Republic of the Philippines
Department of Education
Region X
Division of Misamis Occidental
PROPERTY ACKNOWLEDGEMENT RECEIPT
Fund Cluster: NLC FUNDS 2023 #1 PAR No.: 2023-09-001
QTY. UNIT DESCRIPTION (Serial No. if any) UNIT PRICE TOTAL PRICE PROPERTY NO.
1 unit Printer, EPSON L3210 9,457.00 9,457.00 2023-09-223-001
Source of Fund: MOOE SUPPLIER: GLORIA BAZAR
Remarks: Good Condition P.O. No.: 2023 - O9 - 001
History: Brand New D.R./O.R. NO.: 107978
Dated: September 29,2023
NOTED:
MURIEL C. LARANJO
Member
Received by: Issued by:
SHAIREXYL D. BATION PURITY MAE P. TUDEN
Signature over printed name) Signature Over Printed Name
Position: ESP-I Position: T-I / Supply/Property Custodian
School: Sapang Ama Integrated School School: Sapang Ama Integrated School
Date: Date:
Address: Osilao St., Poblacion 1, Oroquieta City, Misamis Occidental
Contact Number: (088) 531-1872 / 0977 – 8062187
E-mail Address: deped_misocc@yahoo.com
Appendix 9-10
Republic of the Philippines
Department of Education
Region X-Northern Mindanao
Schools Division of Misamis Occidental
REPORT ON SUPPLIES AND MATERIALS ISSUED
Entity Name: SAPANG AMA INTEGRATED SCHOOL O.R. No.: 107978
Fund Cluster: NLC FUNDS 2023 #1 Date: September 29, 2023
To be filled by Accounting
To be filled up in the Supply and Property Unit
Unit
Responsibility
RIS No. Stock No. Item Unit Quantity Unit Cost Amount
Center Code
1 5020321001 Printer unit 1 9,457.00 9,457.00
2 5020301000 Ink, EPSON 774 pc 8 489.00 3,912.00
SUBTOTAL ₱ 13,369.00
NET VAT (TAX BASE) ₱ 11,936.61
Less Tax : 5% ₱ 596.83
: 1% ₱ 119.37
TOTAL ₱ 12,652.80
I hereby certify to the correctness of the above information. Posted by Date
PURITY MAE P. TUDEN, T-I MARIE NANETTE P. CALIDGUID, ESP-I
Property Custodian School Principal
1 ream bondpaper, A 35 218.00 7,630.00
bondpaper,
2 ream Legal size 48 242.00 ###
3 bottle Ink, EPSON 0 20 260.00 5,200.00
4 bottle Ink, EPSON 0 48 260.00 ###
5 pc Sign pen 1 47.85 47.85
FM-PSS - 001
Republic of the Philippines
Department of Education
Region X
Schools Division of Misamis Occidental
REQUISITION AND ISSUANCE SLIP
Fund Cluster: NLC FUNDS 2023 #1
Division: MISAMIS OCCIDENTAL Responsibility Center Code 5020301000
Office: SAPANG AMA INTEGRATED SCHOOL-JHS R I S No. 2023- 09- 001
Requisition Stock Available Issue
Stock No. Unit Description Qty. Yes No Qty. Remarks
1 pc Ink, EPSON 774 8 ✓ 1 Issued
Purpose: For printing of NLC materials
Recieved by: Issued by: Aprroved by:
PURITY MAE P. TUDEN
T-I PURITY MAE P. TUDEN MARIE NANETTE P. CALIDGUID, ESP-I
Date: T -I/ Property/Supply School Principal
Address: Osilao St., Pob. 1. Oroquieta City, Misamis Occidental
Contact No.: (088) 531-4026
E mail Address: misamisocciental@deped.gov.ph
Website: depedmisocc,ph
RIS No, CONTROLLED BY THE SCHOOL HEAD/PROPERTY CUSTODIAN
Reponsibilty Center Code
Semi-expandable code:
coa circular n0 2022-004-may-31-2022
Maaung hapon sa tanan mao ni gamiton
nga account title and code:
1. Printer- 5020321011 semi-expandable
printing equipment
2. TV- 5020321002 semi-expandable office
equipment
3. LAPTOP- 5020321002 semi- expandable
information and comminications
teachnology
ESP-I
