Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Election Officer, ALOBS No. Date:
Santa Cruz, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
61 pax Deso Technical Support Staff A.M. and P.M. Snacks 300.00 18,300.00
Lunch, Bottled Water/Refreshments
2 pax Trainors A.M. and P.M. Snacks, lunch bottled 300.00 600.00
Water/Refreshments
TOTAL PHP 18,900.00
Meals for Refresher Training of DESO Technical Support Staff in connection with the May 13, 2019 National and
PURPOSE
Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date April 30, 2019 April 30, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
No:
LIQUIDATION REPORT Date:
COMMISSION ON ELECTIONS Responsibility Center
Agency Code: 32-000-00000-01-09-02-12-01
PARTICULARS Amount
To LIQUIDATE Cash Advance issued to undersigned, as Provincial Election Supervisor II, Marinduque,
in the total amount of One Hundred Thirty One Thousand and One Hundred Pesos only (PHP 131,
100.00) intended for the TEAM BUILDING ACTIVITY of COMELEC Marinduque Personnel for the year
2019.
131,100.00
Food and Accommodation for 23 pax (2D/1N) 108,000.00
T-Shirt for 23 pax 2,530.00
T-Shirt Printing 1,725.00
Jeepney Hiring (Boac to Torrijos v.v.) 4,000.00
Tarpaulin Printing 731.00
Awards & Prizes 19,000.00
TOTAL 131,255.00
Attachments:
Signed Payroll
Approved Purchase Request
Canvass/Price Quotation
Official Receipt
Other Supporting Documents
TOTAL AMOUNT SPENT 131,255.00
AMOUNT OF CASH ADVANCE PER DV. No. _________DTD.________ 131,100.00
AMOUNT REFUNDED PER O.R. No.________DTD.________ 0.00
AMOUNT TO BE REIMBURSED 0.00
B. Certified: Purpose of travel/cash C. Certified: Supporting documents
A. Certified: Correctness of the above data. advance duly accomplished complete and proper
ATTY. ANGELA KRISTINE DG. ROYANDOYAN ATTY. FERNANDO C. BESIÑO
Provincial Election Supervisor II Asst. Regional Election Director Head, Accounting Unit JEV No.
Claimant
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Provincial Election ALOBS No. Date:
Supervisor, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
23 pcs Cotton T-Shirt without Collar 110.00 2,530.00
TOTAL PHP 2,530.00
PURPOSE T-Shirt for Team Building Activity of 23 COMELEC Marinduque Personnel
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
ATTY.
Printed Name ANGELA KRISTINE P. DE GUIÑO-ROYANDOYAN ATTY. FERNANDO C. BESIÑO
Designation Provincial Election Supervisor II Assistant Regional Election Director
Date .
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Election Officer, ALOBS No. Date:
Santa Cruz, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
55 pax Department of Education Supervising Official Snacks 75.00 4,125.00
35 pax Philippine National Police Santa Cruz Personnel Snacks 75.00 2,625.00
5 pax OEO Santa Cruz Personnel Snacks 75.00 375.00
TOTAL PHP 7,125.00
Meals for Coordination Meeting with COMELEC, DepEd and PNP on May 4, 2019 in connection with the
PURPOSE
May 13, 2019 National and Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date May 4, 2019 May 4, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
No:
LIQUIDATION REPORT Date:
COMMISSION ON ELECTIONS Responsibility Center
Agency Code: 32-000-00000-01-09-02-12-01
PARTICULARS Amount
To LIQUIDATE Cash Advance issued to undersigned, as Election Officer II of
OEO,Santa Cruz, Marinduque, in the total amount of Twenty Three Thousand Four Hundred Fifty
Pesos only (PHP 23,450.00) sent thru 2nd ATM Account of undersigned intended as Cash Advance
for Refresher Training of DESO Technical Support Staff (DTSS) in connection with May 13, 2019
National and Local Elections.
