Professional Documents
Culture Documents
Supply Form
Supply Form
Supply Form
PURCHASE ORDER
Republic of the Philippines
Department of Education
Schools Division of Sorsogon
Sorsogon
Place of Delivery : DepeD, SDO Delivery Term : ten (10) working day
Date of Delivery : Payment Term :
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
pax Meals ( 1 breakfast, 1 lunch & 2 snacks for 2 Days ) 125 300.00 37,500.00
(Total Amount in Words: THIRTY-SEVEN THOUSAND FIVE HUNDRED PESOS ONLY 37,500.00
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 on the undelivered item/s.
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SCHOOLS DIVISION OF
SORSOGON
________________________________________
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Appendix 63
FM-SPL-02
Date Effective:
28 January 2021
Fund Cluster : 01
Issue
Quantity Remarks
Page 6 of 44
Issued by: Received by:
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ABSTRACT OF PROPOSAL ON BIDDING AND PERSONNAL CANVASS
NAME OF BIDDERS
PARTICULARS
VGM CATERING
RUBY DUKA'S
SERVICES / ABNIR G. ENDAYA EATERY FASTFOOD
ITEMS Quantity Unit MATUBA
Unit Prize Amount Unit Prize Amount Unit Prize Amount
Meals ( 1 breakfast, 1 lunch & 2
125 pax 300.00 37,500.00 305.00 38,125.00 310.00 38,750.00
snacks for 2 Days )
x-x-x-x-x-x-x-x
JOMAR E. ENGUERRA ROLANDO F. EMBILE Atty. NOEL B. EVAN FLORENCIO P. BERMUNDO MA. JEANY T. POSTRADO
BAC MEMBER BAC MEMBER BAC MEMBER BAC -Vice Chairman BAC - Chairman
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Appendix 62
Stock/
Description Unit Quantity
Property No.
Cloth ( catrina-10 yards, gold gina 30 yards ) yards 40
Flowers & Ornament lot 1
3 Days Division Seminar-Workshop in Officiating
Varied Sports Event Balogo Sports Complex on
October 11-13, 2018.
X-X-X-X-X
INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________
JOMAR E. ENGUERRA
Administrative Officer IV
Inspection Committee Chairman
Appendix 62
Stock/
Description Unit Quantity
Property No.
Battery 3SMF for service vehicle with plate # SKU 206 unit 1
x-x-x-x-x-x-x
INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________
ABRAHAM GREGORY
EPS II-SOCMOBNET
Inspection Committee Chairman
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Appendix 60
PURCHASE REQUEST
TOTAL 22,750.00
Purpose: used by the different sections in the Division Office.
Division :
DIVISIONOF SORSOGON Responsibility Center Code : ______
Office : Supply Office RIS No. :
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks
Distilled Water Consumption for the School
gal. Division of Office, for the period of December 650
23, 2019 to June 2020.
Distilled Water
x-x-x-x-x-x-x
Property Date
Quantity Unit Description Amount
Number Acquired
Position/Office Position/Office
Date Date
Page 13 of 44
Appendix 69
PROPERTY CARD
STOCK CARD
Amount
Inventory Estimated
Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life
Position/Office Position/Office
Date Date
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Appendix 65
Fund Cluster : 01
Place of Storage : Date :
ITEMS FOR DISPOSAL
Record of Sales
Item Quantity Unit Description Official Receipt
No. Date Amount
TOTAL
Certified Correct : Disposal Approved :
CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:
INVENTORY INS
DISPOSAL
Accumulated
Property Unit Total Accumulated Carrying
Date Acquired Particulars/ Articles Qty Impairment Remarks
No. Cost Cost Depreciation Amount Sale Transfer
Losses
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
I CERTIFY that I have inspected
I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property enumerated above. every article enumerated in this repo
the disposition made thereof was, in
the best for the public interest.
(Signature over Printed Name of Accountable Officer) (Signature over Printed Name of Authorized (Signature over Printed Name of
Official) Officer)
(Designation of Accountable Officer) (Designation of Authorized Official)
RTMENT OF EDUCATION
Division Office of Sorsogon, Sorsogon
Compound Sorsogon, Sorsogon
Appendix 74
ON REPORT OF UNSERVICEABLE PROPERTY
____________________________
Fund Cluster : 01
Lost Damaged
Stolen Destroyed
Circumstances:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
__________________________________________ __________________________________
Signature over Printed Name of the Immediate
Signature over Printed Name of the Accountable Officer Supervisor
________________ ________________
Date Date
SUBSCRIBED AND SWORN to before me this ______day of _____________, affiant exhibiting the above
government issued identification card.
PROPERTY
Fund Cluster: _____
Acquisition Cost
_____________
_____________
_____________
_____________
_______________
me of the Immediate
sor
______
QUANTITY QUANTITY
PROPERTY UNIT OF UNIT SHORTAGE/OVERAGE
ARTICLE DESCRIPTION per per REMAKS
NUMBER MEASURE VALUE
PROPERTY CARD PHYSICAL COUNT Quantity Value
_______________________________
Signature over Printed Name of Signature over Printed Name of Head of Signature over Printed Name of
Inventory Committee Chair and Agency/Entity or Authorized Representative COA Representative
Members
Appendix 71
SGOD Office
Property Date
Quantity Unit Description Amount
Number Acquired
x-x-x-x-x-x-x-x
For which ___(Name of Accountable Officer), _ (Official Designation)___, __________(Entity Name)_________is accountable, having assumed such accountability on ___(Date of Assumption)____.
________________________________ _______________________________
Signature over Printed Name of Inventory Signature over Printed Name of Head Signature over Printed Name of COA
Committee Chair and Members of Agency/Entity or Authorized Representative
Representative
REPORT OF SUPPLIES AND MATERIALS ISSUED
Responsibility Stock
RIS No. Item Unit
Center Code No.
Recapitulation:
Stock No. Qty
ALBERT C. PEREZ
Administrative Officer IV
Appendix 64
ERIALS ISSUED
Serial No. :
Date :
Quantity
Unit Cost Amount
Issued
Recapitulation:
UACS Object
Unit Cost Total Cost
Code
Posted by:
__________________________ ______________
Date
Signature over Printed
Name of Designated
Accounting Staff
PROPERTY TRANSFER REPORT
/ Donation Relocate
PORT
ter : _____________
Date : 3-29-20109
__________
Condition of
Amount
PPE
n Office Of Sorsogon
Received by: