Republic of the Philippines

Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

Fund Cluster:
101101 
101407 
104102 
DISBURSEMENT VOUCHER DATE:
Others: __________

DV No: __________________
Mode of
 MDS Check  Commercial Check  ADA  Others (Please specify) LOCAL CHECK
Payment
TIN/ Employee No. OR/BUR Number
Payee

Address:
Responsibility
PARTICULARS MFO/PAP
Center AMOUNT
To payment for the supplies purchased for SBFP -
per
supporting papers amounting to….............

Gross Amt.
VAT

EWT - -

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

DANTE FLORENCE R. BRIJUEGA

School Head
Date: __________________
B. Accounting Entry:
Account Title UACS Code Debit Credit
Purchase of SBFP - MILK FEEDING for February 2021 for 11 Days 5021304099 ₱ -
Advances for Operating Expenses 1990101000 ₱ -
Due to BIR 2020101000 0.00
₱ - ₱ -
C. Certified: D. Approved for Payment

 Cash Available
 Subject to ADA (when applicable)
 Supporting documents complete

Signature Signature
Printed Name EMMA S. REGONDOLA Printed Name DANTE FLORENCE R. BRIJUEGA
Position Disbursinng Office Position School Head
Date Date
E Receipt of Payment JEV Number

Date: Bank Name and Account Number

Check/ADA No.:

Date: Printed Name Date

Signature:
OR No./Other relevant document
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

Date: ___________________

THE INSPECTORATE TEAM

School: MANGA ELEMENTARY SCHOOL
Address: Zone 3 Manga, Oas, Albay

Sir/Madam:

I have the honor to request your team to inspect as to quantity and specification the delivered supplies/materials by Lyd
Printing Services and Enterprises on February 9, 2021, purchased under Purchase Order No.2021-02-, dated ______________ are
hereto attached for your perusal evaluation.

Very truly yours,

MARICHU O. RUBIS
Supply Officer

Received by:

FRANCIA R. REGONDOLA
Team Leader
Date: _________________________
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
(NAME OF SCHOOL)
Oas North District

Fund Cluster:
101101 
101407 
104102 
DISBURSEMENT VOUCHER DATE:
Others: __________

DV No: __________________
Mode of
 MDS Check  Commercial Check  ADA  Others (Please specify) LOCAL CHECK
Payment
TIN/ Employee No. OR/BUR Number
Payee MUELLA TRADING

Address: Guinobatan, Albay

Responsibility
PARTICULARS MFO/PAP
Center AMOUNT
To payment for the supplies purchased for the minor repairs in the amount of
Thirty Thousand Seventy Four Pesos & 04/100 (Php 30,074.04)……….

Gross Amt. 31,776.34

VAT 953.29
EWT 317.76 1,271.05

Net Amt. 30,505.29

₱ 30,505.29
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

__________________________________________
School Head
Date: __________________
B. Accounting Entry:

Account Title UACS Code Debit Credit

5021304099 ₱ 31,776.34
Advances for Operating Expenses 1990101000 ₱ 30,505.29
Due to BIR 2020101000 1,271.05
₱ 31,776.34 ₱ 31,776.34
C. Certified: D. Approved for Payment

 Cash Available
 Subject to ADA (when applicable)
 Supporting documents complete

Signature Signature
Printed Name Printed Name
Position Disbursinng Office Position School Head
Date Date
E Receipt of Payment JEV Number

Date: Bank Name and Account Number

Check/ADA No.:

Date: Printed Name Date

Signature:
OR No./Other relevant document
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

PR No. 2021-03-01 Date February 22, 2021

PURCHASE REQUEST SAI No. Date

ALOBS No. Date

Estimated Unit
Quantity Unit of Measure Item Description Stock No. Estimated Cost
Cost

SCHOOL BASED FEEDING PROGRAM -

SBFP - MILK FEEDING MARCH 2021 -

for 23 Days) -
5704 pack Fortified Powdered Milk 33 grams 1 9.00 51,336.00
-
SBFP - MILK FEEDING MARCH 2021 -
for 23 Days) -
6696 pack Fortified Powdered Milk 33 grams 1 9.00 60,264.00
-
-
-
-
-
-
-

TOTAL ₱ 111,600.00

PURPOSE: For March 2021 and April 2021 SBFP - Milk Feeding.