23,450.00
Food for Refresher Training of DESO Technical Support Staff 18,300.00
Food for Trainors/Support Staff 600.00
LCD Rental 1,500.00
Training Supplies 3,050.00
TOTAL 23,450.00
Attachments:
Approved Purchase Request
Canvass/Price Quotation
Notice with Attendance Sheet
Official Receipt
Contract of Lease
Other Supporting Documents
TOTAL AMOUNT SPENT 23,450.00
AMOUNT OF CASH ADVANCE PER DV. No. _________DTD.________ 0.00
AMOUNT REFUNDED PER O.R. No.________DTD.________ 0.00
AMOUNT TO BE REIMBURSED 0.00
A. Certified: Correctness of the B. Certified: Purpose of travel/cash advance C. Certified: Supporting documents
above data. duly accomplished complete and proper
KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Election Officer II Provincial Election Supervisor Head, Accounting Unit JEV No.
Claimant
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Provincial Election ALOBS No. Date:
Supervisor, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
15 pax MBOC PM Snacks 75.00 1,125.00
15 pax MBOC Dinner 150.00 2,250.00
15 pax MBOC Midnight Snacks 75.00 1,125.00
15 pax MBOC Breakfast 150 2,250.00
TOTAL PHP 6,750.00
Meals for the Municipal Board of Canvassers (MBOC) and Support Staff of Santa Cruz, Marinduque in connection
PURPOSE
with the May 13, 2019 National and Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date May 13, 2019 May 13, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Election Officer, ALOBS No. Date:
Santa Cruz, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
61 pax Snacks of Punong Barangays 75.00 4,575.00
36 pax Snacks of Local Candidates of Boac 75.00 2,700.00
20 pax Snacks of COMELEC Personnel of Marinduque 75.00 1,500.00
5 pax Snacks of PNP Security 75.00 375.00
TOTAL PHP 9,150.00
Snacks for Vote Counting Machine (VCM) Roadshow and Voters Education in the municipality of Boac in connection
PURPOSE
with the May 13, 2019 National and Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date March 11, 2019 March 11, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Election Officer, ALOBS No. Date:
Santa Cruz, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
50 pax Snacks for COMELEC and PNP (COMELEC Checkpoint) 75.00 3,750.00
75 pax Snacks for Local Candidates, DepEd Personnel, PNP/AFP 75.00 5,625.00
DILG and PPCRV (Unity Walk and Peace Covenant)
10 pax Snacks of OPES, Marinduque and OEO Boac Personnel 75.00 750.00
TOTAL PHP 10,125.00
Snacks for the Conduct of Simultaneous COMELEC Checkpoint and Unity Walk and Peace Covenant on
PURPOSE
January 13, 2019 in connection with the May 13, 2019 National and Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date January 13, 2019 January 13, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Election Officer, ALOBS No. Date:
Santa Cruz, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
50 pax Snacks for OEO Boac Personnel, PNP and DPWH 75.00 3,750.00
TOTAL PHP 3,750.00
Snacks for the Conduct of Municipal Wide Operation Baklas on February 20, 2019 (Boac) in connection with the
PURPOSE
May 13, 2019 National and Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date February 20, 2019 February 20, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
Republic of the Philippines
COMMISSION ON ELECTIONS
Intramuros, Manila
PURCHASE REQUEST
Requesting Office/Department: PR No. Date:
Office of the Election Officer, ALOBS No. Date:
Santa Cruz, Marinduque SAI No. Date:
UNIT OF STOCK ESTIMATED ESTIMATED
QTY. ITEM DESCRIPTION
ISSUE NO. UNIT COST COST
50 pax Snacks for OEO Santa Cruz Personnel, PNP and DPWH 75.00 3,750.00
TOTAL PHP 3,750.00
Snacks for the Conduct of Municipal Wide Operation Baklas on March 26, 2019 (Santa Cruz) in connection with the
PURPOSE
May 13, 2019 National and Local Elections
REQUESTED BY: RECOMMENDING APPROVAL:
Signature
Printed Name KRISTOFFER OLA OLYMPIA ATTY. JOHN MARK R. TAMBASACAN
Designation Election Officer II Provincial Election Supervisor, Marinduque
Date March 29, 2019 March 29, 2019
RECOMMENDATION: APPROVED/DISAPPROVED FOR PURCHASE:
ASD: APP: Yes No
v
________ Nature: Regular Emergency
FSD: ______________________________________
_______ Funding: Available Not Available Signature Over Printed Name
Remarks: ____________________________________ Date:
