Serubtic ot tDe Frili$tues

Depsrtmext of @lurution
Administrative Service
ASSET MANAGEMENT DIVISION

MEMORANDUM L^
FOR 4l
: LEONOR MAGTOLIS-BRIONES
- dt,
THRU

AGUSTIN
, Administrative Service

- a"\y +l*lzau
FROM MA+ITESS L. ABLAY
Chief Administrative Officer

SUBJECT 2o.22 Annual Procurement Plan for Common-Use Supplles

and Equipment (APP-CSEI

DATE 29 July 2O2l

This is to respectfully submit the attached Annual Procurement Plan for

common-Use Supplies and Equipment (APP-csE) for the year ?oZ2 using the new
template prescribed by the Procurement Service of Departrnent of Budget and
Management (PS-DBM).

This APP-CSE is a consolidation of all the requirements for supplies,

materials and equipment of units/divisions/ services/bureaus and executive offices
in the Central Office with a total amount of One Hundred Ttenty Million Two
Hundred Ninety Four Thousand Nine Hundred Forty One pesos and z1l1oo
lPL2O,294,94l.7ll and is distributed as follows:
Items Amount
Items Available at PS Stores 53,313,837.92
Items Not Available at PS but Regularly
Purchased from Other Sources 16,045,200.00
Airline Ticket 40,000,000.0o
Additional Provision for Inflation (10% of Total) 10,935,903.79
 *eers=';'' \
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BY:
1 I tu0 iili
C 'i#j:w
Of{.ce of the
Undersecteiiry

D EPARTI"IE}{T OF EDL'CATICN
OFFICE OF TI-iE S ECRETARY

(J
,:.iitj ? ?f;21

Time:.-
tl .

t
 3epuflit ot tle SDitipineg
trBenurtmart of @lucution
Administrative Service
ASSET MANAGEMENT DIVISION

MEMORANDUM

FOR : LBONOR MAGTOLIS.BRIONES

Secretar5r

THRU ANNALYN M. SEVILLA

Undersecretary for Finance

ALAIN DEL B. PASCUA

Undersecretary for Administration
"q
/
ROBERT M. AGUSTIN
Director IV, Administrative Service

q-.- (- or+7+lt"r[wu
FROM rw{,rurnss L. ABLAY
Chief Administrative O
"M
SUBJECT 2or22 Annual Procurement Plan for Common-Use Supplles
and Equlpment (APP-CSEI

DATE 29 July 2O2l

This is to respectfully submit the attached Annual Procurement Plan for

Common-Use Supplies and Equipment (APP-CSE) for the year 2022 using the new
template prescribed by the Procurement Service of Department of Budget and
Management (PS-DBM).

This APP-CSE is a consolidation of all the requirements for supplies,

materials and equipment of units/divisions/services/bureaus and executive offices
in the Central Office with a total amount of One Hundred Twenty Million Two
Hundred Ninety Four Thousand Nine Hundred Forty one pesos and z1lloo
(P12O,294,941.7 L| and is distributed as follows:

Items Amount
Items Available at PS Stores 53,313,837.92
Items Not Available at PS but Regularly
Purchased from Other Sources 16,045,200.00
Airline Ticket 40,000,000.00
Additional Provision for Inflation (lO%o of Total) 10,935,903.79
 For information, in accordance urith the Memorandum Circular No. 2021-1
dated 03 June 202 1 issued by the Inter-Agency Task Force on the Harmoniz;ation
of National Government Performance Monitoring, Information Systems
(Administrative Order No.25 s.2011), all government agencies are advised to
submit their 2022 APP-CSE to PS-DBM via the Virtual Store facilitv on or before 31
August 2021.

For the kind approval of the Secretary.

 For information, in accordance with the Memorandum Circular No. 2021-1
dated 03 June 2021 issued by the Inter-Agency Task Force on the Harmonization
of National Government Performance Monitoring, lnformation Systems
(Administrative Order No.25 s.2011), all government agencies are advised to
submit their 2022 APP-CSE to PS-DBM via the Virtual Store facilitv on or before 31
August 2021.

For the kind approval of the Secretary.

 ANNUAL PROCUREMENT PLAN - COMMOM.USE SUPPLIES AND EQUIPMETT (APP-CSE) 2022 FORM

!F.L.rLe4r!d,cl.Fb*+-ddrErhvtd

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3,0 ot loguc oh th. PS-DB}{ mbrlb
Klndly rcfCr to tho CSE for the d&lH .nd *mDlG phtr ot thc it6..
4.O tu d dcl€h. .dd, or rdi.c.nv ibro or rcm on thc PART I
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Mb: ConsbEnt with Nffir.nd@ Clrcobr to, 2O2r-, d.bd 03 Jarc 2O2r, brucd by AO 25, the APP-CSE for FY 2022 Mt be submltd on u bhrt 3l Aqd 2O2r.
Deoartment/Bur@u/Offre: Demrtrent of Ed@tlon - Main AGftyCode/UACS: F001 ContadPe6on: MarftBs L. Ablay
Reopn: Maln Or@nlzatlon TyE: _ Positbn: Chlef AdmlntstrattE Officer
Addr6s: DeoEd Comolex. MeEho Ave. Paslo Clw E-mail : ;il4;;6h-61G8?Gil;E--
Tehphom/Mobile Nc: 2S35651

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I lolqt50qIN-Ao1 lrMfrdDE aerd toE 0 150 0 150 20,$4.00 0 0 100 13,9$.m 0 i50 0 20,s4.00 0 100 0 13,936.00 500.00 139.36 69S0.0

offixts oR

HANo sNmzE8, somL 500 0 0 500 75,715.00 500 0 0 500 75,7t5.04 500 0 0 5m 75,715,00 500 0 0 500 75,715.@ 2,000.00 151.43 302S0.00

Syl, S06-7204,500 ml 3000 0 0 3000 199,tro.@ 3000 0 0 3000 19,@.00 r@ 0 0 3000 19,60.00 0 0 3000 19,6&.00 12,m0.00 6.56 7%724.@

r2191@l-a€3 lrcmr, ary', ewu:*, r e"rcn 9a[s 450 450 0 900 ?9,128.00 450 450 0 90 349,12a.00 450 450 0 900 y9,128.00 450 450 0 $0 349,128.00 3,@0.00 87.92 t3s512.@
sr471$1-a{ol ltcmr, rqqy, eor- z:06, $oml C5nl) 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.00 43.58 0.00

6 51471$1.4{02 ltcmL ryqy', S%-72%. *d, 3.785 t6 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.@ 455.00 0.00

51471505.Gro1 lpouDoNE r@rNE. ro % d6o, r2o mr gallo 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.@ &7.75 0.00

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0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 31.52 0.0

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r lr:,rrzo:-rc-rcr lnonr 20 0 0 ?0 16,956.{ 0 t2 0 l2 10,173.e 0 t2 0 L2 10,173.84 0 t2 0 t2 tott73.u 56.00 047.42

10 13111201-C-Pol
l**o*,* 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 221.00 0.0c

FlW, legal 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0r0 0 0 0 0 0.00 0.00 204.52 0.(

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14111525-q-A01 75 0 0 75 6,2D.00 75 0 0 75 6,279.00 75 0 0 75 6,279_04 75 0 0 6,279.W m.00 43.72 25115.C

13 1411t$6-G{11 laorr-u, a*"*, *M, r pry,2Bo y ?4lmm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0,00 0.@ s2.55 0.00

1a 141llS6-GL12
lcourmcmrru rcu, r dy, 28o r 3tmm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 1029.@ 0.00

15 l41tt50cG"L22
lcoro* co*"os rcry. 2 pr,. 280 Y 378mn 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 1528_& 0.00

16 14111506S{2l
lcw"m cwnos rcu, 2 pry, 2& x 24lmm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 s5.36 0.00

17 14111506-e-131
la*r* a*"-* *N, 3 sy, 280 { 24rmm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 884.00 0.00

1a 14111505.C-132
l*r^ *"* ou, 3 dy, 280 x 378mm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.m 1s8.00 0.00

t9 ,a! 11&g-LL-O1
lLmsmowrrq"t 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.00 D4,96 0.00

20 1411151+NP-S02
lrm eoo, *r -, s0,., 6mm (2" , 3") mrn 254 250 2s0 750 27,n5.00 250 250 250 750 27,n5.00 2s0 250 250 750 27,n5.00 2s0 250 250 754 21,n5.oo 3,m0.00 37.06 111180.00

,l 1411151+NP S04
llffi eo, *ct on, zsmm r roomm (3 x 4') mrn 250 2s0 2s0 754 4,{0.00 250 250 2s0 754 #,s0.00 250 2s0 2s0 750 4,$0.00 250 250 250 750 44,S0,& 3,@0.00 59.28 177m.m

22 1411151+NP-503
lrm ro, *cr on, :" r :" 250 2s0 250 750 {,550.00 250 250 250 754 {,5@.00 250 250 250 750 {,560.00 250 250 250 750 {,560.00 3,000.00 54.08 1622$.00

23 1411151+N8-501
lrmtoor *q,acne, 1250 0 1250 2S0 30,100.00 1250 0 1250 2500 30,100.00 1250 0 1250 2500 30,100.00 1250 0 1250 2500 30,100.o 10,000.s 12.44 120{0.00
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25 14111S7-P-Mo2 ,pB, MULIC@Y, Lqal, 809m 500 500 500 1500 191,S5.00 500 500 90 1$0 l9t,$5.@ $0 500 5@ 1S0 191,S5.00 500 500 500 1500 191,555.00 6,m0.00 127.71 762tr.00

25 14111507-PP{o1 ,PR, mut-PuF, 44, 70 gsm 1000 1@0 1000 3000 294,7E0.00 1000 1000 1000 3m0 294,7&.00 1000 1000 1000 3000 294,780.m 1000 1000 1mo 3000 29,7&.00 12,@0.00 98-26 1179120.@

27 14111507.PP{02 >@8, muh-purpe, legal, 70Sm 500 500 500 1500 t77,@0.00 500 500 500 1500 177,5$.00 500 500 500 1 500 177,690,00 500 500 500 r500 \71,6q.o0 5,000.00 118.€ 710760,@

2a 14111531-PP-Ro1 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.m 29.12 0.m

29 14111503-PA+o1 0 1750 0 1750 171,587.9 0 1750 0 1750 171,587.50 0 t750 0 1750 171,587,il 0 I 750 0 I 750 171,587.50 7,000.00 s.05 6S3s0.0c

,o 1411181&n+02 ftmdPaF.5$SM Cs%),1/2 Cc,2r6mm x 30m 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.00 55_64 0.0c

,1 14111531-E-801 ffim B@l<, m PrcE, dre: 214mm t 2zmm min 0 75 0 75 5,304.00 0 75 0 75 5,304.00 0 75 0 7S 5,U.00 0 75 0 75 5,14.m 300.00 74.72 2lzt6.0c
,2 14111531-E-802 R@D sry, s@ P&8, dze: 214mm x 2U mm min 0 75 o 75 7 b4.00 0 75 0 75 1,64,00 0 75 0 7S 0 75 0 75 7,@.0o s,00 101.92 4576.m
l3 141I70+r-P02 TOITISSE PPB, 2-ply, 1@oi qdd 1250 1250 1250 3750 32s,650.00 1250 1250 1250 3750 325,6$.00 l2s 1250 1250 3750 325,650.00 1250 1250 1250 3750 325,650.00 15,000.00 &.84 r302@0.00

