Republic of the Philippines Fund Cluster : 01

Department of Education Date :

Cordillera Administrative Region DV No :
SCHOOLS DIVISION OFFICE-MOUNTAIN PROVINCE
BALINDAN ELEMENTARY SCHOOL
Bantay, Paracelis, Mountain Province
DISBURSEMENT VOUCHER
MODE OF MDS Check Commercial Check ADA Others (Please specify)
PAYMENT
TIN/Employee No: ORS/BURS NO:
Payee
Address
Particulars MFO/PAP Amount

Gross Amount:
Less: Tax 3%
Net Amount:

AMOUNT DUE
Certified: Expenses/ Cash advance necessary, lawful and incurred under my direct supervision.

BERLINA M. MARANES
SCHOOL HEAD
(Printed Name, Position and Signature of Supervisor)
Accounting Entry:
Semi-Expendable Machinery and Equipment Expenses
Other Supplies and Materials Expenses
Advances for Operating Expenses
Due to BIR
To record payment of food supplies used during the SBFP on
Certified: Approved for Payment:
X Supporting documents complete
X Cash Available
Subject to ADA (where applicable)

Signature: Signature:
Printed Name: MELOWIN P. LUMINES Printed Name: BERLINA M. MARANES
Position: ADAS III/Senior Bookkeeper Position School Head
(Head, Accounting Unit/Authorized representative) (Agency Head/Autorized Representative)
Date: Date:
Receipt of Payment:
Date: Bank Name & Account JEV No.
Check / ADA:
Date: Printed Name Date:
Signature:

OR No./ Other Relevant document

 PURCHASE REQUEST

Entity Name DEPED-MPSDO- BALINDAN ELEMENTARY SCHOOL Fund Cluster: 01

Office/Section : PR No.: Date: 12/4/2020

Balindan Elementary School

Responsibility Center Code :
Stock/ Property
No. Unit Item Description Quantity Unit Cost Total Cost

1 reams A4 FOLDER 3 570 1,710.00

2 reams LONG FOLDER 2 590 1,180.00
3 box BOND PAPER 1 1,325 1325
4 boxes FASTENER 3 40 120
5 pc EXPANDING ENVELOPE 1 8.5 8.5
6 pc SMALL ENVELOPE 1 3.37 3.37

TOTAL 4,346.87
Purpose: OFFICE SUPPLIES

Requested by: Approved by:

Signature :
Printed Name
MARIALOU VANESA B. CAFONGTAN BERLINA M. MARANES
:
Designation : School Property Custodian School Head
 A4 BOND PAPER
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF MOUNTAIN PROVINCE
BALINDAN ELEMENTARY SCHOOL
Paracelis, Mountain Province

REQUEST FOR QUOTATION

Name of the Project: Procurement of school supplies

Location of the Project: Balindan Elementary School
Date of Activity : 12/8/2020
Approved Budget for the Contract: 4,346.87
Date:
Quotation No:
Dear Sir/Ma’am:
Please quote your lowest price on the item/s listed below, subject to the General Conditions on the following page, stating the shortest time
of delivery and submit your quotation duly signed by your representative not later than ____________, 2020 in a sealed envelope and be
received at the Bids & Award Committee office, Bantay Elementary School, Bantay, Paracelis, Mt. Province.

LANESIA P. LIBAN
Procurement Officer

NOTE: 1. DELIVERY PERIOD WITHIN ___________ CALENDAR DAYS

2. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE (1) YEAR
FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY.
3. PRICE VALIDITY SHALL BE FOR A PERIOD OF 30 CALENDAR DAYS.

ITEM NO. ITEM & DESCRIPTION QTY Unit Unit Price Total Price
1 A4 FOLDER 3 reams
2 LONG FOLDER 2 reams
3 A4 BOND PAPER 1 box
4 FASTENER 3 boxes
5 EXPANDING ENVELOPE 1 pc
6 SMALL ENVELOPE 1 pc

Total amount in words:

After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above.

