Annex 14

PURCHASE REQUEST
SK of Barangay:. San Francisco PR No.: 2019-01-001
City/Municipality: Quezon City Date: 01/04/2019
Province: Metro Manila
Unit of Estimated Estimated
Item No. Qty. Item description
Measurement Unit Cost Amount
1 100 piece Folder, Standard/A-4 7.5 750
2 50 ream Paper, Bond Standard/A-4 102 5,100
Toner, TN 3370,6180DW Super High
3 5 piece 4,900 24,500
Yield
4 1 set Computer Desktop 18,500 18,500

Total Estimated Amount: 48,850

Purpose: Operational use of SK Barangay San Francisco, Quezon City.

Requested by: Approved by:

Maria Reyes Jose Ramos

Signature over Printed Name Signature over Printed Name
SK Requesting Official SK Chairperson

1/14/2019 1/14/2019
Date Date
 Annex 15

PURCHASE ORDER
SK of Barangay: San Francisco City/Municipality: Quezon City
Tel. No.: Province: Metro Manila
Supplier: Oscar Hidalgo PO No.: 2019-02-001
Address: Quedsa Plaza Quezon Avenue 1131 Quezon City, Metro Manila Date: 02/04/19
Tel. No.: (02) 631 4321 TIN: 451-693-740 Mode of Procurement: Public Bidding
Gentlemen: Please deliver to this office the following articles subject to the terms and conditions contained herein:
Place of Delivery: Barangay Hall, Brgy.San Francisco, Quezon City Delivery Term: Free on Board Destination
Date of Delivery: March 01, 2019 Payment Term: n/30
Unit of
Item No. Item Description Quantity Unit Cost Amount
Measurement
1 piece Folder, Standard/A-4 100 7 700
2 ream Paper, Bond Standard/A-4 50 105 5,250
3 piece Toner, TN 3370,6180DW Super High Yield 5 4,810 24,050
4 set Computer Desktop 1 18,000 18,000

(Total Amount in words): Fourty Eight Thousand Pesos

In case of failure to make 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,

Oscar Hidalgo Jose Ramos

Signature over Printed Name of Supplier Signature over Printed Name of SK Chairperson

2/4/2019 2/4/2019
Date Date
Availability of the budget or funds received for specific purpose:

Maria Reyes 2/4/2019

Signature over Printed Name of Budget Monitoring Officer Date
 Annex 16

INSPECTION AND ACCEPTANCE REPORT

SK of Barangay: San Francisco IAR No.: 2019-03-001
City/Municipality: Quezon City Date: 03/01/19
Province: Metro Manila
Supplier: Hidalgo Enterprises Invoice No.: 190228-002
PO No.: 2019-02-001 Date: 02/04/19 Date: 02/28/19
Requesting SK Official: Maria Reyes
Unit of
Item No. Item Description Quantity
Measurement
1 Folder, Standard/A-4 piece 100
2 Paper, Bond Standard/A-4 ream 50
3 Toner, TN 3370,6180DW Super High Yield piece 5
4 Computer Desktop set 1

INSPECTION ACCEPTANCE

Date Inspected: 03/01/19 Date Received: 03/01/19

Inspected, verified as to quantity Complete

and specifications /
/
and specifications

Partial (Pls. specify quantity

Received)

Josby Cruz Rene Santos

Signature over Printed Name Signature over Printed Name
Head, Inspection and Appraisal Committee SK Treasurer
 Annex 17

STOCK CARD

SK of Barangay : San Francisco Article: RA 9184 Sheet No.:

SK Treasurer : Rene Santos Item Description: Office Supply
City/Municipality: Quezon City Unit of Measurement: Piece 2019-001
Province: Metro Manila Stock No.: SC-001
Issues/Losses/
Receipts Transfers/Disposals Balance
Date Reference Particulars (a) (b) (Balance+a-b) Remarks
Total Total Total
Quantity Unit Cost Quantity Quantity
Cost Coast Cost
Totals/Balance brought forward
3/1/2019 IAR No.2019-03-001 Folder, Standard/A-4 100 7 700 - - 100 700

Totals/Balance carried forward 100 7 700 - - 100 700

 Annex 17

STOCK CARD

SK of Barangay : San Francisco Article: RA 9184 Sheet No.:

SK Treasurer : Rene Santos Item Description: Office Supply
City/Municipality: Quezon City Unit of Measurement: Ream 2019-002
Province: Metro Manila Stock No.: SC-002
Issues/Losses/
Receipts Transfers/Disposals Balance
Date Reference Particulars (a) (b) (Balance+a-b) Remarks
Total Total Total
Quantity Unit Cost Quantity Quantity
Cost Coast Cost
Totals/Balance brought forward
3/1/2019 IAR No.2019-03-001 Paper, Bond, Standard/A-4 50 105 5,250 - - 50 5,250

Totals/Balance carried forward 50 105 5,250 - - 50 5,250

 Annex 17

STOCK CARD

SK of Barangay : San Francisco Article: RA 9184 Sheet No.:

SK Treasurer : Rene Santos Item Description: Office Supply
City/Municipality: Quezon City Unit of Measurement: Piece 2019-003
Province: Metro Manila Stock No.: SC-003
Issues/Losses/
Receipts Transfers/Disposals Balance
Date Reference Particulars (a) (b) (Balance+a-b) Remarks
Total Total Total
Quantity Unit Cost Quantity Quantity
Cost Cost Cost
Totals/Balance brought forward
3/1/2019 IAR No.2019-03-001 Toner, TN 3370, 6180DW Super High Yield 5 4,810 24,050 - - 4,810 24,050

Totals/Balance carried forward 5 4,810 24,050 - - 4,810 24,050

 Annex 25

PROPERTY EQUIPMENT CARD

SK of Barangay : San Francisco Article: RA 9184 Sheet No.:
SK Treasurer : Rene Santos Item Description: Computer Set
City/Municipality: Quezon City Unit of Measurement: Set 2019-001
Province: Metro Manila
Transferred/
Receipts Property Issues Balance Lost/Disposed Balance Repair History
Date Reference Particulars (a) (b) (Balance+a-b) (c) (Balance+a-c) Remarks
Unit Total Total Total Total Total Nature of
Qty. No. Description Qty. Qty. Qty. Qty. Amount
Cost Cost Cost Cost Cost Cost Repair
Totals/Balances
brought forward
3/1/2019 IAR No.2019-03-001 Computer Desktop 1 18,000 18,000 1 18,000 1 18,000 1 18,000

Totals/Balances
1 18,000 18,000 1 18,000 1 18,000 1 18,000
carried forward
 Annex 20

REQUISITION AND ISSUE SLIP

SK of Barangay: San Francisco RIS No.: 2019-03-001
City/Municipality: Quezon City Date: 03/02/2019
Province: Metro Manila
Requisition Issue
Unit of
Stock No. Item Description Quantity Quantity
Measurement
SC-001 Piece Folder, Standard/A-4 100
SC-002 Ream Peper, Bond, Standanrd/A-4 50
SC-003 Piece Toner, TN 3370, 6180DW Super High Yield 5

Purpose: Operational use of SK Barangay San Francisco, Quezon City.

Requested by: Approved by: Issued by: Received by:

Signature
Printed Name MARIA REYES JOSE RAMOS RENE SANTOS MARIA REYE
Designation BMO SK Chairperson SK Treasurer BMO
Date 1/14/2019 3/2/2019 3/2/2019 3/2/2019
 Annex 20

SITION AND ISSUE SLIP

RIS No.: 2019-03-001
Date: 03/02/2019

Issue
Remarks

cisco, Quezon City.

Received by:

MARIA REYES
BMO
3/2/2019
 Annex 27

PROPERTY ACKNOWLEDGEMENT RECEIPT

SK of Barangay: San Francisco PAR No.: 2019-03-001
City/Municipality: Qeuzon City Date: 03/02/19
Province: Metro Manila
Unit of
Quantity Item Description Property No. Date Acquired Amount
Measurement
1 Set Computer Desktop PEC-001 March 1, 2019 18,000

Received by: Issued by:

MARIA REYES RENE SANTOS

Signature over Printed Name Signature over Printed Name
and Designation of Recipient/End-User SK Treasurer

3/2/2019 3/2/2019
Date Date