INSPECTION AND ACCEPTING REPORT

Barangay : 24 Sta. Monica City/Municipality: San Nicolas

Tel. No. ___________________ Province: Ilocos Norte
Supplier : Invoice No: IAR No: RIS No.
PO NO. : Date: Date: Date: Date:
Unit Description Quantity

INSPECTION ACCEPTANCE
Date Inspected: ________________ Date Received: _____________

Inspected, verified as to quanity Complete

and specification
Partiel (Pls. specify quantity received)

GINALYN GUDOY GIRLIE PASCUA

Signature over Printed Name Signature over Printed Name
Authorized Inspector Barangay Treasurer
 Republic of the Philippines
PROVINCE OF ILOCOS NORTE
MUNICIPALITY OF SAN NICOLAS

LETTERPROPOSAL

_____________________
_____________________

S i r:
Please quote your lowest price for the articles or service below and submit
proposal in sealed envelop to the Municipal Treasurer, San Nicolas, Ilocos Norte not later
than _________________ on __________________.

QUANTITY : ARTICLES OR SERVICE : UNIT PRICE : TOTAL PRICE

: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :
: : :

DELIVERY:
Place: _______________________
Date: ________________________ Very truly yours,

JERLIE TUMAMAO
Barangay Treasurer

I hereby certify to have this ______ day of _________________, 20 ____

received original of this proposal and that my prices or services described above or indicated
opposite each articles or services under column "UNIT PRICE" and "TOTAL PRICE".
 _______________________
Sign of Person Giving Prices

That pursuant to the provisions of Section 13 of Presidential Decree No.

526 and sectional, rule 6,of the Joint Order No. 1-76, the above articles were canvasses.

GILBERTI CALAMAYAN GINALYN GUDOY ALLEN CALAMAYAN

 PURCHASE REQUEST
Barangay: 24 Sta. Monica P.R. No.:
City/Municipality: San Nicolas Date
REQUISITION
Item Unit of Estimated
QTY Item Description
Number Measurement Unit Cost

Total Estimated Amount

Purpose:

For use by the _______________________________

Requested by: Approved:

LEAH DAMO ALLEN CALAMAYAN

Signature over Printed Name Signature over Printed Name
Requisitioner Punong Barangay
______________________ _______________________
Date Date
 Estimated
Amount

YAN
d Name
ay
______
 PURCHASE ORDER
Barangay : 24 Sta. Monica City/Municipality: ________________
Tel. No. _______________________________ Province: ________________

Supplier : _________________________ P.O. No. : ____________________

Address : _________________________ Date : ____________________
TIN : _________________________ Mode of Procurement:
Bidding Negotiated Over the Counter
Gentlemen:
Please deliver to this Office the following articles subject tot the terms and conditions contained herein:
Place of Delivery: Delivery Term:
Date of Delivery: Payment Term:
Unit Particulars Quantity Unit Cost Amount

(Total Amount in Words)

In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of
one percent everyday of delay shall impose.

Very truly yours,

ALLEN CALAMAYAN
Signature over Printed Name
Punong Barangay
_________________________
Date
Corforme: Existence of Available Appropriations of
_______________________________________
_______________________________________
(P ________________)

GINALYN GUDOT
Signature Over Printed Name Signature over Printed Name
Supplier Chairman, Committee on Appropriations
_____________________ ________________________
Date Date
_________
_________

er the Counter

erein:

Amount

enth (1/10) of

_______
_______

e
riations
__
 DV No. _________________
DISBURSEMENT VOUCHER Date: __________________
Barangay : 24 Sta. Monica City/Municipality: San Nicolas
Tel. No. : ________________________________ province: Ilocos Norte______________

Payee/Officer: ______________________________ IAR No. : Fund:

Address: ______________________________ Date:
Particulars Amount

A Certified B Certified C Certified

Funds (Cash) available As to validity, propriety and legality of claim
Existence a available appropriations for the
Charges/expenses indicated above Approved:
For payment

Signature: _____________________________ Signature: _____________________________ Signature: _____________________________

Printed Name: GINALYN GUDOY Printed Name: GINALYN GUDOY Printed Name: GINALYN GUDOY
Position: Chairman, Committee on Appropriation Position: Chairman, Committee on Appropriation Position: Chairman, Committee on Appropriation
Date: ______________________________ Date: ______________________________ Date: ______________________________

D Received Payment
Check No. Date: ________________
Signature Over Printed Name/Date Bank Name: Land Bank of the Philippines
OR Number: _________Date: ___________

JOURNAL ENTRY VOUCHER No. : ________________

_______________________ Date: ________________
Agency

ACCOUNTING ENTRIES
Responsibility Amount
Center Account
Accounts and Explanation P
Code
Debt
Prepared by: Approved by:

________________________ GERALDINE H. MATA

Barangay Bookkeeper Municipal Accountant
_________
__________

unt

egality of claim

________________

n Appropriation
________________

___________

____
____

Amount

Credit
 Republic of the Philippines
Province of Ilocos Norte
Municipality of San Nicolas
BARANGAY 24 STA. MONICA

OBLIGATION REQUEST NO.

PAYEE
OFFICE
ADDRESS
Responsibility
PARTICULARS F.P.P ACCOUNT CODE AMOUNT
Center

TOTAL

I. CERTIFIED B. CERTIFIED

Charges to appropriations/allotment necessary Ecistence of available appropriations.

Lawful and under my direct supervisions.

ALLEN CALAMAYAN GINALYN GUDOY

Punong Barangay Kagawad-Brgy. Budget Officcer

LEAH DAMO
SK Chairman