NAME and ADDRESS of REQUESTING AGENCY: AGENCY ACCT.

CODE:
DEPED, LANAO DEL NORTE
DIMAYON ELEMENTARY SCHOOL AGENCY CONTROL NO.: 2023-04-001
AGENCY PROCUREMENT REQUEST PS APR NO.
To: THE PROCUREMENT SERVICE REGIONAL DEPOT 10
DBM RO - 10 Compound April 18, 2023
Zone 1, National Highway, Bulua Date Prepared
9000 Cagayan de oro City

ACTION REQUESTED ON THE ITEM(S) LISTED BELOW

( ) Please furnished us with Price Estimate (for Office equipment/furniture & supplementary items)
( ) Please purchase for our agency the equipment/furniture/supplementary items per your price estimate
(PS RAD No. __________________attached) dated ________________________
( ) Please issue common-use supplies/materials per Price List as of___________________________
( ) Please issue Certificate of price Reasonableness
( ) Please furnish us with your latest/updated price List
( ) Others (Specify)_____________________________________________________

IMPORTANT !! PLEASE SEE THE INSTRUCTIONS/CONDITIONS AT THE BACK OF THE ORIGINAL COPY
ITEM. ITEM and DESCRIPTION/SPECIFICATIONS/STOCK NO. UNIT QUANTITY UNIT COST AMOUNT
001 CLEARBOOK, 20 transparent pockets, legal piece 150
002 ERASER, plastic/ rubber piece 100
003 SIGN PEN, Black, liquid or gel piece 25
004 SIGN PEN, Red, liquid or gel piece 36
005 BROOM, Soft (Walis Tambo) piece 4
006 MONOBLOC CHAIR, beige piece 12
007 MONOBLOC TABLE, beige, 4 seater capacity unit 2
008 CLIP, backfold, 19mm box 5
009 CLIP, backfold, 25mm box 5
010 CORRECTION TAPE, 8 meters piece 36
011 CUTTER/UTILITY KNIFE, for general purpose piece 20
012 ENVELOPE, Documentary, A4, 500 pieces per box box 2
013 ENVELOPE, Expanding, Plastic piece 20
014 FOLDER, L-type, legal, 50 pieces per pack pack 24
015 MARKER, Permanent, Black piece 17
016 MARKER, Whiteboard, Black piece 90
017 PAPER CLIP, vinly/plastic coated, 33mm box 20
018 PAPER CLIP, vinly/plastic coated, jumbo, 50mm box 20
019 PENCIL, lead/graphite, with eraser, one (1) dozen per box box 32
020 PUNCHER, paper, heavy duty piece 4
021 STAPLER, standard type piece 20
022 STAPLER, heavy duty (binder type), desktop unit 8
023 CARTOLINA, assorted colors, 20 pieces of assorted colors per pack pack 34
024 NOTEBOOK, stenographer piece 1660
025 PAPER, MULTICOPY A4, 500 sheets per ream ream 75
026 PAPER, MULTICOPY LEGAL, 500 sheets per ream ream 28
027 RECORD BOOK, 300 PAGES book 18
028 LIQUID HAND SANITIZER, 500mL bottle 18
029 INK CARTRIDGE, EPSON C13T664100 (T6641), Black cart 1
030 INK CARTRIDGE, EPSON C13T664200 (T6642), Cyan cart 1
031 INK CARTRIDGE, EPSON C13T664300 (T6643), Magenta cart 1
032 INK CARTRIDGE, EPSON C13T664400 (T6644), Yellow cart 1
-
STOCKS REQUESTED ARE CERTIFIED TO BE FUNDS CERTIFIED AVAILABLE: APPROVED:
WITHIN APPPROVED PROGRAM

