Department of Education

Division of Romblon
District of Romblon
GUINBIRAYAN ELEMENTARY SCHOOL

SUPPLEMENTAL SUMMARY OF PROPOSED EXPENDITURES

CY 2022

Distribution By Month
Commodity
January February March April May June July August September October November December Total

A. Travel -
B. Office & School Supplies
11,300.00 20,040.00 31,340.00

C. Printing Expenses -

D. Medicine -
E. Other Supplies Exp. (gas,moving-
up, grad.exp.) -

F. Job Order 7,000.00 7,000.00 7,000.00 21,000.00

G. Utilities (elec, water, cable, etc. ) -

Electricity 1,568.91 1,501.09 1,600.00 4,670.00

Load 900.00 900.00 900.00 2,700.00

Cable 425.00 425.00 425.00 1,275.00

H. Repair & Maintenance - School
Building 49,890.00 49,890.00

I. GAD ( 5% ) -

J. Differently Abled ( 1% ) -

TOTAL - - - - - - 59,783.91 21,126.09 29,965.00 - 110,875.00

Certified Correct:

ELJUN F. DELOS REYES, Ph.D MARIA LUISA D. SERVANDO, Ph.D., CESO VI

ES Principal II Schools Division Superintendent
 Department of Education
Division of Romblon
District of Santa Fe-San Jose______
Silvino G. Gajarion Elementary School

SUPPLEMENTAL ANNUAL PROCUREMENT PLAN

Total Distribution By Month

Total
No. Commodity Unit Price Quantit January February March April May June July August September October November December
Amount
y Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount Quantity Amount

A. Travel
1 9754

Sub-Total 9754
B. Office & School Supplies

001 Printer
14871.18 1 14871.18 1 14871.18
002 Coupon Bond (Long) 200.00 25 5000.00 25 5000.00
003 Coupon Bond (A4) 200.00 25 5000.00 25 5000.00
004 Printer Ink (Black) 350.00 5 1750.00 5 1750.00
005 Printer Ink (Magenta) 350.00 6 2100.00 6 2100.00
006 Printer Ink (Yellow) 350.00 6 2100.00 6 2100.00
007 Folder (long) 5.00 80 400.00 80 400.00

Sub-Total 31221.18 31,221.18

C. Printing Expenses

Sub-Total

D. Medicine

E. Other Supplies Exp. (gas,moving-up, grad.exp.)

F. Job Order 5000 5 25000 1 5000 1 5000 1 5000 1 5000 1 5000

G. Utilities (elec, water, cable, etc. )

Electricity 5 9996 1 1500 1 1021 1 1000 1 1000 1 1000
Load 300 15 4500 3 900 3 900 3 900 3 900 3 900
Cable 575 5 2875 1 575 1 575 1 575 1 575 1 575
Sub total 17371 2975 2496 2475 2475 2475

H. Repair & Maintenance - School Building

I. GAD (5%)

J. Differently Abled (1%)

Sub-Total

TOTAL
Prepared & Submitted: Approved:

ELJUN F. DELOS REYES, Ph.D MARIA LUISA D. SERVANDO, Ph.D., CESO VI

ES Principal II Schools Division Superintendent
 No.:
LIQUIDATION REPORT
Date:
Responsibility Center
Department of Education
Code:
PARTICULARS Amount

Liquidation of Cash Advance of MOOE for the month of October 2022 as 21,126.09
per supporting papers hereto attached…

TOTAL AMOUNT SPENT 21,126.09

AMOUNT OF CASH ADVANCE PER DV# _________ DTD. 21,126.09

AMOUNT REFUNDED PER OR# DTD. -

AMOUNT TO BE REIMBURSED -
A B C Certifified:Supporting documents complete &
Certified: Correctness Certified: Purpose of travel/cash advance proper
of the above data duly accomplished

ELJUN F. DELOS REYES MARIA LUISA D. SERVANDO, Ph.D. CESO VI LEETAH F. MENORCA

Schools Division Superintendent

ES Principal II Accountant III

JEV No.
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION 22-10-001 Date: 10/15/2022

Section: GUINBIRAYAN ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
005 pcs Printer Ink Cyan 5 380 1900
006 pcs Printer Ink Yellow 5 380.00 1900.00
007 pcs Printer Ink Magenta 5 380.00 1900.00
008 pcs Printer Ink Black 5 380.00 1900.00
009 pcs Glue 24 50.00 1200.00
010 pcs Laminating Film 1 2500.00 2500.00

TOTAL ₱ 11,300.00
Purpose: To purchase office/school supplies.

Requested by: Approved by:

Signature:
Printed Name: SIMEONA B. OCZON ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-09-001 Date: 9/15/2022

Section: GUINBIRAYAN ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
001 pcs Tiles 270 130.00 35100.00
002 kl Tile Grout 3 130.00 390.00
003 cu Sieved Sand 2 1500.00 3000.00
004 pcs Cement 24 350.00 8400.00

TOTAL ₱ 46,890.00
Purpose: To purchase supplies needed for repair.

Requested by: Approved by:

Signature:
Printed Name: SIMEONA B. OCZON ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 INSPECTION AND ACCEPTANCE REPORT
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Supplier
P.O. No. Date: Invoice No.
Requisitioning Officer/Dept.

Stock No. Unit Description Quantity

039 pc Load Card 3

INSPECTION ACCEPTANCE

Date Inspected: Date Receiv

Inspected, verified and found in order as Complete

to quantity and specifications Partial

SIMEONA B. OCZON
Property Custodian
SONET JOY I. JUNGAY LINIE G. GAYTANO
Member Member

RODELEE E. ALOJADO

Chairman
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-10-001 Date: 10/15/2022

Section: GUINBIRAYAN ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
011 pc Certificate Frame 20 130.00 2600.00
012 pc Certificate Holder 20 50.00 1000.00
013 pc Oil Pastel 10 150.00 1500.00
014 pc Extention Wire 1 1050.00 1050.00
015 pcs Chair 40 250.00 10000.00
016 pcs Envelope small 250 5.00 1250.00
017 pks Special Paper 30 40.00 1,200.00
018 pc Electric fan 1 1,440.00 1,440.00

TOTAL ₱ 20,040.00
Purpose: To purchase other supplies

Requested by: Approved by:

Signature:
Printed Name: SIMEONA B. OCZON ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 Republic of the Philippines
DEPARTMENT OF EDUCATION
MIMAROPA Region
Division of Romblon
GUINBIRAYAN ELEMENTARY SCHOOL

BIDS AND AWARDS COMMITTEE

REQUEST FOR QUOTATION

Date
Quotation No. 22-09-001

To All Eligible Suppliers:

Please quote your lowest price inclusive of VAT on the articles/services listed below, subject to the
Terms and Conditions of this RFQ and submit your quotation duly signed by your representative not
later than 10/27/2022at GUINBIRAYAN ELEMENTARY SCHOOL, Guinbirayan, Sta.Fe, Romblon. For
more information please call RUTH C. MOLINA at Mobile No.09217363598. Prospective supplier shall
be responsible to verify the qouted items from above-stated School and Mobile No. 09217363598

Very truly yours,

RUTH C. MOLINA
BAC CHAIRPERSON

Stock No. Quantity Unit Articles/Services Unit Price Total Cost

005 5 pcs Printer Ink Cyan
006 5 pcs Printer Ink Yellow
007 5 pcs Printer Ink Magenta
008 5 pcs Printer Ink Black
009 24 pcs Glue
010 1 pcs Laminating Film

This is to submit our price quotations as indicated above subject to the Terms and Conditions of this
RFQ.
Supplier's Company Name TIN No.
Address:
Telephone No. Mobile No. e-mail:
Supplier's Authorized Representative
Signature over Printed Name: Date:
 ABSTRACT OF QUOTATIONS AND CERTIFICATE OF REASONABLENESS OF PRICES
(Pertaining of the Local Purchase of Supplies, Materials and Equipment made in accordance with paragraph 4 of Department of Finance Order No. 2, series of 1956)

Name of Bidders and their respective prices

Item No. Quantity Unit Name of Articles Winning Bidder
S.I.G.E Trading LILIAN'STORE JA WAREHOUSE

039 JA WAREHOUSE
3 pc Load Card 915.00 915.00 900.00

I HEREBY CERTIFY that the above prices which are checked and initialed are reasonable and the lowest obtainable in the locality after canvassing local dealers.

RUTH C. MOLINA EFREN D. MARCELINO JR EMILY E. MAGBANUA MERCEDES I. MACALISANG LERRY M. FILLARCA
BAC Vice Chairman
BAC Chairman BAC Member BAC Member BAC Member
 INVENTORY CUSTODIAN SLIP
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON
ICS No. ______

Item Inv. Item Estimated

Qty Unit Item Description Unit Value Total Value
No. No. Useful Life

014 1 pc Extention Wire 014 3 years 1050.00 1050.00

015 35 pc Chair 015 3 years 250.00 8,750.00
018 1 pc Electric fan 018 3 years 1,440.00 1,440.00

Received by: Received from:

DEARLY F. SANTIAGO SIMEONA B. OCZON

Signature Over Printed Name Signature Over Printed Name
ES Principal I Property Custodian
Position/Office Position/Office

Date Date
 REQUISITION AND ISSUE SLIP
DEPARTMENT OF EDUCATION
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Division ROMBLON Responsibility Center Code: RIS No.

Office/District: SAI No.

Requisition Issuan ce
Stock No. Unit Description Quantity Quantity Remarks
039 pc Load Card 3 3 Complete

Purpose: To receive load card for the month of November.

Requested by: Approved by: Received by:

Issued by:

Signature
Printed Name ELJUN F. DELOS REYES ELJUN F. DELOS REYES SIMEONA B. OCZON ELJUN F. DELOS REYES
Designation P-2 School Head Property Custodian P-2
Date
 PURCHASE ORDER
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON
Supplier: P.O. No.:
Address: Date:
TIN: Mode of Procurement:
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained
herein:

GES FOB DESTINATION

Place of Delivery:

CASH
Date of Delivery:

Unit
Stock No. Unit Item Description Quantity Amount
Cost
005 pcs Printer Ink Cyan 4 380 1520
006 pcs Printer Ink Yellow 4 380.00 1520.00
007 pcs Printer Ink Magenta 4 380.00 1520.00
008 pcs Printer Ink Black 5 380.00 1900.00
009 pcs Glue 24 50.00 1200.00
010 pcs Laminating Film 1 2500.00 2500.00

(Total Amount in Words) Ten Thousand One hundred Sixty pesos only. ₱ 10,160.00

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,

ELJUN F. DELOS REYES

Signature Over Printed Name of School Head
Conforme:

Signature Over Printed Name of Supplier

Date
Funds Available:
ALOBS No.:

MARIA IMELDA R. MEDINA Amount:

Administrative Assistant
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-06-006 Date: 6/15/2022

Section: Silvino G. Gajarion ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
025 pc Flag 10 500.00 5000.00
026 pc Stick Glue 51 10.00 510.00
027 pc Folder 100 6.00 600.00
028 pcs Sticky paper 15 100 1500
029 pcs Ring comb 2'' 30 85 2550
030 pcs Certificate holder (twin) 60 100.00 6000.00
031 pcs Photo paper 32 120.00 3840.00

TOTAL ₱ 20,000.00
Purpose: To purchase office supplies.

Requested by: Approved by:

Signature:
Printed Name: EMY E. MONTOJO ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-06-001-MD Date: 6/15/2022

Section: Silvino G. Gajarion ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
032 pc Digital Statoscope 1 3500.00 3500.00
033 pcs DOXYLAMINE-DEXTROMETHORPHAN 40 100.00 4000.00
034 btl CAMPHOR (SYNTHETIC) 10 100.00 1000.00
035 pcs hand towel 30 50.00 1500.00

TOTAL ₱ 10,000.00
Purpose: To purchase medicine supplies.

Requested by: Approved by:

Signature:
Printed Name: EMY E. MONTOJO ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-07-001 Date: 7/15/2022

Section: Silvino G. Gajarion ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
001 pc Printer 1 14871.18 14871.18
002 rms Coupon Bond (Long) 25 200.00 5000.00
003 rms Coupon Bond (A4) 25 200.00 5000.00
004 btl Printer Ink (Black) 5 350.00 1750.00
005 btl Printer Ink (Magenta) 6 350.00 2100.00
006 btl Printer Ink (Yellow) 6 350.00 2100.00
007 pcs Folder (long) 80 5.00 400.00

TOTAL ₱ 31,221.18
Purpose: To purchase office supplies.

Requested by: Approved by:

Signature:
Printed Name: EMY E. MONTOJO ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-06-001-GS Date: 6/15/2022

Section: Silvino G. Gajarion ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
033 pcs Medals 54 100.00 5400.00
034 pcs Ribbons 110 20.00 2200.00
035 pcs Certificate frame 20 120.00 2400.00

TOTAL ₱ 10,000.00
Purpose: To purchase supplies needed by teacher before graduation.

Requested by: Approved by:

Signature:
Printed Name: EMY E. MONTOJO ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-07-007 Date: 7/15/2022

Section: Silvino G. Gajarion ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
011 pc Printer (3in 1) 1 14400.00 14400.00
035 pcs Curtain 12 300.00 3600.00
036 pcs Sticky Wall paper (assorted) 19 305.00 5795.00

TOTAL ₱ 23,795.00
Purpose: To purchase office supplies.

Requested by: Approved by:

Signature:
Printed Name: EMY E. MONTOJO ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 PURCHASE REQUEST
Department of Education
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
ROMBLON

Department: EDUCATION PR No.: 22-10-001 LD Date: 10/15/2022

Section: GUINBIRAYAN ES SA No.: Date:
ALOBS No.: Date:

Stock Unit
Unit Item Description Quantity Total Cost
No. Cost
039 pc Load Card 3 300.00 900.00

TOTAL ₱ 900.00
Purpose: : To purchase load cards of school head for communication.

Requested by: Approved by:

Signature:
Printed Name: SIMEONA B. OCZON ELJUN F. DELOS REYES
Designation School Property Custodian School Head
 Republic of the Philippines
DEPARTMENT OF EDUCATION
MIMAROPA Region
Division of Romblon
(SCHOOL)

BIDS AND AWARDS COMMITTEE

REQUEST FOR QUOTATION

Date
Quotation No. 22-06-001

To All Eligible Suppliers:

Please quote your lowest price inclusive of VAT on the articles/services listed below, subject to the Terms and
Conditions of this RFQ and submit your quotation duly signed by your representative not later than
______________at SILVINO G. GAJARION ELEMENTARY SCHOOL, Danao Norte, Sta.Fe, Romblon. For more
information please call MARY JANE R. MARIANO at Mobile No.09385825705. Prospective supplier shall be
responsible to verify the qouted items from above-stated School and Mobile No.09385825705

Very truly yours,

MARY JANE R. MARIANO

BAC CHAIRPERSON

Stock No. Quantity Unit Articles/Services Unit Price Total Cost

032 1 Digital Statoscope
033 40 DOXYLAMINE-DEXTROMETHORPHAN
034 10 CAMPHOR (SYNTHETIC)
035 30 hand towel

This is to submit our price quotations as indicated above subject to the Terms and Conditions of this RFQ.

Supplier's Company Name TIN No.

