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Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Ream Bond Paper - Long 15 185.00 2,775.00
2 Ream Bond Paper- A4 15 162.00 2,430.00
3 Bottle Alcohol 10 550.00 5,500.00
4 Pcs Signpen Black 15 15.00 225.00
5 Pcs Signpen Blue 15 15.00 225.00
6 Bottle Epson Ink Refill, Black #664 8 180.00 1,440.00
7 Bottle Epson Ink Refill, Yellow #664 8 180.00 1,440.00
8 Bottle Epson Ink Refill, Cyan #664 8 180.00 1,440.00
9 Bottle Epson Ink Refill, Magenta #664 8 180.00 1,440.00
***nothing follows***

Php 16,915.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : CHEENIE MAE A. DACULA BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0090

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Kilos Grass Cutter Nylon 3.00 mm 10 425.00 4,250.00
*****nothing follows*****

Php 4,250.00
Purpose: For Grass Cutting

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0038

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Fire Alarm System set 36,000.00 36,000.00

*Fire alarm control panel


*Smoke detector
* Heat Detector
*Manual Push Botton
* Strobe Light
*Bell
***nothing follows***

Php 36,000.00
Purpose: for SHS-EIM Equipment

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Frame 8 x 12 10 200.00 2,000.00

***nothing foloows***

Php 2,000.00
Purpose:
FRAMES FOR SCHOOL HEADS PORTRAIT

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0013
Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc TILES 50 x 50 36 92.00 3,312.00

***NOTHING FOLLOWS***

3,312.00
Purpose:
Tile setting of the SBM room

Requested by: Approved by:


Signature :
Printed Name : DEXTER JUN P. CASTILLON BERNIE F. LUBGUBAN
Designation : School Property Custodian School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0013
Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for lunch 30 195.00 5,850.00
*4 viand
*Rice
*Soft drinks
*Dessert
*Fresh Fruits
2 pax Snacks 30 45.00 1,350.00
*Burger
*Fries
*C2

Note: w/ delivery charge/fee 300.00

7,500.00
Purpose:
Tile setting of the SBM room

Requested by: Approved by:


Signature :
Printed Name : CARMELO B. RABOR JR. BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0013
Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for lunch 22 195.00 4,290.00
*4 viand
*Rice
*Soft drinks
*Dessert
*Fresh Fruits
2 pax Snacks 22 45.00 990.00
*Burger
*Fries
*C2

Note: w/ delivery charge/fee 300.00

5,580.00
Purpose:
Tile setting of the SBM room

Requested by: Approved by:


Signature :
Printed Name : CARMELO B. RABOR JR. BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for In-Service Training 25 550.00 13,750.00
*4 viand
*Rice
2 snacks(AM and PM)
*Soft drinks
*Dessert

Php 13,750.00
Purpose:
FOOD FOR IN-SERVICE TRAINING

Requested by: Approved by:


Signature :
Printed Name : ERNIDA A. LUCAGBO BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 set Dinner Plate 24 79.00 1,896.00
2 set Soup bowl (small) 24 35.00 840.00
3 set Cups and saucer 255.00 255.00
4 set spoon and fork 199.75 1,198.50
5 unit water dispenser 1 6,250.00 6,250.00
6 set water goblet 24 35.00 840.00
7 set drinking glass 24 28.00 672.00
8 set soup bowl (big) 6 99.00 594.00
9 set teaspoon 6 149.75 898.50
10 pc platter 2 415.00 830.00

Php 14,274.00
Purpose:
UTENSILS FOR THE TLE ROOM

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Gas Range 1 12,140.00 12,140.00
2 Unit Refrigerator 1 14,685.00 14,685.00

Php 26,825.00
Purpose:
ITEMS FOR THE TLE ROOM

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Burner 1 2,880.00 2,880.00
Unit Tank 1
*empty 1,850.00 1,850.00
*content 918.00 918.00
Unit Regulator 1 480.00 480.00
Meter Hose 2 75.00 150.00
pc Clip 2 20.00 40.00

Php 6,318.00
Purpose:
ITEMS FOR THE TLE ROOM

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0004

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc CHQBOOK 1 comm 510.00 510.00

Php 510.00
Purpose:
For check issuance

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0003
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc CHQBOOK 1 comm 510.00 510.00

Php 510.00
Purpose:
For check issuance

151
Requested by: Approved by:
Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0004

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Canvass for Labor Cost for the 12,000.00 12,000.00
Tile Setting of the SBM Room

***nothing foloows***

Php 12,000.00
Purpose:
LABOR COST FOR THE TILE SETTING OF THE SBM ROOM

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Frame 8 x 12 10 200.00 2,000.00

***nothing foloows***

Php 2,000.00
Purpose:
FRAMES FOR SCHOOL HEADS PORTRAIT

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Luch for schools and classroom
structuring district level evaluation:
1 pax * 4 Viand 40 300.00 12,000.00
* Dessert
* Fresh Fruits
* Rice
* Soft Drinks
*inclusive with the use of utensils/tables and
delivery fee
***nothing follows***

Php 12,000.00
Purpose:
Lunch for schools and classroom structuring disrict level evaluation

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Water Despenser 1 4,998.00 4,998.00

***nothing follows***

Php 4,998.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Tarpaulin Printing and Layout 4x4 2 500.00 1,000.00

***nothing follows***

Php 1,000.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0050

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 gallon White Enamel 1 640.00 640.00
2 liter Gray Paint 1 180.00 180.00
3 pc baby brush cotton 1 65.00 65.00
4 pc Brush 4 1 95.00 95.00
5 pc Brush 2 1 40.00 40.00

***nothing follows***

Php 1,020.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Repair of Office Equipment - 1 1,500.00 1,500.00
Sound System

***nothing follows***

***nothing follows***

Php 1,500.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Repair of Office Equipment - 1 300.00 300.00
Aircon

***nothing follows***

Php 300.00
Purpose: Repair of Office Equipment/Aircon

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
N/A N/A Repair of School Building- N/A 1,000.00 1,000.00
Roof

***nothing follows***

Php 1,000.00
Purpose: Repair of School Building - Roof

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Repair of SchoolOffice 1 470.00 470.00
Equipment - Sound System

***nothing follows***

151
Php 470.00
Purpose: Repair of School Office Equipment-Sound System

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Printer Repair 1 250.00 250.00

***nothing follows***

Php 250.00
Purpose: Repair of School Office Equipment-Printer Repair

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0038

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Fire Alarm System set 36,000.00 36,000.00

*Fire alarm control panel


*Smoke detector
* Heat Detector
*Manual Push Botton
* Strobe Light
*Bell
***nothing follows***

Php 36,000.00
Purpose: for SHS-EIM Equipment

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0039

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 METER Garden Hose 20 meters 21.75 435.00
2 METER Steel Tape 5 meters 243.00 1,215.00

***nothing follows***

Php 1,650.00
Purpose: for school use

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0040

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 rim A4 bond paper 32 162.80 5,001.22

***nothing follows***

Php 5,001.22
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0041
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 bottle Disinfectant Spray 2 580.00 1,160.00
2 gallon Alcohol 8 550.00 4,400.00
3 Box Face Mask-KN95 4 100.00 400.00

***nothing follows***

151
Php 5,960.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0042
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit FORMICA 20 689.00 13,041.78

***nothing follows***

Php 13,041.78
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0043
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Switch Hub 1 890.00 890.00
2 Meter UTP Wire 20 13.00 260.00
3 Unit Keyboard -USB Type 5 330.00 1,650.00
4 Unit External hard Drive 1 5,250.00 5,250.00
***nothing follows***

Php 8,050.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0044
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 PACK DETERGENT POWDER 5 96.99 484.95
2 BOTTLE DISWASHING LIQUID 5 104.94 524.70
3 PCS SPONGE 5 13.78 68.90
4 BOTTLE HAND SOAP 25 118.72 2,968.00
5 ROLL TISSUE PAPER 25 7.95 198.75
6 PCS MOP 2 370.00 740.00
7 PCS PLASTIC DIPPER 3 12.00 36.00
8 PCS PAIL 2 145.00 290.00
9 PCS RAGS 8 30.00 240.00
10 PCS TRASH CAN 3 265.00 795.00
11 BOTTLE AIR FRESHENER 2 93.28 186.56
***nothing follows***

Php 6,532.86
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0045
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit STERILIZING CABINET 1 11,750.00 11,750.00

***nothing follows***

Php 11,750.00
Purpose: For school and office equipment/appliances

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0051
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Marine Plywood 3/4 1 1,300.00 1,300.00
2 Unit Lawa-an 2x2x8 3 270.00 810.00
3 Unit Lawa-an 1x2x8 2 270.00 540.00
4 kl Common Nail No.4 1/2 30.00 60.00
5 kl Common Nail No.4 1/2 30.00 60.00
6 Unit Ordinary Plywood 1/4 1 300.00 300.00
7 pc Paint Roller 1 60.00 60.00
8 pc Paint Brush No.3 1 50.00 50.00
***nothing follows***

Php 3,120.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : SHIELA L.BANASAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0052

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Repair of Office Equipment - 1 495.00 495.00
C-MOS REFORMAT
***nothing follows***

Php 495.00
Purpose: OFFICE EQUIPMENT REFORMAT

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0014

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Flower Pots 60 28.00 1,680.00

***nothing follows***

Php 1,680.00
Purpose: Flower pots to be given to district activity

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0059

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 CheckBook 2 510.00 1,020.00
***nothing follows***

Php 1,020.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0059

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 CheckBook 2 510.00 1,020.00
***nothing follows***

Php 1,020.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0059

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 box notary seal #24 6 65.00 390.00
***nothing follows***

Php 390.00
Purpose: For grades 10 and 12 diploma

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0041
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 bottle Disinfectant Spray 2 580.00 1,160.00
2 gallon Alcohol 8 550.00 4,400.00
3 Box Face Mask-KN95 4 100.00 400.00

