Republic of the Philippines

PROVINCE OF ORIENTAL NEGROS

DEPARTMENT OF EDUCATION
Region VII, Central Visayas
Division of Negros Oriental
Date
Canvass No.

Name of Dealer

______________________
Address
REQUEST FOR SEALED QUOTATION
Gentlemen:
Please quote your government price/taxes, F.O.B. Division Office, Division of Negros Oriental, Dumaguete City,
starting the shortest time of delivery on the items list as per specification indicated furnishing brochures, catalogues and

If you do not have the exclusive manufactures on the exclusive dealers or distribution in the locality, state so in your
quotation.
NOTE: TO BE OPENED ON _____________________________ AT THE DIVISION OFFICE ,
DIVISION OF NEGROS ORIENTAL DUMAGUETE CITY
Very truly yours,
MARIA TERESITA P. DUMALAG
School Head
(Purchasing Agent)

Item No. Quantity Unit Articles and Description Unit Price Total Price Auditor's Inspection
1 Meat
2 Chicken
3 Eggs
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
 27
28
29
FE E. LAGRADILLA JANE RUTEMAR D. TUSO RHEA M. MOLEÑO
Member Member Member

RHEA N. MOLEÑO ERJIN M. UNABIA QUENNIE VI P. CHUA

Member Chairperson Member
Time of delivery: ___________________________
Purpose: for students' use and for administrative reports __________________
Requested by: (Signature of Dealer)
RHEA N. MOLEÑO
Supply Officer
 Republic of the Philippines
Department of Education
Region VII, Central Visayas
Division of Negros Oriental
AVOCADO ELEMENTARY SCHOOL
Nagbinlod, Sta. Catalina, Negros Oriental
ABSTRACT OF SEALED QUOTATION

Item Qty. Unit Articles to be Puschased or Work to be done Bethsiah Enterprises

No.
1 MALUNGGAY
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

WE HEREBY CERTIFY that the price appearing hereon is true and correct
to the best of our knowledge being the lowest in the locality at the titme of the purchase.
BIDS AND AWARDS COMMITTEE

QUENNIE VI P. CHUA RHEA N. MOLEÑO

Member Member
blic of the Philippines
rtment of Education
n VII, Central Visayas
on of Negros Oriental
O ELEMENTARY SCHOOL
a. Catalina, Negros Oriental
OF SEALED QUOTATION
Date:
Canvass No.:
Sheet No.:

Remarks

Items 1- 7 are awarded to

Bethsiah Enterprises

FE E. LAGRADILLA JANE RUTEMAR D. TUSO ERJIN M. UNABIA

Member Member Chairperson
NAGS - New Government Accounting Section
PURCHASE REQUEST
DEPARTMENT OF EDUCATION, Division of Negros Oriental
(Agency)

PR No: Date:
Department: AVOCADO ELEMENTARY SCHOOLSAI: Date:
Section: Sta. Catalina North ALOBS No: Date:
Unit of STOCK Estimated Estimated
Qty. Item Description
Issue NO. Unit Cost Cost
MALUNGGAY

ok as to funds: MARIA TERESITA P. DUMALAG

Teacher In-charge -
Purpose: for School Based Feeding Program of Avocado Elementary School pupils.

Requested by: Approved by:

Signature:
Printed Name: RHEA N. MOLEÑO MARIA TERESITA P. DUMALAG
Designation: Supply Officer Teacher In-Charge
PURCHASE ORDER

PURCHASE ORDER
Department of Education, Div. of Neg. Or.
(Agency)

Supplier: BETHSIAH ENTERPRISES PO No.:

Address: Poblacion, Sta. Catalina, Neg. Or. Date:
Mode of Procurement: Shopping
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein.
Place of delivery: Avocado ElementarySchool Delivery term: ______________________
Date of delivery: Payment term:
Item No. Qunatity Unit Description Unit Cost Amount
1 MALUNGGAY
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
(Total Amount In Words.)
V
Conforme:
MARIA TERESITA P. DUMALAG
School Head
 ________________________
(Signature over printed name)
________________________
Date

Requistioning Office/Dept. Funds available: Amount: -

ALOBS No.:
RHEA N. MOLEÑO MARIA TERESITA P. DUMALAG
Supply Officer Teacher-in-Charge
 LIQUIDATION REPORT
DepEd, Division of Negros Oriental No.:
Date:
Responsibility Center
Code:

PARTICULAR AMOUNT

To liquidate the cash advances (SBFP- Malunggay) of Avocado Elementary School

(Sta. Catalina District II ) for the S.Y. 2016- 2017.
Amount to be Reimbursed:

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. DTD
AMOUNT TO BE REFUNDED PER OR NO. DTD
AMOUNT TO BE REIMBURSED

A. Certified the correctness of B. Certified: Purpose of C. Certified: Supporting documents

the above data travel/cash advance duly complete and proper
accomplished

MA. JENNIFER P. PIODOS

Claimant Accountant II

MARIA TERESITA P. DUMALAG RENATO G. TANO

Teaher-in-Charge DIC, Sta. Catalina District II JEV NO.
NGAS - New Government Accounting System

INSPECTION & ACCEPTANCE REPORT

AVOCADO ELEMENTARY SCHOOL (Sta. Catalina)

Supplier: BETHSIAH ENTERPRISES AR No.:

PO No.: Invoice No.: Date:
Requesting Office/Dept.: AVOCADO ELEMENTARY SCHOOL (Sta. Catalina)

Item No. Quantity Unit Description Unit Cost Amount

1 MALUNGGAY
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
INSPECTION
Date Inspected:

Inspected, verified and found correct Complete

as to quantity and specification.
Partial
 JANE RUTEMAR D. TUSO QUENNIE VI P. CHUA
Member Member
MARIA TERESITA P. DUMALAG
FE E. LAGRADILLA RHEA N. MOLEÑO Teacher In-Charge
ERJIN M. UNABIA
Chairman
 Republic of the Philippines
DEPARTMENT OF EDUCATION
DIVISION OF NEGROS ORIENTAL
Dumaguete City
No.
DISBURSEMENT VOUCHER
Mode of
MDS Check Commercial Check ADA Others
Payment
TIN/Emlpoyee No.
Anabelle Tomong OR/BUR No.
Payee
Responsibility Center
Poblacion, Sta. Catalina, Negros Oriental
Office/Unit/Project Code
Address

EXPLANATION AMOUNT
To payment for the SBFP purchased from Anabelle
as per receipt hereto attached in the amount of… -

Amount
BIR 2%

A. Certified: B. Approved for Payment:

Cash Avialable
Subject to Authority to Deped (when applicable)
Supporting documents complete

Signature Signature
Printed Printed
MARIA TERESITA P. DUMALAG MARIA TERESITA P. DUMALAG
Name Name
Teacher In-Charge Teacher In-Charge
Position Position
Head Accounting Unit/Authorized Representative
Date Date
C. Received Payment JEV No.
Check/
Date Bank Name DBP
ADA No.
Date
Signature Date Printed Name Anabelle Tomong

Official Receipt/Other Documents

 DIVISION OF NEGROS ORIENTAL
For the period of: November-March ( 2nd Tranche )20

CASH DISBURSEMENT REGISTER

Type of Working Fund: MOOE
CASH ADVANCES

OFFICE
REFERENCE TRAVEL TRAINING SUPPLIES
DATE PAYEE / PARTICULARS AMOUNT EXPENSES EXPENSES EXPENSES
(OR/RER/CHECK #) PAYMENTS BALANCE
RECEIVED

766 767 761

TOTAL

CERTIFIED CORRECT: CERTIFIED

SUPPORTING DOCUMENTS COMPLETE:

MARIA TERESITA P. DUMALAG MA. JENNIFER P. PIODOS

Teacher In-Charge Division Accountant II

Date Date
AL
( 2nd Tranche )2016

TER

BREAKDOWN OF PAYMENTS
REPAIRS & UTILITY EXPENCES OTHER ACCOUNTS
MAINTENANCE
WATER ELECTRICITY TELEPHONE
OF SCH. INTERNET
LANDLINE EXPENSES Account Account
BUILDING Name Code AMOUNT

804 766 767 772 774

RECAP: Amount Reimbursed: -

NOTED:

SALUSTIANO T. JIMENEZ,LI.B.,CESO VI Other accounts

Schools Division Superintendent TOTAL Amount Spent:

CASH ADVANCE
Date Amount to be Reimbursed:
 INVENTORY CUSTODIAN SLIP

Avocado Elementary School (Sta. Catalina North II)

District/School

ICS No. ______________

Inventory
Qty. Unit Description Unit Cost Estimated Life Years
Item No.

Received by: Received from:

Signature Over Printed Name Signature Over Printed Name

ERJIN M. UNABIA MARIA TERESITA P. DUMALAG

Teacher-III / Property Custodian T-I/Teacher In-Charge
Position/Office Position/Office

Date: /2016 Date: /2016

White Beans
Green Peas
Mongo
Eggplant
Squash
Cabbage
Potatoes
Carrots
Garlic
Bulb Onion
Tomatoes
Bell Pepper