Renren-Variety-Store 11 22 21

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Department of Education

Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX
NAMPICUAN CENTRAL SCHOOL

PURCHASE REQUEST

Entity Name: Department of Education Fund Cluster: 01__________

Office/Section : PR No.: 2021-34 Date: 11-22-2021


NAMPICUAN CENTRAL
SCHOOL Responsibility Center Code : __________________

Stock/ Property No. Unit Item Description Qty Unit Cost Total Cost

1 pcs Storage Box 6 380.00 2,280.00


2 reams A4 Bond paper 20 215.00 4,300.00
3 reams Long Bond Paper 10 225.00 2,250.00
4 bottle Assorted .003 ink for printer 9 360.00 3,240.00
-
-
-
-
-
-
-
-
-
-
-

TOTAL 12,070.00
Purpose: for office use and module reproduction
_______________________________________________________________
_______________________________________________________________

Requested by: Approved by:


Signature : _________________________ ___________________________
Printed Name : CHARLIE A. CAYANGA, JR NOELITO M. BEDASUA
Designation : PROPERTY CUSTODIAN SCHOOL HEAD

151
Department of Education
Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX

NAMPICUAN CENTRAL SCHOOL

REQUEST FOR QUOTATION


Date: 11/19/2021
Quotation Reference Number: 2021-11-67

REN-REN VARIETY STORE


Nampicuan, Nueva Ecija

Sir/Madam:

Please quote your lowest price on the item/s listed below, stating the shortest time of delivery and submit your quotation thru email at
csnampicuan@yahoo.com or fax at___________________ not later than November 22, 2021

RONNEL D. DAGDAG NOELITO M. BEDASUA


Canvasser Principal/Assistant Principal

PROCUREMENT TERMS AND CONDITIONS


1. The Approved Budget for the Contract is PhP 12,070.00
2. Price quoted are subject to deduction of 3% Non -VAT & 1% EWT (for goods) or 5%VAT & 2%EWT (for services)
3. Goods, supplies, equipment or work done are subject to inspection/acceptance, DepED reserves the right to cancel
reject or rebid the items which do not conform with the specifications.
4. Complete technical specifications, brand & model must be indicated in the price quotation for evaluation purposes.
5. Delivery period shall be indicated in the quotation. A liquidated damages equivalent to 1/10 of 1% per day
of delay for the value of undelivered items shall be imposed.
6. All bids in excess of the ABC will be rejected.
7. Supplier warrants that he/she has not given nor promised to give any money or gift to any DepEd employee to
secure this offer and to obtain an award.

Item No. Quantity Unit Item and Description Unit Price Total Amount
1 6 pcs Storage Box 380.00 2,280.00
2 20 reams A4 Bond paper 215.00 4,300.00
3 10 reams Long Bond Paper 225.00 2,250.00
4 9 Bottle Assorted .003 ink 360.00 3,240.00
-
-
-
-
-
-
-
-
-
-
-

*************** 12,070.00

Delivery Period: 11/22/2021


Warranty: -
Price Validity: -
Delivery Term: Government term
Payment Term: Government term
After having carefully read and accept your Procurement Terms & Conditions, I/We quote you on the item at prices
noted above.
FERDINAND SANGALANG
PRINTED NAME/SIGNATURE
Designation:
Company Name: REN-REN VARIETY STORE

Business Address: Nampicuan, Nueva Ecija


Telephone Number/CP number:
Email Address:
Department of Education
Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX

NAMPICUAN CENTRAL SCHOOL

REQUEST FOR QUOTATION


Date: 11/19/2021
Quotation Reference Number: 2021-11-68

NAMPICUAN BUSINESS CENTER


Nampicuan , Nueva Ecija

Sir/Madam:

Please quote your lowest price on the item/s listed below, stating the shortest time of delivery and submit your quotation thru email at
csnampicuan@yahoo.com or fax at___________________ not later than November 22, 2021

RONNEL D. DAGDAG NOELITO M. BEDASUA


Canvasser Principal/Assistant Principal

PROCUREMENT TERMS AND CONDITIONS


1. The Approved Budget for the Contract is PhP 12,070.00
2. Price quoted are subject to deduction of 5% VAT & 1% EWT (for goods) or 5%VAT & 2%EWT (for services)
3. Goods, supplies, equipment or work done are subject to inspection/acceptance, DepED reserves the right to cancel
reject or rebid the items which do not conform with the specifications.
4. Complete technical specifications, brand & model must be indicated in the price quotation for evaluation purposes.
5. Delivery period shall be indicated in the quotation. A liquidated damages equivalent to 1/10 of 1% per day
of delay for the value of undelivered items shall be imposed.
6. All bids in excess of the ABC will be rejected.
7. Supplier warrants that he/she has not given nor promised to give any money or gift to any DepEd employee to
secure this offer and to obtain an award.

Item No. Quantity Unit Item and Description Unit Price Total Amount
1 6 pcs Storage Box 400.00 2,400.00
2 20 reams A4 Bond paper 220.00 4,400.00
3 10 reams Long Bond Paper 230.00 2,300.00
4 9 Bottle Assorted .003 ink 370.00 3,330.00
-
-
-
-
-
-
-
-
-
-
-

*************** 12,430.00

Delivery Period: 11/22/2021


Warranty: -
-
Delivery Term: Government term
Payment Term: Government t Price Validity:
After having carefully read and accept your Procurement Terms & Conditions, I/We quote you on the item at prices
noted above.
EMERITA ALICANTE
PRINTED NAME/SIGNATURE
Designation:
Company Name: NAMPICUAN BUSINESS CENTER

Business Address: Nampicuan , Nueva Ecija


Telephone Number/CP number:
Email Address:
Department of Education
Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX

NAMPICUAN CENTRAL SCHOOL

REQUEST FOR QUOTATION


Date: 11/19/2021
Quotation Reference Number: 2021-11-69

TANGALIN GEN. MDSE


Nampicuan, Nueva Ecija

Sir/Madam:

Please quote your lowest price on the item/s listed below, stating the shortest time of delivery and submit your quotation thru email at
csnampicuan@yahoo.com or fax at___________________ not later than November 22, 2021

RONNEL D. DAGDAG NOELITO M. BEDASUA


Canvasser Principal/Assistant Principal

PROCUREMENT TERMS AND CONDITIONS


1. The Approved Budget for the Contract is PhP 12,070.00
2. Price quoted are subject to deduction of 5% VAT & 1% EWT (for goods) or 5%VAT & 2%EWT (for services)
3. Goods, supplies, equipment or work done are subject to inspection/acceptance, DepED reserves the right to cancel
reject or rebid the items which do not conform with the specifications.
4. Complete technical specifications, brand & model must be indicated in the price quotation for evaluation purposes.
5. Delivery period shall be indicated in the quotation. A liquidated damages equivalent to 1/10 of 1% per day
of delay for the value of undelivered items shall be imposed.
6. All bids in excess of the ABC will be rejected.
7. Supplier warrants that he/she has not given nor promised to give any money or gift to any DepEd employee to
secure this offer and to obtain an award.

Item No. Quantity Unit Item and Description Unit Price Total Amount
1 6 pcs Storage Box 410.00 2,460.00
2 20 reams A4 Bond paper 235.00 4,700.00
3 10 reams Long Bond Paper 240.00 2,400.00
4 9 Bottle Assorted .003 ink 380.00 3,420.00
-
-
-
-
-
-
-
-
-
-
-

*************** 12,980.00

Delivery Period: 11/22/2021


Warranty: -
Price Validity: -
Delivery Term: Government term
Payment Term: Government term
After having carefully read and accept your Procurement Terms & Conditions, I/We quote you on the item at prices
noted above.
JONATHAN TANGALIN
PRINTED NAME/SIGNATURE
Designation:
Company Name: TANGALIN GEN. MDSE

Business Address: Nampicuan, Nueva Ecija


Telephone Number/CP number:
Email Address:
Department of Education
Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX
NAMPICUAN CENTRAL SCHOOL

ABSTRACT OF CANVASS BID


SUPPLIES FOR MODULE REPRODUCTION
Held on November 19, 2021

NAMPICUAN BUSINESS
REN-REN VARIETY STORE
CENTER
TANGALIN GEN. MDSE
QTY UNIT ARTICLES
UNIT PRICE TOTAL UNIT PRICE TOTAL UNIT PRICE TOTAL

6 pcs Storage Box 380.00 2,280.00 400.00 2,400.00 410.00 2,460.00


20 reams A4 Bond paper 215.00 4,300.00 220.00 4,400.00 235.00 4,700.00
10 reams Long Bond Paper 225.00 2,250.00 230.00 2,300.00 240.00 2,400.00
9 bottle Assorted .003 ink for printer 360.00 3,240.00 370.00 3,330.00 380.00 3,420.00
-
-
-
-
-
-
-
-
- - -
- - -
- - -
- - -
TOTAL 12,070.00 12,430.00 12,980.00

Recommending award to REN-REN VARIETY STORE


Prices considered just and reasonable and does not exceed the prices prevailing in the locality.

RONNEL D. DAGDAG CHARLIE A. CAYANGA, JR. NOELITO M. BEDASUA


ADAS II School Property Custodian School Head
Department of Education
Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX
NAMPICUAN CENTRAL SCHOOL

PURCHASE ORDER

Supplier: REN-REN VARIETY STORE P.O. No. : 2021-11-34


Address : Nampicuan, Nueva Ecija Date : 11-22-2021
TIN : 424-094-620-001 Mode of Procurement : DELIVERY
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : NAMPICUAN CENTRAL SCHOOL Delivery Term : COMPLETE


Date of Delivery : 11-22-2021 Payment Term : CHECK

Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 pcs Storage Box 6 380.00 2,280.00
2 reams A4 Bond paper 20 215.00 4,300.00
3 reams Long Bond Paper 10 225.00 2,250.00
4 bottle Assorted .003 ink for printer 9 360.00 3,240.00
-
-
-
-
-
-
-
-
-
-
-

(Total Amount in Words) twelve thousand seventy 12,070.00

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of
delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

FERDINAND SANGALANG NOELITO M. BEDASUA


Signature over Printed Name of Supplier Signature over Printed Name of School
Principal/Teacher in Charge
PRINCIPAL-III
Date Designation

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________


Funds Available : _________________________________ Date of the ORS/BURS: _______________

Amount : ____________________________
RONNEL D. DAGDAG
Signature over Printed Name of Disbursing officer/School Treasurer

153
Department of Education
Region III
Schools Division of Nueva Ecija
SDO-NAMPICUAN ANNEX
NAMPICUAN CENTRAL SCHOOL

INSPECTION AND ACCEPTANCE REPORT

Fund Cluster : 01

Supplier : REN-REN VARIETY STORE IAR No. : 2021-11-34


PO No./Date : 2021-11-34 Date : 11-22-2021
Requisitioning Office/Dept. : _______________________________ Invoice No. :
Responsibility Center Code : _______________________________ Date : 11-22-2021

Stock/
Description Unit Quantity
Property No.
1 Storage Box pcs 6
2 A4 Bond paper reams 20
3 Long Bond Paper reams 10
4 Assorted .003 ink for printer bottle 9

INSPECTION ACCEPTANCE
Date Inspected : 11-22-2021 Date Received : 11-22-2021

Inspected, verified and found in Complete


order as to quantity and
specifications Partial (pls. specify quantity)

CHEERILYN T. TRASPE CHARLIE A. CAYANGA, JR.


Inspection Officer/Inspection Committee Supply and/or Property Custodian
Department of Education
Region III
Schools Division of Nueva Ecija
SDO NAMPICUAN ANNEX
NAMPICUAN CENTRAL SCHOOL

Fund Cluster : 01
Date : 11/22/2021
DISBURSEMENT VOUCHER
DV No. : 2021-11-141

Mode of / MDS Check Commercial Check ADA Others (Please specify)


Payment
_________________
TIN/Employee No.: 424-094-620-001 ORS/BURS No.:
Payee REN-REN VARIETY STORE
Nampicuan, Nueva Ecija
Address

Particulars Responsibility Center MFO/PAP Amount

REN-REN VARIETY STORE

payment for the purchase of supplies for office use and


module reproduction for the month of November 2021

GROSS AMOUNT P 12,070.00

TAX WITHHELD
VAT 1% 120.70 241.40
1% 120.70 P
Amount Due 11,828.60
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

NOELITO M. BEDASUA
Principal III

B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expense 5020301000 12,070.00
Advances for Operating Expenses 1990104000 12,070.00

C. Certified: D. Approved for Payment


Cash available
Subject to Authority to Debit Account (when applicable)
Eleven thousand eight hundred twenty eight and 60/100
Su
proper

Signature Signature

Printed
Printed Name
Name MIRIAM A. ILDEFONSO NOELITO M. BEDASUA
Position ADAS III Position Principal III

Date 11/22/2021 Date 11/22/2021

E. Receipt of Payment JEV No.


Check/ Date : 11/22/2021 Bank Name & Account Number:
ADA No. : 649738 LBP 1092-1101-48
Date : 11/22/2021 Printed Name: FERDINAND SANGALANG Date
Signature :
Official Receipt No. & Date/Other Documents 11/22/2021

92
92
92
DEPARTMENT OF EDUCATION
DIVISION OF NUEVA ECIJA
NAMPICUAN CENTRAL SCHOOL
NAMPICUAN DISTRICT, NUEVA ECIJA
FOR THE MONTH OF OCTOBER, 2017
CASH DISBURSEMENT REGISTER

WORKING FUND 5020101000 5020201000 5020301000 5020307000 5020399000 5020401000 5020402000 5020503000 5021299000 5021203000 5021202000 5021304002 5021299000 5021307000 5021304099 5021502000 5029999002 2020101000
Date of Check No. Of Check
Issued Issued PAYEE Particulars Gross Amount Tax withheld Training Office Supplies Drugs, Medicine Other Supplies
Internet
Other Security Janitorial Rep&Main- Rep&Main-IT
Rep&Main-
Rep&Main- Fidelity Bond
CASH ADVANCE PAYMENT FUND BALANCE Travelling Ex.
Expenses Ex. Ex. Ex.
Water Ex. Electricity Ex. Subscription
Gen.Services Services Services Schl.Bldg. EQ.
Furniture &
Other Structures Premium
Other MOOE Due to BIR
Expenses Fixtures

LBP ACCOUNT FORWARDED BALANCE 1,000.00

37,102.00 38,102.00
MOOE DOWNLOADING FOR THE
MONTH OF OCTOBER, 2017
payment for the electric
consumption for the month of
August 2017 dtd. 08/30/17
10/27/2017 458381 TARELCO I OR#________________________ 9,317.59 535.75 8,781.84 29,320.16
__

payment for the water


consumption in North Wing for
NAMPICUAN the Period Sep 11 - Oct 10 dtd
10/27/2017 458382 WATERWORKS 10/13/17 4,950.00 4,950.00 24,370.16
SYSTEM OR#_________________

payment for the water


consumption in South Wing for
NAMPICUAN the Period Sep 11 - Oct 10 dtd
10/27/2017 458383 WATERWORKS 10/13/17 972.00 972.00 23,398.16
SYSTEM OR#_________________

payment for the service renderd


as watchman for the month of
10/30/2017 458384 SIXTO DELA October 2017 dtd 10/31/17 4,000.00 4,000.00 19,398.16
CRUZ

payment for the purhcase of Form


MED-LINES 137E & Form 138E
10/27/2017 458385 4,246.00 227.46 4,018.54 15,379.63
TRADING

reimbursement for the payment


for the Internet connectivity
( DISTRICT WIFI) for the period
MARILOU M. 08/21/17 to 09/20/17 dtd 10/2/17
10/27/2017 458386 OR#_________________
999.00 62.44 936.56 14,443.07
EUGENIO

reimbursement for the payment


for the Internet connectivity
( SCHOOL WIFI) for the period
10/27/2017 458387 MARILOU M. 08/21/17 to 09/20/17 dtd 10/2/17 1,223.15 76.45 1,146.70 13,296.36
EUGENIO OR#_________________

reimbursement for the expenses


during the School Heads' System
ANGELINO P. Analysis Conference dtd
10/30/2017 458388 September 17-19, 2017 5,000.00 5,000.00 8,296.36
NOOL, JR

VILLANUEVA payment for the improvement of


CONSTRUCTION Math park And Garden for the 7th
10/28/2017 SUPPLY & Divisional Evaluation of Project 5,590.00 223.60 5,366.40 2,929.96
GENERAL Smaries in Math
MERCHANDISE Rooms/Gardens/Parks dtd
10/18/2017

payment for the office and school


CUYAPO COPY supllies for the month of October
10/28/2017 CENTER AND 2017 dtd. 10-27-17 685.00 27.40 657.60 2,272.36
GEN. MDSE
payment for the taxwithheld 1600
11/2/2017 LBP-BIR - 2,272.36

payment for the taxwithheld


1601-e
11/2/2017 LBP-BIR - 2,272.36

TOTAL 685.00 - 38,102.00 657.60 2,272.36

Certified Correct: Certified Correct: Approved:


MARILOU M. EUGENIO MARAH M. PACSON RONALDO A. POZON, Ph.D., CESO V
SCHOOL HEAD DIVISION ACCOUNTANT SCHOOLS DIVISION SUPERINTENDENT

DATE DATE DATE


LIQUIDATION REPORT No:
Date:November 30, 2018
Department of Education Responsibility Center
Sama-Sama Region III Code:
sa DepEd
Division of Nueva Ecija
PARTICULAR Amount

TO LIQUIDATE DOWNLOADED MOOE FOR THE MONTH OF NOVEMBER 2018 AMOUNTING TO


FORTY SIX THOUSAND SEVEN HUNDRED FIFTY THREE PESOS AND 07/100 46,753.07

TOTAL AMOUNT SPENT


46,753.07
BALANCE OF PREVIOUS CASH ADVANCE
2,522.29
AMOUNT OF CASH ADVANCE PER DV NO.
71,566.00
BALANCE OF CASH ADVANCE DTD.
27,335.22
A Certified: Correctness of the B Certified: Purpose of travel/cash C Certified: Supporting documents
above data: advance duly accomplished:

Pre-Audited by:
MARILOU M. EUGENIO ELIZABETH P. SIBAYAN, Ph. D. PRISCILA S. YANGO
Claimant Immediate Supervisor ADAS III
Designation: SP II
School: NAMPICUAN CENTRAL SCHOOL
MOOE ATTACHMENTS
*** Inspectors should be included in the pictures (while cheking goods/evaluating output of services)
For the purpose of actual validation of purchases
Please accomplish and arrange in order.

Travel Expenses Purchased supplies and materials


1. Picture of Check 1. Picture of Check
2. Disbursement Voucher 2. Disbursement Voucher
3. Travel Order 3. Invoice/OR/DR/RER
4. Duly Approved Itinerary of travel 4. Pictures***
5. Certificate of travel completed 5. IAR
6. Certificate of appearance 6. Purchase Order (P.O.)
7. Attach Memorandum Req.(if) training/Seminar attaended 7. Abstract of Open Canvass
8. For rentals of van, Acknowledgment receipt 8. Request for Quotations (RFQs)
9. Purchase Request (P.R.)
Training Expenses 10. Property Acknowledgment Receipt (PAR) if equipment; Inventory Custodian Slip if semi-expendable
1. Picture of Check
2. Disbursement Voucher General Services/ Security/ Janitorial services
3. Memorandum 1. Picture of Check
4. Official receipt 2. Disbursement Voucher
5.Certificate of appearance 3. Contract of service
6. Photocopy of Certificate of Participation 4. Duly approved DTR
5. Accomplishment report
Water/Electricity/Internet Expenses
1. Picture of Check Tax remittances
2. Disbursement Voucher (1 for supplier, 1 for reimbursing personnel) 1. Disbursement Voucher (1 for supplier, 1 for reimbursing personnel)
3. Statement of Account/Bill 2.Picture of Check
4. Official Receipt 3.Deposit slip
6. BIR form 2306 4.BIR form 1600
7. BIR form 2307 5.BIR form 1601-E
6.Alphalist of 1601-E
Repairs & Maintenance
1. Picture of Check
2. Disbursement Voucher
3. Invoice/OR/DR
4. Pictures with Caption***
(before, during, after)
5. IAR
6. Purchase Order (P.O.)
7. Abstract of Open Canvass
8. Request for Quotations (RFQs)
9. Program of works
10. Purchase Request (P.R.)
11. Labor Contract
12. Labor Payroll and
Acknowledgment Receipt
*for repairs 10,000 and above
1.Letter request duly approved by the Schools Division Superintendent
*for repairs with donated materials
1. Certificate or copy of the received donated materials/Proof of donation/Resolution
Account Codes for Disbursement Vouchers
5020101000 Travel Expenses
5020201000 Training Expenses
5020301000 Office Supplies Expenses
5020307000 Drugs, Medicine Expenses
5020399000 Other Supplies Expenses
5020401000 Water Expenses
5020402000 Electricity Expenses
5020503000 Internet Subscription Expenses
5021299000 Other Gen.Services
5021203000 Security Services
5021202000 Janitorial Services
5021304002 Rep&Maintenance-School Building
5021299000 Rep&Maintenance-IT Equipment
5021307000 Rep&Main-Furniture & Fixtures
5021304099 Rep&Main-Other Structures
5021502000 Fidelity Bond Premium
5029999002 Other MOOE
1990104000 Advances for Operating Expenses

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