***nothing follows***

151
Php 5,960.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0084

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Ballpen, Black 30 5.00 150.00
2 pc Ballpen, Blue 30 5.00 150.00
3 pc Signpen, Black 20 15.00 300.00
4 pc Signpen, Blue 20 15.00 300.00
5 box paper fastener, Plastic 5 40.00 200.00
6 bottle Glue 5 40.00 200.00
7 ream Bondpapers, Long Size 10 185.00 1,850.00
*****nothing follows*****

Php 2,680.00
Purpose: For school/office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0066

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 CheckBook 1 510.00 510.00
***nothing follows***

Php 510.00
Purpose: Checkbook Request for Junior High School Department

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-08-0027

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Liter Gasoline, Special 16 51.82 829.12
2 Liter 4T Lubricant Oil 1 190.00 190.00
***nothing follows***

Php 1,019.12
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0066

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Power Supply 1 890.00 890.00
***nothing follows***

Php 890.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0070

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Personalised Medals 8 60.00 480.00
***nothing follows***

Php 480.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0071

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 sheet Nutrition Month Tarp 3x6 450.00 450.00
2 sheet JHS Moving-Up Tarp 3x6 450.00 450.00
3 sheet SHS Graduation Tarp 3x6 450.00 450.00
4 sheet Stage Backdrop Tarp 8x10 2,000.00 2,000.00
***nothing follows***

Php 3,350.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0079

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Snacks 25 2, 090.00 2, 090.00
***nothing follows***

Php 2,090.00
Purpose: Heavy snacks during the Random Blood Sugar Examination

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0092

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Kg Tire Wire # 16 2 74.00 148.00
2 Pcs PVC Coupling #4 2 45.00 90.00
3 Pcs Hacksaw 2 419.00 838.00
***nothing follows***

Php 1,076.00
Purpose: Materials for the installation of septic tank

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0093

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Pcs Computer Mouse 2 250.00 500.00
***nothing follows***

Php 500.00
Purpose: For office equipment

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0095

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Bottle Epson Ink Refill, Black #664 6 180.00 1,080.00
2 Bottle Epson Ink Refill, Yellow #664 6 180.00 1,080.00
3 Bottle Epson Ink Refill, Cyan #664 6 180.00 1,080.00
4 Bottle Epson Ink Refill, Magenta #664 6 180.00 1,080.00
Specialty Board A4, GSM 180 or
5 Ream 1 198.00 198.00
Velum
6 Pcs Certificate Holder 58 49.00 2,842.00
***nothing follows***

Php 7,360.00
Purpose: For office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-11-0042

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 packs Specialty paper, Vellum, 220 gsm, 10 pcs 1 75.00 75.00
2 packs Specialty paper, Vellum, 200 gsm, 10 pcs 11 70.00 770.00
3 packs Binder Rings, 4packs 6 25.00 150.00
4 pc Class Record 1 30.00 30.00
5 ream Bondpaper, Hard Copy, 80 gsm 1 395.00 395.00
6 roll Adhesive Wall paper 1 170.00 170.00
7 pc Lithium Battery, CR 1220 1 64.92 64.92
8 pc Lithium Battery, 3V, CR2032 1 75.00 75.00
9 pcs Fire Extinguisher Hanger 3 175.00 525.00
***nothing follows***

Php 2,254.92
Purpose: School/Office Supplies

Requested by: Approved by:


Signature :
Printed Name : CYREL M. GERVANO BERNIE F. LUBGUBAN
Designation : Teacher III School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-11-0037

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Power Supply 1 995.00 995.00
***nothing follows***

Php 995.00
Purpose: For school/office equipment

Requested by: Approved by:


Signature :
Printed Name : ERNIDA A. LUCAGBO BERNIE F. LUBGUBAN
Designation : Teacher III School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Meals & Snacks (Day 1) 25 550.00 13,750.00
5 Viand
Dessert
Rice
Drinks
2 Snacks w/ drinks
2 pax Meals & Snacks (Day 2) 25 550.00 13,750.00
5 Viand
Dessert
Rice
Drinks
2 Snacks w/ drinks
Venue Fee for 2 days 4,375.00 8,750.00
***nothing follows***

Php 36,250.00
Purpose: Gender and Development Seminar for 2 Days

Requested by: Approved by:


Signature :
Printed Name : ERNIDA A. LUCAGBO BERNIE F. LUBGUBAN
Designation : Teacher III School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-0107

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Lechon Belly
2 Other Viand (Mixed Seafood &
Beef Randang)
Rice 21 235.00 4,935.00
Fresh Fruits
leche Flan
Drinks
2 pcs Cake (1 per Teacher) 17 300.00 5,100.00
***nothing follows***

Php 10,035.00
Purpose: World Teachers Day Celebration

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-01

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 sacks Cement 60 228.00 13,680.00
2 loads Mixed Sand 1 3,100.00 3,100.00
3 loads Gravel 1 3,300.00 3,300.00
4 pcs Good Lumber, 2x4x10 8 253.00 2,024.00
5 pcs Steel Rebars, #10 55 178.00 9,790.00
6 kg Common Nails #3 4 65.00 260.00
7 kg Tire Wire #16 5 80.00 400.00
8 pcs hacksaw Blade 5 55.00 275.00
9 pcs CHB #4 75 12.00 900.00