ROWENA S. PANCHO RANIA M. AMPATUA AISA G. LABE

SUPPLY OFFICER/PROPERTY CUSTODIAN BOOKKEEPER AGENCY HEAD/
AUTHORIZED SIGNATURE

( ) FUNDS DEPOSITED WITH PD ( )________________________________ CHECK No.:___

IN THE AMOUNT OF: PHP

END USER:
 Appendix 60

PURCHASE REQUEST

Entity Name: DIMAYON ELEMENTARY SCHOOL Fund Clust 1st Quarter MOOE

Office/Section : DEPED PR No.: 2023-04-001 Date: 04-25-2023

Division of Lanao del Norte Responsibility Center Code: 200525

Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
001 piece CLEARBOOK, 20 transparent pockets, legal 103 53.00 5,459.00
002 piece ERASER, plastic/ rubber 89 5.00 445.00
003 piece SIGN PEN, Black, liquid or gel 25 10.00 250.00
004 piece SIGN PEN, Red, liquid or gel 36 10.00 360.00
005 piece BROOM, Soft (Walis Tambo) 4 150.00 600.00
006 piece MONOBLOC CHAIR, beige 12 345.00 4,140.00
007 unit MONOBLOC TABLE, beige, 4 seater capacity 2 1,530.00 3,060.00
008 box CLIP, backfold, 19mm 5 23.00 115.00
009 box CLIP, backfold, 25mm 5 28.00 140.00
010 piece CORRECTION TAPE, 8 meters 15 26.00 390.00
011 piece CUTTER/UTILITY KNIFE, for general purpose 20 15.00 300.00
012 box ENVELOPE, Documentary, A4, 500 pieces per box 1 1,950.00 1,950.00
013 piece ENVELOPE, Expanding, Plastic 20 55.00 1,100.00
014 pack FOLDER, L-type, legal, 50 pieces per pack 9 600.00 5,400.00
015 piece MARKER, Permanent, Black 17 20.00 340.00
016 piece MARKER, Whiteboard, Black 55 15.00 825.00
017 box PAPER CLIP, vinly/plastic coated, 33mm 10 15.00 150.00
018 box PAPER CLIP, vinly/plastic coated, jumbo, 50mm 9 30.00 270.00
019 box PENCIL, lead/graphite, with eraser, one (1) dozen per box 6 98.00 588.00
020 piece PUNCHER, paper, heavy duty 3 195.00 585.00
021 piece STAPLER, standard type 20 145.00 2,900.00
022 unit STAPLER, heavy duty (binder type), desktop 8 680.00 5,440.00
023 pack CARTOLINA, assorted colors, 20 pieces of assorted colors per pack 34 160.00 5,440.00
024 piece NOTEBOOK, stenographer 1500 28.00 42,000.00
025 ream PAPER, MULTICOPY A4, 500 sheets per ream 75 185.00 13,875.00
026 ream PAPER, MULTICOPY LEGAL, 500 sheets per ream 28 205.00 5,740.00
027 book RECORD BOOK, 300 PAGES 18 87.00 1,566.00
028 bottle LIQUID HAND SANITIZER, 500mL 18 130.00 2,340.00
029 cart INK CARTRIDGE, EPSON C13T664100 (T6641), Black 1 260.00 260.00
030 cart INK CARTRIDGE, EPSON C13T664200 (T6642), Cyan 1 260.00 260.00
031 cart INK CARTRIDGE, EPSON C13T664300 (T6643), Magenta 1 260.00 260.00
032 cart INK CARTRIDGE, EPSON C13T664400 (T6644), Yellow 1 260.00 260.00
033 cart Ink 003, Black 30 234.00 7,020.00
034 cart Ink 003, Magenta 22 234.00 5,148.00
035 cart Ink 003, Cyan 22 234.00 5,148.00
036 cart Ink 003, Yellow 22 234.00 5,148.00
037 cart Ink, BT 500c, Cyan 3 390.00 1,170.00
038 cart Ink, BT 500m, Magenta 3 380.00 1,140.00
039 cart Ink, BT 500y, Yellow 3 380.00 1,140.00
040 cart Ink, BT D60 BK, Black 3 380.00 1,140.00
041 piece 4 LAYER, DESK FILE ORGANIZER 3 980.00 2,940.00
042 ream FOLDER Brown, Long 18 600.00 10,800.00
043 pack WORX PAPER Long 40 35.00 1,400.00
044 pack WORK PAPER A4 60 32.00 1,920.00
045 piece PINTEL PEN, PERMANENT (Broad), Black 17 45.00 765.00
046 Box PERMANENT INK 17 95.00 1,615.00
047 piece WHITE BOARD 1 3,650.00 3,650.00
048 dozen PAD PAPER, All Grade level 46 204.00 9,384.00
049 piece STICKY NOTES 10 28.00 280.00
 050 Box STAPLER WIRE #35 10 45.00 450.00
051 meter TEXTILE, Assorted Color 100 55.00 5,500.00
052 box CRAYON Double (24) 95 48.00 4,560.00
053 box BALLPEN, Black 19 80.00 1,520.00
054 piece CHESS BOARD 2 380.00 760.00
055 ream CONSTRUCTION PAPER, Assorted 1 280.00 280.00
056 ream LAMINATING FILM, A4 1 1,300.00 1,300.00
057 meter RIBBON, Assorted Color (2 Inch) 79 6.00 474.00
058 piece OIL PASTEL 10 55.00 550.00
059 piece ILLUSTRATION Board, 1/8 53 10.00 530.00
060 piece BIG NOTEBOOK, 80 lvs 11 38.00 418.00
061 piece BADMINTON 2 300.00 600.00
062 piece FOLDER WHITE, Long 61 7.00 427.00
063 piece BIG SCISSORS 1 65.00 65.00
184,050.00
Purpose: PROCUREMENT OF SCHOOL & OFFICE SUPPLIES

Requested by: Approved by:

Signature :
Printed
ROWENA S. PANCHO AISA G. LABE
Name :
Designation : Administrative Officer II School Head
________________________
___
Procuring
REQUEST FOR QUOTATION
DIMAYON ELEMENTARY SCHOOL 2023-04-001
Entity
Dated on: KECS Teachers/ Name of custodian
Standard
PROCUREMENT OF SCHOOL & OFFICE SUPPLIES
Form/Title:
Company
Name
TIN #
Address
Tel No & Fax
Please quote yur lowest price on item (s) listed below, subject to the Terms and Conditions stated below and submit your quotation
duly signed by your representative not later than 3:00 PM of ________________ in the return envelope attached herewith.

