MOOE Forms UPDATED

Republic of the Philippines
DEPARTMENT OF EDUCATION
Region XI
Division of Davao del Norte
KAPALONG EAST DISTRICT
CLEMENTA F. ROYO ELEMENTARY SCHOOL

Villa Clementa Subd., Maniki, Kapalong, Davao del Norte
JULY 05, 2017
JOSEPHINE L. FADUL,Ed.D
Schools Division Superintendent
Davao del Norte
Madame:
This is to respectfully request the amount of SIXTY TWO THOUSAND THREE

HUNDRED FORTY FOUR PESOS (P 62,344.00.00) as our Cash Advance for the
Maintenance and Other Operating Expenses (MOOE) of CLEMENTA F. ROYO
ELEMENTARY SCHOOL, Kapalong East District.
The abovementioned amount will be used to pay for the following expenses for
the month of JULY and AUGUST, 2017.
Code Items Amount

751 Travel Expense 3,200.00
774 Internet Expense 2,600.00
Medicines 3,553.60
773 Telephone Expense-Mobile 1,200.00
781 Printing 10,000.00
812 R & M – Other 12,435.14
797 Security Expense 2,000.00
767 Electricity 12,486.50
753 Training /Activity Expenses 11,400.00
Contingency Fund 968.76
Fidelity Bond 2,500.00
Total 62,344.00
Thank you.
Very truly yours,
PHOEBE GRACE C. ERAN

Head Teacher - II
Region XI

SEPT. 04, 2017
Davao del Norte
Madame:

the month of SEPTEMBER and OCTOBER, 2017.
Code Items Amount

751 Travel Expense 3,200.00
774 Internet Expense 2,600.00
755 Office/School Supplies 489.50
773 Telephone Expense-Mobile 1,200.00
781 Printing 10,000.00
812 R & M – Other 3,000.00
797 Security Expense 2,000.00
767 Electricity 12,486.50
753 Training /Activity Expenses 23,400.00
Contingency Fund 968.00
969 Labor 3,000.00
Total 62,344.00
Thank you.
Very truly yours,

Head Teacher -I I
Region XI

OCTOBER 23, 2017
Davao del Norte
Madame:

the month of NOVEMBER and DECEMBER , 2017.
Code Items Amount

751 Travel Expense
774 Internet Expense
755 Office/School Supplies
773 Telephone Expense-Mobile
781 Printing
812 R & M – Other
797 Security Expense
767 Electricity
753 Training /Activity Expenses
Contingency Fund
969 Labor
Total
Thank you.
Very truly yours,

Head Teacher -I I
2016 ANNUAL PROCUREMENT PLAN
Department: Department of Education

Division : Davao del Norte
District : Kapalong East District
School CLEMENTA F. ROYO ELEMENTARY SCHOOL
Annual : 355,360.00
UNIT OF QUANTITY REQUIREMENT

BUDGET
No. ITEM & SPECIFICATIONS ALLOCATED
MEASU
RE JAN FEB MAR Q1 APR MAY JUN Q2 JUL AUG SEPT Q3
I.MANDATORY BILLS (30%)
1 Electricity 69,308.00 5,775.67 5,775.67 5,775.67 17,327.01 5,775.67 5,775.67 5,775.67 17,327.01 5,775.67 5,775.67 5,775.67 17,327.01
2 communication 7,200.00 600 600 600 1,800 600 600 600 1,800 600 600 600 1,800
3 security 12,000.00 1,000 1,000 1,000 3,000 1,000 1,000 1,000 3,000 1,000 1,000 1,000 3,000
4 Internet 15,600.00 1,300 1,300 1,300 3,900 1,300 1,300 1,300 3,900 1,300 1,300 1,300 3,900
5 Fidelity 2,500.00 0 0 0 0 0 0 0 0 2,500 0 0 0
TOTAL: 106,608.00 8,676 8,676 8,676 26,027.01 8,675.67 8,676 8,676 26,027.01 11,176 8,676 8,675.67 26,027.01
II. MINOR REPAIRS (25%)
A. Materials
1 plywood 3,600.00 pc 12
2 lumber 4,000.00 pc 40
3 labor 1,500.00
4 nail 300.00 kl 5
5 door knob 500.00 pc 1
6 door swing out (labor) 350.00
7 door swing out main (labor) 350.00 1
8 door swing out CR (labor) 350.00 1
9 door swing out CR (labor) 350.00 pcs. 1
10 bulb 200.00 pc. 1
11 plywood 300.00 pcs. 1
12 plain sheet 1 500.00 pcs. 1
13 lumber 2x2 200.00 pcs. 2
14 door swing out CR (labor) 350.00 1
15 CR Repair (Labor) 350.00 1
16 plywood 300.00 pcs. 1
17 plain sheet 1 500.00 pcs. 1
18 lumber 2x2 200.00 pcs. 2
19 door knob (main) 500.00 pcs. 1
20 hinges 400.00 pcs. 2
21 Labor (Door welding) 500.00 1
22 labor (CR Repair) 350.00 1
23 faucet 100.00 pcs.
24 plywood 300.00 pcs.
25 plain sheet 1 500.00 pcs.
26 lumber 2x2 200.00 pcs.
27 labor (CR Repair) 350.00 1
28 hinges 400.00 pc. 2
30 bulb 600.00 pc 3
32 bulb 200.00 pcs. 1
33 door knob 500.00 pcs. 1
34 cement 1,620.00 bags 6
35 pdx wire 350.00 m. 15
36 4 gang outlet 200.00 pcs. 1
37 female plug 100.00 pcs. 1
38 electrical tape 60.00 roll 1
39 cement 810.00 bags 3
40 iron bar 700.00 pc 2
41 sink 400.00 pc 1
42 labor 350.00 1
43 cement 810.00 bags 3
44 iron bar 700.00 pc 2
45 sink 400.00 pc 1
46 labor 350.00 1
48 bulb 1,200.00 pc 6
49 panel door 3,500.00 pc 1
50 door knob 1,000.00 pc 2
51 printer 7,000.00 pc 1
52 usb 1,200.00 pc 3
53 ink refill 4,480.00 pc 14
54 panel door office 5,000.00 pc 1
55 volleyball 1,000.00 pc 2
56 net 500.00 pc 1
57 pole 500.00 pc 2
58 badminton set 1,000.00 pc 2
59 basketball 500.00 pc 1
60 chess board 500.00 pc 2
61 fire extinguisher 2,500.00 pc 1
62 batingaw 500.00 pc 1
63 pipe 8,000.00 pc 8
64 labor 3,000.00 pc 1
65 pdx wire 500.00 pc 10
66 wire standard 600.00 pc 15
67 buzzer 1,000.00 pc 2
68 UPS 5,000.00 pc 1
69 orbit fan 6,000.00 pc 3
70 flush door 3,000.00 pc 2
71 cabinet 4,410.00 pc 1
TOTAL: 88,840.00
III.TEACHING-LEARNING INSTRUCTION (25 %)
A. Supplies Available at PS Store
1 adhesive tape-transparent 3,465.00 pcs. 77
