forms-RSMI Chiraj

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Department of Education

Region X-Northern Mindanao


DIVISION OF MISAMIS OCCIDENTAL

REPORT ON SUPPLIES AND MATERIALS ISSUED

Entity Name: CONG. HILARION J. RAMIRO JR. MNHS Serial No.: 001
Fund Cluster: MOOE Date:

To be filled by
To be filled up in the Supply and Property Unit
Accounting Unit
Responsibili Stoc
RIS ty Center k Item Unit Quantity Unit Cost Amount
No. Code No.
1 KATAW-UHAN MAGAZINES pc 42 168.00 7,056.00
2 Welding Rod E6011 kilo 1 140.00 140.00
3 Welding Rod E7018 kilo 1 160.00 160.00
4 Welding Box E6013 kilo 4 150.00 600.00
5 C-Clamp pc 3 329.00 987.00
Face Shield pc 4 320.00 1,280.00
Grinding Disc #4 pc 5 45.00 225.00
Cutting Disc #4 pc 2 79.00 158.00
Griding Stone #4 pc 3 45.00 135.00
Channel Lock Pliers pc 3 489.00 1,467.00
Hack Saw set 3 239.00 717.00
Steel Tape (8meters) pc 3 389.00 1,167.00
Vernier Caliper pc 1 240.00 240.00
Level Bar pc 3 499.00 1,497.00
Steel Roll (60 meters) pc 1 675.00 675.00
Hack Saw blade pc 3 74.00 222.00
Flat Chisel pc 1 268.00 268.00
Bench Vise pc 1 3,618.00 3,618.00
Circuit Breaker -KSB 60 amp. DPST pc 4 665.00 2,660.00
Convenience Outlet (Flush Type) Duplex 25 Amp. pc 6 240.00 1,440.00
Circuit Breaker -KSB 60 amp. DPST pc 1 6,880.00 6,880.00
Circuit Breaker 175 amp. Casing pc 1 985.00 985.00
Mobile load card pc 9 106.00 954.00
Angle bar 3/16 x1 pc 5 425.00 2,125.00
Flat bar 3/16 x1 pc 2 290.00 580.00
Flat bar 1/4 x2 pc 1 745.00 745.00
Wire Rod 9mm pc 1 122.00 122.00
Electrical Tape 8mtrs pc 1 47.06 47.06
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TOTAL 115 ₱ 18,432.06 ₱ 37,150.06
I hereby certify to the correctness of the above information. Posted by Date

JILYN R. MONTEFALCON RIO FERDINAND P. MARCELINO


Property Custudian ADAS-III
Department of Education
Region X-Northern Mindanao
DIVISION OF MISAMIS OCCIDENTAL

REPORT ON SUPPLIES AND MATERIALS ISSUED

Entity Name: CONG. HILARION J. RAMIRO JR. MNHS Serial No.: 001
Fund Cluster: MOOE Date:

To be filled by
To be filled up in the Supply and Property Unit
Accounting Unit
Responsibili Stoc
RIS ty Center k Item Unit Quantity Unit Cost Amount
No. Code No.
1 KATAW-UHAN MAGAZINES pcs 154 168.00 25,872.00
2 PAPER MULTICOPY 80GSM A4 REAM 50 167.02 8,351.00
3 PAPER MULTICOPY 70GSM LEGAL REAM 50 161.20 8,060.00
4 HDMI (5meters) pcs 6 323.00 1,938.00
5 Storage box (72 liters) pcs 1 279.00 279.00
Alcohol gal 5 545.00 2,725.00
Paracetamol Biogesic pad 24 85.00 2,040.00
Kremil S pcs 130 8.00 1,040.00
Medicol 200mg pcs 150 6.80 1,020.00
Oral Dehydration Salts pcs 60 7.45 447.00
Loperamide pcs 130 1.65 214.50
Midol Tablet pcs 120 10.65 1,278.00
Efficascent50ml pcs 15 51.00 765.00
Contrimosasole pcs 130 4.40 572.00
Cetirizine pcs 30 3.30 99.00
Bio Flu pcs 150 8.45 1,267.50
Epson Ink 664 - Black bot 15 220.00 3,300.00
Epson Ink 664 - Megenta bot 10 220.00 2,200.00
Epson Ink 003 - Black bot 15 280.00 4,200.00
Epson Ink 003 - Magenta bot 10 280.00 2,800.00
Epson Ink 003 - Yellow bot 10 280.00 2,800.00
Transparent tape 1" roll 17 35.00 595.00
Correction Tape pcs 17 29.00 493.00
Permanent marker borad pcs 1 38.00 38.00
Assorted ribbons (Satin Ribbon) 5" roll 6 285.00 1,710.00
Steel pins box 5 144.00 720.00
toilet Tissue paper pack 3 140.00 420.00
Electrical tape roll 2 47.00 94.00
Battery (AA) pack 5 100.00 500.00
Battery (AAA) pack 5 120.00 600.00
Detergent powder (2kgs) pack 5 280.00 1,400.00
Floor wax can 15 300.00 4,500.00
Binder Clip 41mm pcs 1 4.70 4.70

9 -
10 -
TOTAL 1347 ₱ 4,632.62 ₱ 82,342.70
I hereby certify to the correctness of the above information. Posted by Date

JILYN R. MONTEFALCON RIO FERDINAND P. MARCELINO


Property Custudian ADAS-III
Appendix 9-10

Department of Education
Region X-Northern Mindanao
DIVISION OF MISAMIS OCCIDENTAL

REPORT ON SUPPLIES AND MATERIALS ISSUED

Entity Name: LUPAGAN ELEMENTARY SCHOOL Serial No.: 001


Fund Cluster: MOOE Date:

To be filled by
To be filled up in the Supply and Property Unit
Accounting Unit
Responsibili Stoc
RIS ty Center k Item Unit Quantity Unit Cost Amount
No. Code No.
1 BROWN EXPANDED ENVELOPE PC 30 20.00 600.00
2 YELLOW FOLDER LONG PC 20 15.00 300.00
3 SIGN PEN PC 1 20.07 20.07
4 -
5 -
6 -
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9 -
10 -
TOTAL 51 ₱ 55.07 ₱ 920.07
I hereby certify to the correctness of the above information. Posted by Date

MIRAGEN C. VINA RONILYN M. PACATAN


Property Custudian ADAS-III

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