Terms & Conditions

1. All entries must be typewritten or legibly written.
2. Delivery period within __________ (or as the need arises) upon receipt
of the approved funded purchase order (P.O.) REY Q. GARCILLANOSA
BAC Chairman
3. Warranty shall be for a minimum of three (3) months for supplies and
materials from dated of acceptance by the end-user.
4. Price validity shall be for a period of sixty (60) calendar days.
5. PhilGEPS Registration Certificate and Business Permit shall be
attached upon submission of the quotation.
6. Bidders shall submit original brochures showing certifications of the
product.
7. Due ABC/unit
ItemGovernment
No Tax will beItem
withheld upon payment.
& Description QTY UNIT UNIT PRICE TOTAL PRICE
price
1 CLEARBOOK, 20 transparent pockets, legal 103 piece 175.00
2 ERASER, plastic/ rubber 89 piece 72.50
3 SIGN PEN, Black, liquid or gel 25 piece 22.76
4 SIGN PEN, Red, liquid or gel 36 piece 550.00
5 BROOM, Soft (Walis Tambo) 4 piece 1,800.00
6 MONOBLOC CHAIR, beige 12 piece 180.00
7 MONOBLOC TABLE, beige, 4 seater capacity 2 unit 180.00
8 CLIP, backfold, 19mm 5 box 180.00
9 CLIP, backfold, 25mm 5 box 180.00
10 CORRECTION TAPE, 8 meters 15 piece 15.00
11 CUTTER/UTILITY KNIFE, for general purpose 20 piece 12,000.00

TOTAL
Brand Model
Delivery Perio

After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.

HANNAHLYN A. TUBONGBANUA _____________________________________

Name & Signature of Canvasser Printed Name & Signature

ABC means Approved Budget Cost per Unit Price

Procuring
REQUEST FOR QUOTATION
DIMAYON ELEMENTARY SCHOOL 2023-04-001
Entity
Dated on: KECS Teachers/ Name of custodian
Standard
PROCUREMENT OF SCHOOL & OFFICE SUPPLIES
Form/Title:
Company
Name
TIN #
Address
Tel No & Fax
Please quote yur lowest price on item (s) listed below, subject to the Terms and Conditions stated below and submit your quotation
duly signed by your representative not later than 3:00 PM of ________________ in the return envelope attached herewith.

Terms & Conditions

1. All entries must be typewritten or legibly written.
2. Delivery period within __________ (or as the need arises) upon receipt
of the approved funded purchase order (P.O.) REY Q. GARCILLANOSA
BAC Chairman
3. Warranty shall be for a minimum of three (3) months for supplies and
materials from dated of acceptance by the end-user.
4. Price validity shall be for a period of sixty (60) calendar days.
5. PhilGEPS Registration Certificate and Business Permit shall be
attached upon submission of the quotation.
6. Bidders shall submit original brochures showing certifications of the
product.
7. Due ABC/unit
ItemGovernment
No Tax will beItem
withheld upon payment.
& Description QTY UNIT UNIT PRICE TOTAL PRICE
price
1 CLEARBOOK, 20 transparent pockets, legal 103 piece 175.00
2 ERASER, plastic/ rubber 89 piece 72.50
3 SIGN PEN, Black, liquid or gel 25 piece 22.76
4 SIGN PEN, Red, liquid or gel 36 piece 550.00
5 BROOM, Soft (Walis Tambo) 4 piece 1,800.00
6 MONOBLOC CHAIR, beige 12 piece 180.00
7 MONOBLOC TABLE, beige, 4 seater capacity 2 unit 180.00
8 CLIP, backfold, 19mm 5 box 180.00
9 CLIP, backfold, 25mm 5 box 180.00
10 CORRECTION TAPE, 8 meters 15 piece 15.00
11 CUTTER/UTILITY KNIFE, for general purpose 20 piece 12,000.00

TOTAL
Brand Model
Delivery Perio

After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.

HANNAHLYN A. TUBONGBANUA _____________________________________

Name & Signature of Canvasser Printed Name & Signature

ABC means Approved Budget Cost per Unit Price

Procuring
REQUEST FOR QUOTATION
DIMAYON ELEMENTARY SCHOOL 2023-04-001
Entity
Dated on: KECS Teachers/ Name of custodian
Standard
PROCUREMENT OF SCHOOL & OFFICE SUPPLIES
Form/Title:
Company
Name
TIN #
Address
Tel No & Fax
Please quote yur lowest price on item (s) listed below, subject to the Terms and Conditions stated below and submit your quotation
duly signed by your representative not later than 3:00 PM of ________________ in the return envelope attached herewith.