4 clear book 475.00 pcs.
5 correction tape 240.00 pc
6 envelopes brown long 840.00 pcs.
8 box fastener 140.00 box 2
10 folder legal 700.00 pc 200
11 paper bond legal 14,850.00 ream 90
12 sign pen (g&b) 50.00 pc.
13 staple wire standard 80.00 box
Supplies not available@ ps store 20,840.00
1 construction paper long 7,400.00 ream
2 ink refill, marking pen 1,920.00 pcs.
3 ink refill universal 1,000.00 set 20
4 ink refill epson 800.00 set 8
5 manila paper 768.00 pck. 256
6 permanent pen b broad 2,080.00 pcs. 26
7 permanent pen b fine 480.00 pcs.
8 ballpen (black) 96.00 pcs.
9 ballpen (green) 12.00 pcs.
10 chip board 360.00 pcs.
11 flash drive 300.00 pc 1
12 Pilot (G-Tech) 160.00 pc 2
12 elmer's glue (big) 1,125.00 pc 15
C. Drugs and Medicines 16,501.00
1 paracetamol 500 mg 200.00 box 2
2 captopril 25 mg 80.00 box 1
3 mefenamic cap 180.00 box 1
4 loperamide cap 200.00 box 2
5 flugard 500 mg 900.00 box 3
6 betadine 100cc 180.00 btl. 3
7 paracetamol syr 250/5mg 120.00 btl. 2
8 metoclopramide syr 120.00 btl. 2
9 alcohol 500cc. 224.00 btl. 4
11 cotton balls 90.00 pck. 3
12 guaze bondage 120.00 bgs. 3
13 calmoseptine ointment 450.00 sachet 10
14 ice bag 200.00 pc 2
15 hot compress bag 100.00 pc 1
16 efficascent oil 189.60 bot. 3
17 al. mg 200.00 box 1
D. Printing Expenses 3,553.60
1 Photocopies of Reports/memo 1,945.40 copy
2 reproduction of test papers 40,000.00 copy 10,000 10,000 10,000
F. Teachers' Guide 6,000.00 copy 6,000.00
TOTAL: 47,945.40
IV. ATTENDANCE TO AND CONDUCT OF
TRAININGS/SEMINARS/CONFERENCE 20%
A. School base training
1 Leadership Training 1,000.00 1,000
2 SIP/AIP/ASSESSMENT 2,000.00
3 GAD 3,500.00 3500
6,500.00
4 INSET
MATHEMATICS 1,000.00 1000
SELF RENEWAL 2,500.00
ICT 1,000.00
JOURNALISM 1,500.00 1500
CAREER GUIDANCE 2,500.00 1500
ENGLISH 1,500.00 1500
FILIPINO 1,000.00 1,000
MAPEH 1,000.00 1000
NDEP 1,000.00
13,000.00
B.PARTICIPATION TO DISTRICT/ DIVISION ACTIVITIES
ICT 1,000.00 1000
JOURNALISM 3,000.00 3000
SCIENCE & MATH 5,000.00 5000
TECHNOLYMPICS 2,100.00 2,100
YES-O 1,000.00
COM ARTS FILIPINO 1,400.00 1400
COM ARTS ENGLISH 1,400.00 1400
ESP 1,000.00 1000
POPED 500.00 500
MTB-MLE 1,500.00 1500
SCOUTING 600.00 600
SPORTS 4,000.00
ARAL. PAN 1,000
READING 1,000
24,500.00
C.NAT EXPENSE 4,000.00 4000
D.TEACHERS TRAVEL 8,000.00 800 800 800 800 800 800 800
E.SCHOOL HEADS TRAVEL 10,000.00 800 800 800 1000 1,000 800 800 800 800
F.CONTINGENCY FUND 5,072.00 422.66 422.66 422.66 422.66 422.66 422.66 422.66 422.66 422.66
27,072.00
TOTAL:
V.GRAND TOTAL: 355,360.00
VI.MONTHLY CASH ALLOCATION 29,613.32 29,613.32 29,613.32 29,613.32 29,613.32 29,613.32 29,613.32 29,613.32 29,613.32
Prepared by: Noted: Certified Funds Available

