Appendix 32

CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL Fund Cluster :

Entity Name MOOE
Date:
DISBURSEMENT VOUCHER DV No.:

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________

Payee TRI-ACE ENTERPRISES TIN/Employee No.: ORS/BURS No.:

304-174-757-000
Address CSFP

Responsibility
Particulars MFO/PAP Amount
Center
20,480.72
Procurement of Instructional Materials

Amount 21,640.00
Taxes
5% 966.07
1% 193.21
Total Taxes 1,159.28
AMOUNT DUE 20,480.72

Amount Due 20,480.72

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

RONELLA D. SABADO
SBAC Chairman

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 21,640.00
Due to BIR 2020101000 1,159.28
Cash in Bank - Local Currency, Current Account 1010202000 20,480.72
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name TYRONE P. BONDOC DOROTHY R. ESPAÑOL
ADMINISTRATIVE ASSISTANT III PRINCIPAL
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature :
0 TRI-ACE ENTERPRISES

Official Receipt No. & Date/Other Documents

 APPENDIX 51
DEPARTMENT OF EDUCATION
REGION III
DIVISION OF CITY SCHOOLS
CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
CITY OF SAN FERNANDO (P)

PURCHASE REQUEST

DEPARTMENT: CSFW IS - SHS P.R. No. DATE: SEPTEMBER 15, 2020

SECTION: SAI No. DATE:

STOCK NO. UNIT ITEM DESCRIPTION QUANTITY UNIT COST TOTAL COST
1 set Ink L360 2 1180.00 2,360.00
2 set Ink L3110 2 1180.00 2,360.00
3 set Ink Canon G1010 4 1480.00 5,920.00
4 piece canon g1010 2 5500.00 11,000.00
TOTAL 21,640.00

PURPOSE: Materials needed for Reproduction of SIPacks/SLMs

REQUESTED BY: APPROVED BY:

SIGNATURE:
PRINTED NAME: ANTONIA J. CANLAS DOROTHY R. ESPAÑOL
DESIGNATION: SHS FOCAL PERSON PRINCIPAL

JESS (SENIOR
BOOKKEEPER):
Please don't forget to fill CITY
up
the NAME and ADDRESS of
the Supplier/ Contractor
DEPARTMENT OF EDUCATION
REGION III
DIVISION OF CITY SCHOOLS
OF SAN FERNANDO WEST INTEGRATED SCHOOL
CITY OF SAN FERNANDO (P)
PRICE QUOTATION

NAME: TRI-ACE ENTERPRISES SEPTEMBER 16, 2020

ADDRESS: CSFP DATE

Gentlemen:
Please quote your lowest net price, taxes included on each of the following articles.

QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE AMOUNT

2 set Ink L360 1180.00 2,360.00
2 set Ink L3110 1180.00 2,360.00
4 set Ink Canon G1010 1480.00 5,920.00
2 piece canon g1010 5500.00 11,000.00
TOTAL 21,640.00

The items quoted herein will be delivered to the Office of the Schools Principal,
CITY OF SAN FERNANDO WEST IS days after serving the award.

Very Truly Yours,

RONELLA D. SABADO
SBAC CHAIRMAN

To the School Principal

SAN JUAN, CSFP
Our quotation is written opposite each article indicated above.

SIGNATURE OF SUPPLIER/ CONTRACTOR

PRINTED NAME
 DEPARTMENT OF EDUCATION
REGION III
JESS (SENIOR DIVISION OF CITY SCHOOLS
BOOKKEEPER): CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
Please don't forget to fill up
the NAME and ADDRESS of
CITY OF SAN FERNANDO (P)
the Supplier/ Contractor
PRICE QUOTATION

NAME: Argonz Printers and Computers SEPTEMBER 16, 2020

ADDRESS: CSFP DATE

Gentlemen:
Please quote your lowest net price, taxes included on each of the following articles.

ITEM QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE AMOUNT

1 2 set Ink L360 1250.00 2,500.00
2 2 set Ink L3110 1250.00 2,500.00
3 4 set Ink Canon G1010 1680.00 6,720.00
4 2 piece canon g1010 6500.00 13,000.00
TOTAL 24,720.00

The items quoted herein will be delivered to the Office of the Schools Principal,
CITY OF SAN FERNANDO WEST IS days after serving the award.

Very Truly Yours,

RONELLA D. SABADO
SBAC CHAIRMAN

To the School Principal

SAN JUAN, CSFP
Our quotation is written opposite each article indicated above.