Terms & Conditions

1. All entries must be typewritten or legibly written.
2. Delivery period within __________ (or as the need arises) upon receipt
of the approved funded purchase order (P.O.) REY Q. GARCILLANOSA
BAC Chairman
3. Warranty shall be for a minimum of three (3) months for supplies and
materials from dated of acceptance by the end-user.
4. Price validity shall be for a period of sixty (60) calendar days.
5. PhilGEPS Registration Certificate and Business Permit shall be
attached upon submission of the quotation.
6. Bidders shall submit original brochures showing certifications of the
product.
7. Due ABC/unit
ItemGovernment
No Tax will beItem
withheld upon payment.
& Description QTY UNIT UNIT PRICE TOTAL PRICE
price
1 CLEARBOOK, 20 transparent pockets, legal 103 piece 175.00
2 ERASER, plastic/ rubber 89 piece 72.50
3 SIGN PEN, Black, liquid or gel 25 piece 22.76
4 SIGN PEN, Red, liquid or gel 36 piece 550.00
5 BROOM, Soft (Walis Tambo) 4 piece 1,800.00
6 MONOBLOC CHAIR, beige 12 piece 180.00
7 MONOBLOC TABLE, beige, 4 seater capacity 2 unit 180.00
8 CLIP, backfold, 19mm 5 box 180.00
9 CLIP, backfold, 25mm 5 box 180.00
10 CORRECTION TAPE, 8 meters 15 piece 15.00
11 CUTTER/UTILITY KNIFE, for general purpose 20 piece 12,000.00

TOTAL
Brand Model
Delivery Perio

After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.

HANNAHLYN A. TUBONGBANUA _____________________________________

Name & Signature of Canvasser Printed Name & Signature

ABC means Approved Budget Cost per Unit Price

Procuring
REQUEST FOR QUOTATION
DIMAYON ELEMENTARY SCHOOL 2023-04-001
Entity
Dated on: KECS Teachers/ Name of custodian
Standard
PROCUREMENT OF SCHOOL & OFFICE SUPPLIES
Form/Title:
Company
Name
TIN #
Address
Tel No & Fax
Please quote yur lowest price on item (s) listed below, subject to the Terms and Conditions stated below and submit your quotation
duly signed by your representative not later than 3:00 PM of ________________ in the return envelope attached herewith.

Terms & Conditions

1. All entries must be typewritten or legibly written.
2. Delivery period within __________ (or as the need arises) upon receipt
of the approved funded purchase order (P.O.) REY Q. GARCILLANOSA
BAC Chairman
3. Warranty shall be for a minimum of three (3) months for supplies and
materials from dated of acceptance by the end-user.
4. Price validity shall be for a period of sixty (60) calendar days.
5. PhilGEPS Registration Certificate and Business Permit shall be
attached upon submission of the quotation.
6. Bidders shall submit original brochures showing certifications of the
product.
7. Due ABC/unit
ItemGovernment
No Tax will beItem
withheld upon payment.
& Description QTY UNIT UNIT PRICE TOTAL PRICE
price
1 CLEARBOOK, 20 transparent pockets, legal 103 piece 175.00
2 ERASER, plastic/ rubber 89 piece 72.50
3 SIGN PEN, Black, liquid or gel 25 piece 22.76
4 SIGN PEN, Red, liquid or gel 36 piece 550.00
5 BROOM, Soft (Walis Tambo) 4 piece 1,800.00
6 MONOBLOC CHAIR, beige 12 piece 180.00
7 MONOBLOC TABLE, beige, 4 seater capacity 2 unit 180.00
8 CLIP, backfold, 19mm 5 box 180.00
9 CLIP, backfold, 25mm 5 box 180.00
10 CORRECTION TAPE, 8 meters 15 piece 15.00
11 CUTTER/UTILITY KNIFE, for general purpose 20 piece 12,000.00

TOTAL
Brand Model
Delivery Perio

After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.

HANNAHLYN A. TUBONGBANUA _____________________________________

Name & Signature of Canvasser Printed Name & Signature

ABC means Approved Budget Cost per Unit Price

Procuring
REQUEST FOR QUOTATION
DIMAYON ELEMENTARY SCHOOL 2023-04-001
Entity
Dated on: KECS Teachers/ Name of custodian
Standard
PROCUREMENT OF SCHOOL & OFFICE SUPPLIES
Form/Title:
Company
Name
TIN #
Address
Tel No & Fax
Please quote yur lowest price on item (s) listed below, subject to the Terms and Conditions stated below and submit your quotation
duly signed by your representative not later than 3:00 PM of ________________ in the return envelope attached herewith.

Terms & Conditions

1. All entries must be typewritten or legibly written.
2. Delivery period within __________ (or as the need arises) upon receipt
of the approved funded purchase order (P.O.) REY Q. GARCILLANOSA
BAC Chairman
3. Warranty shall be for a minimum of three (3) months for supplies and
materials from dated of acceptance by the end-user.
4. Price validity shall be for a period of sixty (60) calendar days.
5. PhilGEPS Registration Certificate and Business Permit shall be
attached upon submission of the quotation.
6. Bidders shall submit original brochures showing certifications of the
product.
7. Due ABC/unit
ItemGovernment
No Tax will beItem
withheld upon payment.
& Description QTY UNIT UNIT PRICE TOTAL PRICE
price
1 CLEARBOOK, 20 transparent pockets, legal 103 piece 175.00
2 ERASER, plastic/ rubber 89 piece 72.50
3 SIGN PEN, Black, liquid or gel 25 piece 22.76
4 SIGN PEN, Red, liquid or gel 36 piece 550.00
5 BROOM, Soft (Walis Tambo) 4 piece 1,800.00
6 MONOBLOC CHAIR, beige 12 piece 180.00
7 MONOBLOC TABLE, beige, 4 seater capacity 2 unit 180.00
8 CLIP, backfold, 19mm 5 box 180.00
9 CLIP, backfold, 25mm 5 box 180.00
10 CORRECTION TAPE, 8 meters 15 piece 15.00
11 CUTTER/UTILITY KNIFE, for general purpose 20 piece 12,000.00

TOTAL
Brand Model
Delivery Perio

After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.

HANNAHLYN A. TUBONGBANUA _____________________________________

Name & Signature of Canvasser Printed Name & Signature

ABC means Approved Budget Cost per Unit Price

 Appendix 60

PURCHASE REQUEST

Entity Name: DIMAYON ELEMENTARY SCHOOL Fund Cluster: 1st Quarter MOOE

Office/Section : DEPED PR No.: 2023-04-002 Date: 04-25-2023

Division of Lanao del Norte Responsibility Center Code: 200525

Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
001 Unit SMART TV 32" 2 14,995.00 29,990.00
002 Unit LAMINATING MACHINE 1 4,800.00 4,800.00
X-X-X-X-X-X-X-X--X--X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X--X-X-X

34,790.00
Purpose: PROCUREMENT OF ICT EQUIPMENT

Requested by: Approved by:

Signature :
Printed
ROWENA S. PANCHO AISA G. LABE
Name :
Designation : Administrative Officer II School Head
________________________
___
 Appendix 61
PURCHASE ORDER
DEPED-DIVISION OF LANAO DEL NORTE
MASIBAY INTEGRATED SCHOOL

Supplier: P.O No. : 2023-04-001

Date :
Address: #N/A Mode of Procurement : SHOPPING
TIN : #N/A

Gentlemen:

Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: DIMAYON ELEMENTARY SCHOOL Delivery Term: STORE PICK UP

Date of Delivery: Payment Term: CHECK

Stock No. Unit Description Quantity Unit Cost Amount

1 piece CLEARBOOK, 20 transparent pockets, legal 103 -
2 piece ERASER, plastic/ rubber 89 -
3 piece SIGN PEN, Black, liquid or gel 25 -
4 piece SIGN PEN, Red, liquid or gel 36 -
5 piece BROOM, Soft (Walis Tambo) 4 -
6 piece MONOBLOC CHAIR, beige 12 -
7 unit MONOBLOC TABLE, beige, 4 seater capacity 2 -
8 box CLIP, backfold, 19mm 5 -
9 box CLIP, backfold, 25mm 5 -
10 piece CORRECTION TAPE, 8 meters 15 -
11 piece CUTTER/UTILITY KNIFE, for general purpose 20 -
12 box ENVELOPE, Documentary, A4, 500 pieces per box 1
13 piece ENVELOPE, Expanding, Plastic 20
14 pack FOLDER, L-type, legal, 50 pieces per pack 9
15 piece MARKER, Permanent, Black 17
16 piece MARKER, Whiteboard, Black 55
17 box PAPER CLIP, vinly/plastic coated, 33mm 10
18 box PAPER CLIP, vinly/plastic coated, jumbo, 50mm 9
19 box PENCIL, lead/graphite, with eraser, one (1) dozen per box 6
20 piece PUNCHER, paper, heavy duty 3
21 piece STAPLER, standard type 20
22 unit STAPLER, heavy duty (binder type), desktop 8
23 pack CARTOLINA, assorted colors, 20 pieces of assorted colors 34
24 piece NOTEBOOK, stenographer 1500
25 ream PAPER, MULTICOPY A4, 500 sheets per ream 75
26 ream PAPER, MULTICOPY LEGAL, 500 sheets per ream 28
27 book RECORD BOOK, 300 PAGES 18
28 bottle LIQUID HAND SANITIZER, 500mL 18
29 cart INK CARTRIDGE, EPSON C13T664100 (T6641), Black 1
30 cart INK CARTRIDGE, EPSON C13T664200 (T6642), Cyan 1
31 cart INK CARTRIDGE, EPSON C13T664300 (T6643), Magent 1
32 cart INK CARTRIDGE, EPSON C13T664400 (T6644), Yellow 1
33 cart Ink 003, Black 30
34 cart Ink 003, Magenta 22
35 cart Ink 003, Cyan 22
36 cart Ink 003, Yellow 22
37 cart Ink, BT 500c, Cyan 3
38 cart Ink, BT 500m, Magenta 3
39 cart Ink, BT 500y, Yellow 3
40 cart Ink, BT D60 BK, Black 3
41 piece 4 LAYER, DESK FILE ORGANIZER 3
42 ream FOLDER Brown, Long 18
43 pack WORX PAPER Long 40
44 pack WORK PAPER A4 60
45 piece PINTEL PEN, PERMANENT (Broad), Black 17
46 Box PERMANENT INK 17
47 piece WHITE BOARD 1
48 dozen PAD PAPER, All Grade level 46
49 piece STICKY NOTES 10
50 Box STAPLER WIRE #35 10
51 meter TEXTILE, Assorted Color 100
52 box CRAYON Double (24) 95
53 box BALLPEN, Black 19
54 piece CHESS BOARD 2
55 ream CONSTRUCTION PAPER, Assorted 1
56 ream LAMINATING FILM, A4 1
57 meter RIBBON, Assorted Color (2 Inch) 79
58 piece OIL PASTEL 10
59 piece ILLUSTRATION Board, 1/8 53
60 piece BIG NOTEBOOK, 80 lvs 11
61 piece BADMINTON 2
62 piece FOLDER WHITE, Long 61
63 piece BIG SCISSORS 1
ONE HUNDRED FIFTY FOUR THOUSAND ONE HUNDRED SEVENTEEN PESOS & 34/100 -

In case of failure to make the full delivery within the time specified a bove, a penalty of one-tenth(1/10) of
percent of every day shall be imposed.

Very truly yours,

Conforme: KATIMUAN B. MAMAY

School Head
Signature over Printed Name of Supplier
_____________________
Date

Fund Cluster: 1st Quarter MOOE ORS/BURS No. ___________________

Funds Available: Date of the ORS/BURS: _______________
Amount: _________________________
RANIA
ADAS III (Senior Bookkeeper)
END USER: MIS-JHS TEACHERS/ SAIRA ALEAH D. RONOLO, AO II
 Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Supplier : 0 IAR No. : 2023-04-001

PO No./Date : 2023-04-001 / 12/30/1899 Date :
Requisitioning Office/Dept. : DIMAYON ELEMENTARY SCHOOL Invoice No. :
Responsibility Center Code : 200525 Date :

Stock/
Description Unit Quantity
Property No.

1 CLEARBOOK, 20 transparent pockets, legal piece 103

2 ERASER, plastic/ rubber piece 89

3 SIGN PEN, Black, liquid or gel piece 25

4 SIGN PEN, Red, liquid or gel piece 36

5 BROOM, Soft (Walis Tambo) piece 4

6 MONOBLOC CHAIR, beige piece 12

7 MONOBLOC TABLE, beige, 4 seater capacity unit 2

8 CLIP, backfold, 19mm box 5

9 CLIP, backfold, 25mm box 5

10 CORRECTION TAPE, 8 meters piece 15

11 CUTTER/UTILITY KNIFE, for general purpose piece 20

12 ENVELOPE, Documentary, A4, 500 pieces per box box 1

13 ENVELOPE, Expanding, Plastic piece 20

14 FOLDER, L-type, legal, 50 pieces per pack pack 9

15 MARKER, Permanent, Black piece 17

16 MARKER, Whiteboard, Black piece 55

17 PAPER CLIP, vinly/plastic coated, 33mm box 10

18 PAPER CLIP, vinly/plastic coated, jumbo, 50mm box 9

19 PENCIL, lead/graphite, with eraser, one (1) dozen per box box 6

20 PUNCHER, paper, heavy duty piece 3

21 STAPLER, standard type piece 20

22 STAPLER, heavy duty (binder type), desktop unit 8

23 CARTOLINA, assorted colors, 20 pieces of assorted colors per pack pack 34

24 NOTEBOOK, stenographer piece 1500

25 PAPER, MULTICOPY A4, 500 sheets per ream ream 75

26 PAPER, MULTICOPY LEGAL, 500 sheets per ream ream 28

27 RECORD BOOK, 300 PAGES book 18

28 LIQUID HAND SANITIZER, 500mL bottle 18

29 INK CARTRIDGE, EPSON C13T664100 (T6641), Black cart 1

30 INK CARTRIDGE, EPSON C13T664200 (T6642), Cyan cart 1

31 INK CARTRIDGE, EPSON C13T664300 (T6643), Magenta cart 1

32 INK CARTRIDGE, EPSON C13T664400 (T6644), Yellow cart 1

33 Ink 003, Black cart 30

34 Ink 003, Magenta cart 22

35 Ink 003, Cyan cart 22

36 Ink 003, Yellow cart 22

37 Ink, BT 500c, Cyan cart 3

38 Ink, BT 500m, Magenta cart 3

39 Ink, BT 500y, Yellow cart 3

40 Ink, BT D60 BK, Black cart 3

41 4 LAYER, DESK FILE ORGANIZER piece 3

42 FOLDER Brown, Long ream 18

43 WORX PAPER Long pack 40

44 WORK PAPER A4 pack 60

45 PINTEL PEN, PERMANENT (Broad), Black piece 17

46 PERMANENT INK Box 17

47 WHITE BOARD piece 1

48 PAD PAPER, All Grade level dozen 46

49 STICKY NOTES piece 10

50 STAPLER WIRE #35 Box 10

51 TEXTILE, Assorted Color meter 100

52 CRAYON Double (24) box 95

53 BALLPEN, Black box 19