PHOEBE GRACE C. ERAN SARAH PASION CUBAR MA. LOURDES M. QUESADA , CPA
Supply/Pro School Head District Supervisor Division Accountant II

perty
Officer
PS Price
TOTAL
Catalogue
AMOUNT
OCT NOV DEC Q4 TOTAL as of
5,775.67 5,775.67 5,775.67 17,327.01 69,308.00 69,308.00

600 600 600 1,800 7,200.00 7,200.00
1,000 1,000 1,000 3,000 12,000.00 12,000.00
1,300 1,300 1,300 3,900 15,600.00 15,600.00
0 0 0 0 2,500.00 2,500.00
8,675.67 8,675.67 8,675.67 26,027.01 106,608
300 3,600.00
100 4,000.00
1,500.00
60 300.00
500.00 500.00
350.00
350.00
350.00
350.00
200.00 200.00
300.00 300.00
500 500.00
100 200.00
350.00
350.00
300.00 300.00
500.00 500.00
100 200.00
500 500.00
200 400.00
500 500.00
350.00
1 100 100.00
1 300 300.00
1 500 500.00
2 100 200.00
215 350.00
200 400.00
200 600.00
500 500.00
200 200.00
500 500.00
270 1,620.00
200 350.00
170 200.00
100 100.00
60 60.00
270 810.00
350 700.00
400 400.00
350 350.00
270 810.00
350 700.00
400 400.00
350 350.00
500 500.00
200 1,200.00
3,500.00
500 1,000.00
7,000 7,000.00
400 1,200.00
320 4,480.00
5,000 5,000.00
500 1,000.00
500 500.00
250 500.00
500 1,000.00
500 500.00
250 500.00
2,500 2,500.00
500 500.00
1,000 8,000.00
3,000 3,000.00
50 500.00
40 600.00
500 1,000.00
5,000 5,000.00
2,000 6,000.00
1,500 3,000.00
4,410 4,410.00
45 3,465.00
5 95 475.00
8 30 240.00
280 3 840.00
70 140.00
3.5 700.00
165 14,850.00
2 25 50.00
2 40 80.00
37 200 7,400.00
24 80 1,920.00
50 1,000.00
100 800.00
3 768.00
80 2,080.00
6 80 480.00
16 6 96.00
2 6 12.00
36 10 360.00
300 300.00
80 160.00
75 1,125.00
100.00 200.00
80 80.00
180 180.00
100 200.00
300 900.00
60 180.00
60 120.00
60 120.00
56 224.00
30 90.00
40 120.00
45 450.00
100 200.00
100 100.00
63.2 189.60
200 200.00
3,553.60
1,945.40 1 1,945.40
10,000 1 40,000.00
1 6,000.00
1,000.00
2000 2,000.00
3,500.00
6500 6,500.00
1,000.00
2500 2,500.00
1000 1,000.00
1,500.00
2,500.00
1,500.00
1,000.00
1,000.00
1000 1,000.00
1,000.00
3,000.00
5,000.00
2,100.00
1000 1,000.00
1,400.00
1,400.00
1,000.00
500.00
1,500.00
600.00
4000 4,000.00
1000 1,000
1000 1,000
4,000.00
800 800 800 8,000.00
800 800 800 10,000.00
422.66 422.66 422.66 5,072.00
29,613.32 29,613.32 29,613.32
Approved:
DR. JOSEPHINE L. FADUL
REPORT OF DISBURSEMENTS RECORDS
Agency
PHOEBE GRACE C. ERAN SCHOOL HEAD CLEMENTA F.ROYO
Accountable Officer Official Designation ELEMENTARY SCHOOL
Nature of Cash Advance Cash Advance

Date DV/Payroll No. Name of Payee Payment Received Disbursements
Balance
MOOE MAY-
JUNE, 2017 59,840.00
2-15-17 3677 ZM Coco Lumber Lumber 432.00 59,408.00
4-27-17 RER Felixberto Hostago Labor 800.00 58,608.00
5-3-17 RER Angelito dela Cerna Guard 1,000.00 57,608.00
5-16-17 0037 RGL gen. Mdse. Painting Materials 843.00 56,765.00
5-18-17 127319 SHEENA Mktg. Painting Materials 755.00 56,010.00
" 42609-610 ECO WIN Interprise Schl. Supplies 8,852.00 47,158.00
" 150431 Tagum Commercial Schl.Supplies 624.00 46,534.00

" 160924 DANECO Electricity 2,899.97 43,634.03
" iAAPCP21021099 GLOBE Internet 1,299.00 42,335.03
" 105 MJ Paper Works School Supplies ₱ 6,210.00 36,125.03

" 0111 MJ Paper Works School Supplies 340.00 35,785.03
" 92423 Elking Trade R&M 798.00 34,987.03
" 150434 Tagum Commercial School Supplies 417.00 34,570.03
5-230-17 13610 Potters Hand Eudc.Supply School Supplies 710.00 33,860.03
6-2-17 127596 SHEENA Mktg. Paint 480.00 32,380.03
" 4010 J & N Sign Factor Tarp Printing 263.00 32,117.03
6-3-17 3623 J & N Sign Factor Tarp Printing 572.00 31,545.03
" CA Racelie J. Narido Travel 890.00 30,655.03
6-6-17 CA Maya Junelle C.Argente Travel 890.00 29,765.03
6-7-17 0009209 Handy Man- Measuring Tape 672.00 29,093.03
6-14-17 62 Office Cubicle-Top Glass Trigons 4,000.00 25,093.03
" 14762 Kap.Lightings Mktng. Wirings 380.00 24,713.03
" RER James A. Moreno Labor-Wiring 500.00 24,213.03
6-17-17 CA Phoebe Grace C. Eran Travel 2,000.00 22,213.03
6-20-17 14761 Kap. Lightings Mktng. Elec.Wiring 1,130.00 21,083.03
" 337503 Daneco Electricity 2,747.06 18,335.97
" IAAPCR21021738 GLOBE Internet 1,299.00 17,036.97
" 201-202 MJ Paper Works School Supplies 6,372.00 10,664.97

