DEPARTMENT OF EDUCATION

Maligo Elementary School Control Number:

Maligo, Polomolok, South Cotabato

Date:
Quotation Number:
KRISHANA CONSUMER GOODS TRADING
(name of company)

Polomolok, South Cotabato

(address)

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

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

DENVER C. REVAMONTE
BAC Chairman

Note: 1. ALL ENTRIES MUST BE TYPWRITTEN OR WRITTEN LEGIBLY.

2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.

Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 Powder soap 500 grams set 10
2 Bleach pcs 10
3 Dishwashing paste pcs 10
4 Bar pcs 10

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

Printed Name/Signature of Supplier

BOB L. PANES Date:
Canvasser Contact Number:
DEPARTMENT OF EDUCATION
Maligo Elementary School Control Number:
Maligo, Polomolok, South Cotabato

Date:
Quotation Number:

(name of company)

Polomolok, South Cotabato

(address)

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

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

DENVER C. REVAMONTE
BAC Chairman

Note: 1. ALL ENTRIES MUST BE TYPWRITTEN OR WRITTEN LEGIBLY.

2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.

Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 Powder soap 500 grams set 10
2 Bleach pcs 10
3 Dishwashing paste pcs 10
4 Bar pcs 10

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

Printed Name/Signature of Supplier

BOB L. PANES Date:
Canvasser Contact Number:
DEPARTMENT OF EDUCATION
Maligo Elementary School Control Number:
Maligo, Polomolok, South Cotabato

Date:
Quotation Number:
Twintech Computer Services
(name of company)

Polomolok, South Cotabato

(address)

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

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

DENVER C. REVAMONTE
BAC Chairman

Note: 1. ALL ENTRIES MUST BE TYPWRITTEN OR WRITTEN LEGIBLY.

2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.

Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 Printer with Scanner Unit 1

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

Printed Name/Signature of Supplier

BOB L. PANES Date:
Canvasser Contact Number:
DEPARTMENT OF EDUCATION
Maligo Elementary School Control Number:
Maligo, Polomolok, South Cotabato

Date:
Quotation Number:
Twintech Computer Services
(name of company)

Polomolok, South Cotabato

(address)

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

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

DENVER C. REVAMONTE
BAC Chairman

Note: 1. ALL ENTRIES MUST BE TYPWRITTEN OR WRITTEN LEGIBLY.

2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.

Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 Ink Compatible to L3210 printer sets 13
2 Ballpen Blue pc 1

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

Printed Name/Signature of Supplier

BOB L. PANES Date:
Canvasser Contact Number:
 Appendix 70
PURCHASE REQUEST

Entity Name: BATO ELEMENTARY SCHOOL Fund Cluster: 101101

Section: PR No.: Date:

Responsibility Center Code______ SAI No.: Date:

Stock
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Folder Yellow 50 10.00 500.00

2 pcs Folder Brown 50 7.00 350.00

3 pcs 1000 g glue 1 130.00 130.00

4 pcs Brown envelope 100 5.00 500.00

5 packs photo paper 10 75.00 750.00

6 packs paper A4 10 33.00 330.00

7 ream oslo paper 1 295.00 295.00

8 pcs file box 5 240.00 1,200.00

9 pcs record book 300 pages 5 85.00 425.00

10 box pentel pen 2 480.00 960.00

11 pcs pilot ink refill 5 85.00 425.00

12 ream construction paper 5 250.00 1,250.00

13 pcs Scissors 2 170.00 340.00

14 box 41 mm binder clip 4 54.00 216.00

TOTAL 7,671.00

Purpose: for school use

Requested by: Approved by:

Signature:
Printed Name: ERNA JANE P. AMARATA CAROLINA A. BETONIO
Designation: Requisitioner Teacher III-TIC
DEPARTMENT OF EDUCATION
Bato Elementary School Control Number:
Landan, Polomolok, South Cotabato

Date:
Quotation Number:

(name of company)

Polomolok, South Cotabato

(address)

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

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

BAC Chairman

Note: 1. ALL ENTRIES MUST BE TYPWRITTEN OR WRITTEN LEGIBLY.

