Disbursements Forms

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REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION III
DIVISION OF BUTUAN CITY
SOUTHWEST BUTUAN DISTRICT
VILLA KANANGA ELEMENTARY SCHOOL
VILLA KANANGA, BUTUAN CITY
NO.:
DISBURSEMENT VOUCHER DATE:

MODE OF
PAYMENT
PAYEE TIN/EMPLOYEE OS / BUR NO.
NO.

ADDRESS OFFICE/UNIT/PROJECT ORGANIZATIONAL CODE:

EXPLANATION

A. CERTIFIED CASH AVAILABLE B. APPROVED FOR


SUJECT TO AUTHORITY TO DEBIT ACCOUNT(WHEN APPLICABLE PAYMENTS

SUPPORTING DOCUMENTS COMPLETE

SIGNATURE: SIGNATURE
PRINTED PRINTED
NAME:
APRIL ANN G. BERNABE NAME:
TRIFON B. VERGARA

POSITION: POSITION; DISTRICT SUPERVISOR


PRINCIPAL I
DATE: DATE;
C. RECEIVED PAYMENT

CHECK/ADA NO. DATE BANK NAME: JEV NO. / OBJECT


DATE: CODE

SIGNATURE: DATE PRINTED NAME: DATE:

OFFICIAL RECEIPT/ ORDER DOCUMENTS


REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION III
DIVISION OF BUTUAN CITY
SOUTHWEST BUTUAN DISTRICT
VILLA KANANGA ELEMENTARY SCHOOL
VILLA KANANGA, BUTUAN CITY
PURCHASE ORDER
DEPARTMENT OF EDUCATION
DIVISION OF BUTUAN CITY
SUPPLIER; P.O. NO.

ADDRESS: DATE:

TIN: MODE OF PROCUREMENT: SHOPPING

GENTLEMEN:
PLEASE FURNISH THIS OFFICE THE FOLLOWING ARTICLESSUBJECT TO TERMS AND CONDITIONS CONTAINED HEREIN.
PLACE OF CELIVERY: DELIVERY TERM:

DATE OF DELIVERY: PAYMENT TERM:


STOCK UNIT DESCRIPTION QUANTITY UNIT COST AMOT
NO.

Total
TOTAL AMOUNT IN WORDS:

IN CASE OF FAILURE TO MAKE THE FULL DELIVERY WITHIN THE TIME SPECIFIED ABOVE A PENALTY OF ONE-TENTH(1/10)
OF ONE PERCENT (1%) FOR EVERY DAY OF DELAY SHALL BE IMPOSED.

CONFORME:
APRIL ANN G. BERNABE
PRINCIPAL
_________________________________________
SIGNATURE OVER PRINTED NAME

DATE: ___________________________

FUNDS AVAILABLE REQUESTING DEPT. / OFFICE


REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
CARAGA ADMINISTRATIVE REGION III
DIVISION OF BUTUAN CITY
SOUTHWEST BUTUAN DISTRICT
VILLA KANANGA ELEMENTARY SCHOOL
VILLA KANANGA, BUTUAN CITY

INSPECTION AND ACCEPTANCE REPORT


DATE O.R.NO. ITEM DESCRIPTION / PAYEE AMOUNT REMARKS

GRAND TOTAL
INSPECTION: ACCEPTANCE:
DATE INSPECTED: ___________________________ DATE ACCEPTED:
_______________________
LEIZL C. PENAFLORIDA
INSPECTION OFFICER

MARY JOY M. CASTILLO


JOSEFINA F. GAGELONIA
SCHOOL PROPERTY CUSTODIAN
INSPECTION OFFICER

JOANN R. GRANDE
INSPECTION OFFICER
APRIL ANN G. BERNABE
PRINCIPAL I
MARIA CRISTINA J. INOCENTE
INSPECTION OFFICER

LUZVIMINDA M. MAKINANO
INSPECTION OFFICER
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
DIVISION OF BUTUAN CITY
SOUTHWEST BUTUAN DISTRICT
VILLA KANANGA ELEMENTARY SCHOOL
VILLA KANANGA, BUTUAN CITY

REQUISITION AND ISSUE SLIP


SCHOOL: VILLA KANANGA ELEM. SCHOOL RESPONSIBILITY CENTER: RIS NO. DATE:

SECTION: CODE: SAI NO. DATE:

REQUISITION ISSUANCE
NO. UNIT DESCRIPTION QUALITY QUANTITY REMARKS

PURPOSE:

REQUESTED: APPROVED: ISSUED: RECEIVED:

SIGNATURE:
APRIL ANN G. BERNABE MARY JOY M. CASTILLO
PRINTED NAME MA. CONCEPCION A. REYES PRINCIPAL I PROPERTY CUSTODIAN

TEACHER III
DESIGNATION:

DATE:
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
DIVISION OF BUTUAN CITY
SOUTHWEST BUTUAN DISTRICT
VILLA KANANGA ELEMENTARY SCHOOL
VILLA KANANGA, BUTUAN CITY

PURCHASE REQUEST

PR NO.______________
SAI NO. _________________ DATE:
ALOBS NO. _________________
STOCKS
QTY. UNIT ITEM DESCRIPTION UNIT COST TOTAL PRICE
NO.

TOTAL
PURPOSE:

PURCHASED: NOTED:

LOIDA C. CRUDA
APRIL ANN G. BERNBE
CHAIRMAN PRINCIPAL

APPROVED:

PHILIP KEVIN ARBOLEDA JOKER RYAN V. BABAEL


MEMBER DIVISION ACCOUNTANT II
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF EDUCATION
DIVISION OF BUTUAN CITY
SOUTHWEST BUTUAN DISTRICT
VILLA KANANGA ELEMENTARY SCHOOL
VILLA KANANGA, BUTUAN CITY

QUOTATION
___________________________
___________________________
___________________________

GENTLEMEN:
PEASE QUOTE PRICE IN THE FOLLOWING LISTED ARTICLES WHICH THE DEPARTMENT OF EDUCATION BUTUAN CITY
DIVISION TO BUY ADVANTAGEOUS TO THE GOVERNMENT FOR YOUR PROTECTION. YOU ARE REQUESTED TO RETURN THIS
QUOTATION IN DULY SEALED ENVELOPE WHICH WILL OPENED BY A DULY AUTHORIZED REPRESENTATIVE.
BIDS WILL BE OPENED BY THIS OFFICE UNTIL _________________AT 9:00 A.M.

VERY TRULY YOURS,

MARY JOY M. CASTILLO


SCHOOL PROPERTY CUSTODIAN

ITEMS QTY. UNIT DESCRIPTION UNIT PRICE TOTAL PRICE

STATE WHETHER A FILIPINO OR ALIEN

SIGNATURE OF DEALER /BIDDER / AUTHORIZED


REPRESENTATIVE
DATE: _________________

NAME OF THE CANVASSER: JANET L. OBSIOMA / JOSHUA B. BECERRO


POSITION; _____________________________
DATE OF CANVASS: _______________________
OFFICE; VILLA KANANGA ELEMENTARY SCHOOL

OTHER REMARKS: OPENED IN THE PRESENCE OF:

LABEL YOUR ENVELOPES, SIGN QUOTATION AND STATE THE BRAND OF ARTICLES:

COPY FURNISHED: _________________________

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