Appendix 64

REPORT OF SUPPLIES AND MATERIALS ISSUED

DEPED - DIVISION OF SAN CARLOS CITY Serial No. : 2024-03-

Entity Name: 0001
Date : February
Fund Cluster: 01 - REGULAR AGENCY FUND 19,2023

To be filled up by the
To be filled up by the Supply and/or Property Division/Unit Accounting Division/Unit

Responsibility Stock Item Quantity Unit

RIS No. Unit Amount
Center Code No. Issued Cost
Mineral Water, 20 liters
(content only)
2024-02-0001 07 001 0806017 1 Note: 80 containers to be gal 80
delivered every month at the
Property & Supply Office

Recapitulation: Recapitulation:

UACS Object
Stock No. Quantity Unit Cost Total Cost
Code

1 80

Recommending
Approval: Approved by: Posted by:

I hereby certify to the correctness of the I hereby certify to the correctness of the
above information. above information.

JAN MONIQUE Q.
RONNIE D. VIERNEZA DAVE JOSEPH V. PEÑALOSA AGRAVIADOR
Administrative Officer IV Administrative Officer V Administrative
Date
Assistant II
Division Supply Officer

Appendix 64

REPORT OF SUPPLIES AND MATERIALS ISSUED

DEPED - DIVISION OF SAN CARLOS CITY Serial No. : 2024-03-

Entity Name: 0002
Date : February
Fund Cluster: 01 - REGULAR AGENCY FUND 20,2023

To be filled up by the
To be filled up by the Supply and/or Property Division/Unit Accounting Division/Unit
Responsibility Stock Item Quantity Unit
RIS No. Unit Amount
Center Code No. Issued Cost
1 Diesel Oil Liter 21
2 Coolant Liter 5
3 Oil Filter 111 Piece 1
2024-02-0002 07 001 0806017
4 Oil Filter 306 Piece 2
5 VS1 400 ml Piece 3
2024-02-0002 07 001 0806017

6 Penetrating Oil 450ml Piece 3

Recapitulation: Recapitulation:

UACS Object
Stock No. Quantity Unit Cost Total Cost
Code

1 21
2 5
3 1
4 2
5 3
6 3

Recommending
Approval: Approved by: Posted by:

I hereby certify to the correctness of the I hereby certify to the correctness of the
above information. above information.

JAN MONIQUE Q.
RONNIE D. VIERNEZA DAVE JOSEPH V. PEÑALOSA AGRAVIADOR
Administrative Officer IV Administrative Officer V Administrative
Date
Assistant II
Division Supply Officer

Appendix 64

REPORT OF SUPPLIES AND MATERIALS ISSUED

DEPED - DIVISION OF SAN CARLOS CITY Serial No. : 2024-03-

Entity Name: 0003
Date : February
Fund Cluster: 01 - REGULAR AGENCY FUND 29,2023

To be filled up by the
To be filled up by the Supply and/or Property Division/Unit Accounting Division/Unit
Responsibility Stock Item Quantity Unit
RIS No. Unit Amount
Center Code No. Issued Cost
1 Tire (195 R15C) piece 4
2024-02-0003 07 001 0806017
2 Tail Light Assembly – Right Side piece 1
Recapitulation: Recapitulation:

UACS Object
Stock No. Quantity Unit Cost Total Cost
Code

1 4
2 1

Recommending
Approval: Approved by: Posted by:

I hereby certify to the correctness of the I hereby certify to the correctness of the
above information. above information.

JAN MONIQUE Q.
RONNIE D. VIERNEZA DAVE JOSEPH V. PEÑALOSA AGRAVIADOR
Administrative Officer IV Administrative Officer V Administrative
Date
Assistant II
Division Supply Officer
 Appendix 64

REPORT OF SUPPLIES AND MATERIALS ISSUED

DEPED - DIVISION OF SAN CARLOS CITY Serial No. : 2024-03-

Entity Name: 0004
Date : February
Fund Cluster: 01 - REGULAR AGENCY FUND 29,2023

To be filled up by the
To be filled up by the Supply and/or Property Division/Unit Accounting Division/Unit

Responsibility Stock Item Quantity Unit

RIS No. Unit Amount
Center Code No. Issued Cost
Rental of Stage Lights and
2024-02-0004 07 001 0806017 1 days 4
Sound System
Recapitulation: Recapitulation:

UACS Object
Stock No. Quantity Unit Cost Total Cost
Code

1 4
Recommending
Approval: Approved by: Posted by:

I hereby certify to the correctness of the I hereby certify to the correctness of the
above information. above information.

JAN MONIQUE Q.
RONNIE D. VIERNEZA DAVE JOSEPH V. PEÑALOSA AGRAVIADOR
Administrative
Administrative Officer IV Administrative Officer V Date
Assistant II
Division Supply Officer

Appendix 64

REPORT OF SUPPLIES AND MATERIALS ISSUED

DEPED - DIVISION OF SAN CARLOS CITY Serial No. : 2024-03-

Entity Name: 0005
Fund Cluster: 01 - REGULAR AGENCY FUND Date : March 1,2024

To be filled up by the
To be filled up by the Supply and/or Property Division/Unit Accounting Division/Unit
Responsibility Stock Item Quantity Unit
RIS No. Unit Amount
Center Code No. Issued Cost
1 Alcohol,Ethyl, 68%-72%, 500ml botl 14
Paper, Multi-Purpose (Copy),
2024-03-0005 07 001 0806017 2 Legal, 70gsm , 216x330mm ream 50

3 Folder,with Tab, A4, 100's pack 6

Recapitulation: Recapitulation:

UACS Object
Stock No. Quantity Unit Cost Total Cost
Code

1 14
2 50
3 6
Recommending
Approval: Approved by: Posted by:
 I hereby certify to the correctness of the I hereby certify to the correctness of the
above information. above information.

JAN MONIQUE Q.
RONNIE D. VIERNEZA DAVE JOSEPH V. PEÑALOSA AGRAVIADOR
Administrative
Administrative Officer IV Administrative Officer V Date
Assistant II
Division Supply Officer

Appendix 64

REPORT OF SUPPLIES AND MATERIALS ISSUED

DEPED - DIVISION OF SAN CARLOS CITY Serial No. : 2024-03-

Entity Name: 0006
Fund Cluster: 01 - REGULAR AGENCY FUND Date : March 8,2024

To be filled up by the
To be filled up by the Supply and/or Property Division/Unit Accounting Division/Unit
Responsibility Stock Item Quantity Unit
RIS No. Unit Amount
Center Code No. Issued Cost

07 001 0806017
Mineral Water, 20 liters
2024-03-0006 1 (content only) 80

Recapitulation: Recapitulation:

UACS Object
Stock No. Quantity Unit Cost Total Cost
Code

1 80

Recommending
Approval: Approved by: Posted by:

I hereby certify to the correctness of the I hereby certify to the correctness of the
above information. above information.

JAN MONIQUE Q.
RONNIE D. VIERNEZA DAVE JOSEPH V. PEÑALOSA AGRAVIADOR
Administrative
Administrative Officer IV Administrative Officer V Date
Assistant II
Division Supply Officer