Fund Cluster:

ASLONG ELEMENTARY SCHOOL

Entity Name Regular Agency Fund
Date:
DV No.:
DISBURSEMENT VOUCHER 2023– 01 – 004

Mode of
Payment MDS CHECK COMMERCIAL CHECK ADA OTHERS(Pls. specify)

Payee TIN/Employee No. ORS/BURS No.:

Address
Responsibilty MFO/PAP AMOUNT
PARTICULARS Center

Amount Due
A. Certified Expenses/Cash Advance necessary, lawful and incurred under my direct supervision

IMELDA C. FESTIN
Printed Name, Designation and Signature of School Head
B. Accounting Entry
Account Title UACS Debit Credit

C. Certified: D. Approved Payment

Cash Available
Subject to Authority to Debit Account(when applicable
Supporting documents complete and amount claimed
Proper

Signature Signature
Printed Printed
Name CONNIE B. HINOSA Name IMELDA C. FESTIN
SENIOR BOOKKEEPER SCHOOL HEAD
Position Head, Accounting Unit/Authorized Representative Position Agency Head/Authorized Representative
Date: Date:

E. Receipt of Payment JEV No.

Check / Bank Name & Account NO.:
ADA No.: Date:
Printed Name: Date:
Signature Date:

Official Receipt No. & Date/Other Documents

 Department of Education
Region V
Division of Camarines Sur
Libmanan North District
ASLONG ELEMENTARY SCHOOL

CERTIFICATION

This is to certify that the expenses incurred for the Procurement of

School S upplies expenses are included in the Annual Procurement
Plan(APP)MOOE 2023.

This certification is issued this___ day of_________ for any legal

purposes it may serve.

Certified by: Verified by:

HERLYN S. RASONABLE MARILOU C. BEGINO

Supply Officer BAC Secretariat
 Department of Education
Region V
Division of Camarines Sur
Libmanan North District
ASLONG ELEMENTARY SCHOOL

PURCHASE REQUEST

Fund Cluster: Reg. Agency Fund

PR No.:2023- 02- 004 Date:
Responsibility Center Code: _________________
UNIT
STOCK UNIT ITEM DESCRIPTION QTY. TOTAL COST
COST

TOTAL
Purpose: For the used

Requested by: Approved by:

Signature:
Printed Name: HERLYN S. RASONABLE IMELDA C. FESTIN
Designation: SUPPLY OFFICER/PROPERTY CUSTODIAN School Head

LIBMANAN NORTH DISTRICT

RECEIVED:

MARILOU C. BEGINO
School BAC Secretariat
Date:

ASLONG ELEMENTARY SCHOOL

 Department of Education
Region V
Division of Camarines Sur
Libmanan North District
ASLONG ELEMENTARY SCHOOL

INSPECTION AND ACCEPTANCE REPORT

Entity Name: ASLONG ELEMENTARY SCHOOL Fund Cluster: SBFP FUND

Supplier: IAR No.: 2022 – 01 - 0
PO No./Date: 2022- 01 - 00 Date:
Requisitioning Office/Dept.: ASLONG ELEMENTARY SCHOOL Invoice No.:
Responsibility Center Code: Date:
Stock/Property
Description Unit Quantity
No.
1 Eco bag Piece 60
2 Coupon bond Ream 2
3 Ink (set) Set 2
4 Pc 3
5 Pc 5

INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)
Partial (pls. specify quantity)

HERLYN S. RASONABLE MARILOU C. BEGINO

Inspection Officer/Inspection Committee Supply and/or Property Custodian
 Department of Education
Region V
Division of Camarines Sur
Libmanan North District
ASLONG ELEMENTARY SCHOOL

RESOLUTION
No.04 series of 2023

Name of Project:

Source of Fund: REGULAR AGENCY FUND

WHEREAS; presented to the Bids and Awards Committee is an approved

purchase request from MARILOU C. BEGINO (Property Custodian) with regards to
the immediate needs for the Schools Supplies Procurement.

WHEREAS; the Bids and Awards Committee, acting upon the request and
considering the Small Value Procurement is embodied and appearing in the Approved
Procurement Program;

NOW THEREFORE, the BIDS AND AWARDS COMMITTEE this___day of

January, 2023

BIDS AND AWARDS COMMITTEE (BAC)

JOY C. BORJA
Chairman

HERLYN S. RASONABLE ZARA JAEN C. SONABA JAN STEPHANIE C. AUREUS

BAC Member BAC Member BAC Member

Approved this ___ day of January 2023.

IMELDA C. FESTIN
HOPE
 Department of Education
Region V
Division of Camarines Sur
Libmanan North District
ASLONG ELEMENTARY SCHOOL

ABSTRACT OF QUOTATIONS AND AWARD

Approved Budget of Contract (ABC): Php 46,550.00 Date:_______________
Number: ___________
NAME OF SUPPLIER

ABC
ITE DESCRIPTION UNIT QTY. U- TOTAL U- TOTAL U-PRICE TOTAL U- TOTAL
M PRICE COST PRIC COST COST PRICE COST
NO. E

TOTAL:
SUPPLIER WITH LOWEST
QUOTATION:
AWARD TO:

BIDS AND AWARDS COMMITTEE (BAC)

JOY C. CANDANO
Chairman

HERLYN S. RASONABLE ZARA JAEN C. SONABA JAN STEPHANIE C. AUREUS

BAC Member BAC Member BAC Member

Approved this_____ day of ____________ 2023.

IMELDA [Link]
HOPE
 Department of Education
Region V
Division of Camarines Sur
Libmanan North District
ASLONG ELEMENTARY SCHOOL

PURCHASE ORDER
Supplier: P.O. No.:
Address: Poblacion, Libmanan, Camarines Sur Date:
TIN: Mode of Procurement:
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained
herein:
Place of Delivery: ASLONG ELEMENTARY SCHOOL Delivery Term: Complete delivery
Date of Delivery: Payment Term: Cash for every delivery
Stock/
Unit Description Quantity Unit Cost Amount
Property No.

(Total Amount in Words):

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,

_____________________ IMELDA C. FESTIN

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official

School Head
Date: ___________________ Designation

Fund Cluster: REGULAR AGENCY FUND ORS/BURS No.:

Funds Available: Date of the ORS/BURS:

MARIGRACE D. ABARIENTOS Amount:

Signature over Printed Name of Chief Accountant/
Head of Accounting Division/Unit
 ASLONG ELEMENTARY SCHOOL
REQUEST FOR QUOTATION

Date:
Quotation No.:
_______________________________
(Name of Supplier)

Please quote your lowest price on the item /s listed below, subject to the General Conditions on the last page, stating the shortest time
of delivery and submit your quotation duly signed by your representative not later than 3 days in the return envelope attached herewith.

JAN STEPHANIE C. AUREUS

Canvasser 1
JOY C. BORJA
BAC Chairman
NOTE: 1. All entries must be typewritten.
2. Delivery period within 7 calendar days from the date of receive of Purchase Order.
3. Warranty shall be for a period of six (6) months for supplies and materials. One (1) year for equipment, from date of acceptance by
the Procuring Entity.
4. Price validity shall be for a period of 30 calendar days.
5. Bidders shall submit original brochures showing certifications of the product being offered.
6. Documents to be submitted if awarded: updated DTI, Mayor’s Permit, Tax Clearance, BIR Registration, Phil GEPS registration &
Community Tax Certificate.
Approved Budget for the Contract: Php
Unit Bidders Quote Total Bidders
Cn. Item & Description Unit Qty
Cost per Unit Quote

GRAND TOTAL
Delivery Period ____________________________________
Warranty _________________________________________
Price Validity ______________________________________
After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above.

________________________________________
Printed Name/Signature

________________________________________
Complete Address

________________________________________
Tel. No./Cellphone No./Fax No.

________________________________________
TIN:

________________________________________
CTC No./Issued at:/Issued on:

________________________________________
Date Signed
 ASLONG ELEMENTARY SCHOOL
REQUEST FOR QUOTATION

Date:
Quotation No.:
_______________________________
(Name of Supplier)

Please quote your lowest price on the item /s listed below, subject to the General Conditions on the last page, stating the shortest time
of delivery and submit your quotation duly signed by your representative not later than 3 days in the return envelope attached herewith.

HERLYN S. RASONABLE
Canvasser 3
JOY C. BORJA
BAC Chairman
NOTE: 1. All entries must be typewritten.
2. Delivery period within 7 calendar days from the date of receive of Purchase Order.
3. Warranty shall be for a period of six (6) months for supplies and materials. One (1) year for equipment, from date of acceptance by
the Procuring Entity.
4. Price validity shall be for a period of 30 calendar days.
5. Bidders shall submit original brochures showing certifications of the product being offered.
6. Documents to be submitted if awarded: updated DTI, Mayor’s Permit, Tax Clearance, BIR Registration, Phil GEPS registration &
Community Tax Certificate.
Approved Budget for the Contract: Php 3,840.00
Bidders Quote Total Bidders
Cn. Item & Description Unit Qty Unit Cost
per Unit Quote

GRAND TOTAL
Delivery Period ____________________________________
Warranty _________________________________________
Price Validity ______________________________________
After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above.

________________________________________
Printed Name/Signature

________________________________________
Complete Address

________________________________________
Tel. No./Cellphone No./Fax No.

________________________________________
TIN:

________________________________________
CTC No./Issued at:/Issued on:

________________________________________
Date Signed
 ASLONG ELEMENTARY SCHOOL
REQUEST FOR QUOTATION

Date:
Quotation
_______________________________
(Name of Supplier)

Please quote your lowest price on the item /s listed below, subject to the General Conditions on the last page, stating the shortest time
of delivery and submit your quotation duly signed by your representative not later than 3 days in the return envelope attached herewith.

Canvasser 3

School Head
NOTE: 1. All entries must be typewritten.
2. Delivery period within 7 calendar days from the date of receive of Purchase Order.
3. Warranty shall be for a period of six (6) months for supplies and materials. One (1) year for equipment, from date of acceptance by
the Procuring Entity.
4. Price validity shall be for a period of 30 calendar days.
5. Bidders shall submit original brochures showing certifications of the product being offered.
6. Documents to be submitted if awarded: updated DTI, Mayor’s Permit, Tax Clearance, BIR Registration, Phil GEPS registration &
Community Tax Certificate.
Approved Budget for the Contract: Php 3,840.00
Bidders Quote Total Bidders
Cn. Item & Description Unit Qty Unit Cost
per Unit Quote
1 Eco bag Piece 60 18.00
2 Coupon bond ream 2 205.00
3 Ink (set) set 2 1150.00
4 Folder (plastic) Pc 3 15.00
5 Fastener Pc 5 1.00

GRAND TOTAL
Delivery Period ____________________________________
Warranty _________________________________________
Price Validity ______________________________________
After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above.

________________________________________
Printed Name/Signature

________________________________________
Complete Address

________________________________________
Tel. No./Cellphone No./Fax No.

________________________________________
TIN:

________________________________________
CTC No./Issued at:/Issued on:

________________________________________
Date Signed