2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.

Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 Folder Yellow pcs 50
2 Folder Brown pcs 50
3 1000 g glue pcs 1
4 Brown envelope pcs 100
5 photo paper packs 10
6 paper A4 packs 10
7 oslo paper ream 1
8 file box pcs 5
9 record book 300 pages pcs 5
10 pentel pen box 2
11 pilot ink refill pcs 5
12 construction paper ream 5
13 Scissors pcs 2
14 41 mm binder clip box 4
After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted.

Printed Name/Signature of Supplier

Date:
Canvasser Contact Number:
 ABSTRACT OF BID / CANVASS
BATO ELEMENTARY SCHOOL

Date of Advertisement Date of Opening

MERCY SCHOOL JYS SUPPLIES' AND Riel 7 SCHOOL AND OFFICE
Item SUPPLIES ONLINE SHOP SUPPLIES TRADING
QuantityUnit of Issue Name of Articles
No.
Unit Cost Total Unit Cost Total Unit Cost Total
1 50 pcs Folder Yellow 10.00 500.00 10.00 500.00 11.00 550.00
2 50 pcs Folder Brown 7.00 350.00 8.00 400.00 8.00 400.00
3 1 pcs 1000 g glue 130.00 130.00 135.00 135.00 155.00 155.00
4 100 pcs Brown envelope 5.00 500.00 6.00 600.00 6.00 600.00
5 10 packs photo paper 75.00 750.00 80.00 800.00 85.00 850.00
6 10 packs paper A4 33.00 330.00 33.00 330.00 36.00 360.00
7 1 ream oslo paper 295.00 295.00 295.00 295.00 300.00 300.00
8 5 pcs file box 240.00 1,200.00 245.00 1,225.00 215.00 1,075.00
9 5 pcs record book 300 pages 85.00 425.00 90.00 450.00 79.00 395.00
10 2 box pentel pen 480.00 960.00 480.00 960.00 450.00 900.00
11 5 pcs pilot ink refill 85.00 425.00 90.00 450.00 95.00 475.00
12 5 ream construction paper 250.00 1,250.00 250.00 1,250.00 300.00 1,500.00
13 2 pcs Scissors 170.00 340.00 175.00 350.00 180.00 360.00
14 2 packs Sticker paper 100.00 200.00 110.00 220.00 100.00 200.00
15 4 box 41 mm binder clip 54.00 216.00 55.00 220.00 59.00 236.00
Total 7,871.00 8,185.00 8,356.00

RECOMMENDATIONS: We recommend MERCY SCHOOL SUPPLIES as the lowest bidder

ACTION OF THE COMMITTEE: AWARDED AS RECOMMENDED .

LIGAYA G. LAYAO ERNA JANE AMARATA ERMIE JAY PRIOR

BAC Committee Member BAC Committee Member BAC Committee Member BAC CHAIRMAN
 ABSTRACT OF BID / CANVASS
BATO ELEMENTARY SCHOOL

Date of Advertisement Date of Opening

JYS Supplies & OnlineKrishana Consumer
Item Riel 7
QuantityUnit of Issue Name of Articles Shop Goods Trading
No.
Unit Cost Total Unit Cost Total Unit Cost Total
1 100 pcs orange folder 10.00 1,000.00 - -
2 1 reem expandable orange folder long 2,000.00 2,000.00 - -
3 5 box pencil 120.00 600.00 - -
4 20 pcs plastic enveloped clear long 20.00 400.00 - -
5 10 pcs masking tape 1 inch 48.00 480.00 - -
6 2 packs sign here 45.00 90.00 - -
7 1 box permanent marker 576.00 576.00 - -
8 1 box white board marker 576.00 576.00 - -
9 2 pcs refill ink marker 190.00 380.00 - -
10 1 box ballpen blue 350.00 350.00 - -
11 1 box signing pen .5 360.00 360.00 - -
12 50 pcs manila paper 10.00 500.00 - -
13 3 packs construction paper long 320.00 960.00 - -
14 5 set ink compatible to L3210 printer 1,200.00 6,000.00 - -
15 5 box A4 bond paper 1,125.00 5,625.00 - -
16 10 pcs spiral big 55.00 550.00 - -
17 10 pcs spiral small 38.00 380.00 - -
18 2 pcs correction tape 29.14 58.28 - -
Total 20,885.28 - -

RECOMMENDATIONS: We recommend MERCY SCHOOL SUPPLIES as the lowest bidder

ACTION OF THE COMMITTEE: AWARDED AS RECOMMENDED .