,4 1411170+tFror n5$8, inEtulftd FFrtul 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 o 0.00 0.00 y,a4 0.00

35 TOITN$E PPR, InEfl@ PaFI TmI 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 33.80 0.00

IAMUES AXD CEE ATD ACCE$OilES

l6 26t11702-fr-N? BAftRY, dry G[, size A 0 t25 0 125 4,537,5Q 0 t25 0 125 4,537.50 0 l2s 0 25 4,537.50 0 125 0 125 4,537.54 s00.00 $.30 18150.00

37 2611r702-fr-401 8AftRY, dry Gl, ,ze m 0 125 0 t2a 2,#.2s 0 125 0 t25 2,6.25 0 125 0 25 2.6.25 0 125 0 125 2,56.25 5@.00 19,73 9855.00

3a 26\tt702-q-N3 aAmR, dry @[, siz€ D 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 s.20 0.00

f,atufamure cof rciEm aiD suPPuEs

30 31201610-GLi0l 25 0 0 25 t,787.50 25 0 0 25 t,787.50 2a 0 0 25 1,787.54 25 0 0 25 1,747.54 100.00 71,50 7150.00

3ll5t&+s&ro1 $mE Wre, heavy dury, btd.t b/p, 231t3 0 0 0 0 0_00 0 0 0 o 0.00 0 o 0 0 0.00 o 0 0 0 0.m 0.@ 19,76 0.00

11 3il51&+S-50r flSLEWRE OffiId 0 \4 0 l4 3t3.74 0 tz 0 t2 2S.92 0 l2 0 l2 264.92 0 12 0 12 2@.92 50.00 22.41 1120,50

42 3 1 20 1 502-TA-E0 I t2 0 0 12 224.04 0 0 261.S 12 0 0 12 2?4.44 12 0 0 t2 224.44 50.tr 18.67 933.5C

4' 31201503-TA-M0t 0 375 0 375 20,475.00 0 375 0 375 20,475.00 0 375 0 375 20,475.0O 0 375 0 375 20,475.00 1,500,00 54.60 8190.0C

4a 3120150'TA-M02 TfE, rcroNc, Smm 0 175 0 175 18,655.00 0 175 0 t75 18,655.00 0 t75 0 175 18,655.00 0 t75 0 t75 18,655,00 7m.00 106.60 7$20.0c

45 31201517-TA-P0r 0 175 0 t75 3,913.00 0 175 0 175 3,913.00 0 t75 0 \75 3,913_00 0 t75 0 175 3,9r3,00 700.00 22 36 15652.tr

46 31201512"TA'T01 TPE, hn+ared,24mm 62s 0 0 625 6,S.25 625 0 0 625 6,36.25 625 0 0 625 5,36.25 62s 0 0 625 6,S6.25 2,S0.00 10.09 25225.00

a7 31201512 TA-T02 TFE, hf,+areft, 48mm 375 0 0 375 7,S.75 375 0 0 375 7,48.75 375 0 0 375 7,48,75 315 0 0 375 7,$4.75 1,S0.00 t9.97 299ss.00

48 31151S7-ru-m1 0 250 0 250 14,$0,00 0 250 0 254 14,560.m 0 250 0 250 14,560.00 0 2s0 0 250 14550.00 1,000.00 58,24 58240.00

Hta[rc aiD YExEU[ot a(D [R gRoulotr

49 {101&+ffio1 EEqruC FAN, indu$al, ground tyF 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.00 1109.s 0.00

50 {101S+F{01 ELEmC FAN, €€rlng mof,l odt tyF 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 o 0 0 0.00 0.00 1369.68 0.00

51 {101S+F S01 ELEMC FAN, Snd tyF 0 0 5 4,284.34 5 0 0 5 4,2U.30 5 0 0 5 4,2U.30 5 0 0 5 4,244,N 20.00 856.86 17137,20