Php 33,729.00
Purpose: Materials for the continuation of School Pathway

Requested by: Approved by:


Signature :
Printed Name : Cheenie Mae A. Dacula BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-0103

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for Lunch :
4 Viand
Cake
Fresh Fruits
Rice package deal 23 7,375.00 7,375.00
Drinks
2 pax AM Snacks :
Fresh Lumpia
Drinks
***nothing follows***

Php 7,375.00
Purpose: Food for School Based LAC Session

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS 2 School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-01-0002

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Philippine Flag 3x5 2 175.00 350.00
***nothing follows***

Php 350.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : CHEENIE MAE A. DACULA BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-02-0004

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Gallons Rubber Cemnet, All Purpose 2 573.00 1,146.00
***nothing follows***

Php 1,146.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : SHIELA L. BANASAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0090

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Kilos Grass Cutter Nylon 3.00 mm 10 425.00 4,250.00
*****nothing follows*****

Php 4,250.00
Purpose: For Grass Cutting

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0038

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Fire Alarm System set 36,000.00 36,000.00

*Fire alarm control panel


*Smoke detector
* Heat Detector
*Manual Push Botton
* Strobe Light
*Bell
***nothing follows***

Php 36,000.00
Purpose: for SHS-EIM Equipment

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Frame 8 x 12 10 200.00 2,000.00

***nothing foloows***

Php 2,000.00
Purpose:
FRAMES FOR SCHOOL HEADS PORTRAIT

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0013
Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc TILES 50 x 50 36 92.00 3,312.00

***NOTHING FOLLOWS***

3,312.00
Purpose:
Tile setting of the SBM room

Requested by: Approved by:


Signature :
Printed Name : DEXTER JUN P. CASTILLON BERNIE F. LUBGUBAN
Designation : School Property Custodian School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0013
Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for lunch 30 195.00 5,850.00
*4 viand
*Rice
*Soft drinks
*Dessert
*Fresh Fruits
2 pax Snacks 30 45.00 1,350.00
*Burger
*Fries
*C2

Note: w/ delivery charge/fee 300.00

7,500.00
Purpose:
Tile setting of the SBM room

Requested by: Approved by:


Signature :
Printed Name : CARMELO B. RABOR JR. BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0013
Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for lunch 22 195.00 4,290.00
*4 viand
*Rice
*Soft drinks
*Dessert
*Fresh Fruits
2 pax Snacks 22 45.00 990.00
*Burger
*Fries
*C2

Note: w/ delivery charge/fee 300.00

5,580.00
Purpose:
Tile setting of the SBM room

Requested by: Approved by:


Signature :
Printed Name : CARMELO B. RABOR JR. BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for In-Service Training 25 550.00 13,750.00
*4 viand
*Rice
2 snacks(AM and PM)
*Soft drinks
*Dessert

Php 13,750.00
Purpose:
FOOD FOR IN-SERVICE TRAINING

Requested by: Approved by:


Signature :
Printed Name : ERNIDA A. LUCAGBO BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 set Dinner Plate 24 79.00 1,896.00
2 set Soup bowl (small) 24 35.00 840.00
3 set Cups and saucer 255.00 255.00
4 set spoon and fork 199.75 1,198.50
5 unit water dispenser 1 6,250.00 6,250.00
6 set water goblet 24 35.00 840.00
7 set drinking glass 24 28.00 672.00
8 set soup bowl (big) 6 99.00 594.00
9 set teaspoon 6 149.75 898.50
10 pc platter 2 415.00 830.00

Php 14,274.00
Purpose:
UTENSILS FOR THE TLE ROOM

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Gas Range 1 12,140.00 12,140.00
2 Unit Refrigerator 1 14,685.00 14,685.00

Php 26,825.00
Purpose:
ITEMS FOR THE TLE ROOM

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-03-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Unit Burner 1 2,880.00 2,880.00
Unit Tank 1
*empty 1,850.00 1,850.00
*content 918.00 918.00
Unit Regulator 1 480.00 480.00
Meter Hose 2 75.00 150.00
pc Clip 2 20.00 40.00

Php 6,318.00
Purpose:
ITEMS FOR THE TLE ROOM

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0004

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc CHQBOOK 1 comm 510.00 510.00

Php 510.00
Purpose:
For check issuance

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0003
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc CHQBOOK 1 comm 510.00 510.00

Php 510.00
Purpose:
For check issuance

151
Requested by: Approved by:
Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-02-0004

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Canvass for Labor Cost for the 12,000.00 12,000.00
Tile Setting of the SBM Room

***nothing foloows***

Php 12,000.00
Purpose:
LABOR COST FOR THE TILE SETTING OF THE SBM ROOM

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Frame 8 x 12 10 200.00 2,000.00

