Republic of the Philippines

Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

Date _______________
INSPECTION REQUEST
MA. TERESA D. NIEVA
Inspectorate Team Leader
Cotmon Elementary School
Cotmon, Camalig, Albay

I would like to request for the inspection of the following COMMON SUPPLIES: School and Office Supplies
items listed hereunder for Cotmon Elementary School:

QUANTITY UNIT DESCRIPTION

I. Common Supplies
A. School/Office Supplies
1 unit Printer
16 bottle Alcohol, 70% isopropyl, 500ml
16 jar Glue, All Purpose, 500g min
16 piece Correction Tape, film base type, UL 6m min
16 roll Clear, Plastic Cover Roll
2 Box Pencil, Lead with Eraser, One Dozen per Box
20 Ream Bond Paper, Premium Grade, Legal Size
50 Ream Bond Paper, Premium Grade, A4 Size
20 Bottle Epson Ink, Black
15 Bottle Epson Ink, Cyan
15 Bottle Epson Ink, Magenta
15 Bottle Epson Ink, Yellow
15 piece Bath Soap
15 piece Detergent Soap

Requested by:

LEO G. IBIETA
Supply Officer/Property Custodian

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

Date _______________
INSPECTION REPORT
LEO G. IBIETA
Supply Officer/Property Custodian
Cotmon Elementary School
Cotmon, Camalig, Albay

QUANTITY UNIT DESCRIPTION

I. Common Supplies
A. School/Office Supplies
1 unit Printer
16 bottle Alcohol, 70% isopropyl, 500ml
16 jar Glue, All Purpose, 500g min
16 piece Correction Tape, film base type, UL 6m min
16 roll Clear, Plastic Cover Roll
2 Box Pencil, Lead with Eraser, One Dozen per Box
20 Ream Bond Paper, Premium Grade, Legal Size
50 Ream Bond Paper, Premium Grade, A4 Size
20 Bottle Epson Ink, Black
15 Bottle Epson Ink, Cyan
15 Bottle Epson Ink, Magenta
15 Bottle Epson Ink, Yellow
15 piece Bath Soap
15 piece Detergent Soap

We hereby certify that the abovementioned deliveries are in proper/good condition upon checking and inspection.

ANNIE N. LORILA MA. TERESA D. NIEVA ERLINDA N. MORAUDA

Teacher/Member Team Leader Provisional Member
Inspectorate Team Inspectorate Team Inspectorate Team

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

INSPECTION AND ACCEPTANCE REPORT

Supplier: I-SECURE OFFICE SUPPLIES AND EQUIPMENT TRADING
PO No. __________________________________ Date: ______________ Invoice No._______________ Date:______________
Requesting Office/Dept._____________________
Stock No. Unit Description Quantity
1 unit Printer 1
2 bottle Alcohol, 70% isopropyl, 500ml 16
3 jar Glue, All Purpose, 500g min 16
4 piece Correction Tape, film base type, UL 6m min 16
5 roll Clear, Plastic Cover Roll 16
6 Box Pencil, Lead with Eraser, One Dozen per Box 2
27 Ream Bond Paper, Premium Grade, Legal Size 20
28 Ream Bond Paper, Premium Grade, A4 Size 50
31 Bottle Epson Ink, Black 20
32 Bottle Epson Ink, Cyan 15
33 Bottle Epson Ink, Magenta 15
34 Bottle Epson Ink, Yellow 15
39 piece Bath Soap 15
40 piece Detergent Soap 15

INSPECTION
Date Inspected: ___________________

Inspected, verified and found that the above delivered supplies conform with the quality and specifications indicated
in the Purchase Order.
Recommendation:

_______ Partial Payment _______ Full Payment

ANNIE N. LORILA MA. TERESA D. NIEVA ERLINDA N. MORAUDA

Teacher/Member Team Leader Provisional Member
ACCEPTANCE

Date Received: __________________

______ Complete ______ Partial

LEO G. IBIETA
Supply Officer/Property Custodian

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

Date _______________
INSPECTION REQUEST
MA. TERESA D. NIEVA
Inspectorate Team Leader
Cotmon Elementary School
Cotmon, Camalig, Albay

I would like to request for the inspection of the following Repair and Maintenance (Painting Materials) items
listed hereunder for Cotmon Elementary School:

QUANTITY UNIT DESCRIPTION

4 pail Enamel Paint
4 piece Roll Paint Brush, 8"
4 piece Roll Paint Brush, 4"
4 piece Paint Tray
4 piece Steel Brush
3 liter Thinner
6 pail Flat Latex Paint
6 pail Gloss Latex Paint

Requested by:

LEO G. IBIETA
Supply Officer/Property Custodian

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

Date _______________
INSPECTION REPORT
LEO G. IBIETA
Supply Officer/Property Custodian
Cotmon Elementary School
Cotmon, Camalig, Albay

QUANTITY UNIT DESCRIPTION

4 pail Enamel Paint
4 piece Roll Paint Brush, 8"
4 piece Roll Paint Brush, 4"
4 piece Paint Tray
4 piece Steel Brush
3 liter Thinner
6 pail Flat Latex Paint
6 pail Gloss Latex Paint

We hereby certify that the abovementioned deliveries are in proper/good condition upon checking and inspection.

ANNIE N. LORILA MA. TERESA D. NIEVA ERLINDA N. MORAUDA

Teacher/Member Team Leader Provisional Member
Inspectorate Team Inspectorate Team Inspectorate Team

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

INSPECTION AND ACCEPTANCE REPORT

Supplier: MTJ CONSTRUCTION AND SUPPLY
PO No. __________________________________ Date: ______________ Invoice No._______________ Date:______________
Requesting Office/Dept._____________________
Stock No. Unit Description Quantity
1 pail Enamel Paint 4
2 piece Roll Paint Brush, 8" 4
3 piece Roll Paint Brush, 4" 4
4 piece Paint Tray 4
5 piece Steel Brush 4
6 liter Thinner 3
7 pail Flat Latex Paint 6
8 pail Gloss Latex Paint 6

INSPECTION
Date Inspected: ___________________

Inspected, verified and found that the above delivered supplies conform with the quality and specifications indicated
in the Purchase Order.
Recommendation:

_______ Partial Payment _______ Full Payment

ANNIE N. LORILA MA. TERESA D. NIEVA ERLINDA N. MORAUDA

Teacher/Member Team Leader Provisional Member

ACCEPTANCE
Date Received: __________________
______ Complete ______ Partial

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph
 Republic of the Philippines
Department of Education
Region V - Bicol
SCHOOLS DIVISION OFFICE OF ALBAY
Camalig South District
COTMON ELEMENTARY SCHOOL

LEO G. IBIETA
Supply Officer/Property Custodian

Cotmon, Camalig, Albay

09278495354
111643@deped.gov.ph