52 {101fl+tr-Wo1 EEmc Fs, war mdrt, pts$c bla@ 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 o 0.00 0.m 674,96 0.00

f,EDIqL THCRHqEIERS AilD ACCESRI:S

53 4tt1222+fc-fr2 IHErcGW 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.00 2532.q 0.00

UGHIXG AflD EruRES AiD ACCIS$UTS

5a t101628-LT-101 uNaRruBE, Ugft Eni6n9 Dide (@), 18 wa6 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 205.82 0.0c

55 sl01628 B'101 UGfr8UL8, Lignt Emfrnq Oide (LD) 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 82.16 0.0c

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56 41111@+RU-P0? R[E& dadc/ 450mm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 17.68 0.0c

CLEAilITG EQUPilETT AiD $PPUES

57 47131812-r-A01 {R reHflE& *@IryF 1000 1000 0 2m0 180,@.00 1000 1m0 0 2000 180,4.00 10@ 1000 0 2000 180,4.00 1@0 1@0 0 2000 l&,4.00 9000.00 90.72 72t760 0A

5a 47131@+R-So1 0 25 0 25 3,{6.00 0 25 0 25 3,{6.00 0 25 0 25 3,S.00 0 25 0 25 3,{6.m 1@.00 t36.?4 13624.00

59 BR@, $ck, tng-fng 0 25 50 910.00 25 0 25 50 910,00 25 0 25 I 910.@ 0 25 50 910.00 200.00 18.20 3m.00

6o 471318298{01 0 25 0 25 1,0{.00 0 25 0 25 1,0{.00 0 25 0 25 1,04.00 0 25 0 25 1,0{.00 100.00 41.60 {160.00

6l 47131&5-O-P01 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 23_92 0.@

62 4713181f8-802 )ffiGffi BA& 1{g 0 25 0 25 207.50 0 25 0 25 207.50 0 25 0 25 207.50 0 25 0 25 207.50 100.00 8.r 830.00

5! 4713181!OE-P03 )ffiGffi mrcA, a[puPG, lkg 250 0 0 250 13,s20.00 2s0 0 0 250 13,s20.00 250 0 0 250 13,520.00 250 0 0 2sa 13,520.00 1,000.00 54,08 5{80.00

64 47131m3-05-A01 )I5INEfrN sruY, aerd tyF 800 800 0 1@0 206,336.00 &0 800 0 l@0 26,3$.00 &0 800 0 1@0 206,336.00 &0 800 0 1@0 26,3S.00 6,{0.00 128.96 82534.00
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66 51241552"Sh-$t s@luM nrcLoruE, 3.785 XEE 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.m 131.25 0.@

6' 73101512-6-101 UqiO UNO 9e, 5mmL 200 0 200 s 41,184,00 a0 0 200 {0 41,1&-m EO 0 2@ s 41,1E4.00 200 0 200 {0 41,184,m 1,O0.00 102.s 1ff736.00

6a 47131&2-ru-P02 FL@ WA, ffi tYF, rcd 0 0 0 0 0.00 0 0 0 0.00 0 o 0 0 0.00 0 0 0 0.00 0,00 19.76 0.00

69 47131$0-rc.m1 ffiNIUE O4E& aeffiltp€ 5@ 500 0 1000 120,120.m 500 500 0 1000 l20,tr.@ 500 500 0 1@0 120,120.m s00 5@ 0 1000 l&,120.00 4,@0.00 r20.12 4&S0.tr

70 47121&+MP-801 MOP BEfl, hary duty, h.d pla$c 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.m 0.00 2288.@ 0.0c

,t 4713161'MP-Ho2 MOPHNru, h6ry outy, *@ type 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.@ 124.80 0.0c

72 4713l6llMP-Rot M@HW/ made d Ep 0 25 0 3,09.00 0 0 25 3,09.00 0 25 0 25 3,09.00 0 25 0 3,@4.00 r00.00 t23.76 12376.6