Requested by: Approved by:

Signature

Printed Name MARICHU O. RUBIS DANTE FLORENCE R. BRIJUEGA

Designation Supply Officer School Head
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

C E R T I F I C A T I O N

This is to certify that the items procured per Purchase Order Number ___________
________________, dated _________________________ are all included in the school Approved
Work and Financial Plan for calendar year 2021.

Issued this _________ day of ___________ 2021 in support for the payment to be made
for the cost of items/services delivered by the supplier on _________________ per Delivery
Receipt No.____________.

COMMITTEE ON BIDS AND AWARDS

REGINA R. VICERA EMMA S. REGONDOLA CRISTINA P. RAFALLO

Regular Member Chairman Regular Member

ROSE ANNE M. PURCIA MARIE KRIS V. BRIJUEGA

Provisional Member Provisional Member
*the date must be the same or after the check date
*the amount must be the net amount (same as the amount on the check)
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

PURCHASE ORDER
Supplier PO No.
Address Date
TIN Mode of Procurement LOCAL SHOPPING
Gentlemen:

Please furnish the Office the following materials subject to the terms and conditions contained herein.
Place of Delivery Delivery Term

Date of Delivery Payment Term Check upon complete delivery

STOCK NO. UNIT DESCRIPTION QUANTITY UNIT COST AMOUNT

SCHOOL BASED FEEDING PROGRAM ₱ -

SBFP - MILK FEEDING (February 2021 for

11 Days)

1 pack Fortified Powdered Milk 33grams

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: DANTE FLORENCE R. BRIJUEGA
School Head
________________________________________________
Signature Over Printed Name of Supplier
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

ABSTRACT OF QUOTATION
Project : PR/RIS/JO No. : 2021-
Purpose : For March 2021 and April 2021 SBFP - Milk Feeding. Date :

UNIT PRICE QUOTED BY CORRESPONDING BIDDERS

Item No. Articles

TOTAL Php Php Php

CERTIFICATE OF COMMITTEE ON BID AWARDS

Based on Abstract of Price Quotations offered by dealers on various materials as quoted above, this COMMITTEE,
considering the lowest reasonable price, hereby make the following awards.

Above item awarded to ______________________________________.

DONE in this Office this __________________.

REGINA R. VICERA EMMA S. REGONDOLA CRISTINA P. RAFALLO

Regular Member Chairman Regular Member

ROSE ANNE M. PURCIA MARIE KRIS V. BRIJUEGA

Provisionary Member Provisionary Member
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

REQUEST FOR QUOTATION

Date: 02/22/2021
RFQ No.: 2021-03-01
Name of Company:
Address:
Business Permit No.
TIN No.
PhilGEPS Registration No.
Please quote your best offer for the item described below, subject to the Terms and Conditions provided at the dorsal portion of this request for quotation.

Submit your quotation duly signed by you or your duly representative and copies of the following eligibility requirements not later than February 25, 2021.

1.) Business Permit 4.) DTI Certificate

2.) BIR Certificate of Registration 5.) Phil-GEPS Certificate of Registration
3.) Tax Clearance Certificate
Sealed quotations may be submitted or mailed at the address indicated below.
EMMA S. REGONDOLA
Bids and Awards Committee
Chairman
After having carefully read and accepted the Terms and Conditions, I/we submit our quotation/s for the item/s as follows:

OFFER

APPROVED COMPLIANCE WITH

UNIT TECHNICAL
ITEM DESCRIPTION BUDGET OF THE PRICE REMARKS
MEASURE SPECIFICATIONS
CONTRACT (PLEASE CHECK)

