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Republic of the Philippines

Department of Education
Region VI - Western Visayas
Division of Aklan
Sept. 25, 2014

DONGON ELEMENTARY SCHOOL


NUMANCIA, AKLAN

PROGRAM OF WORKS
Name of Project:

Repainting of Walls of School Buildings

Location:

Dongon Elementary School


Numancia, Aklan
P 16,000.00
SEF

Appropraition:
Source of Fund:

BREAK DOWN OF EXPENSES


Materials:

100%

16,000.00

UNIT COST
P 2,420.00
545.00
65.00
590.00
30.00
100.00

TOTAL COST
12,100.00
1,090.00
260.00
2,360.00
90.00
200.00

A. MATERIALS
QTY
5
2
3
4
3
2

UNIT
Pails
gal.
pcs.
gal.
pcs.
pcs.

ITEM DESCRIPTION
Boysen Gloss Latex White
Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"

Cost of Materials
LABOR
Charge to School MOOE
Total Cost of Project

16,100.00
16, 100.00

Prepared by:
JOYCE I. CAWALING
School Physical Facilities Coordinator

Approved:

RAMIE T. MANSAYON

Noted:
Engr. DOMINADOR M. ALINDATO
Municipal Engineer

Principal II

Annex G-6

PURCHASE REQUEST
NUMANCIA, AKLAN

DEPARTMENT : DEPED, Division of Aklan


SECTION
QTY
5
2
3
4
3
2

: Dongon Elementary School


District of Numancia
Unit of
Item Description
Issue
Pails Boysen Gloss Latex White
gal.
Tile Red
pcs.
Paint Roller 7"
gal.
Boysen Chocolate Brown QDE
pcs.
Masking Tape 3/4"
pcs.
Paint Brush 4"

PR No.
SAI No.
ALOBS No.

Date:
Date:
Date:
Stock No.
1
2
3
4
5
6

Estimated
Unit Cost
P 2,420.00
545.00
65.00
590.00
30.00
100.00

10/2/2014

Estimated
Cost
12,100.00
1,090.00
260.00
2,360.00
90.00
200.00

TOTAL
Purpose: To purchase materials for the repainting of walls of school building

Requested by:

RAMIE T. MANSAYON
Principal II

Noted by:

JAIMMA V. MARIBOJO
Municipal Budget Officer

16,100.00

Approved by:

JOZYL ISIDORE T. TEMPLONUEVO


Municipal Mayor

Republic of The Philippines


Province of Aklan
Municipality of Numancia

REQUEST FOR QUOTATION


Date:
Quotation:
Please quote your lowest price on the item/s listed below, subject to the General Condition on
the last page stating the shortest time of delivery and submit your quotation duly signed by your representative
not later than _______________________, in the return envelop attached herein

ENGR. DOMINADOR M. ALINDATO, JR.


BAC Chairman
NOTE:
1. All entries must be typed written;
2. Delivery period within Sixty (60) Calendar Days;
3. Warranty shall be for a period of Six (6) Monhts for the supplies and materials, One (1) Year for equipment,
fom date of acceptance by thr entity.
4. Price validity shall be for a period of Sixty (60) Calendar Days;
5. G-EPS Registration Certificate shall be attached upon submission of quotation.
6. Bidders shalll submit original brochures showing certification of the product being offered.

ITEM
1
2
3
4
5
6

ITEM DESCRIPTION
Boysen Gloss Latex White
Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"

QTY
5
2
3
4
3
2

UNIT
Pails
gal.
pcs.
gal.
pcs.
pcs.

UNIT PRICE

Brand and Model :


:
Delivery Period
:
Warranty
:
Price Validity
After having carefully read and accepted your General Conditions: I/We quot you in the item at prices noted above.

Printed Name/ Signature


Address:

Republic of The Philippines


Province of Aklan
Municipality of Numancia

REQUEST FOR QUOTATION


Date:
Quotation:
Please quote your lowest price on the item/s listed below, subject to the General Condition on
the last page stating the shortest time of delivery and submit your quotation duly signed by your representative
not later than _______________________, in the return envelop attached herein

ENGR. DOMINADOR M. ALINDATO, JR.


BAC Chairman
NOTE:
1. All entries must be typed written;
2. Delivery period within Sixty (60) Calendar Days;
3. Warranty shall be for a period of Six (6) Monhts for the supplies and materials, One (1) Year for equipment,
fom date of acceptance by thr entity.
4. Price validity shall be for a period of Sixty (60) Calendar Days;
5. G-EPS Registration Certificate shall be attached upon submission of quotation.
6. Bidders shalll submit original brochures showing certification of the product being offered.

ITEM
1
2
3
4
5
6

ITEM DESCRIPTION
Boysen Gloss Latex White
Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"

QTY
5
2
3
4
3
2

UNIT
Pails
gal.
pcs.
gal.
pcs.
pcs.

UNIT PRICE

Brand and Model :


:
Delivery Period
:
Warranty
:
Price Validity
After having carefully read and accepted your General Conditions: I/We quot you in the item at prices noted above.

Printed Name/ Signature


Address:
Contact No.:

Republic of The Philippines


Province of Aklan
Municipality of Numancia

REQUEST FOR QUOTATION


Date:
Quotation:
Please quote your lowest price on the item/s listed below, subject to the General Condition on
the last page stating the shortest time of delivery and submit your quotation duly signed by your representative
not later than _______________________, in the return envelop attached herein

ENGR. DOMINADOR M. ALINDATO, JR.


BAC Chairman
NOTE:
1. All entries must be typed written;
2. Delivery period within Sixty (60) Calendar Days;
3. Warranty shall be for a period of Six (6) Monhts for the supplies and materials, One (1) Year for equipment,
fom date of acceptance by thr entity.
4. Price validity shall be for a period of Sixty (60) Calendar Days;
5. G-EPS Registration Certificate shall be attached upon submission of quotation.
6. Bidders shalll submit original brochures showing certification of the product being offered.

ITEM
1
2
3
4
5
6

ITEM DESCRIPTION
Boysen Gloss Latex White
Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"

QTY
5
2
3
4
3
2

UNIT
Pails
gal.
pcs.
gal.
pcs.
pcs.

UNIT PRICE

Brand and Model :


:
Delivery Period
:
Warranty
:
Price Validity
After having carefully read and accepted your General Conditions: I/We quot you in the item at prices noted above.

Printed Name/ Signature


Address:
Contact No.:

PURCHASE ORDER
Municipality of Numancia
P.O. No.:
Supplier:
G. Zaldivia Gen. Mdsg.
Date:
Address:
XIX Martyrs St., Kalibo, Aklan
Mode of Procurement
E-Mail Address:
Telephone No.:
"SHOPPING"
TIN No.:
Gentlemen:
Please furnished this Office of the following articles subject to the terms and condition contained herein
Place of Delivery:
Dongon Elementary School
Delivery Term:
Date of Delivery:
Thirty (10) days upon receipt of P.O.
Payment Term:
ITEM NO.
1
2
3
4
5
6

UNIT
Pails
gal.
pcs.
gal.
pcs.
pcs.

DESCRIPTION
Boysen Gloss Latex White
Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"

QTY
5
2
3
4
3
2

UNIT PRICE
P 2,400.00
545.00
65.00
590.00
30.00
100.00

TOTAL
12,000.00
1,090.00
260.00
2,360.00
90.00
200.00

16,000.00
TOTAL IN FIGURES: PHP 16, 000.00
TOTAL IN WORDS: Sixteen Thousand Pesos Only
In case of failure to make the full delivery with in the time specified above, a penalty of One Tenth (1/10) of the percent (1%) for
everyday of delay shall be imposed.

Very truly yours,


Conform:
G. ZALDIVIA GEN. MDSG
Signature Over Printed Name

JOZYL ISIDORE T. TEMPLONUEVO


Municipal Mayor

Date:

Funds Available:
SOLEDAD U. MATEO
Municipal Accountant

ALOBS NO.:
AMOUNT:

Republic of the Philippines


Province of Aklan
Municipality of Numancia

ABSTRACT OF BIDS AND AWARDS


ABSTRACT OF PRICE QUOTATION AND AWARD ON
ON THE PURCHASE OF PAINTING MATERIALS
Purchase Request No.
Dated:
ITEM
NO.

BIDDERS AND THIER PRICES


QTY

UNIT

DESCRIPTION

G. ZALDIVIA GEN. MDSG.

J.L. ENERO CONST &

JOLLY GEN. MDSE.

SUPPLY

1
2
3
4
5
6

5
2
3
4
3
2

Pails
gal.
pcs.
gal.
pcs.
pcs.

Boysen Gloss Latex White


Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"
TOTAL

12,000.00
1,090.00
260.00
2,360.00
90.00
200.00
16,000.00

12,250.00
1,100.00
201.00
2,368.00
96.00
220.00
16,235.00

12,400.00
1,110.00
204.00
2,400.00
102.00
230.00
16,446.00

LOWEST
QUOTED
PRICE

MOST
ADVANTAGEOUS
PRICE

12,000.00
1,090.00
260.00
2,360.00
90.00
200.00
16,000.00

We the undersigned Committee on Canvass Composed of Supply Officer, Municipal Engineer ang Requesting Officer, do hereby certify that in accordance with "Notice of Dealers"
for purchase of supplies/materials describe above.

Engr. DOMINADOR M. ALINDATO, JR.


Muncipal Engineer/BAC Chairman
Amount Cost:

16,000.00

Recommending the approval of Award in favor of dealer/dealers quoting their most advantageous offers.

Total Quoted Price:

16,000.00

as indicated the appropriate column above

RAMIE T. MANSAYON
Requesting Officer
Principal II

12,000.00
1,090.00
260.00
2,360.00
90.00
200.00
16,000.00

NEXT
PREVIOUS
PRICE

12,250.00
1,100.00
201.00
2,368.00
96.00
220.00
16,235.00

DISBURSEMENT VOUCHER

No.
Date:

Municipality of Numancia
CLASSIFICATION OF DISBURSEMENT
( ) Cash Advance
( ) Reimbursment
Name of Claimant: G. ZALDIVIA GEN. MSDG.
ID NO. /TIN
Address: XIX Martyrs St.,
Responsibility
Kalibo, Aklan
Center:
PARTICULARS

( ) Other Payment
DONGON ELEMENTARY SCHOOL
AMOUNT

PAYMENT FOR THE PURCHASE OF MATERIALS FOR PAINTING OF SCHOOL


BUILDINGS

Php 16, 000.00


AMOUNT DUE
Php16,000.00
(B) Completeness and propriety ( C) Cash Available
of supporting documents/previous

(A) Certified
Expenses/Cash Advance
under my direct supervision

RAMIE T. MANSAYON
Principal II

SOLEDAD U. MATEO
Municipal Accountant

Signature Over Printed Name/Position

(D) Approved for Payment


Php ________________

Signature Over Printed Name/Position

Payment:
Check No.
Bank Name:
Date:

ELISA C. SOLANOY
Municipal Treasurer
Signature Over Printed Name/Position

( C) Received Payment

JOZYL ISIDORE T. TEMPLONUEVO


Municipal Mayor

G. ZALDIVIA GEN. MDSG.

Signature Over Printed Name/Position

Signature Over Printed Name/Position

( ) Collection
Responsibility
Center
DONGON
ELEMENTARY
SCHOOL

No.: ____________________________
Date: __________________________
( ) Check Disbursement
( ) Cash Disbursement
( ) Other
ACOUNTING ENTRIES
Account
Amount
Accounts Explanation
Code
DEBIT
CREDIT

Check No. ________________


Date:
TOTAL
Prepared by:

Approved by:
SOLEDAD U. MATEO
Municipal Accountant

_________
_________

Republic of the Philippines


Province of Aklan
MUNICIPALITY OF NUMANCIA
No.

OBLIGATION REQUEST
Payee:
Office:
Address:

G. ZALDIVIA GEN. MDSG.


XIX Martyrs St., Kalibo, Aklan

Responsibility Center
DepED- Dongon
Elem. School

PARTICULARS

F. P. P.

ACCOUNT
CODE

AMOUNT

Painting Materials

Php 16, 000.00


TOTAL
(
(

) Changes to appropraition/allotment
necessary and under my direct supervision
) Supporting documents valid, proper & legal

Signature
Printed Name
Position

RAMIE T. MANSAYON
Principal II
Head, Requesting Officer/
Authorized Representative

Date

Php 16, 000.00

B. Certified:
Existence of available appropriation

Signature
Printed Name
Position

JAIMMA V. MARIBOJO
Mun. Budget Officer
Head, Budget Unit/
Authorized Representative

Date

Republic of the Philippines


Province of Aklan
MUNICIPALITY OF NUMANCIA
No.

OBLIGATION REQUEST
Payee:
Office:
Address:

G. ZALDIVIA GEN. MDSG.


XIX Martyrs St., Kalibo, Aklan

Responsibility Center
DepED- Dongon
Elem. School

PARTICULARS

F. P. P.

ACCOUNT
CODE

AMOUNT

Painting Materials

Php 16, 000.00

TOTAL
(
(

) Changes to appropriation/allotment
necessary and under my direct supervision
) Supporting documents valid, proper & legal

Signature
Printed Name
Position

RAMIE T. MANSAYON
Principal II

Existence of available appropriation

Signature
Printed Name
Position

Head, Requesting Officer/


Authorized Representative
Date

Php 16, 000.00

B. Certified:

JAIMMA V. MARIBOJO
Mun. Budget Officer

Head, Budget Unit/


Authorized Representative
Date

Department of Education
Region VI - Western Visayas
DISTRICT OF NUMANCIA

_____________________

Date
_________________________
____________________________
Gentleman:
The District of Numancia desires to purchase the following articles. Please
quote us your price for the following supplies:

Quantity

Unit

pcs
pc
pcs
pcs
pcs
pc
pcs
pcs
pcs
pc

1
5
2
3
1
1
22
5

Name of Articles

Unit Price

Total Price

Bass Drum 26 "


Triple Drum
Parade Snare Drum
Small Snare Drum
Lure (King)
Bass Drum Plate # 26'
Bass Drum Plate # 14'
Drumstick
Bass Drum Stick

Small Electrical Tape

Very truly yours

JOCELYN N. NILLASCA
Principal I - BAC Chairman

Canvassed by:

ROJE F. ERENIA
Teacher 3

Respectfully returned to the BAC Chairman of the District of Numancia, Numancia,Aklan


with the prices indicated above.

Dealer

INSPECTION & ACCEPTANCE REPORT


Municipality of Numancia
Supplier:
P.O. No.:
Date: _______________________
Requisting Office/Department : DepEd,Dongon Elementary School
Stock No.
1
2
3
4
5
6

Unit
Pails
gal.
pcs.
gal.
pcs.
pcs.

AR No. ___________
Invoice No._______________________
Date: ___________

Description
Boysen Gloss Latex White
Tile Red
Paint Roller 7"
Boysen Chocolate Brown QDE
Masking Tape 3/4"
Paint Brush 4"

Quantity
5
2
3
4
3
2

INSPECTION
Date Inspected:

ACCEPTANCE
Date Received:

Inspected, verified and found OK


as is quantity and specifications

Complete
Partial
(Please Specify quantity)

KATHERINE D. IGTANLOC
Inspection Officer

JOYCE I. CAWALING
Property Custodian

_________