 LIGAYA G. LAYAO ERNA JANE AMARATA ERMIE JAY PRIOR
BAC Committee Member BAC Committee Member BAC Committee Member BAC CHAIRMAN
 Appendix 71

PURCHASE ORDER
DepEd-Division of South Cotabato
BATO ELEMENTARY SCHOOL
Supplier: MERCY SCHOOL SUPPLIES P.O. No.
Address: Polomolok, South Cotabato Date:
TIN No.: PR No.:
Mode of Procurement: SHOPPING

Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: Bato Elementary School Delivery Term: 5 calendar days

Date of Delivery: Payment Term: n/5

Stock/ Property
No,.
Unit Description Quantity Unit cost Amount

1 pcs Folder Yellow 50 10.00 500.00

2 pcs Folder Brown 50 7.00 350.00
3 pcs 1000 g glue 1 130.00 130.00
4 pcs Brown envelope 100 5.00 500.00
5 packs photo paper 10 75.00 750.00
6 packs paper A4 10 33.00 330.00
7 ream oslo paper 1 295.00 295.00
8 pcs file box 5 240.00 1,200.00
9 pcs record book 300 pages 5 85.00 425.00
10 box pentel pen 2 480.00 960.00
11 pcs pilot ink refill 5 85.00 425.00
12 ream construction paper 5 250.00 1,250.00
13 pcs Scissors 2 170.00 340.00
14 packs Sticker paper 2 100.00 200.00
15 box 41 mm binder clip 4 54.00 216.00
TOTAL 7,871.00
(Total Amount in Words) Five Thousand Four Hundred pesos only.
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,

Conforme: CAROLINA A. BETONIO

School Head

Signature over Printed Name

Date
Fund Cluster: 101101 ORS/BURS No.:
Funds Available: Date of the ORS/BURS:

CAROLINA A. BETONIO Amount: 7,871.00

 Appendix 72

INSPECTION AND ACCEPTANCE REPORT

Entity Name : BATO ELEMENTARY SCHOOL Fund Cluster : 101101

Supplier : RENZ CONSUMER GOODS TRADING IAR No.:

PO No. : Date: Date:
Requisitioning Office/Dept. : NA Invoice No.:
Responsibility Center Code: NA Date:

Stock No. Unit Description Quantity

1 pc glue
2 box Staple wire
3 roll Double sided tape
4 pc Expanded Envelope with tie
5 pc Ballpen
6
7
8
9

INSPECTION ACCEPTANCE

Date Inspected : Date Received:

Inspected, verified and found in order as Complete

to quantity and specifications
Partial (pls.specify quantity)

DAVELYN T. BALAWA
Inspection Officer/Inspection Committee

RENANTE M. SUMALI
Inspection Officer/Inspection Committee
ROSALYN M. DILON
Property Custodian/Supply Officer
 Appendix 44
REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Fund Cluster:

Date : RER No.:

RECEIVED from _____________________________________________

(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for ___________(Please Specify Purpose, Date, Origin, Destination)_
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
_________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________

WITNESS
Name/Signature __________________________________________
Address ________________________________________________
 Appendix 59

INVENTORY CUSTODIAN SLIP

Entity Name:

Fund Cluster : ICS No :

Amount
Inventory Item Estimated
Quantity Unit Description
Unit Cost Total Cost No. Useful Life

Itemize
(Don't forget Serial Number)

Received from: Received by:

Propety Custodian End-User

Signature Over Printed Name Signature Over Printed Name
__________________________________ ______________________________
Position/Office Position/Office
__________________________________ ______________________________
Date Date