***nothing foloows***

Php 2,000.00
Purpose:
FRAMES FOR SCHOOL HEADS PORTRAIT

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Luch for schools and classroom
structuring district level evaluation:
1 pax * 4 Viand 40 300.00 12,000.00
* Dessert
* Fresh Fruits
* Rice
* Soft Drinks
*inclusive with the use of utensils/tables and
delivery fee
***nothing follows***

Php 12,000.00
Purpose:
Lunch for schools and classroom structuring disrict level evaluation

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Water Despenser 1 4,998.00 4,998.00

***nothing follows***

Php 4,998.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Tarpaulin Printing and Layout 4x4 2 500.00 1,000.00

***nothing follows***

Php 1,000.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0050

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 gallon White Enamel 1 640.00 640.00
2 liter Gray Paint 1 180.00 180.00
3 pc baby brush cotton 1 65.00 65.00
4 pc Brush 4 1 95.00 95.00
5 pc Brush 2 1 40.00 40.00

***nothing follows***

Php 1,020.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Repair of Office Equipment - 1 1,500.00 1,500.00
Sound System

***nothing follows***

***nothing follows***

Php 1,500.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Repair of Office Equipment - 1 300.00 300.00
Aircon

***nothing follows***

Php 300.00
Purpose: Repair of Office Equipment/Aircon

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
N/A N/A Repair of School Building- N/A 1,000.00 1,000.00
Roof

***nothing follows***

Php 1,000.00
Purpose: Repair of School Building - Roof

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Repair of SchoolOffice 1 470.00 470.00
Equipment - Sound System

***nothing follows***

151
Php 470.00
Purpose: Repair of School Office Equipment-Sound System

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-00
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Printer Repair 1 250.00 250.00

***nothing follows***

Php 250.00
Purpose: Repair of School Office Equipment-Printer Repair

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0038

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 1 Fire Alarm System set 36,000.00 36,000.00

*Fire alarm control panel


*Smoke detector
* Heat Detector
*Manual Push Botton
* Strobe Light
*Bell
***nothing follows***

Php 36,000.00
Purpose: for SHS-EIM Equipment

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0039

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 METER Garden Hose 20 meters 21.75 435.00
2 METER Steel Tape 5 meters 243.00 1,215.00

***nothing follows***

Php 1,650.00
Purpose: for school use

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0040

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 rim A4 bond paper 32 162.80 5,001.22

***nothing follows***

Php 5,001.22
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0041
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 bottle Disinfectant Spray 2 580.00 1,160.00
2 gallon Alcohol 8 550.00 4,400.00
3 Box Face Mask-KN95 4 100.00 400.00

***nothing follows***

151
Php 5,960.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0042
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit FORMICA 20 689.00 13,041.78

***nothing follows***

Php 13,041.78
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0043
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Switch Hub 1 890.00 890.00
2 Meter UTP Wire 20 13.00 260.00
3 Unit Keyboard -USB Type 5 330.00 1,650.00
4 Unit External hard Drive 1 5,250.00 5,250.00
***nothing follows***

Php 8,050.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0044
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 PACK DETERGENT POWDER 5 96.99 484.95
2 BOTTLE DISWASHING LIQUID 5 104.94 524.70
3 PCS SPONGE 5 13.78 68.90
4 BOTTLE HAND SOAP 25 118.72 2,968.00
5 ROLL TISSUE PAPER 25 7.95 198.75
6 PCS MOP 2 370.00 740.00
7 PCS PLASTIC DIPPER 3 12.00 36.00
8 PCS PAIL 2 145.00 290.00
9 PCS RAGS 8 30.00 240.00
10 PCS TRASH CAN 3 265.00 795.00
11 BOTTLE AIR FRESHENER 2 93.28 186.56
***nothing follows***

Php 6,532.86
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0045
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit STERILIZING CABINET 1 11,750.00 11,750.00

***nothing follows***

Php 11,750.00
Purpose: For school and office equipment/appliances

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0051
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Marine Plywood 3/4 1 1,300.00 1,300.00
2 Unit Lawa-an 2x2x8 3 270.00 810.00
3 Unit Lawa-an 1x2x8 2 270.00 540.00
4 kl Common Nail No.4 1/2 30.00 60.00
5 kl Common Nail No.4 1/2 30.00 60.00
6 Unit Ordinary Plywood 1/4 1 300.00 300.00
7 pc Paint Roller 1 60.00 60.00
8 pc Paint Brush No.3 1 50.00 50.00
***nothing follows***

Php 3,120.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : SHIELA L.BANASAN BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0052

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Repair of Office Equipment - 1 495.00 495.00
C-MOS REFORMAT
***nothing follows***

Php 495.00
Purpose: OFFICE EQUIPMENT REFORMAT

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0014

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Flower Pots 60 28.00 1,680.00

***nothing follows***

Php 1,680.00
Purpose: Flower pots to be given to district activity

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0059

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 CheckBook 2 510.00 1,020.00
***nothing follows***

Php 1,020.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0059

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 CheckBook 2 510.00 1,020.00
***nothing follows***

Php 1,020.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0059

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 box notary seal #24 6 65.00 390.00
***nothing follows***