,a 4713150r-RG{Or 2t 25 75 4,0s.50 25 25 75 4,0$.50 25 25 15 4,0$,50 25 25 2s 7a 4,0s.$ 300,00 53.82 16rS.@

74 47131S2-S-N01 S6MIM PD 25 25 25 75 8,4?{.00 25 25 1S 8,424.00 25 25 75 8,424.00 25 25 25 75 8,424,m 3m.00 112.32 33696.00

75 47121rc1.8-P04 ffi8rc, GPP Wc, Uad, mmrol0l6mm 315 0 0 3rs 50,$5.00 37s 0 0 375 50,$5-@ 375 0 0 375 50,s5.00 315 0 0 375 50,s5.@ 1,500.00 134,68 202020.00

76 47121rc2-Bml wffi69, noigid phst 0 0 o 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.@ 27.% 0.m

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,, {3211S7'6K001 9EfrSUrcrC6* 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.m 24,83.q 0,@

,a 4321 I $7-6rc02 EIO&ro]reffi 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0!0 0 0 0 0 0.m 0.m 42,S.4 0.m

,t 432uS]@01 .mPUruO.NE6N 0 0 0 0 000 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.m 0.m 4t,s2.00 0.@

lo 4320t627-XO-X02 mreNvElB T a l0 I 129,92.m T 20 10 s 1A,S2.m 20 h l0 rc 129,S2-@ T T t0 $ 129,q2.00 2@.00 2598.& 51978.@

tl 43202010-mUl 1s Drow. 16 G8 125 0 0 125 20,9S.00 t25 0 0 125 20,9r.@ 125 0 0 t25 20,9r.@ 0 0 125 20,9$.m 5@.00 167,4 81720.@

!2 43211rc8.Wt M6E,m@,6(dnfulyr 0 14 0 1,5$.20 0 t2 0 l2 1,335.50 0 \2 0 t2 1,335.50 0 12 0 12 1,335.& 50.@ ill.s 5S5.@

B' {32ltD&reO2 M6E,MU6'G 25 0 0 25 3,8S.00 0 0 25 3,89.00 25 0 0 25 3,8$.00 0 0 25 3,8s0.m 1m.00 t54.00 15{0.ft

i4 432r2102-mfl2 Prum, rmFe dd @x, 24 pns, lS cdumns 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 ! 0 0 0 0.m 0.@ Blm.97 0_d

85 43212102,mS1 mm, imF{ dd ffi4 9 pG, e dumns 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0 0 o 0 0.@ 0.@ 9191.52 0.0c

66 43212r05-R.ro1 Pru'm,l.g,l']ffirm 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.@ 0.00 )24.88 0.fr

0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0 0 0 0 0.00 0.00 7899.00 0,c

EQU!PX![ AXD ACClsUEs liD $PPUE

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We hereby w.n nt that thc total ,munt rcn6ted ln thls Annual PMUEm€nt Plan to prfiurc thc ll*cd common-u* supdbs, and equlpmnt has been lncluded ln or 15 wlthln our apprcred budgGt ior thc yGar.

Prapar€d by: Cerdlled Approved by:

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Accoutrtant / BudgEt Ofricer

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'OTAL
L AOOmOIAL PROVISIOIa FOR IaIFLAIIOI{ (t0 of rOTAL) lo,9!5,r0t.79

a. aDDITIOiAL PiOYll'IOT FOR TRA,{SAORT AXD FR.EIGHT @$ (r

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D. GnA,lD TOTAI (A + A+ C) 12O,na,tal.rl

E, APPROYED BUDGET IY THE AGEI'CY HE O

ln Flg!.-.nd lYdd.:

Prcparcd bt: Certifi€d Funds AvallaHc: Approvcd byr

ITONOR MAGTOUS SRIONES

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