54 CHESS BOARD piece 2

55 CONSTRUCTION PAPER, Assorted ream 1

56 LAMINATING FILM, A4 ream 1

57 RIBBON, Assorted Color (2 Inch) meter 79

58 OIL PASTEL piece 10

59 ILLUSTRATION Board, 1/8 piece 53

60 BIG NOTEBOOK, 80 lvs piece 11

61 BADMINTON piece 2

62 FOLDER WHITE, Long piece 61

63 BIG SCISSORS piece 1

0 0

INSPECTION ACCEPTANCE

Date Inspected : Date Received : 12/30/1899

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)

MARIVIC I. RAMBER SAIRA ALEAH D. RONOLO

Inspection Officer/Inspection Committee Supply and/or Property Custodian
 Appendix 59

INVENTORY CUSTODIAN SLIP

Entity Name: BANING ELEMENTARY SCHOOL

Fund Cluster: 1st Quarter MOOE ICS No : 2023-04-001
Amount
Inventory Estimated
Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life

103 piece CLEARBOOK, 20 transparent pockets, legal #VALUE!

89 piece ERASER, plastic/ rubber
25 piece SIGN PEN, Black, liquid or gel
36 piece SIGN PEN, Red, liquid or gel
4 piece BROOM, Soft (Walis Tambo)
12 piece MONOBLOC CHAIR, beige
2 unit MONOBLOC TABLE, beige, 4 seater capacity
5 box CLIP, backfold, 19mm
5 box CLIP, backfold, 25mm
15 piece CORRECTION TAPE, 8 meters
20 piece CUTTER/UTILITY KNIFE, for general purpose
1 box ENVELOPE, Documentary, A4, 500 pieces per b
20 piece ENVELOPE, Expanding, Plastic
9 pack FOLDER, L-type, legal, 50 pieces per pack
17 piece MARKER, Permanent, Black
55 piece MARKER, Whiteboard, Black
10 box PAPER CLIP, vinly/plastic coated, 33mm
9 box PAPER CLIP, vinly/plastic coated, jumbo, 50mm
6 box PENCIL, lead/graphite, with eraser, one (1) doz
3 piece PUNCHER, paper, heavy duty
20 piece STAPLER, standard type
8 unit STAPLER, heavy duty (binder type), desktop
34 pack CARTOLINA, assorted colors, 20 pieces of assor
1500 piece NOTEBOOK, stenographer
75 ream PAPER, MULTICOPY A4, 500 sheets per ream
28 ream PAPER, MULTICOPY LEGAL, 500 sheets per r
18 book RECORD BOOK, 300 PAGES
18 bottle LIQUID HAND SANITIZER, 500mL
1 cart INK CARTRIDGE, EPSON C13T664100 (T6641),
1 cart INK CARTRIDGE, EPSON C13T664200 (T6642)
1 cart INK CARTRIDGE, EPSON C13T664300 (T6643)
1 cart INK CARTRIDGE, EPSON C13T664400 (T6644),
30 cart Ink 003, Black
22 cart Ink 003, Magenta
22 cart Ink 003, Cyan
22 cart Ink 003, Yellow
3 cart Ink, BT 500c, Cyan
3 cart Ink, BT 500m, Magenta
3 cart Ink, BT 500y, Yellow
3 cart Ink, BT D60 BK, Black
3 piece 4 LAYER, DESK FILE ORGANIZER
18 ream FOLDER Brown, Long
40 pack WORX PAPER Long
60 pack WORK PAPER A4
17 piece PINTEL PEN, PERMANENT (Broad), Black
17 Box PERMANENT INK
1 piece WHITE BOARD
46 dozen PAD PAPER, All Grade level
10 piece STICKY NOTES
10 Box STAPLER WIRE #35
100 meter TEXTILE, Assorted Color
95 box CRAYON Double (24)
19 box BALLPEN, Black
2 piece CHESS BOARD
1 ream CONSTRUCTION PAPER, Assorted
1 ream LAMINATING FILM, A4
79 meter RIBBON, Assorted Color (2 Inch)
10 piece OIL PASTEL
53 piece ILLUSTRATION Board, 1/8
11 piece BIG NOTEBOOK, 80 lvs
2 piece BADMINTON
61 piece FOLDER WHITE, Long
1 piece BIG SCISSORS
Received from: Received by:

SAIRA ALEAH D. RONOLO

Signature Over Printed Name Signature Over Printed Name
SCHOOL PROPERTY CUSTODIAN
Position/Office Position/Office
12/30/1899
Date Date
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2023-04-001
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
001 piece CLEARBOOK, 20 transparent pockets, legal 103
002 piece ERASER, plastic/ rubber 89
003 piece SIGN PEN, Black, liquid or gel 25
004 piece SIGN PEN, Red, liquid or gel 36
005 piece BROOM, Soft (Walis Tambo) 4
006 piece MONOBLOC CHAIR, beige 12
007 unit MONOBLOC TABLE, beige, 4 seater capacity 2
008 box CLIP, backfold, 19mm 5
009 box CLIP, backfold, 25mm 5
010 piece CORRECTION TAPE, 8 meters 15
011 piece CUTTER/UTILITY KNIFE, for general purpose 20
012 box ENVELOPE, Documentary, A4, 500 pieces per box 1
013 piece ENVELOPE, Expanding, Plastic 20
014 pack FOLDER, L-type, legal, 50 pieces per pack 9
015 piece MARKER, Permanent, Black 17
016 piece MARKER, Whiteboard, Black 55
017 box PAPER CLIP, vinly/plastic coated, 33mm 10
018 box PAPER CLIP, vinly/plastic coated, jumbo, 50mm 9
019 box PENCIL, lead/graphite, with eraser, one (1) dozen p 6
020 piece PUNCHER, paper, heavy duty 3
021 piece STAPLER, standard type 20
022 unit STAPLER, heavy duty (binder type), desktop 8
023 pack CARTOLINA, assorted colors, 20 pieces of assorted 34
024 piece NOTEBOOK, stenographer 1500
025 ream PAPER, MULTICOPY A4, 500 sheets per ream 75
026 ream PAPER, MULTICOPY LEGAL, 500 sheets per ream 28
027 book RECORD BOOK, 300 PAGES 18
028 bottle LIQUID HAND SANITIZER, 500mL 18
029 cart INK CARTRIDGE, EPSON C13T664100 (T6641), Bl 1
030 cart INK CARTRIDGE, EPSON C13T664200 (T6642), C 1
031 cart INK CARTRIDGE, EPSON C13T664300 (T6643), M 1
032 cart INK CARTRIDGE, EPSON C13T664400 (T6644), Ye 1
033 cart Ink 003, Black 30
034 cart Ink 003, Magenta 22
035 cart Ink 003, Cyan 22
036 cart Ink 003, Yellow 22
037 cart Ink, BT 500c, Cyan 3
038 cart Ink, BT 500m, Magenta 3
039 cart Ink, BT 500y, Yellow 3
040 cart Ink, BT D60 BK, Black 3
041 piece 4 LAYER, DESK FILE ORGANIZER 3
042 ream FOLDER Brown, Long 18
043 pack WORX PAPER Long 40
044 pack WORK PAPER A4 60
045 piece PINTEL PEN, PERMANENT (Broad), Black 17
046 Box PERMANENT INK 17
047 piece WHITE BOARD 1
048 dozen PAD PAPER, All Grade level 46
049 piece STICKY NOTES 10
050 Box STAPLER WIRE #35 10
051 meter TEXTILE, Assorted Color 100
052 box CRAYON Double (24) 95
053 box BALLPEN, Black 19
054 piece CHESS BOARD 2
055 ream CONSTRUCTION PAPER, Assorted 1
056 ream LAMINATING FILM, A4 1
057 meter RIBBON, Assorted Color (2 Inch) 79
058 piece OIL PASTEL 10
059 piece ILLUSTRATION Board, 1/8 53
060 piece BIG NOTEBOOK, 80 lvs 11
061 piece BADMINTON 2
062 piece FOLDER WHITE, Long 61
063 piece BIG SCISSORS 1

Purpose:

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

Signature :
Printed Name : AISA G. LABE SAIRA ALEAH D. RONOLO
Designation : SCHOOL HEAD ADMINISTRATIVE OFFICER II 0
Date :
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-002
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : SALT AISA G. LABE SAIRA ALEAH D. RONOLO SALT
Designation : TEACHER I SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-003
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : PEPPER AISA G. LABE SAIRA ALEAH D. RONOLO PEPPER
Designation : TEACHER II SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER II
Date : 3/15/2022 03/15/2022 03/15/2022
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-004
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : GINGER AISA G. LABE SAIRA ALEAH D. RONOLO GINGER
Designation : TEACHER III SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER III
Date : 3/15/2022 03/15/2022 03/15/2022
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-005
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : ONION AISA G. LABE SAIRA ALEAH D. RONOLO ONION
Designation : TEACHER I SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-006
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : TOMATO AISA G. LABE SAIRA ALEAH D. RONOLO TOMATO
Designation : MASTER TEACHER I SCHOOL HEAD ADMINISTRATIVE OFFICER II MASTER TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-007
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : COFFEE AISA G. LABE SAIRA ALEAH D. RONOLO COFFEE
Designation : TEACHER I SCHOOL HEAD SCHOOL PROPERTY CUSTODIAN TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE

Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-008
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE

Purpose: for school & office use

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

Signature :
Printed Name : MILK AISA G. LABE SAIRA ALEAH D. RONOLO MILK
Designation : TEACHER I SCHOOL HEAD SCHOOL PROPERTY CUSTODIAN TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022