149
 Appendix 81

PROPERTY ACKNOWLEDGMENT RECEIPT

Entity Name

Fund Cluster: PAR No.:

Quantity Unit Description Property Amount

No. Date Acquired

Received by: Issued by:

Signature Over Printed Name Signature Over Printed Name

Position Position

Date Date

For Property Unit Use

 Appendix 41
CASH DISBURSEMENTS REGISTER

Entity Name: Name of Accountable Officer:

Sub-Office/District/Division: Official Designation:
Municipality/City/Province: Station:
Fund Cluster : _____________________________

Advances for Operating Expenses BREAKDOWN OF PAYMENTS

(19901010)
DV No. / Amount OTHERS
Date Payroll/ Check Particulars Electricity Labor and Travelling
No. Office Supplies
Expenses Wages Expenses
Account Description UACS Code Amount
Tax Payments Balance 5020305000 5021601000 5020399000 5021304002
-
- -

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

- - - - - - -
Total
#DIV/0! Recapitulation:
UACS Object
Account Description Amount
code
-
-
-
-
-

Total -

The total of the 'Advances for Operating Expenses - Payments' column must always be equal to the sum of the totals of the 'Breakdown
of Payments' columns.

Certified Correct: Received By:

Signature over Printed Name Signature over Printed Name

Date: Date:
 Appendix 43
ITINERARY OF TRAVEL

Entity Name : Fund Cluster: ________________

Name : Date of Travel :

Position : Purpose of Travel :
Official Station :
Places to be visited TIME Means of Transpor- Per Total
Date
(Destination) Departure Arrival Transportation station Diem Amount

TOTAL -
Prepared by :

I certify that : (1) I have reviewed the Signature over Printed Name
foregoing itinerary, (2) the travel is
necessary to the service, (3) the period Approved by:
covered is reasonable and (4) the
expenses claimed are proper.

Signature over Printed Name

Signature over Printed Name Agency Head/Authorized Representative

103
 Appendix 48

No. : 2023-07-
PETTY CASH VOUCHER
Entity Name : Date :
Fund Cluster: _____________________________
Payee/Office : Responsibility Center Code:
Address : ______________________

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Total Amount Granted ______________

Total Amount Paid per

OR/Invoice No. _______ ______________

Amount Refunded/
(Reimbursed)

A Requested by: C
Received Refund

Signature over Printed Name Reimbursement Paid

Name of Requestor

Approved by:

____________________________ ______________________________
Signature over Printed Name Signature over Printed Name
Name of Immediate Supervisor Petty Cash Custodian

B Paid by: D
Liquidation Submitted

Signature over Printed Name Reimbursement Received by:

Petty Cash Custodian

Cash Received by:

_________________________ ___________________________
Signature over Printed Name Signature over Printed Name
Payee Payee
Date: __________ Date: __________

127
 Appendix 49

REPORT ON PAID PETTY CASH VOUCHERS

Period Covered ______________________

Entity Name: _______________ Report No:_________________

Fund Cluster: ______________ Sheet No.:_________________

Petty Cash
Date Particulars Amount
Voucher No.

CERTIFICATION

I hereby certify to the correctness of the above information.

________________________________ ____________
Petty Cash Custodian Date

129
 (Agency Name)

CERTIFICATE OF EXPENSES NOT REQUIRING RECEIPTS

Pursuant to COA Circular No. 2017-001 dated June 19, 2017
Name of Employee Employee No.
Office
Division
Particulars Amount (₱)

TOTAL
Purpose

I hereby certify that the above expenses are incurred as they are necessary for the above cited purpose, that above
goods and services were acquired from parties not issuing reciepts. And that I am fully aware that witful falsification of
statements is punishable by law.

Certified correct: Noted by:

Signature

Printed Name
Employee Immediate Supervisor
Date Date
 Republic of the Philippines
Department of Education
Region XII
Division of South Cotabato
Name of School

LABOR PAYROLL
Date :______________________

No. Name Rate No. of days Gross Amount Tax Net Amount Signature Remarks

Total -

I hereby certify that the worker/s above have rendered service

Noted:

SCHOOL HEAD