 Kg. Eggplants 3 30 90.00 13 pcs Sayote 10 5 50.00 14 Kg. Tomatoes 1 12 12.00 15 L Vinegar 1 28 28.00 16 L Soysauce 2 45 90.00 17 Kg. Salt/Seasoning 2 15 30.00 18 Kg. Onion Bulb 1 80 80.00 19 Kg. Flour 5 40 200.00

20 Kg. Bihon 5.5 70 385.00 21 Kg. Canton 15 45 675.00 22 Kg. Chicken Liver 2 145 290.00 23 Kg. Ampalaya 1 60 60.00

Total 22,000.00

Total Amount in Words Twenty-two thousand pesos

Conforme: Very truly yours,

RODEL C. PIEROSignature over printed name

Date:

Please furnish this office the following articles subject to the terms and condtions contrained herein

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

H.O.P.E

PURCHASE ORDER

Department of EducationRegion XI

Division of DAVAO CITY

ASUNCION S. INFIESTO


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Annex 1, Section 3.1

Date: SEPT.17,2014SAI No.: _____ Date: _________________

Stock No. Unit Item nDescription Qty. Estimated EstimatedUnit Cost Cost (Php)

1 Kg. Tuna fish 25 410 102502 Kg. Chicken 21 180 37803 Kg. Beef 14 250 3500

4 bt tomato sauce 4 45 1805 gal Oil 2 150 3006 tray Eggs 3 155 4657 Kg. Mongo 7 80 5608 Kg. Potatoes 5 75 3759 Kg. Carrots 5 85 425

10 Kg. squash 5 15 7511 Kg. Beans 2 50 10012 Kg. Eggplants 3 30 9013 pcs Sayote 10 5 5014 Kg. Tomatoes 1 12 1215 L Vinegar 1 28 2816 L Soysauce 2 45 90

17 Kg. Salt/Seasoning 2 15 3018 Kg. Onion Bulb 1 80 8019 Kg. Flour 5 40 20020 Kg. Bihon 5.5 70 38521 Kg. Canton 15 45 67522 Kg. Chicken Liver 2 145 29023 Kg. Ampalaya 1 60 60

Total 22000Purpose: To feed 100 beneficiaries in the period of 22 days

Requested by: Approved by:

MELANIE M. CABRERAFeeding Coordinator School Property Custodian

Printed NameDesignation

Signature:RODEL C. PIERO

Section/Unit: FEEDING

PURCHASE REQUEST

DEPARTMENT OF EDUCATIONRegion XI.

Division of Davao Central

Dep't./Division:Dep.Ed/ Davao City PR No: 1


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Annex 3. Section 6.1

Supplier: NCCC SUPERMARKET P.O No. 1 Address RAMON MAGSAYSAY AVENUE DAVAO Date: 9/6/2014T.I.N 006-171-689-002 Mode of Procurement SHOPPINGGentlemen,

Place of Delivery: WIRELESS ELEMENTDelivery Term: 5 DAYSDate of Delivery: 09-6-14/09-13-14/09-21 Payment Term: CASH

Stock No. Unit Item Description Qty. Unit Cost Amount1 Kg. Tuna fish 25 410 10,250.00 2 Kg. Chicken 21 180 3,780.00 3 Kg. Beef 14 250 3,500.00 4 bt tomato sauce 4 45 180.00 5 gal Oil 2 150 300.00 6 tray Eggs 3 155 465.00 7 Kg. Mongo 7 80 560.00 8 Kg. Potatoes 5 75 375.00 9 Kg. Carrots 5 85 425.00 10 Kg. squash 5 15 75.00 11 Kg. Beans 2 50 100.00 12 Kg. Eggplants 3 30 90.00 13 pcs Sayote 10 5 50.00 14 Kg. Tomatoes 1 12 12.00 15 L Vinegar 1 28 28.00 16 L Soysauce 2 45 90.00 17 Kg. Salt/Seasoning 2 15 30.00 18 Kg. Onion Bulb 1 80 80.00 19 Kg. Flour 5 40 200.00

20 Kg. Bihon 5.5 70 385.00 21 Kg. Canton 15 45 675.00 22 Kg. Chicken Liver 2 145 290.00 23 Kg. Ampalaya 1 60 60.00

Total 22,000.00

Total Amount in Words Twenty-two thousand pesos

Conforme: Very truly yours,

RODEL C. PIEROSignature over printed name

Date:

PURCHASE ORDER

Department of EducationRegion XI

Division of DAVAO CITY

Please furnish this office the following articles subject to the terms and condtions contrainedherein

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

ASUNCION S. INFIESTOH.O.P.E


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Annex 1, Section 3.1

Date: SEPT.17,2014SAI No.: _____ Date: _________________

Stock No. Unit Item nDescription Qty. Estimated EstimatedUnit Cost Cost (Php)

1 Kg. Tuna fish 25 410 102502 Kg. Chicken 21 180 37803 Kg. Beef 14 250 3500

4 bt tomato sauce 4 45 1805 gal Oil 2 150 3006 tray Eggs 3 155 4657 Kg. Mongo 7 80 5608 Kg. Potatoes 5 75 3759 Kg. Carrots 5 85 42510 Kg. squash 5 15 7511 Kg. Beans 2 50 10012 Kg. Eggplants 3 30 9013 pcs Sayote 10 5 5014 Kg. Tomatoes 1 12 1215 L Vinegar 1 28 2816 L Soysauce 2 45 90

17 Kg. Salt/Seasoning 2 15 3018 Kg. Onion Bulb 1 80 8019 Kg. Flour 5 40 20020 Kg. Bihon 5.5 70 38521 Kg. Canton 15 45 67522 Kg. Chicken Liver 2 145 29023 Kg. Ampalaya 1 60 60

Total 22000Purpose: To feed 100 beneficiaries in the period of 22 days

Requested by: Approved by:

ELANIE M. CABRERAFeeding Coordinator School Property Custodian

PURCHASE REQUEST

DEPARTMENT OF EDUCATIONRegion XI.

Division of Davao Central

Dep't./Division:Dep.Ed/ Davao CitySection/Unit: FEEDING

Signature:Printed Name RODEL C. PIERODesignation


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o.

Date:

Responsibility Center

Code:

To liquidate cash advance granted last ____________________ P per chk#_____________.

TOTAL AMOUNT SPENT P -

AMOUNT OF CASH ADVANCE PER DV. NO. DATED P

AMOUNT REFUNDED PER OR NO. P

AMOUNT TO BE REIMBURSED P

A.Certified: Correctness of the above B. Certified: Purpose of travel/ C. Certified: Supporting documents data. cash advance duly accomplished complete and proper.

HELEN D. PAGUICAN, CESO VHead Teacher I/OIC Schools Division Superintendent Accountant II

LIQUIDATION REPORTDepEd, Division Office, Davao City

PARTICULARS

LORADEL L. BARICAUA


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Report No.Sheet No.

Date OR Number Payee Account Code Amount

-

I hereby certify that this Report of Disbursement in 1 sheet(s) is a full, true andcorrect statement of the disbursement made by me and that this is in liquidation of the cashadvance granted last ___________ in the amount of P50,000.00 per check no.___________dated _____________

DatePrincipal

REPORT OF DISBURSEMENTSDEPED - DIVISION OF DAVAO CITY SCHOOLS, DAVAO CITY

C E R T I F I C A T I O N


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TYPE OF WORKING FUND: MOOE

REFERENCE PAYEE/ TRAVEL TRAINING OFFICE RDATE (OR/RER/ PARTICULARS AMOUNT PAYMENTS BALANCE EXPENSES EXPENSES SUPPLIES A

check #) RECEIVED (6=4-5) (751) (753) (755) SCH. BL(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

42,150.00-

8/18/2014 Beverly Galleos 600.00 41,550.00 8/14/2014 Davao Deseret 13,350.00 28,200.00 8/14/2014 Three A Business Center 17,687.00 10,513.00

7/2/2014 Bayantel 1,397.00 9,116.00 7/2/2014 Byantel 1,381.00 7,735.00 9/4/2014 Network Yechnology & bEngrng Corp 4,500.00 3,235.00 9/4/2014 Davao Deseret 3,600.00 (365.00)

- TOTAL - 42,515.00 - - -

CERTIFIED CORRECT CERTIFIED: Supporting Documents and Complete NOTED:

221 Office Equipment 766 Water Expenses 795 General222 Furniture and Fixture 767 Electricity Expenses 796 Janitori751 Travel Expenses - Local 771 Postage and Deliveries 781 Printing753 Training And Seminar Expenses 772 Telephone Expenses - Landline 812 Repair a755 Office Supplies 773 Telephone Expenses - Mobile 821 Repair a765 Other Supplies Expenses 774 Internet Expenses 822 Repair a

DATE:_____________________ DATE:_____________________ DAT

ASUNCION S. INFIESTO LORADEL L. BARICAUAPrincipal II Accountant II Sch

Name of SchoolDivision of Davao City

FOR THE PERIOD _________________________________

CASH DISBURSEMENTS REGISTER

CASH ADVANCEBREAKDOWN OF P


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TYPE OF WORKING FUND: MOOE

REFERENCE PAYEE/ TRAVEL TRAINING OFFICE REPDATE (OR/RER/ PARTICULARS AMOUNT PAYMENTS BALANCE EXPENSES EXPENSES SUPPLIES AI

check #) RECEIVED (6=4-5) (751) (753) (755) SCH. BLDG(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

42,150.00

Name of SchoolDivision of Davao City

FOR THE PERIOD _________________________________

CASH DISBURSEMENTS REGISTER

CASH ADVANCEBREAKDOWN OF PAY

Note: Accounts not identified in column 7,8,9 and 10. Post it to column 11,12 and 13 under other accounts .Please refer to the Account Names and Account Number stated above.


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Date Reference/ Name of Payee Nature of Payment AmountPayroll No.

DV No.

- - - - - - - - - - - - - - - - -

TOTAL -

Principal

STATEMENT / SUMMARY OF EXPENSES

Republika ng PilipinasKAGAWARAN NG EDUKASYON

Rehiyon XISANGAY NG LUNGSOD NG DABAW

MALABOG NATIONAL HIGH SCHOOL


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Supplier:IAR No: _________ P.O. NO _________ Date: _____________ Invoice No.___________ Date: ________Requisitioning Office/Dept.: ______________________________________________________

StockNo.

Unit Quantity

card 1

card 1pc 1,300sets 210pc 210pc 350pc 675pc 525bill 2tube 3

sets 72

CHYTCHY DALDESchool Inspector

JUYO

Division Inspector

Description

INSPECTION & ACCEPTANCE REPORTDepartment of Education

Sch ID Cards

smart cellcardSun cellcard

RODEL C. PINEROSupplyOfficer/Property Custodian

INSPECTION ACCEPTANCE

Date Inspected: _______________________

As to quantity & specifications.

Date Received: __________________

English act shts

Aral Pan 3 Act ShtsECCD Checklist

THERESE ROCABERTESchool Inspector

F138 1 &IIF138 IIIF138 5 &6Bayantel billToner

Complete

Partial (Pls. Specify qty)

Inspected, verify & found in order

/


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Revised January, 1992

Date

the amount

(P )

In payment for

Address: Address:

Residence Cert. No. Residence Cert. No.Date of Issue: Date of Issue:Place of Issue: Place of Issue:

(Signed by inspecto r)

( Signature) ( Signature)

(Printed Name) (Printed Name)

( In Figure ) ( In Figure )

( payment for substance, services, rental or transportation should show )

( Inclusive dates, purpose, distance, inclusive points of travel, etc. )

PAYEE WITNESS

(Official Designation) In Words

REIMBURSEMENT OF EXPENSES RECEIPTS

Received from ASUNCION S. INFIESTOName


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Name of SchoolAttendance SheetSchool Feeding ProgramFor the Period ________________

Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7 Day 8 Day 9

Name of Beneficiary

Aug.____

2014

Aug.____

2014

Aug.____

2014

Aug.____

2014

Aug.____

2014

GradeLevel

Aug.____

2014

Aug.____

2014

Aug.____

2014

Aug.____

2014


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Day 10Aug.____

2014


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LIST OF DOCUMENTS ATTACHED TO LIQUIDATION REPORTS

1. Purchase Request

2. BAC Resolution (Mode of Procurement)3. Canvass4. Abstract of Bids5. BAC Resolution (Award of Contract/PO)6. Purchase Order7. Liquidation Report8. Report of Disbursment9. Cash Disbursement Register

10. Summary of Expenses11. Inspection and Acceptance Report12. Attendance Sheet13. Menu on the Scheduled Date14. Official Receipts/RER