SIGNATURE OF SUPPLIER/ CONTRACTOR


JESS (SENIOR
BOOKKEEPER):
Please don't forget to fill up
the NAME and ADDRESS of
the Supplier/ Contractor
DEPARTMENT OF EDUCATION
REGION III
DIVISION OF CITY SCHOOLS
CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
CITY OF SAN FERNANDO (P)
PRICE QUOTATION

NAME: AD King Center SEPTEMBER 16, 2020

ADDRESS: DATE

Gentlemen:
Please quote your lowest net price, taxes included on each of the following articles.

ITEM QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE AMOUNT

1 2 set Ink L360 1900.00 3,800.00
2 2 set Ink L3110 1900.00 3,800.00
3 4 set Ink Canon G1010 1580.00 6,320.00
4 2 piece canon g1010 6750.00 13,500.00
TOTAL 27,420.00

The items quoted herein will be delivered to the Office of the Schools Principal,
CITY OF SAN FERNANDO WEST IS days after serving the award.

Very Truly Yours,

RONELLA D. SABADO
SBAC CHAIRMAN

To the School Principal

SAN JUAN, CSFP
Our quotation is written opposite each article indicated above.

SIGNATURE OF SUPPLIER/ CONTRACTOR

 DEPARTMENT OF EDUCATION
JESS (SENIOR REGION III
BOOKKEEPER): DIVISION OF CITY SCHOOLS
Please don't forget to fill CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
up the date
CITY OF SAN FERNANDO (P)

ABSTRACT OF BIDS/ CANVASS

March 12, 2020
DATE

BIDDERS NAME

CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL TRI-ACE Argonz

AD King
ENTERPRISE Printers and
Center
S Computers

NO. QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE UNIT PRICE UNIT PRICE
1 2 set Ink L360 1,180.00 1,250.00 1,900.00
2 2 set Ink L3110 1,180.00 1,250.00 1,900.00
3 4 set Ink Canon G1010 1,480.00 1,680.00 1,580.00
4 2 piece canon g1010 5,500.00 6,500.00 6,750.00
21,640.00 24,720.00 27,420.00

AWARD RECOMMENDED TO: TRI-ACE ENTERPRISES all the items.

SCHOOL BIDS AND AWARDS COMMITTEE

DARLENE S. JIMENEZ JENNIFER I. DATU

SBAC MEMBER SBAC MEMBER

APPROVED BY:

RONELLA D. SABADO
SBAC CHAIRMAN

NOTED BY:

DOROTHY R. ESPAÑOL
PRINCIPAL
 DEPARTMENT OF EDUCATION
REGION III
DIVISION OF CITY SCHOOLS
CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
CITY OF SAN FERNANDO (P)

BAC RESOLUTION DECLARING THE LOWEST BIDDER AND RECOMMENDING APPROVAL

RESOLUTION NO. , S. 2020

WHEREAS, CSFWIS, Division of City of San Fernando (P) quoted the request for the
Reproduction of DLPs

WHEREAS, in the said negotiated procurement of the supplier TRI-ACE ENTERPRISES

intended and submitted personally his quotation on time and coordinated with this
school;

WHEREAS, said quotation was submitted to this school dated SEPTEMBER 15, 2020
and the bidder passed the preliminary examination of bids; JESS (SE
BOOKKE
No need
NAME OF BIDDERS BID AMOUNT AS READ because w
TRI-ACE ENTERPRISES 21,640.00 formulas
Argonz Printers and Computers 24,720.00
AD King Center 27,420.00

WHEREAS, upon careful examination, validation and verification of all the techinical
and financial requirement submitted by the bidder TRI-ACE ENTERPRISES, its bid has been
found to be responsive;

NOW, THEREFORE, we, the member of the Bids and Awards Committee, hereby
RESOLVE as it hereby RESOLVED:

1. To declare TRI-ACE ENTERPRISES as the lowest bidder for the Reprod. of DLPs

2. To recommend for the approval of the School Head of CSFWIS

San Juan, City of San Fernando (P), the foregoing findings.

FINALLY RESOVED, on this 16th day of SEPTEMBER, 2020 at CSFWIS,

San Juan, CSFP

DARLENE S. JIMENEZ JENNIFER I. DATU

SBAC MEMBER SBAC MEMBER

APPROVED BY:

RONELLA D. SABADO
SBAC CHAIRMAN

NOTED BY:

DOROTHY R. ESPAÑOL
PRINCIPAL
 APPENDIX 52
DEPARTMENT OF EDUCATION
REGION III
DIVISION OF CITY SCHOOLS
CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
CITY OF SAN FERNANDO (P)

PURCHASE ORDER

SUPPLIER: TRI-ACE ENTERPRISES P.O. No.: J

B
ADDRESS: CSFP DATE: P
TIN NO.: MODE OF PROCUREMENT: u

Gentlemen:
Please furnish this School the following articles subject to the terms and conditions
contained herein:

PLACE OF DELIVERY: CSFWIS DELIVERY TEAM: JE

B
DATE OF DELIVERY: PAYMENT TERM: Pl
up
STOCK NO. UNIT ITEM DESCRIPTION QUANTITY UNIT COST AMOUNT
set Ink L360 2 1180.00 2360.00
2 set Ink L3110 2 1180.00 2360.00
set Ink Canon G1010 4 1480.00 5920.00
4 piece canon g1010 2 5500.00 11000.00
-
TOTAL TWENTY-SIX THOUSAND SIX HUNDRED FORTY PESOS ONLY 21,640.00

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 everyday of delay shall be imposed.

Conforme: Very Truly Yours,

DOROTHY R. ESPAÑOL
SIGNATURE OVER PRINTED NAME PRINCIPAL
December 30, 1899
DATE
 DEPARTMENT OF EDUCATION
REGION III
DIVISION OF CITY SCHOOLS
CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL
CITY OF SAN FERNANDO (P)

INSPECTION AND ACCEPTANCE REPORT

SUPPLIER: TRI-ACE ENTERPRISES A.R. No.:

P.O. No.: INVOICE No.:
REQUISITIONING SCHOOL: DATE:

ITEM NO. UNIT ITEM DESCRIPTION QUANTITY

SET Ink L360 2
SET Ink L3110 2
SET Ink Canon G1010 4
PIECE canon g1010 2
INSPECTION ACCEPTANCE
J
DATE INSPECTED: DATE RECEIVED: B
P
D
Inspected, verified and found OK as
Complete B
to quantity and specifications.

NORALYN C. PINEDA JENNIFER DR. CALILUNG

INSPECTION OFFICER PROPERTY CUSTODIAN
 Appendix 32

CITY OF SAN FERNANDO WEST INTEGRATED SCHOOL Fund Cluster :

Entity Name MOOE
Date: 10/25/2019
DISBURSEMENT VOUCHER DV No.: S-10-

Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________

Payee ORCHID'S BOOKSTORE BRANCH TIN/Employee No.: ORS/BURS No.:

Address Sto. Rosario, CSFP

Responsibility
Particulars MFO/PAP Amount
Center
1,266.60
Procurement of Instructional Materials

Amount 1,338.29
Taxes
5% 59.75
1% 11.95
Total Taxes 71.70
AMOUNT DUE 1,266.60

Amount Due 1,266.60

A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

JOEY G. FAJARDO
SBAC Chairman

B. Accounting Entry:
Account Title UACS Code Debit Credit
Other Supplies and Materials Expenses 5020399000 1,338.29
Due to BIR 2020101000 71.70
Cash in Bank - Local Currency, Current Account 1010202000 1,266.60
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supp
proper

Signature Signature

Printed
Printed Name
Name MA. CARIDAD D. MAGANTE MARILEN C. MUÑOZ
ADMINISTRATIVE ASSISTANT III SCHOOL HEAD
Position Position
Head, Accounting Unit/Authorized Representative Agency Head/Authorized Representative

Date Date

E. Receipt of Payment JEV No.

Check/ Date : Bank Name & Account Number:
ADA No. :
Date : Printed Name: Date
Signature : ORCHID'S BOOKSTORE
10/25/2019
BRANCH
Official Receipt No. & Date/Other Documents
 DEPARTMENT OF EDUCATION
JESSKAT (SENIOR
REGION III
BOOKKEEPER) : DIVISION OF CITY SCHOOLS
Please don't forget to fill up SCHOOL
this portion CITY OF SAN FERNANDO (P)

JOB ORDER

DATE:

NAME:
ADDRESS:

Gentlemen:
In accordance with the result of the canvass/ bid conducted by this School on
(DATE) for (NAME OF PROJECT), this School, is awarded on your behalf and have this
job undertaken.

DESCRIPTION/ SPECIFICATION AMOUNT DATE DESIRE TO

TOTAL -

Please deliver the original copy of this Job Order togethr with your invoice completion of this
job for payment.

Very Truly Yours,

GENER E. BUENSUCESO CONFORME:

SBAC CHAIRMAN

SUPPLIER/ CONTRACTOR
Funds available in the amount of (AMT IN PESO)
chargeable againts MOOE

EDILBERTA C. ESGUERRA
OIC-SCHOOL HEAD