Voucher Band Workshop Food

Republic of the Philippines
Province of Leyte
Municipality of Palo
OBLIGATION REQUEST
Payee
Date
Date
Office/Unit/Project
TIN/Employee
Check
No.
Bank Name No.
KML MARKETING & GEN. MERCHANDISE
Office
Address
TACLOBAN CITY
Responsibility
Center
Particulars
F.P.P.
Payment for the purchase of materials used during the Art

Installation Contest and Leyte Landing Memorabilia and Art
Exhibit on October 17-20, 2015.
A.
Account
Code
Date
Date
B.
Amount
21,360.00
Office/Unit/Project
TIN/Employee
Check
No.
Bank Name No.
TOTAL
Certified
21,360.00
Certified
Charges to appropriation/allotment necessary, lawful
Existence of available appropriation
and under my direct supervision

Supporting documents valid, proper and legal
REMEDIOS L. PETILLA
Head, Requesting Office/Authorized Representive
Date
Office
Item of Expenditure
Original Appropration
LUZ C. FERNANDEZ
Head, Budget Unit/Authorized Representative
Date
APPROPRIATION BALANCE MONITOR

Appropriation Balance, beginning
Less: This Obligation Request
Appropriation Balance, beginning
Certified as to Availability:
LUZ C. FERNANDEZ
OIC - BUDGET OFFICER
No.
Office/Unit/Project
TIN/Employee No.
Code
Obligation Request
No.
Office/Unit/Project
TIN/Employee No.
Code
Obligation Request
No.
No.

Province of Leyte
No.
DISBURSEMENT VOUCHER
Mode of
Payment
Check
Cash
Payee
KML MARKETING & GEN. MDSE
Address
TACLOBAN CITY
Others
TIN/Employee No.
Office/Unit/Project
Obligation Request
No.
Responsibility Center
Code
EXPLANATION
AMOUNT
Payment for the purchase of materials which will be used during

the Art Installation Contest and Leyte Landing Memorabilia and Art
Exhibit on October 17-20, 2015 per supporting papers hereto attached
in the amount of ..
Gross Amount:
Less: VAT On Business
On Income
21,360.00
5%
1%
20,215.71
953.57
190.71
1,144.29
Amount in words:
Nineteen Thousand Four Hundred Thirty Two Pesos.
20,215.71
TOTAL
A.
Certified
B.
Certified
Allotment of obligation for the purpose as indicated above

Supporting documents complete
C.
DEOGRACIAS O. ROSALES
Municipal Accountant
Approved for Payment
Funds Available
PAUL C. TISTON
Date
Date
ICO Municipal Treasurer

Received
Payment
D.
Check No.
Bank Name
Date
Date
REMEDIOS L. PETILLA
Municipal Mayor
Date
KML MARKETING & GEN. MDSE
PURCHASE ORDER
LGU of PALO
Supplier:
KML MARKETING & GEN. MERCHANDISE
Address:
TACLOBAN CITY
P.O. No.:
Date:
Mode of Procurement:
PR No./s
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:
Place of Delivery:
Delivery Term:
Date of Delivery:
Payment Term:
Item No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Unit
kilos
pieces
kilos
meters
sheets
pieces
pieces
boxes
pieces
meters
meters
boxes
boxes
rolls
rolls
liters
gallon
liter
liter
gallon
liters
liter
cans
cans
cans
cans
liter
pieces
pieces
pieces
pieces
pieces
Quantity
2
5
2
10
8
100
8
4
100
10
10
4
10
8
8
8
1
1
1
0.5
2
1
8
8
8
8
1
10
10
10
10
10
Description
Floral Wire
Banig (Single)
Abaca Rope (Small)
Abaca (Sinamay)
Rubber Pads
Glue Stick (Small)
Glue Gun
Gun Tucker Wire (Large)
Screw Hooks
Alpha Geena (White)
Alpha Geena (Black
Push Pins
Thumbtacks
Masking Tape 1"
Masking Tape 2"
White Latex Gloss
White Latex Gloss
Pre Mix Silver Enamel
Pre Mix Gold Enamel
Lacquer Thinner
Acrylic Emulsion
Black Paint Enamel
Hansa Yellow Latex
Thalo Blue Latex
Venetian Red Latex
Thalo Green Latex
Black (Latex)
Artist Brush (Pointed)
Artist Brush (Flat)
Ordinary Paint Brush 1/2"
Ordinary Paint Brush 2"
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-x-x-x-x-x-x-x
(Gross Amount in Words)
Gross Amount
Less : VAT
Nineteen Thousand Four Hundred Thirty Two Pesos.s
On Business
On Income
Unit Cost
70.00
550.00
450.00
250.00
230.00
5.00
160.00
150.00
5.00
40.00
40.00
20.00
8.00
25.00
45.00
180.00
700.00
280.00
280.00
360.00
185.00
180.00
80.00
70.00
65.00
65.00
230.00
100.00
100.00
28.00
30.00
35.00
5%
1%
Net Total
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.
Very truly yours,
Conforme:
REMEDIOS L. PETILLA
Municipal Mayor
(Signature over printed name)
(Date)
(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished).
Approved per Sanggunian Resolution No.:
Certified Correct:
Secretary to the Sanggunian
Date:
Amount
140.00
2,750.00
900.00
2,500.00
1,840.00
500.00
1,280.00
600.00
500.00
400.00
400.00
80.00
80.00
200.00
360.00
1,440.00
700.00
280.00
280.00
180.00
370.00
180.00
640.00
560.00
520.00
520.00
230.00
1,000.00
1,000.00
280.00
300.00
350.00
21,360.00
953.57
190.71
20,215.71
1/10) of one percent for
EDIOS L. PETILLA
unicipal Mayor
ACCEPTANCE AND INSPECTION REPORT

LGU of PALO, LEYTE
Supplier LEYTE PAPERWORLD
PO No.
Date
Requisitioning Office/Dept.
Item No.
Unit
kilos
pieces
kilos
4
5
meters
sheets
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
pieces
pieces
boxes
pieces
meters
meters
boxes
boxes
rolls
rolls
liters
gallon
liter
liter
gallon
liters
liter
cans
cans
cans
cans
liter
pieces
pieces
pieces
pieces
pieces
Date Accepted:
Invoice No.
AIR No.
Date
Mayor's Office
Description
Quantity
Floral Wire
Banig (Single)
Abaca Rope (Small)
Abaca (Sinamay)
Rubber Pads
Glue Stick (Small)
Glue Gun
Screw Hooks
Alpha Geena (White)
Alpha Geena (Black
Push Pins
Thumbtacks
Masking Tape 1"
Masking Tape 2"
White Latex Gloss
White Latex Gloss
Pre Mix Gold Enamel
Lacquer Thinner
Acrylic Emulsion
Black Paint Enamel
Hansa Yellow Latex
Thalo Blue Latex
Venetian Red Latex
Thalo Green Latex
Black (Latex)
Artist Brush (Flat)
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-x-x-x-x-x-x-x-x
ACCEPTANCE
INSPECTION
10
8
100
8
4
100
10
10
4
10
8
8
8
1
1
1
0.5
2
1
8
8
8
8
1
10
10
10
10
10
Date Inspected:
Inspected, verified and found OK
as to quantity and
Complete
as to quantity and
specifications
Partial
NOEL ELONA
Department/Office Head/End User
MELVIN C. MILLAR
Inspection Officer/Committee
AND INSPECTION REPORT
U of PALO, LEYTE
2
5
2
10
8
100
8
4
100
10
10
4
10
8
8
8
1
1
1
0.5
2
1
8
8
8
8
1
10
10
10
10
10
INSPECTION
PURCHASE REQUEST
LGU of PALO, LEYTE
Department: LGU-PALO
Section:
PR No.:
SAI No.:
ALOBS No.:
MAYOR'S OFFICE
Item
No.
Quantity
Unit of
Issue
kilos
pieces
kilos
10
5
6
7
Item Description
Estimated
Cost
Estimated
Unit Cost
70.00
140.00
Banig (Single)
550.00
2,750.00
Abaca Rope (Small)
450.00
900.00
meters
Abaca (Sinamay)
250.00
2,500.00
sheets
Rubber Pads
230.00
1,840.00
100
pieces
Glue Stick (Small)
5.00
500.00
pieces
Glue Gun
160.00
1,280.00
boxes
150.00
600.00
100
pieces
Screw Hooks
5.00
500.00
10
10
meters
Alpha Geena (White)
40.00
400.00
11
10
meters
Alpha Geena (Black
40.00
400.00
12
boxes
Push Pins
20.00
80.00
13
10
boxes
Thumbtacks
8.00
80.00
14
rolls
25.00
200.00
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
8
8
1
1
1
0.5
2
1
8
8
8
8
1
10
10
10
10
10
rolls
liters
gallon
liter
liter
gallon
liters
liter
cans
cans
cans
cans
liter
pieces
pieces
pieces
pieces
pieces
45.00
180.00
700.00
280.00
280.00
360.00
185.00
180.00
80.00
70.00
65.00
65.00
230.00
100.00
100.00
28.00
30.00
35.00
360.00
1,440.00
700.00
280.00
280.00
180.00
370.00
180.00
640.00
560.00
520.00
520.00
230.00
1,000.00
1,000.00
280.00
300.00
350.00
Purpose:
Floral Wire
Date:
Date:
Date:
Masking Tape 1"

Masking Tape 2"
White Latex Gloss
White Latex Gloss
Pre Mix Gold Enamel
Lacquer Thinner
Acrylic Emulsion
Black Paint Enamel
Hansa Yellow Latex
Thalo Blue Latex
Venetian Red Latex
Thalo Green Latex
Black (Latex)
Artist Brush (Flat)
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-x-x-x-x-x
TOTAL
Office Supplies needed for the 2nd Quarter and 3rd Quarter for use in the Municipal Tourism, Culture and the Arts Office
Requested by:
Cash availability:
Approved by:
21,360.00
Signature:
Printed Name:
Designation
Office
Item of Expenditure
Original Appropration
NOEL ELONA
PAUL C. TISTON
REMEDIOS L. PETILLA
Municipal Mayor
APPROPRIATION BALANCE MONITOR

Appropration Balance, beginning
Less: This Obligation Request
Appropration balnce still available
Certified as to Availability:
LUZ C. FERNANDEZ
OIC - BUDGET OFFICER
ASE REQUEST
PALO, LEYTE
Estimated
Cost
140.00
2,750.00
900.00
2,500.00
1,840.00
500.00
1,280.00
600.00
500.00
400.00
400.00
80.00
80.00
200.00
360.00
1,440.00
700.00
280.00
280.00
180.00
370.00
180.00
640.00
560.00
520.00
520.00
230.00
1,000.00
1,000.00
280.00
300.00
350.00
21,360.00
Approved by:
ON BALANCE MONITOR
REMEDIOS L. PETILLA
Municipal Mayor

Province of Leyte
-oOoBIDS AND AWARDS COMMITTEE
REQUEST FOR PRICE QUOTATION
Date:
PR NO.
MAYOR'S OFFICE
To:
ITEM
NO.
QTY.
UNIT
pax
35
pax
pax
35
pax
pax
DESCRIPTION
21-Nov-15
Breakfast
Fried Rice
Omelet
Ham
Banana
Coffee
Bottled Water
A.M. Snack
Ensaymada
Packed Juice
Lunch
Rice
Porkchop
Chopsuey
Fresh Pineapple
Bottled Water
Coke Mismo
P.M. Snack
Cupcake
Packed Juice
Dinner
Rice
Steak ala Pobre
Deepfried Eggplant
Fruit Salad
Bottled Water
Coke Mismo
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-x-x
UNIT
Articles are subject to inspection by the Municipal Inspection Team.
ENGR. ZOTICO L. PAST

BAC Chairman
I hereby certify that the articles above are actually carried in stock in quantities above stated
except those marked "none".
Firm Representative/Supplier/Dealer
public of the Philippines

Province of Leyte
-oOoND AWARDS COMMITTEE
ST FOR PRICE QUOTATION
MAYOR'S OFFICE
TOTAL
ENGR. ZOTICO L. PASTELERO

BAC Chairman

Province of Leyte
-oOoBIDS AND AWARDS COMMITTEE
ABSTRACT OF QUOTATION OPENED ON
Item
QTY.
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
UNIT
DESCRIPTION
2
kilos Floral Wire
5 pieces Banig (Single)
2
kilos Abaca Rope (Small)
10 meters Abaca (Sinamay)
8 sheets Rubber Pads
100 pieces Glue Stick (Small)
8 pieces Glue Gun
4
boxes Gun Tucker Wire (Large)
100 pieces Screw Hooks
10 meters Alpha Geena (White)
10 meters Alpha Geena (Black
4
boxes Push Pins
10 boxes Thumbtacks
8
rolls Masking Tape 1"
8
rolls Masking Tape 2"
8
liters White Latex Gloss
1
gallon White Latex Gloss
1
liter Pre Mix Silver Enamel
1
liter Pre Mix Gold Enamel
1/2 gallon Lacquer Thinner
2
liters Acrylic Emulsion
1
liter Black Paint Enamel
8
cans Hansa Yellow Latex
8
cans Thalo Blue Latex
8
cans Venetian Red Latex
8
cans Thalo Green Latex
1
liter Black (Latex)
10 pieces Artist Brush (Pointed)
10 pieces Artist Brush (Flat)
10 pieces Ordinary Paint Brush 1/2"
10 pieces Ordinary Paint Brush 2"
10 pieces Ordinary Paint Brush 3"
KML MKTG. & GEN. MDSE
Unit Cost
70.00
550.00
450.00
250.00
230.00
5.00
160.00
150.00
5.00
40.00
40.00
20.00
8.00
25.00
45.00
180.00
700.00
280.00
280.00
360.00
185.00
180.00
80.00
70.00
65.00
65.00
230.00
100.00
100.00
28.00
30.00
35.00
Total
140.00
2,750.00
900.00
2,500.00
1,840.00
500.00
1,280.00
600.00
500.00
400.00
400.00
80.00
80.00
200.00
360.00
1,440.00
700.00
280.00
280.00
180.00
370.00
180.00
640.00
560.00
520.00
520.00
230.00
1,000.00
1,000.00
280.00
300.00
350.00
21,360.00
BIDDERS
G.T. MARKETING
NEL'S MKTG.
Unit Cost
Total
Unit Cost
Total
72.00
144.00
75.00
150.00
590.00
2,950.00 600.00
3,000.00
460.00
920.00 475.00
950.00
260.00
2,600.00 300.00
3,000.00
236.00
1,888.00 250.00
2,000.00
6.00
600.00
10.00
1,000.00
169.00
1,352.00 170.00
1,360.00
154.00
616.00 160.00
640.00
9.00
900.00
10.00
1,000.00
46.00
460.00
50.00
500.00
46.00
460.00
50.00
500.00
24.00
96.00
30.00
120.00
9.00
90.00
10.00
100.00
30.00
240.00
35.00
280.00
49.00
392.00
50.00
400.00
190.00
1,520.00 200.00
1,600.00
740.00
740.00 800.00
800.00
290.00
290.00 300.00
300.00
290.00
290.00 300.00
300.00
370.00
185.00 400.00
200.00
190.00
380.00 200.00
400.00
195.00
195.00 200.00
200.00
86.00
688.00 100.00
800.00
75.00
600.00
95.00
760.00
69.00
552.00
80.00
640.00
69.00
552.00
70.00
560.00
230.90
230.90
250.00
250.00
140.00 1,400.00
150.00 1,500.00
140.00 1,400.00
190.00 1,900.00
34.00
340.00
40.00
400.00
39.00
390.00
40.00
400.00
39.00
390.00
45.00
450.00
23,850.90
26,460.00
PREPARED BY:
Statement of Award thru small value procurement
AMELITA P. FUMAR
BAC Secretariat
Date:
Approved for the purchase based on above quotation to:
KML MKTG. & GEN. MDSE
ENGR. ZOTICO L. PASTELERO

BAC Chairperson
ROSALINA R. BALDERAS
BAC Vice Chairman
LEO G. DUMAS
BAC Member
LUZ C. FERNANDEZ
BAC Member
ENGR. ARMAND C. CABALTERA

BAC Member
NOEL ELONA
End User
PURCHASE ORDER
LGU of PALO
Supplier:
G.T. MARKETING
Address:
Tacloban City
P.O. No.:
Date:
canvass
PR No./s
00-00-0000
Gentlemen:
Place of Delivery: Municipal Treasurer's Office
Delivery Term:
Date of Delivery:
Payment Term:
Item No.
Unit
Quantity
Description
Unit Cost
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Gross Amount
Less : VAT On BusiOn Business
On Inco On Income
5%
1%
Net Total
Very truly yours,
Conforme:
TEODORO M. SEVILLA, M.D.
Municipal Mayor
(Date)
Certified Correct:
Date:
canvass
00-00-0000
Amount
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RO M. SEVILLA, M.D.
unicipal Mayor

LGU of PALO, LEYTE
Supplier G.T. MARKETING
PO No.
Date
MAYOR'S OFFICE
Item No.
Unit
AIR No.
Date
Invoice No.
Description
Quantity
ACCEPTANCE
INSPECTION
Date Inspected:
x
Complete

as to quantity and specifications
Partial
NOEL ELONA
PAUL C. TISTON

Province of Leyte
No.
Mode of
Payment
Check
Cash
Others
TIN/Employee No.
Payee
G.T. MARKETING
Address
TACLOBAN CITY
Office/Unit/Project
Obligation Request
No.
Code
EXPLANATION
AMOUNT
Err:508
###
Gross Amount
On Income
Err:508
5%
1%
Total
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TOTAL
A.
Certified
B.
Certified

C.
Err:508
Funds Available
LUZ C. FERNANDEZ
Date
Date

Received
Payment
D.
Check No.
Bank Name
Date
Date

Municipal Mayor
Date
G.T. MARKETING

Province of Leyte
OBLIGATION REQUEST
Payee
G.T. MARKETING
Office
MAYOR'S OFFICE
Address
TACLOBAN CITY
Responsibility
Center
Date
Date
Particulars
No.
Office/Unit/Project
TIN/Employee
No.
Obligation Request D
Check
No.
Bank Name Code
a
No.
t
e
F.P.P.
Account
Code
Amount
TOTAL
A. Certified
B. Certified
Existince of available appropriation

LUZ C. FERNANDEZ
Date
MARIA LOURDES T. SABOREN

Date
Date
Date
Office/Unit/Project
TIN/Employee
No.
Check
No.
Bank Name Code
No.
No.
a
t
e
D
a
t
e
D
a
t
e
PURCHASE ORDER
LGU of PALO
Supplier:
NEL'S MKTG.
Address:
Tacloban City
P.O. No.:
Date:
canvass
PR No./s
00-00-0000
Gentlemen:
Place of Delivery: Municipal Treasurer's Office
Delivery Term:
Date of Delivery:
Payment Term:
Item No.
Unit
Quantity
Description
Unit Cost
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Gross Amount
Less : VAT On BusiOn Business
On Inco On Income
5%
1%
Net Total
Very truly yours,
Conforme:
Municipal Mayor
(Date)
Certified Correct:
Date:
canvass
00-00-0000
Amount
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RO M. SEVILLA, M.D.
unicipal Mayor

LGU of PALO, LEYTE
Supplier NEL'S MKTG.
PO No.
Item No.
Date
MAYOR'S OFFICE
Unit
AIR No.
Date
Invoice No.
Description
Quantity
ACCEPTANCE
INSPECTION
Date Inspected:
x
Complete

as to quantity and specifications
Partial
NOEL ELONA
PAUL C. TISTON

Province of Leyte
No.
Mode of
Payment
Check
Cash
Others
TIN/Employee No.
Payee
NEL'S MKTG.
Address
TACLOBAN CITY
Office/Unit/Project
Obligation Request
No.
Code
EXPLANATION
AMOUNT
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###
Gross Amount
On Income
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5%
1%
Total
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TOTAL
A.
Certified
B.
Certified

C.
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Funds Available
LUZ C. FERNANDEZ
Date
Date

Received
Payment
D.
Check No.
Bank Name
Date
Date

Municipal Mayor
Date
NEL'S MKTG.

Province of Leyte
OBLIGATION REQUEST
Payee
NEL'S MKTG.
Office
MAYOR'S OFFICE
Address
TACLOBAN CITY
Responsibility
Center
Date
Date
Particulars
No.
Office/Unit/Project
TIN/Employee
No.
Check
No.
Bank Name Code
a
No.
t
e
F.P.P.
Account
Code
Amount
TOTAL
A. Certified
B. Certified
Existince of available appropriation

LUZ C. FERNANDEZ
Date
MARIA LOURDES T. SABOREN

Date
Date
Date
Office/Unit/Project
TIN/Employee
No.
Check
No.
Bank Name Code
No.
No.
a
t
e
D
a
t
e
D
a
t
e
Annex 50
WASTE MATERIALS REPORT

LGU of PALO, LEYTE
Place of Storage
Date:
May 3, 2004
ITEMS FOR DISPOSAL

ITEM
1
QTY.
UNIT
1 pcs.
RECORD OF SALES
O.R. No.
Amount
DESCRIPTION
PS2 Mouse
TOTAL
Certified Correct:
Disposal Approved:
DR. TEODORO M. SEVILLA

Department/Office Head
Municipal Mayor
CERTIFICATE OF INSPECTION
I hereby certify that the prpoerty enumerated above was disposed of as follows:
Item
Destroyed
Item
Sold at private sale
Item
Sold at public auction
Item
Transferred without cost to
Property Inspector:
Witness to
DEODORICO V. BARBOSA, JR.
TEODORO PALAMOS
(Name and Signature)
Storekeeper

PROVINCE OF LEYTE
MUNICIPALITY OF PALO
-oOoOffice of the
Municipal Treasurer
REQUEST FOR PRE-INSPECTION
Type of Equipment
PC
Brand:
Clone
Serial No.
Engine No.
Property Card No.
Nature & Date last repaired, guarantee for three (3) months (P.D. 1572)
Defects/Complaints:
Model:
Chassis No.
PIII
Defective mother board
APPROVED:
ENRIQUETO O. PORTULA
Department/Office Head
II
Findings/Comments:
Pre-Inspected by:
III

Municipal Mayor
PRE-REPAIR INSPECTION
Defective mother board/Replace
GERARDO TORREROS
(Inspector)
Requesting Office/Department
POST - REPAIR INSPECTION
Purchase Order/Job Order No.

Certificate of Accreditation No.
(Ministry of Domestic Trade)
Findings/Comments:
In good condition
Inspected by:
Noted by:
GERARDO TORREROS
Inspected by:
Date Issued:
Date Issued:
Noted by:

Municipal Mayor
LGU Form No. 09
APPENDIX "J"
MEMORANDUM RECEIPT FOR SEMI-EXPENDABLE AND

NON-EXPENDABLE SUPPLIES OR PROPERTY
Name of Local Government Unit:
No./Code:
Date:
I hereby acknowledge to have received this _____ day of _________________ from

_____________________________ (Name of the Department/Office Head) the following supplies/property which
will be used in ________________(Office or Department) and for which I am immediately accountable.
QTY
Unit of
Issue
Description
Date
Property
Class
Unit
Total
Acquired
No.
No.
Cost
Cost
Remarks/Other Information (if any): This materials was used in the christmas fesitval of 2004
End-User (Person in actual possession of the property):
Name (Typewritten)
Designation/Position
Signature
VAT
CONSTRUCTIONS
SERVICES
OTHERS
BUSINESS
8.20%
6.00%
3.00%
INCOME
2.00%
2.00%
1.00%

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Republic of the Philippines

KML MARKETING & GEN. MERCHANDISE

Payment for the purchase of materials used during the Art

Existence of available appropriation

and under my direct supervision

APPROPRIATION BALANCE MONITOR

Republic of the Philippines

KML MARKETING & GEN. MDSE

Payment for the purchase of materials which will be used during

Allotment of obligation for the purpose as indicated above

ICO Municipal Treasurer

KML MARKETING & GEN. MERCHANDISE

(Gross Amount in Words)

Nineteen Thousand Four Hundred Thirty Two Pesos.s

Secretary to the Sanggunian

1/10) of one percent for

ACCEPTANCE AND INSPECTION REPORT

Abaca Rope (Small)

AND INSPECTION REPORT

Abaca Rope (Small)

Glue Stick (Small)

Gun Tucker Wire (Large)

Alpha Geena (White)

Alpha Geena (Black

Masking Tape 1"

Department/Office Head/End User

ICO Municipal Treasurer

APPROPRIATION BALANCE MONITOR

Republic of the Philippines

Articles are subject to inspection by the Municipal Inspection Team.

ENGR. ZOTICO L. PAST

public of the Philippines

ENGR. ZOTICO L. PASTELERO

Republic of the Philippines

KML MKTG. & GEN. MDSE

ENGR. ZOTICO L. PASTELERO

ENGR. ARMAND C. CABALTERA

Secretary to the Sanggunian

1/10) of one percent for

ACCEPTANCE AND INSPECTION REPORT

Inspected, verified and found OK

Department/Office Head/End User

Republic of the Philippines

Allotment of obligation for the purpose as indicated above

ICO Municipal Treasurer

TEODORO M. SEVILLA, M.D.

Republic of the Philippines

Existince of available appropriation

and under my direct supervision

MARIA LOURDES T. SABOREN

Secretary to the Sanggunian

1/10) of one percent for

ACCEPTANCE AND INSPECTION REPORT

Inspected, verified and found OK

Department/Office Head/End User

Republic of the Philippines

Allotment of obligation for the purpose as indicated above

ICO Municipal Treasurer

TEODORO M. SEVILLA, M.D.

Republic of the Philippines

Existince of available appropriation

and under my direct supervision

MARIA LOURDES T. SABOREN

WASTE MATERIALS REPORT

I hereby acknowledge to have received this _ day of _____________ from