Revised January 1992

REIMBURSEMENT EXPENSE RECEIPT

No. 2
Date:11-02-2015
Received from PRES. ROXAS WEST ELEMENTARY SCHOOL
(Name)
the amount of three thousand four hundred seventy three P 3,473.00
(In Words)
(In Figure)
vegetables
(payments for subsistence, services, rental or transportation
SBFP
should show inclusive date, purpose, distance, inclusive points of travel.
PAYEE
Name:JOY D. CERCADO
Address: Brgy. Hanglid, PRESIDENT ROXAS, CAPIZ
Residence Certificate:2859635
Date Issue:5-11-2015
Place Issued:PRESIDENT ROXAS, CAPIZ
WITNESS
Name:NATIVIDAD L. DADIVAS
Address:BRGY. HANGLID, PRESIDENT ROXAS, CAPIZ
Residence Certificate:12966128
Date Issue:11-02-2015
Place Issued:PRESIDENT ROXAS, CAPIZ

Department of Education
Region VI-Western Visayas

DIVISION OF CAPIZ
Roxas City
Abstract of Bids for furnishing _______________________________________ for the
use in the office of the School Head which was opened in the office of the
supply officer of the School on _06-09-16___________at _________________
AM/PM.

800
grams
2,250
grams
2bundles
2 pcs.
2,500
grams
400
grams
2,600
grams
13 cups
3,000
grams
700
grams
4bundles
4bundles
4,115
grams
550
grams
200
grams
1,000
grams
10,350
grams
1,350
grams
700
grams
700
grams
5,050
grams
60 grams
1,000
grams
60 grams
18,250
grams
5,050
grams
750

JOY B.
CERCADO

JOSE D.
DIOSABAN

RIZALDO
CIUDAD

Ampalaya

40.00

44.00

40.00

Baguio Beans
kamote tops
Banana heart

56.25
20.00
50.00

56.25
20.00
50.00

56.25
20.00
50.00

Banana Saba

75.00

75.00

75.00

Cabbage

40.00

44.00

40.00

Carrots
Coconut milk 1st extract

156.00
195.00

156.00
195.00

156.00
195.00

Corn, fresh

150.00

150.00

150.00

Eggplant
Gabi
Gabi leaves, whole

35.00
200.00
200.00

42.00
200.00
200.00

35.00
200.00
240.00

Garlic

246.90

246.90

246.90

Ginger

99.00

104.00

99.00

Kinchay

24.00

24.00

26.00

Kalamansi

40.00

40.00

40.00

Malunggay Leaves

517.50

517.50

517.50

Munggo, green

162.00

162.00

162.00

Mungo sprouted

56.00

56.00

56.00

Okra

21.00

21.00

21.00

202.00
7.20

202.00
7.20

303.00
7.20

30.00
6.00

30.00
6.00

30.00
6.00

Squash

547.50

730.00

547.50

Sweet potato/kamote
Toge

176.75
60.00

176.75
60.00

227.00
60.00

Onion
Sili haba
Sitaw
Spring onion

grams
3,000
grams

Tomato

60.00
P 3,473.00

60.00

60.00

3,675.00

3,668.25

We hereby certify to the correctness of the above quotation of prices as per attached proposal
of the above named bidders

wchich was opened in the presence of:

RUTHELYN D. VALIENTE
School Property Custodian

NATIVIDAD L. DADIVAS
School Treasurer/Disbursing Officer

Approved for the purpose from the dealer as

checked above

ERDA F. BUENAFE
School Head

JOY B. CERCADO

Name of Bidder