Address:
Telephone No. Mobile No. e-mail:
Supplier's Authorized Representative
Signature over Printed Name: Date:
 CS Form No.
(Revised 1998)

DEPARTMENT OF EDUCATION
DIVISION OF ROMBLON
SANTA FE-SAN JOSE DISTRICT
Romblon

JOB ORDER

Department/Division: ROMBLON Source of Fund: MOOE

Date Prepared: 10/3/2022

Name of Rate per Period of Employment If Renewal (Incl.Date of

Position
Appointee/s Day Previous Employment)
From To
Clerk,
ALYSSA G. FADRI Guard,Janitor 350 11/2/2022 11/29/2022 10/3/2022

The above named personnel are hereby hired/appointed as casuals at the rate of compensation stated
opposite their/his name(s) for the period indicated. It us understood that such employment will cease
automatically at the end of the period stated unless renewed. Any of all them may be laid - off any time before the
expiration of the employment period when their services are no longer available of the project has already been
completed/finished or their performance are below par.

MARIA IMELDA R. MEDINA

Administrative Assistant

___________________
Date

RECOMMENDING APPROVAL: APPROVED:

DEARLY F. SANTIAGO ELJUN F. DELOS REYES, Ph.D

Designated Administrative Officer ES PRINCIPAL II
___________________ ___________________
Date Date
 Republic of the Philippines
Department of Education
Region IV - MIMAROPA
DIVISION OF ROMBLON
(INSERT YOUR DISTRICT HERE)
Romblon, Romblon

PROGRAM OF WORK / BUDGET COST

Date: September 5, 2022

MAINTENANCE
( Project Category)

Name of Project: Repair of Principal's Office Implementation Procedure by:

Description/Dimension:
NO. OF DAYS =3 days
Location: Guinbirayan Elementary School Quantity:
Appropriation/SAA: Php 49,890.00
Source of Funds: MOOE
Classifications:
Desirable Starting Date: 09-28,2002
Target Completion Date: 09-303-2022

Item: DESCRIPTION OF ITEM PERCENTAGE AMOUNT

MATERIALS:
A Tiles 70.37 35,100.00
B Tile Grout 0.78 390.00
C Sieved Sand 6.02 3,000.00
D Cement 16.83 8,400.00
Sub-total 94.00 46,890.00
LABOR:
A Skilled Worker 3.00 1,500.00
B Skilled Worker 3.00 1,500.00
C
Sub-total 6.00 3,000.00

TOTAL DIRECT COST 100.00 49,890.00

BREAKDOWN ESTIMATED COST
AMOUNT % TOTAL
1 Labor 3,000.00 6.00
2 VAT inclusive
3 Material Cost 46,890.00 94.00
4 Contingencies
5 Equipment Rental
TOTAL PROJECT COST 49,890.00 100.00

Prepared by:
Approved by

EFREN D. MARCELINO JR
School Desig. Physical Facil. Coordinator
ELJUN F. DELOS REYES
School Head

Checked & Reviewed:

Engr. EUCARITO V. GACUTNO

Engineer III
 810371219.xlsx

DETAILED ESTIMATE
Item ____A_____
Description of Item: QUANTITY: 3
DURATION: days
A. LABOR:
( Exclude Acquisition and Delivery of Materials)
DESCRIPTION NUMBER NO. OF DAYS MEN-DAYS RATE/DAY AMOUNT
SKIILED LABOR 2 3 2 500.00 3,000.00
-
-
-
-
-
-
-
-
Sub-total 3,000.00
B. MATERIALS
( Exclude Acquisition and Delivery of Materials)
KIND/DESCRIPTION OF MATERIALS QUANTITY UNIT UNIT COST AMOUNT
Tiles 270 pcs 130.00 35,100.00
Tle Grout 3 kl 130.00 390.00
Sieved Sand 2 cu 1,500.00 3,000.00
Cement 24 pcs 350.00 8,400.00
-
-
-
-
-
-
-
-

Sub-total 46,890.00
Total Cost of Item 49,890.00

Prepared by: Approved by

ELJUN F. DELOS REYES

EFREN D. MARCELINO JR School Head
School Desig. Physical Facil. Coordinator

Checked and Reviewed:

Engr. EUCARITO V. GACUTNO

Engineer III
 ANNEX A

Republic of the Philippines

Department of Education

AUTHORITY TO TRAVEL CONTROL NO:

REGION:
BUREAU/ DIVISION/ SCHOOL:
Date of Filing
NAME
Position/ Designation
Permanent Station
Purpose of Travel
Activity Organized/
Sponsored By
Period Covered (Inclusive
of Travel Time)
Please Check Official Business Official Time
Venue/ Destination
Expenses Covered (subject to the usual accounting and auditing rules and regulations)

Fund Source
(Pap Code/ …)
Recommending Approval: Approved:

(SCHOOL HEAD) MARIA LUISA D. SERVANDO, Ph.D., CESO VI

Name and Signature Name and Signature

Date: _______________ Date: _______________

 ANNEX A

Republic of the Philippines

Department of Education

AUTHORITY TO TRAVEL CONTROL NO:

REGION:
BUREAU/ DIVISION/ SCHOOL:
Date of Filing
NAME
Position/ Designation
Permanent Station
Purpose of Travel
Activity Organized/
Sponsored By
Period Covered (Inclusive
of Travel Time)
Please Check Official Business Official Time
Venue/ Destination
Expenses Covered (subject to the usual accounting and auditing rules and regulations)

Fund Source
(Pap Code/ …)
Recommending Approval: Approved:

(TEACHER) (SCHOOL HEAD)

Name and Signature Name and Signature

Date: _______________ Date: _______________

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
SCHOOL DIVISION OFFICE-ROMBLON
Romblon, Romblon
ITINERARY OF TRAVEL No. Date: 31-Aug-22

Name: Position: Monthly Salary

FLORENCE Y. FOYO
Principal I 50,574.00
Official Station: Residence:
GUINBIRAYAN ES Guinbirayan, Sta. Fe, Romblon
Purpose of Travel:
To attend the Regional Training and Development for Elementary School Principal .

Date Time Means of ALLOWABLE EXPENSES

(Destination) Dept. Arrival Transpor- Transpor- Meals Lodging Incidental TOTAL
tation tation expense AMOUNT
7/29/2022 Guinbirayan to Odiongan Pier 2:00 PM 4:00PM Motorcycle 150.00 150.00
Odiongan Pier to Batangas Pier 5:00PM 2:00AM Ship 966.00 966.00
Terminal Fee 15.00 15.00
7/30/2022 Batangas Pier to Manila 2:30AM 6:00 AM
8/2/2022 Manila to PTIX Terminal 5:00AM 5:45AM Jeepney 30.00 30.00
PTIX Terminal to Tagaytay 6:00AM 11:00AM Bus 114.00
Terminal to Tagaytay Country Hotel 11:30AM 11:35AM Tricycle 20.00 400.00 400.00 820.00
8/2-4, 2022 Training Proper
Registration FEE 6,000.00
8/4/2022 From Country Hotel to Batangas Pier 1:00PM 3:30PM Van 500.00 500.00
Batangas Pier to Odiongan Pier 5:00PM 2:00AM Ship 1,560.00 400.00 400.00 2,360.00
Odiongan Pier to Guinbirayan 3:00AM 5:00AM Jeepney 350.00 350.00
-
-
-
-
-
-
-
-

TOTAL 11,305.00
I CERTIFY that [1] have reviewed Prepared by:
the foregoing itinerary, [2] the travel is
necessary to the service, [3] the period FLORENCE Y. FOYO
covered is reasonable and [4] the expenses ES Principal I
claimed are proper. Approved by:

MABEL F. MUSA MARIA LUISA D. SERVANDO, Ph.D. CESO VI

OIC-ASDS Schools Division Superintendent
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-MIMAROPA
SCHOOL DIVISION OFFICE-ROMBLON
Romblon, Romblon
ITINERARY OF TRAVEL No. Date:
Name: Position: Monthly Salary

Official Station: Residence:

Purpose of Travel:

Date Time Means of ALLOWABLE EXPENSES

(Destination) Dept. Arrival Transpor- Transpor- Meals Lodging Incidental TOTAL
tation tation expense AMOUNT
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

TOTAL -
I CERTIFY that [1] have reviewed Prepared by:
the foregoing itinerary, [2] the travel is
necessary to the service, [3] the period
covered is reasonable and [4] the expenses
claimed are proper. Approved by:

(SCHOOL HEAD) (SCHOOL HEAD)

 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-B MIMAROPA
Schools Division Office-Romblon
Romblon

CERTIFICATE OF TRAVEL COMPLETED

Date: 28-Jul-22

I certify that I have completed the foregoing itinerary under the condition indicated
below:

x Strictly in accordance with approved itinerary.

Cut short as explained below, additional itinerary amount of P

was refunded om OR No. , dated .

Extended as explained in the itinerary of travel.

Other deviation as explained.

Explanation or Justification: I went early to Manila because there was a weather broadcast
of bad weather that would hit the Philippines especifically Metro Manila. I stayed in my
daughter's boarding until such time that training will start the accommodation. All the expenses
of my stayed in my daughter's boarding house were charged in my own pocket. Travelling
expenses going to Manila is not included in the computation of my travel.

Evidences of travel attached hereto:

x Certificate of Appearance x RER

x Boat/Bus Tickets Locator Slip

x Travel Order
Respectfully yours,

FLORENCE Y. FOYO
(Employee)

On evidence and information of which I have knowledge the travel was undertaken.

MABEL F. MUSA,Ph.D, CESE

Asst. Schools Division Superintendent

MARIA LUISA D. SERVANDO, Ph.D. CESO VI

Schools Division Superintendent
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region IV-B MIMAROPA
Schools Division Office-Romblon
Romblon

CERTIFICATE OF TRAVEL COMPLETED

Date:

I certify that I have completed the foregoing itinerary under the condition indicated
below:

x Strictly in accordance with approved itinerary.

Cut short as explained below, additional itinerary amount of P

was refunded om OR No. , dated .

Extended as explained in the itinerary of travel.

Other deviation as explained.

Explanation or Justification:

Evidences of travel attached hereto:

Certificate of Appearance RER

Boat/Bus Tickets Locator Slip

Travel Order
Respectfully yours,

(TEACHER)
(Employee)

On evidence and information of which I have knowledge the travel was undertaken.

(SCHOOL HEAD)
 ANNEX B

Republic of the Philippines

Department of Education

LOCATOR SLIP
REGION:
BUREAU/ DIVISION/ SCHOOL:
Date of Filing 31-Aug-22
Name
FLORENCE Y. FOYO
Permanent
Station
GUINBIRAYAN ELEMENTARY SCHOOL
Position/
Designation
ES PRINCIPAL I
Purpose
To attend the Regional Training and Development for Elementary School Principal .

Please Check Official Business Official Time

Destination Convention Center, Ilo-ilo City.

Date and Time
of Event/
August 2-4, 2022
Transaction/
Meeting
Recommending Approval: Approved:

____________________________ ____________________________
Signature of Requesting Head of Office or his/ her Authorized
Official/ Employee Representative

Date: _______________ Date: _______________

 CERTIFICATION

This is to certify that the above employee appeared in this Office for the above
purpose.

_______________________ _______________________ _______________

Signature over printed name Position Date

(Note: This portion shall be filled out by the Official/authorized personnel of the Office visited.)
 REIMBURSEMENT EXPENSE RECEIPT

Date No.
RECEIVED from
Name

the amount of
(Official Designation)
₱
(In words) (In Figures)
in payment for

PAYEE
Name/Signature
Address
Resident Cert. No.
Date of Issue
Place of Issue

WITNESS
Name/Signature
Address
Resident Cert. No.
Date of Issue
Place of Issue