QTY. UNIT PRICE TOTAL PRICE YES NO

SCHOOL BASED FEEDING PROGRAM P P

SBFP - MILK FEEDING (MARCH 2021 for

23 Days)

Fortified Powdered Milk 33 grams PACK 51,336.00 5,704

SBFP - MILK FEEDING (APRIL 2021 for

27 Days)

Fortified Powdered Milk 33 grams PACK 60,264.00 6,696

TOTAL 111,600.00 PhP

Signature Over Printed Name

Contact Number/s: _____________________________

Date of Delivery: DANTE FLORENCE R. BRIJUEGA

For March: March 1, 2021 School Head
For April: April 1, 2021 email: danteflorence.brijuega@deped.gov.ph
 OFFER

APPROVED COMPLIANCE WITH

UNIT TECHNICAL
ITEM DESCRIPTION BUDGET OF THE PRICE REMARKS
MEASURE SPECIFICATIONS
CONTRACT (PLEASE CHECK)

QTY. UNIT PRICE TOTAL PRICE YES NO

Contact No.: 09179898878
*from the supplier
*must be signed by the supply officer
*date must be same as or after the purchase order date
*the items must be same with what is listed on the purchase order
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

INSPECTION AND ACCEPTANCE REPORT

Supplier PO No. 2021-

Address BRGY. 4, CAMALIG, ALBAY Date February 9, 2021

Invoice No. Requesting Office: MANGA ELEMENTARY SCHOOL

STOCK NO. UNIT DESCRIPTION QUANTITY

SCHOOL BASED FEEDING PROGRAM

- SBFP - MILK FEEDING (February 2021 for
- 11 Days)
1 pack Fortified Powdered Milk 33grams 2200
-
-
-
-
-
-
-
-
-

INSPECTION
Date Inspected: February 9, 2021.
Inspected, verified and found that the above delivered supplies conform with the quality and
specifications indicated in the Purchase Order.

Recommendation:
__________ Partial Payment / Full Payment

REGINA R. VICERA FRANCIA R. REGONDOLA CRISTINA P. RAFALLO

Member Team Leader Member

ACCEPTANCE
Date Received: February 9, 2021
/ Complete __________ Partial

MARICHU O. RUBIS
Supply Officer
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District

SUMMARY OF REQUISITION AND ISSUE SLIP

RECIPIENT PARTICULAR STOCK NUMBER UNIT QUANTITY

Bond Paper Hardcopy A4 70gsm ream 7

Bond Paper Hardcopy Legal 70gsm ream 12

Flash Drive, 32gb piece 1

Ink Epson Black T6641 cart 1

DANTE FLORENCE R. Ink Epson Cyan T6642 cart 1

BRIJUEGA Ink Epson Magenta T6643 cart 1

Ink Epson Yellow T6644 cart 1

Sign Pen, Black piece 1

Sign Pen, Red piece 2

Electric Fan, Stand Type unit 1

Bond Paper Hardcopy A4 70gsm ream 2

Bond Paper Hardcopy Legal 70gsm ream 2

Flash Drive, 32gb piece 1

MIRAFE V. BANARES
Ink Epson Black T6641 cart 1

Sign Pen, Black piece 1

Sign Pen, Red piece 2

Bond Paper Hardcopy A4 70gsm ream 2

Bond Paper Hardcopy Legal 70gsm ream 2

ROSE ANNE M. Flash Drive, 32gb piece 1

PURCIA
Ink Epson Black T6641 cart 1

Sign Pen, Black piece 1

Sign Pen, Red piece 2

CERTIFIED TRUE AND CORRECT:

MARICHU O. RUBIS DANTE FLORENCE R. BRIJUEGA

Supply Officer School Head
 Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
(NAME OF SCHOOL)
Oas North District
REQUISITION AND ISSUE SLIP
Responsibility Code: RIS/JO No: ________________________ Date: __________________
SAI No: ________________________ Date: __________________

REQUISITION STOCK AVAILABLE ISSUANCE

Stock No. Unit DESCRIPTION Quantity YES NO Quantity Remarks
√ complete
√ complete
√ complete
√ complete
√ complete
√ complete
√ complete

PURPOSE: Additional installation of electrical wirings and sockets.

Requested by: Approved by: Issued by: Received by:

Signature:
Printed Name
Designation: School Head School Head Supply Officer School Head
Date: