Professional Documents
Culture Documents
Property Forms 2
Property Forms 2
Department of Education
DepEd Complex, Meralco Avenue, Pasig City
Name of Project Target Date of the Project Source of Fund Estimated Budget for the Contract Mode of Payment
NOTE:
1. The above procurement program is in accordance with the procurement SUBMITTED BY: RECOMMENDED FOR APPROVAL: APPROVED:
objectives of the program
2. The total amount covered by this procurement program does not exceed the
appropriate amount of supplies
NAME & ADDRESS Department of Education
OF REQUESTING Division of Malaybalay City
AGENCY, DIVISION OFFICE
A G E N C Y P R O C U R E M E N T R E QU E S T
TO: THE PROCUREMENT SERVICE
DBM Compound, RR Road
Cristobal St., Paco Manila
ACTION REQUESTED ON THE ITEM(S) LISTED BELOW
[ ] Please furnish us with Price Estimate (for office equipment/furniture & supplementary items)
[ ] Please purchase for our agency the equipment/furniture/supplementary items per your Price Est.
(PS RAD No. ____________________________ attached) dated
[ ] Please issue common-use supplies/materials per PS Price List as of
[ ] Please issue Certificate of price Reasonableness
[ ] Please furnish us with latest/updated price List
[ ] Others (Specify)
I M P O R T A N T ! PLEASE SEE INSTRUCTIONS/ CONDITIONS AT THE BACK OF ORIGINAL
ITEM
ITEM and DESCRIPTION/SPECIFICATIONS/STOCK No. QUANTITY
No.
TOTAL
Purpose:
[ ] FUNDS DEPOSITED WITH PS [ ] ____________ CHECK No. _______________ IN THE AMOUNT OF:
_________________________________________________ (P ____________) enclosed.
AGENCY
ACCOUNT CODE
AGENCY CONTROL No.
PS APR No.
(Date Prepared)
ELOW
ementary items)
ms per your Price Est.
ched) dated 200______
200 ______
EDILBERTO L. OPLENARIA
Schools Division Superintendent
Date
PR : Dated :
Requisitioner: ______________________
REQUEST FOR PRICE QUOTATION
Please quote your price(s) for the article(s) as specified in the list below for the Schools Division of Malaybalay City which are available
in your store/establishment/company. If available, please furnish catalogue, descriptive brochures or literature about the articles. If you are
the manufacturer or exclusive dealer/distributor of these articles in Region X, please state in your quotation.
In case the items so specifically described is not available in your store/establishment/company, please feel free to offer such
product/item which you have in stock which is equivalent of what is desired.
State how long your quotation will stand and the shortest time of delivery from receipt of purchase order. Failure or refusal to
make the delivery on the part of the successful bidder will bind him to pay any loss equivalent to 1% of the total amount quoted in the canvass
from which the DepEd Division of Malaybalay City may suffer.
DEPOSIT YOUR PRICE QUOTATION, PROPERLY SEALED IN AN ENVELOPE.
Name
Position / Designation
Procurement Officer
Qty Unit Agency Specifications Bidders Specifications Unit Cost Total Amount
Purpose :
I HEREBY CERTIFY that the supplies quoted on the face of the quotation are available in my store and that the price quoted are good
until
Proprietor/Authorized Representative
WE HEREBY CERTIFY under our official oath that the price quoted are not shown or revealed to any of the participating dealer
or merchant.
AWARDED TO:
___________________________
BAC Member BAC Member BAC Member BAC Vice Chairman
___________________________
Supply Officer II BAC Member BAC Member BAC Chairman
REQUISITION ISSUANCE
Stock No. Unit Description Quantity Quantity Remarks
Purpose:
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: EDILBERTO L. OPLENARIA
Designation: Schools Division Superintendent
Date:
REQUISITION ISSUANCE
Stock No. Unit Description Quantity Quantity Remarks
Purpose:
Requested by: Approved by: Issued by: Received by:
Signature:
Printed Name: EDILBERTO L. OPLENARIA
Designation: Schools Division Superintendent
Date:
PURCHASE REQUEST
Department of Education
DIVISION OF MALAYBALAY CITY
Total 0.00
Purpose :
Signature :
Printed Name : _____________________________ EDILBERTO L. OPLENARIA, CESO VI
Designation: Schools Division Superintendent
STOCK CARD
_____________________________________________
Agency
Item: Description: Stock No.:
Agency
Description:
Office:
DATE DATE
ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT
Department of Education
Division of Malaybalay City
Office:
DATE DATE
Department of Education
Division of Malaybalay City
INVOICE RECEIPT FOR PROPERTY
INVOICE RECEIPT
I CERTIFY that this _____________________ day I CERTIFY that this _____________________ day
of ____________________________, invoiced to (month) received from
(name and designation) (name) (designation)
the above listed articles, property of ___________ ________________
(name of bureau or office) (name of bureau or office)
__________________________________________ __________________________________________
(Signature of Invoicing Accountable Officer) (Signature of Receiving Accountable Officer)
(Title) (Title)
REPORT OF SUPPLIES AND MATERIALS ISSUED
Agency
Date: No.:
Responsibility
RIS No. Stock No. Item Unit Qty. Issued Unit Cost Amount
Center Code
Recapitulation Recapitulation
Stock No. Quantity Unit Cost Total Cost Account Code
Item / Description:
Property Number: Property Accountability Receipt
Acquisition Cost : Acquisition Date:
Nature and Scope of Last Repair , if any :
Complaints/Defects :
FINDINGS / OBSERVATIONS:
Property Inspector
Date :
Property Inspector
Date :
INSPECTION AND ACCEPTANCE REPORT
Department of Education
DIVISION OF MALAYBALAY CITY
Supplier:
P.O. No. Invoice No.: ____________
Office/D
ept.:
Item No. Unit Description
INSPECTION ACCEPTANCE
__________________________ ________________________________
Inspection Officer Property Officer
___________________________
Inspection Officer
TANCE REPORT
ucation
BALAY CITY
IAR:
Date:
n Quantity
ACCEPTANCE
________________________________
Property Officer