Php 390.00
Purpose: For grades 10 and 12 diploma

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-06-0041
DITUCALAN NHS Responsibility Center Code : 09-00-1000
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 bottle Disinfectant Spray 2 580.00 1,160.00
2 gallon Alcohol 8 550.00 4,400.00
3 Box Face Mask-KN95 4 100.00 400.00

***nothing follows***

151
Php 5,960.00
Purpose: For school and office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0084

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Ballpen, Black 30 5.00 150.00
2 pc Ballpen, Blue 30 5.00 150.00
3 pc Signpen, Black 20 15.00 300.00
4 pc Signpen, Blue 20 15.00 300.00
5 box paper fastener, Plastic 5 40.00 200.00
6 bottle Glue 5 40.00 200.00
7 ream Bondpapers, Long Size 10 185.00 1,850.00
*****nothing follows*****

Php 2,680.00
Purpose: For school/office supplies

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0066

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 CheckBook 1 510.00 510.00
***nothing follows***

Php 510.00
Purpose: Checkbook Request for Junior High School Department

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-05-0035

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Gmelina Wood 2x2x10 2 160.00 320.00
2 pcs Gmelina Wood 2x2x8 2 128.00 256.00
3 pcs Gmelina Wood 1x2x8 2 64.00 128.00
4 Sheet Marine Plywood 1/4 1 320.00 320.00
5 gallons Latex Paint, white 2 680.00 1,360.00
6 Pcs Paint roller 2 90.00 180.00
7 pcs Paint brush #3 2 60.00 120.00
***Nothing follows***

Php 2,684.00
Purpose: SCHOOL MATERIALS

Requested by: Approved by:


Signature :
Printed Name : SHIELA B. PEROCHO BERNIE F. LUBGUBAN
Designation : TEACHER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0066

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Power Supply 1 890.00 890.00
***nothing follows***

Php 890.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0070

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Personalised Medals 8 60.00 480.00
***nothing follows***

Php 480.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0071

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 sheet Nutrition Month Tarp 3x6 450.00 450.00
2 sheet JHS Moving-Up Tarp 3x6 450.00 450.00
3 sheet SHS Graduation Tarp 3x6 450.00 450.00
4 sheet Stage Backdrop Tarp 8x10 2,000.00 2,000.00
***nothing follows***

Php 3,350.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-07-0079

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Snacks 25 2, 090.00 2, 090.00
***nothing follows***

Php 2,090.00
Purpose: Heavy snacks during the Random Blood Sugar Examination

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0092

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Kg Tire Wire # 16 2 74.00 148.00
2 Pcs PVC Coupling #4 2 45.00 90.00
3 Pcs Hacksaw 2 419.00 838.00
***nothing follows***

Php 1,076.00
Purpose: Materials for the installation of septic tank

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-09-0093

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Pcs Computer Mouse 2 250.00 500.00
***nothing follows***

Php 500.00
Purpose: For office equipment

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS II/DISBURSING OFFICER School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-05-0034

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Electrical Thermal Scanner 1 1,500.00 1,500.00
2 gallon Disinfectant Solution 8 780.00 6,240.00
3 unit Electrical Air Purifier 1 2,950.00 2,950.00
4 gallon Bleach, Zonrox 3 169.00 507.00
5 boxes Face mask, 50 pcs, 3 ply, Disposable 25 75.00 1,875.00
6 gallon Alcohol, 70% Solution 23 480.00 11,040.00
7 liter Liquid Hand Siap Refill 5 65.00 325.00
8 unit Laminating Machine, A4 Size 1 3,800.00 3,800.00
9 ream Laminatin Film 2 1,050.00 2,100.00
10 ream Bondpaper, Long Size 10 195.00 1950.00

Thirty-two Thousand Two Hundred Eighty-Seven Pesos Only 32,287.00


Purpose: for common office supplies

Requested by: Approved by:


Signature :
Printed Name : ABIGAIL PONDANG BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-11-0042

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 packs Specialty paper, Vellum, 220 gsm, 10 pcs 1 75.00 75.00
2 packs Specialty paper, Vellum, 200 gsm, 10 pcs 11 70.00 770.00
3 packs Binder Rings, 4packs 6 25.00 150.00
4 pc Class Record 1 30.00 30.00
5 ream Bondpaper, Hard Copy, 80 gsm 1 395.00 395.00
6 roll Adhesive Wall paper 1 170.00 170.00
7 pc Lithium Battery, CR 1220 1 64.92 64.92
8 pc Lithium Battery, 3V, CR2032 1 75.00 75.00
9 pcs Fire Extinguisher Hanger 3 175.00 525.00
***nothing follows***

Php 2,254.92
Purpose: School/Office Supplies

Requested by: Approved by:


Signature :
Printed Name : CYREL M. GERVANO BERNIE F. LUBGUBAN
Designation : Teacher III School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-11-0037

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Unit Power Supply 1 995.00 995.00
***nothing follows***

Php 995.00
Purpose: For school/office equipment

Requested by: Approved by:


Signature :
Printed Name : ERNIDA A. LUCAGBO BERNIE F. LUBGUBAN
Designation : Teacher III School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-00

