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Republic of the PhilippinesDepartment of Education

Region VIIIDivision of Northern Samar

Catarman I DistrictLIBER! ELE"EN#R! SC$%%L

INSPECTION AND ACCEPTANCEProvince&Cit'&"unicipalit' of Catarman

Supplier(((((((((((((((((((((((( #R No) ((((((((((((((((((((( P% No)(((((((((((((((((((((((((Date*((((((((((((((((Invoice*((((((((((( Re+uesting %,ce&Dept)* DepEd Division of Northern Samar

ItemNo)

-nit DESCRIPI%N .uantit'

INSPECI%NDate Inspected* (((((((((((((((((((( / 0Inspected1 veri2ed and found %3 #s to +uantit' and speci2cation

 ((((((((((((((((((((((((((((((( Inspector

#CCEP#NCEDate Received * (((((((((((((((((((((((( / 0 Complete/ 0 Partial

 (((((((((((((((((((((((((((( Propert' Custodian

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Republic of the PhilippinesDepartment of Education

Region VIIIDivision of Northern Samar

Catarman I DistrictLIBER! ELE"EN#R! SC$%%L

# C 3 N % L E D " E N R E C E I P

 % $%" I "#! C%NCERN*

Received from ROSELLER C. DEMOLAR1 $ead eacher of Libert' Elementar'School1 the amount of Php((((((((((((((((((((((((((((((((((((((((( 

Pa'ment for* (((((((((((((((((((((((((((((((((((((((((((((((((((((((((( 

Purpose* (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((( 

 (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((   Pa'ee

itness*

 (((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((   Propert' Custodian&eachers Club %rg) #uditor

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of Northern Samar

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Catarman I DistrictLIBER! ELE"EN#R! SC$%%L

PURCHASE REQUESTPurchase Re+uest No)(((((( Date*

 ((((((((((((((((((( 

Stoc4 No)

-nit Item Description .uantit'

-nit Cost otal

Php Php

 %#L Php

Purpose*

Re+uested b'* #pproved b'*

Signature*

Printed Name* ROSELLER C. DEMOLAR

Designation* $ead eacher II

Republic of the PhilippinesDepartment of Education

Region VIIIDivision of Northern Samar

Catarman I DistrictLIBER! ELE"EN#R! SC$%%L

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REQUISITION AND ISSUE SLIP

Division*

Northern Samar Responsibilit'Center*

RISNo)*

School*

Libert' ES1 Paticua ES1 SanPascual ES

Code* Date*

  S#I No)((((((((((((((((((((((((((((((( Date((((((((((((((((((((((((((( 

S%C3 

N%)

-NI DESCRIPI%N .-#NI !

RE"#R3 S

RECEIVED(SIGNATURE OVPRINTTED NAM

Purpose*

REQUESTED BY: APPROVED BY: RECEIVED BY:

SIN#-RE*

N#"E* ROSELLER C. DEMOLAR

DESIN#I%N* $ead eacher II

D#E*

Ofcial Rci!" Purchase Re+uest Re+uisition and Issue Slip Inspection and #cceptance Notice of Bidders 7 S%RES #c4no6ledgement Receipt pictorials

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C#$"%ac" #& S%'ic $ i$ "%*+ "# *a"%ial+ Contract of Service Pa'roll Billing Statement #c4no6ledgement Receipt  Purchase Re+uest Re+uisition and Issue Slip Inspection and #cceptance Notice of Bidders 7 PERS%NS #c4no6ledgement Receipt Certi2cation pictorials

C#$"%ac" #& S%'ic La,#% Contract of Service Pa'roll Billing Statement #c4no6ledgement Receipt Pictorials $EN $ILE #=ER

RER Ma"%ial+ Bl# -///.// Billing Statement #c4no6ledgement Receipt  Purchase Re+uest Re+uisition and Issue Slip Inspection and #cceptance Notice of Bidders #c4no6ledgement Receipt Certi2cation pictorials

RER S%'ic+ Billing Statement #c4no6ledgement Receipt pictorials

 0#, C#$"%ac" (0a$i"#%ial S%'ic+) #pproved ob Contract b' SDS months Pa'roll DR