Name of Business
Printed Name & Signature above
Tel. No. / Cellphone No.
e-mail address
Date:

General Conditions:
A. Submission of Quotations
1. Quotations and other requirements stated below shall be submitted in a sealed envelope and shall be received at the Bids &
Award Committee office, Kalao Elementary School, Bantay, Paracelis, Mt. Province on the date and time stated in this RFQ.
Quotations submitted by the supplier should be inclusive of tax.
2. The supplier should submit duly accomplished /signed Request for Quotation documents together with the following(valid &
current). Prices shall be quoted in Philippine Peso.
a. Local Tax clearance
b. Valid Business Permit
c. DTI registration certificate/SEC registration certificate
d. PhilGEPS Registration
3. Suppliers who have submitted above -named documents (a-c) in previous quotations since March ,2016 need not
submit.However,if documents submitted need to be updated,the updated copy should be attached.
B. Price Validity - Price validity shall be 30 calendar days from the deadline of submission of quotation.
C. Ocular Inspection - Upon the decision of the End-User and BAC, the supplier and its concerned premises may be subjected to ocular
inspection and approval by the End-User and/or TWG Inspections of the BAC prior to the award.
D. Award - The supplier that submitted the lowest calculated responsive quotation, and passed the ocular inspection conducted by the End-User
and BAC prior to the event, if any, shall be awarded the contract.
E. Evaluation of Quotations
Quotations shall be compared and evaluated of the basis of the following criteria:
1. Completeness of Submission
2. Compliance with Item & Description Requirements
3. Price comparison shall be by the ABC & total.
F. Instructions
1. Supplier shall be responsible for the (source(s) of its goods/services/equipment, and which shall be in accordance with the
schedule and specifications of the RFQ or contract. Failure of the supplier to comply with this provision shall be ground for
cancellation of the award or purchase order issued to the supplier.
2. Supplier that accepted an award, purchase order, or contract but failed to deliver the required goods/services/equipment
within the time called for in the award, purchase order, or contract shall be disqualified from participating in DepEd or any of
DepEd unit’s future procurement activities. This is without prejudice to the imposition of other sanctions prescribed under R.A.
9184 and its IRR-A against the supplier.
3. All duties, excise, and other taxes, and revenue charges shall be paid by the supplier.
4. All transactions are subject to withholding of credible Government Taxes per revenue regulation(s) of the Bureau of Internal
Revenue.
G. Liquidation Damages - A penalty of one-tenth of one percent (0.001) of the total value of the undelivered goods/services/equipment shall be
charged as liquidated damages for every day of delay of the delivery of the Purchased goods/services/equipment.

H. Warranty - Supplier warrants that all goods/services/equipment to be provided are of acceptable industry standard .
I. Payment - Payments shall be made only upon a certification by the Head of the PROCURING ENTITY to the effect that the GOODS have been
rendered or delivered in accordance with the terms of this Contract and have been duly inspected and accepted.

I hereby concur/certifiy to comply to the above conditions:

Name of Supplier Signature Over Printed name of Date

Representative
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF MOUNTAIN PROVINCE
BALINDAN ELEMENTARY SCHOOL
Bantay, Paracelis, Mountain Province
BIDS AND AWARDS COMMITTEE

ABSTRACT OF BIDS/QUOTATIONS OPENED ON _______________________ AT 4 PM FOR THE PROCUREMENT OF SUPPLIES AT

THE OFFICE OF THE SCHOOL HEAD, BALINDAN ELEMENTARY SCHOOL, BANTAY, PARACELIS, MOUNTAIN PROVINCE.

ABC: PR. No:

ITEM
QTY UNIT DESCRIPTION
NO.

1 3 REAMS A4 FOLDER
2 2 REAMS LONG FOLDER
3 1 BOX BOND PAPER
4 3 BOXES FASTENER
5 1 PC EXPANDING ENVELOPE
6 1 PC SMALL ENVELOPE

Total 4,346.87
Award recommended PARACELIS WIRELESS INTERNET SERVICES being the most advantageous price, responsive, and Lowest Calculated
bid.

LANESIA P. LIBAN EMERENCIANA L. MASLANG MELANIE T. BARCELLANO

BAC Chairman BAC Vice Chairman Member

IMELDA B. BAWAT BRYANT T. PINEDA

Member Member
APPROVED :

BERLINA M. MARANES
School Head
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Cordillera Administrative Region
SCHOOLS DIVISION OF MOUNTAIN PROVINCE
BALINDAN ELEMENTARY SCHOOL
Bantay, Paracelis, Mountain Province

PURCHASE ORDER
Supplier : PARACELIS WIRELESS INTERNET SERVICES P.O. No. :
Address : PARACELIS,MT.PROV. Date :12/15/202
TIN : Mode of Procurement : Shopping
Gentlemen/Ladies:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : BALINDAN ELEM.SCHOOL Delivery Term :
Date of Delivery : Payment Term :
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 REAMS A4 FOLDER 3 570.00 1,710.00
2 REAMS LONG FOLDER 2 590 1,180.00
3 BOX BOND PAPER 1 1,325 1,325.00
4 BOXES FASTENER 3 40 120.00
5 PC EXPANDING ENVELOPE 1 8.5 8.50
6 PC SMALL ENVELOPE 1 3.37 3.37

Total 4,346.87
Total Amount in Words: FOUR THOUSAND THREE HUNDRED FOURTY SIX PESOS AND 87/100 ONLY
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 on the undelivered item/s.
Conforme: Very truly yours,

BRENDTON S.AYUNGO BERLINA M. MARANES

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official
___________________________ School Head
Date Designation

Fund Cluster : 01 ORS/BURS No. :

Funds Available : 4,346.87 Date of the ORS/BURS:
Amount :

MELOWIN P. LUMINES 4,346.87

Signature over Printed Name of Senior Bookkeeper
 INSPECTION AND ACCEPTANCE REPORT

Entity Name : DepEd-MPSDO-BALINDAN ES Fund Cluster : 01

Supplier : PARACELIS WIRELESS INTERNET SERVICES IAR No. :

PO No./Date : Date :
Requisitioning Office/Dept. : _______________________________ Invoice No. :
Responsibility Center Code : _______________________________ Date :
Stock/
Description Unit Quantity
Property No.
1 A4 FOLDER
2 LONG FOLDER
3 BOND PAPER
4 FASTENER
5 EXPANDING ENVELOPE
6 SMALL ENVELOPE

INSPECTION ACCEPTANCE

Date Inspected: Date Received :

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)
JOART H. YUCADDI
Inspection Officer

OSCAR V. PRUDENCIANO MARIALOU VANESA B. CAFONGTAN

Inspection Officer Supply and/or Property Custodian
 INVENTORY CUSTODIAN SLIP

Entity Name:
Fund Cluster : 01 ICS No : ______________

Amount
Inventory Estimated
Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life

Received from: Received by:

Signature Over Printed Name Signature Over Printed Name

Position/Office Position/Office
Date Date
 REPORT ON CASH DISBURSMENT
Period Covered:

Entity Name : DEPED-MPSDO-BALINDAN ELEMENTARY SCHOOL Report No:

Fund Cluster : 01 Sheet No. : 01

ORS/BURS Responsibility UACS Object

Date DV No. Payee Nature of Payment Amount
No. Center Code Code
11-20-2020 Victor A. Butoeg 50203210 payment of printer 11,424.00
11-20-2020 MOPRECO 50204010 payment of electricity expense 574.45
11-20-2020 50203010 payment of school and office Supplies
Kevin B. Giwa-en 25,468.80
310400100002000 50205030 payment of internet expense

Total 37,467.25
CERTIFICATION

I hereby certify on my official oath that this Report of Cash Disbursement in 1 sheet(s) is a full, true, and correct statement of all cash disbursement during the period stated above actually
made by me in payment for the obligations shown in pertinent disbursement vouchers/payroll.

BERLINA M. MARANES
Name and Signature of Disbursing Officer
Disbursing Officer
Official Designation
11-20-2020
Date
 CASH DISBURSEMENTS RECORD

Entity Name : DEPED-MPSDO-BALINDAN ELEMENTARY SCHOOL

Fund Cluster : O1 Sheet No. : 1 of 1

BERLINA M. MARANES BALINDAN ES

Accountable Officer Station
Cash Advance
UACS Object Cash Advance
Date DV No. Payee Nature of Payment Received/ Disbursements
Code Balance
(Refunded
Forwrded balance 3,004.48 3,004.48
Allocation 36,398.00 36,398.00
11-20-2020 Victor A. Butoeg 50203210 payment of printer 11,424.00
11-20-2020 MOPRECO 50204010 payment of electricity expense 574.45
11-20-2020 50203010 payment of school and office Supplies
Kevin B. Giwa-en 25,468.80
50205030 payment of internet expense

Total 37,467.25 39,402.48

CERTIFICATION
I hereby certify on my official oath that the foregoing is a correct and complete record of all cash disbursements had by me in my capacity as Disbursing Officer of BALINDAN
ELEMENTARY SCHOOL during the period from NOVEMBER 2020, inclusive, as indicated in the corresponding columns.

BERLINA M. MARANES
Name and Signature of Disbursing Officer
11-20-2020
Date
 CASH DISBURSEMENTS REGISTER
Entity Name: DEPED-MPSDO-BALINDAN ELEMENTARY SCHOOL
Sub-Office/District/Division: PARACELIS NORTH
Municipality/City/Province: Paracelis, Mountain Province
Fund Cluster : 01

Advances for
Operating Expenses BREAKDOWN

Traveling Other Supplies Electricity

Date DV Number Particulars Amounts and Materials Expenses OTHERS
Expenses
Expenses
UACS Object
Cash Advance Payments Balance Account Description
Code
Amount
50201010 50203990 50204020
Allocation 36,398.00
Forwarded balance 3,004.48
11-20-2020 payment of printer 11,424.00
11-20-2020 payment of electricity expense 574.45
payment of school and office Supplies
11-20-2020 25,468.80
payment of internet expense

Totals 37,467.25 - - -
Recapitulation:
UACS Object
Account Description Amount
Code
Traveling Expenses 50201010 -
Other Supplies and Materials
50203990 -
Expenses
Electricity Expenses 50204020 -
Total -

The total of 'Advances for Operating Expenses-Payments' column must always be equal to the sum of the totals of the
'Breakdown of Payments' column
CERTIFIED CORRECT: Received:

BERLINA M. MARANES MELOWIN P. LUMINES

Signature over Printed Name Signature over Printed Name
Date: 11-20-2020 Date: ______________________
 PARTICULARS
ACCOUNT TITLE
1 Traveling Expenses
2 Training Expenses
3 Office Supplies Expenses
4 Food Supplies Expenses
5 Medical, Dental, and Laboratory Supplies Expenses
6 Semi-Expendable Machinery and Equipment Expenses
7 Other Supplies and Materials Expenses
8 Electricity Expenses
9 Telephone Expenses
10 Internet Subscription Expenses
Repairs and Maintenance Expenses - Buildings and
11
Other Structures
Repairs and Maintenance Expenses - Semi-Expendable
12
Machinery and Equipments
13 Fidelity Bond Premiums
14 Other Maintenance Operating Expenses
15 Advances for Operating Expenses
16 Due to BIR
UACS Object Code
50201010
50202010
50203010
50203050
50203080
50203210
50203990
50204020
50205020
50205030

50213040

50213210

50215020
50299990
19901010
20201010