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Meals & Snacks (Day 1) 25 550.00 13,750.00
5 Viand
Dessert
Rice
Drinks
2 Snacks w/ drinks
2 pax Meals & Snacks (Day 2) 25 550.00 13,750.00
5 Viand
Dessert
Rice
Drinks
2 Snacks w/ drinks
Venue Fee for 2 days 4,375.00 8,750.00
***nothing follows***

Php 36,250.00
Purpose: Gender and Development Seminar for 2 Days

Requested by: Approved by:


Signature :
Printed Name : ERNIDA A. LUCAGBO BERNIE F. LUBGUBAN
Designation : Teacher III School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-0107

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Lechon Belly
2 Other Viand (Mixed Seafood &
Beef Randang)
Rice 21 235.00 4,935.00
Fresh Fruits
leche Flan
Drinks
2 pcs Cake (1 per Teacher) 17 300.00 5,100.00
***nothing follows***

Php 10,035.00
Purpose: World Teachers Day Celebration

Requested by: Approved by:


Signature :
Printed Name : MICHAELINE CLARO-CHAN BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-05-0035

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Gmelina Wood 2x2x10 2 160.00 320.00
2 pcs Gmelina Wood 2x2x8 2 128.00 256.00
3 pcs Gmelina Wood 1x2x8 2 64.00 128.00
4 sheet Marine Plywood 1/4 1 320.00 320.00
5 gallons latex Paint White 2 680.00 1,360.00
6 pcs Paint Roller 2 90.00 180.00
7 pcs Paint Brush #3 2 60.00 120.00
***Nothing Follows***

Php 2,684.00
Purpose: Materials for the continuation of School Pathway

Requested by: Approved by:


Signature :
Printed Name : Shiela B. Perocho BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2021-12-0103

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Food for Lunch :
4 Viand
Cake
Fresh Fruits
Rice package deal 23 7,375.00 7,375.00
Drinks
2 pax AM Snacks :
Fresh Lumpia
Drinks
***nothing follows***

Php 7,375.00
Purpose: Food for School Based LAC Session

Requested by: Approved by:


Signature :
Printed Name : JANE H. ANTIPOLO BERNIE F. LUBGUBAN
Designation : ADAS 2 School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-01-0002

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs Philippine Flag 3x5 2 175.00 350.00
***nothing follows***

Php 350.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : CHEENIE MAE A. DACULA BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-02-0005

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Liters Gasoline, Unleaded 36 60.55 2,179.80
***nothing follows***

Php 2,179.80
Purpose:

Requested by: Approved by:


Signature :
Printed Name : SHIELA L. BANASAN BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-03-0015

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Easy Living Curtain 55x84 4 995.00 3,980.00
2 pc Curtain 55x84 4 800.00 3,200.00
3 pc Curtain Rod 1 449.75 449.75
4 pc Curtain Rod 3 369.75 1,109.25
***nothing follows***

Php 8,739.00
Purpose: Curtains for SBM room

Requested by: Approved by:


Signature :
Printed Name : MICHELLE DATUIN BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-03-0010

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pc Eurolux Led Flou 16w DL 10 260.00 2,600.00
2 pc Euroloux Led Flou T5 8w DL 10 185.00 1,855.00
3 pc Firefly Led Bulb DL 15w 10 191.00 1,910.00
4 pc Firefly Circular Lampset 22w 4 334.00 1,336.00
***nothing follows***

Php 7,701.00
Purpose: For classroom and office bulbs used

Requested by: Approved by:


Signature :
Printed Name : SHIELA L. BANASAN BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-07-0040

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 Pcs Graduation Leis 15 60.00 900.00
2 Pcs Graduation Sablay 20 45.00 900.00
3 Pcs Personalized Medals 20 120.00 2,400.00
4 Meters Stage/Table Cloth, Gina Earth 55 45.00 2,475.00
5 Meters Stage/Table Cloth, Satin Silk Cloth 60 95.00 5,700.00
6 Pcs Curtain Rod 4 410.00 1,640.00
7 Box Floral Foam 1 850.00 850.00
8 Pcs Stick Glue 10 10.00 100.00
9 Roll Floral Wire 1 65.00 65.00
10 Packs Thumbtacks 1 260.00 260.00
11 Pads Pins 10 9.00 90.00
12 Boxes Pins w/ Heads 5 42.00 210.00
13 Pcs Tumblers, Personalized 2 720.00 1,440.00
14 Pc Flag Pole for Stage, 8 Feet 1 1,500.00 1,500.00
15 Pc School Banner Pole for Stage, 7 Feet 1 1,500.00 1,500.00
16 Pc Philippine Flag, 3x5 1 350.00 350.00
17 Pc School Banner, 3x5, Personalized 1 800.00 800.00
18 Bottle Canon Pixma Ink Refill, Black, Genuine 1 395.00 395.00
19 Bottle Canon Pixma Ink Refill, Cyan, Genuine 1 395.00 395.00
20 Bottle Canon Pixma Ink Refill, Magenta, Genuin 1 395.00 395.00
21 Bottle Canon Pixma Ink Refill, Yellow, Genuine 1 395.00 395.00
22 Pc Styro 1/2 x 2 x 4 1 65.00 65.00
23 Pc Cutter Knife 1 55.00 55.00
24 Pcs Cartolina Neon Thick 2 12.00 24.00
25 Pc Double Sided Tape w/ Foam 1 55.00 55.00
26 Pc Microphone Cable, 10 Meters 1 1,200.00 1,200.00
27 Pcs Flower Stand, Steel, 2 feet 2 550.00 1,100.00
28 Pcs Flower Stand, Steel, 3 feet 4 650.00 2,600.00
29 Pcs Flower Stand, Steel, 3 1/4 feet 8 700.00 5,600.00
30 Pcs Flower Stand, Steel, 4 feet 2 800.00 1,600.00
31 Pcs Wodden Flag Stand 2 600.00 1,200.00
32 Gallons Disinfectant Solution 8 780.00 6,240.00
***nothing follows***
Php 42,499.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : CHEENIE MAE A. DACULA BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-04-0024

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
1 pax Snacks w/ drinks (AM) 40 80.00 3,200.00
2 pax Meal (Lunch) 40 230.00 9,200.00
*3 viand
* Dessert/Salad
*Rice
*Fruits
*Drinks
3 pax Snacks w/ drinks (PM) 40 80.00 3,200.00

Php 15,600.00
Purpose: Snacks and lunch for LAC session

Requested by: Approved by:


Signature :
Printed Name : CHEENIE MAE A. DACULA BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-05-0030

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
1 bottle Ink Refill, Black, Genuine for Canon Pixma G2010 1 395.00 395.00
2 bottle Ink Refil, Cyan, Genuin for Canon Pixma G2010 1 395.00 395.00
3 bottle Ink Refil, Magenta, Genuin for Canon Pixma G2010 1 395.00 395.00
4 bottle Ink Refil, Yellow, Genuin for Canon Pixma G2010 1 395.00 395.00
***nothing follows***

Php 1,580.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : ABIGAIL PONDANG BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-05-0031

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
1 bottle Ink Refill, Black, #664, Genuine for Epson Printer 2 273.93 547.86
2 bottle Ink Refill, Cyan, #664, Genuine for Epson Printer 2 289.73 579.46
3 bottle Ink Refill, Magenta, #664, Genuine for Epson Printer 2 289.73 579.46
4 bottle Ink Refill, Yellow, #664, Genuine for Epson Printer 2 289.73 579.46
5 bottle Ink Refill, Black, #003, Genuine for Epson Printer 2 273.93 547.86
6 bottle Ink Refill, Cyan, #003, Genuine for Epson Printer 2 289.73 579.46
7 bottle Ink Refill, Magenta, #003, Genuine for Epson Printer 2 289.73 579.46
8 bottle Ink Refill, Yellow, #003, Genuine for Epson Printer 2 289.73 579.46

Php 4,572.48
Purpose: Ink for Printers

Requested by: Approved by:


Signature :
Printed Name : ABIGAIL PONDANG BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2022-05-0032

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
1 packs Acetate, PVC Cover, A4 Size 1 750.00 750.00
2 reams Bond Paper, A4 Size 25 185.00 4,625.00
3 pcs Correction Tape 20 25.00 500.00
4 pcs Envelope, Documentary for Long size documents 100 1.50 150.00
5 pcs Envelope, Regualr , Long Brown 100 6.00 600.00
6 pcs Expanding Envelope Long Size 100 12.00 1,200.00
7 pcs File Folder, Regular, Long Size 100 8.00 800.00
8 pcs Masking Tape, 1 inch 20 30 600
9 Boxes Paper Fastener, Plastic 20 55 1100
10 Pcs Puncher, Big 3 230 690
11 pcs Ruler, Plastic 20 8 160
12 pcs Sign Pen, Black 30 15 450
13 pcs Sign Pen, Blue 30 15 450
14 pcs Scotch Tape , 1 inch 20 30 600
15 rolls Tissue Paper, 2 Ply 25 14 350
16 pcs Whiteboard Marker 20 80 1600
17 bottles Whiteboard Refill Ink 20 50 1000
Php 15,625.00
Purpose:

Requested by: Approved by:


Signature :
Printed Name : ABIGAIL PONDANG BERNIE F. LUBGUBAN
Designation : Teacher School Head

151
Appendix 60

PURCHASE REQUEST

Entity Name: DITUCALAN NATIONAL HIGH SCHOOL Fund Cluster: 101101


Office/Section : PR No.: 2023-____-______ Date:

DITUCALAN NHS Responsibility Center Code : 09-00-1000


Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
1 pc Smart TV (34 inches) 1 40,000.00 40,000.00
-
-

-
-
-
-
-
-
-
-
-
-
-
-
Php 40,000.00
Purpose: For Multi-media presentation

Requested by: Approved by:


Signature :
BELLA TERESA T.
Printed Name : ERNIDA A. LUCAGBO
BUHION
Designation : Teacher III School Principal

151

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