Republic of the Philippines

Department of Education
Caraga Region XIII
Division of Surigao del Norte

BAD-AS ELEMENTARY SCHOOL

QUOTATION FORM

Canvass Form No.____

Date: __________________

__________________________
___________________________
Pursuant to section 3 heading “ Purchasing” of RA 9184 as amended by Presidential decree No. 526 you are hereby requested quotations listed hereunder, for purpose
of canvass of prices by the committee on Award and to submit this form in a selected envelope within_________________ days after it had been duly accomplished.
It is understood that the prices quoted are just reasonable and do not exceed the maximum prices set by the bureau of Supply that you responsibility therefore can
be held liable for any violation of existing laws governing overpricing or profiteering which may cause the business establishment.

ARTICLES
Quantity Unit (Complete Description and Unit Total REMARKS
Specification) Price Amount
230 reams A4 Bond Paper
40 bottle Ink Printer EPSON 664 (Black)
10 bottle Ink Printer EPSON 003 (Black)
2 bottle Ink Printer CANON PIXMA 790

Total
Note!
1. Please Submit your quotation inside a school envelope addressed DepEd-Division Surigao del Norte
2. Quotations given to you must be returned immediately indicating your Price, Brand, if no stock state no.

STELLA G. LOPEZ
BAC CHAIRMAN
The Schools Division Superintendent
Surigao del Norte

I hereby submit my quotation of prices on the above articles as indicated under column “price” above which to the correct, just
and reasonable and of which I hereby assume full responsibility therefore.
I am awarded of the penal consequences for acts of governing profiteering and I hereby assure the Committee prices quoted
above do of full under and prohibited acts.

________________________________________________ RACHEL ANTONIETTE M. PATIÑO

SUPPLIER CANVASSER

___________________
Date
 C

Republic of the Philippines

Department of Education
Caraga Region XIII
Division of Surigao del Norte
BAD-AS ELEMENTARY SCHOOL
QUOTATION FORM

Canvass Form No.____

Date: __________________

__________________________
___________________________
Pursuant to section 3 heading “ Purchasing” of RA 9184 as amended by Presidential decree No. 526 you are hereby requested quotations listed hereunder, for purpose
of canvass of prices by the committee on Award and to submit this form in a selected envelope within_________________ days after it had been duly accomplished.
It is understood that the prices quoted are just reasonable and do not exceed the maximum prices set by the bureau of Supply that you responsibility therefore can
be held liable for any violation of existing laws governing overpricing or profiteering which may cause the business establishment.

ARTICLES
Quantity Unit (Complete Description and Unit Total REMARKS
Specification) Price Amount
10 card TNT Load Card (300)

Total
Note!
1. Please Submit your quotation inside a school envelope addressed DepEd-Division Surigao del Norte
2. Quotations given to you must be returned immediately indicating your Price, Brand, if no stock state no.

STELLA G. LOPEZ
BAC CHAIRMAN
The Schools Division Superintendent
Surigao del Norte

I hereby submit my quotation of prices on the above articles as indicated under column “price” above which to the correct, just
and reasonable and of which I hereby assume full responsibility therefore.
I am awarded of the penal consequences for acts of governing profiteering and I hereby assure the Committee prices quoted
above do of full under and prohibited acts.

________________________________________________ RACHEL ANTONIETTE M. PATIÑO

SUPPLIER CANVASSER

___________________
Date
 Republic of the Philippines
Department of Education
Caraga Region XIII
Division of Surigao del Norte

BAD-AS ELEMENTARY SCHOOL

QUOTATION FORM

Canvass Form No.____

Date: __________________

__________________________
___________________________
Pursuant to section 3 heading “ Purchasing” of RA 9184 as amended by Presidential decree No. 526 you are hereby requested quotations listed hereunder, for purpose
of canvass of prices by the committee on Award and to submit this form in a selected envelope within_________________ days after it had been duly accomplished.
It is understood that the prices quoted are just reasonable and do not exceed the maximum prices set by the bureau of Supply that you responsibility therefore can
be held liable for any violation of existing laws governing overpricing or profiteering which may cause the business establishment.

ARTICLES
Quantity Unit (Complete Description and Unit Total REMARKS
Specification) Price Amount
4 drum Photocopier Toner

Total
Note!
1. Please Submit your quotation inside a school envelope addressed DepEd-Division Surigao del Norte
2. Quotations given to you must be returned immediately indicating your Price, Brand, if no stock state no.

STELLA G. LOPEZ
BAC CHAIRMAN
The Schools Division Superintendent
Surigao del Norte

I hereby submit my quotation of prices on the above articles as indicated under column “price” above which to the correct, just
and reasonable and of which I hereby assume full responsibility therefore.
I am awarded of the penal consequences for acts of governing profiteering and I hereby assure the Committee prices quoted
above do of full under and prohibited acts.

________________________________________________ RACHEL ANTONIETTE M. PATIÑO

SUPPLIER CANVASSER

___________________
Date
 Republic of the Philippines
Department of Education
Caraga Region XIII
Division of Surigao del Norte

BAD-AS ELEMENTARY SCHOOL

QUOTATION FORM

Canvass Form No.____

Date: __________________

__________________________
___________________________
Pursuant to section 3 heading “ Purchasing” of RA 9184 as amended by Presidential decree No. 526 you are hereby requested quotations listed hereunder, for purpose
of canvass of prices by the committee on Award and to submit this form in a selected envelope within_________________ days after it had been duly accomplished.
It is understood that the prices quoted are just reasonable and do not exceed the maximum prices set by the bureau of Supply that you responsibility therefore can
be held liable for any violation of existing laws governing overpricing or profiteering which may cause the business establishment.

ARTICLES
Quantity Unit (Complete Description and Unit Total REMARKS
Specification) Price Amount
1 pc. EPSON L5190

Total
Note!
1. Please Submit your quotation inside a school envelope addressed DepEd-Division Surigao del Norte
2. Quotations given to you must be returned immediately indicating your Price, Brand, if no stock state no.

STELLA G. LOPEZ
BAC CHAIRMAN
The Schools Division Superintendent
Surigao del Norte

I hereby submit my quotation of prices on the above articles as indicated under column “price” above which to the correct, just
and reasonable and of which I hereby assume full responsibility therefore.
I am awarded of the penal consequences for acts of governing profiteering and I hereby assure the Committee prices quoted
above do of full under and prohibited acts.

________________________________________________ RACHEL ANTONIETTE M. PATIÑO

SUPPLIER CANVASSER

___________________
Date
 Republic of the Philippines
Department of Education
Caraga Region XIII
Division of Surigao del Norte

BAD-AS ELEMENTARY SCHOOL

QUOTATION FORM

Canvass Form No.____

Date: __________________

__________________________
___________________________
Pursuant to section 3 heading “ Purchasing” of RA 9184 as amended by Presidential decree No. 526 you are hereby requested quotations listed hereunder, for purpose
of canvass of prices by the committee on Award and to submit this form in a selected envelope within_________________ days after it had been duly accomplished.
It is understood that the prices quoted are just reasonable and do not exceed the maximum prices set by the bureau of Supply that you responsibility therefore can
be held liable for any violation of existing laws governing overpricing or profiteering which may cause the business establishment.

ARTICLES
Quantity Unit (Complete Description and Unit Total REMARKS
Specification) Price Amount
10 card Smart load card (300)

Total
Note!
1. Please Submit your quotation inside a school envelope addressed DepEd-Division Surigao del Norte
2. Quotations given to you must be returned immediately indicating your Price, Brand, if no stock state no.

STELLA G. LOPEZ
BAC CHAIRMAN
The Schools Division Superintendent
Surigao del Norte

I hereby submit my quotation of prices on the above articles as indicated under column “price” above which to the correct, just
and reasonable and of which I hereby assume full responsibility therefore.
I am awarded of the penal consequences for acts of governing profiteering and I hereby assure the Committee prices quoted
above do of full under and prohibited acts.

________________________________________________ RACHEL ANTONIETTE M. PATIÑO

SUPPLIER CANVASSER

___________________
Date
 Republic of the Philippines
Department of Education
Caraga Region XIII
Division of Surigao del Norte

BAD-AS ELEMENTARY SCHOOL

QUOTATION FORM

Canvass Form No.____

Date: __________________

__________________________
___________________________
Pursuant to section 3 heading “ Purchasing” of RA 9184 as amended by Presidential decree No. 526 you are hereby requested quotations listed hereunder, for purpose
of canvass of prices by the committee on Award and to submit this form in a selected envelope within_________________ days after it had been duly accomplished.
It is understood that the prices quoted are just reasonable and do not exceed the maximum prices set by the bureau of Supply that you responsibility therefore can
be held liable for any violation of existing laws governing overpricing or profiteering which may cause the business establishment.

ARTICLES
Quantity Unit (Complete Description and Unit Total REMARKS
Specification) Price Amount
10 gal. Latex Paint Palmera Green
4 gal. Latex Paint Hanza Yellow
3 pcs. Steel brush
1 gal. Paint thinner
4 gal. Enamel Paint White
4 pcs. Roller brush, 7”

Total
Note!
1. Please Submit your quotation inside a school envelope addressed DepEd-Division Surigao del Norte
2. Quotations given to you must be returned immediately indicating your Price, Brand, if no stock state no.

STELLA G. LOPEZ
BAC CHAIRMAN
The Schools Division Superintendent
Surigao del Norte

I hereby submit my quotation of prices on the above articles as indicated under column “price” above which to the correct, just
and reasonable and of which I hereby assume full responsibility therefore.
I am awarded of the penal consequences for acts of governing profiteering and I hereby assure the Committee prices quoted
above do of full under and prohibited acts.

________________________________________________ RACHEL ANTONIETTE M. PATIÑO

SUPPLIER CANVASSER

___________________
Date