6-22-17 0132 MJ Paper Works TG Materials 5,348.00 5,316.97
6-23-17 1062 Boy Royo Lumber R&M 714.00 4,602.97
" 2622 FMC Gen.Mdse. T shirts 280.00 4,322.97
" 4090 J & N Sign Factor Tshirt Printing 400.00 3,922.97
" 1402 JMS Sore E-Load 1,200.00 2,722.97
6-30-17 135 Seprado Aquastar Water Refill 1,500.00 1,222.97
7-1-17 17711 Unitop Gen.Mdse. Frames 1,300.00 -77.03
-77.03
CERTIFICATION
I hereby certify that the foregoing is a correct and complete record of all cash advances received and disbursement made
by me in my capacity as Accountable Officer/ School Head of Luan Elementary School during the period of January-february,2017 as
indicated in the corresponding columns.

School Head
REPORT OF DISBURSEMENTS RECORDS
Agency
PHOEBE GRACE C. ERAN SCHOOL HEAD CLEMENTA F.ROYO
Accountable Officer Official Designation ELEMENTARY SCHOOL
Nature of Cash Advance Cash Advance
Date DV/Payroll No. Name of Payee Payment Received
Disbursements
Balance
MOOE JULY-
AUG., 2017 62,147.00
5-24-17 RER Felixberto Hostago Labor 200.00 62,147.00
5-25-17 0548 SH-TYZ mktng co. School Supplies 64.00 61,947.00
Potters Hand Educationa

5-26-17 13653 Supply School Supplies 104.00 61,883.00
7-02-17 24512 RG Dry Goods Store School Supplies 220.00 61,779.00
7-04-17 CA Phoebe Grace C. Eran Travel 1,000.00 60,559.00

7-08-17 1649 Uni City Gen Msde. Schl.Supplies 965.00 59,559.00
Marilou Gabato/Leilah
7-12-17 CA Gonzales Travel 440.00 58,594.00
7-14-17 CA Marilou C. Gabato Travel 110.00 58,154.00
7-17-17 1863 JMS Store Load ₱ 1,200.00 58,044.00
7-25-17 0353512 DANECO Electricity 5,325.91 56,844.00
7-25-17 IAAPCP22004110 Globe Internet 1,299.00 51,518.09
7-25-17 155136 NDS NCCC Dept.Store R&M 1,945.00 50,219.09
7-25-17 42603 ECO Win Entrprise R&M 1,755.00 48,274.09
7-25-17 44351 DW Electronics Shop R&M 1,000.00 46,519.09
7-25-17 9570 HANDYMAN R&M 2,369.50 45,519.09
7-26-17 2658 FMC Gen. Mdse. R&M 770.00 43,149.59
7-27-17 739 A. Magdoza Dry Goods R&M 3,440.00 42,379.59
07-30-17 520 Minor Metal Puncher AD. Printing 500.00 38,939.59
08-03-17 RER Angelito dela Cerna Labor 1,000.00 38,439.59
08-0317 CA Janice Villorejo/Marilou Gabato Travel 220.00 37,439.59
08-07-17 1123-17-1081 LBP-Fidelity Bond Bond 1,125.00 37,219.59

08-08-17 256 MJ Paper Works Printing 10,904.60 36,094.59
The Generics Pharmacy-
08-08-17 7537 Doktors Medicines 1,620.00 25,189.99
08-008-17 IAAPCP22004396 Globe Internet 1,299.00 23,569.99

08-08-17 433317 DANECO Electricity 7,632.02 22,270.99
08-08-17 43103 ECO WIN Enterprise School supplies 900.00 14,638.97
08-08-17 43104 ECO WIN Enterprise School supplies 420.00 13,738.97
08-0917 128654 SHEENA Mltng. R&M 140.00 13,318.97
08-14-17 19538 Tish Joie Gen.Mdse. R&M 475.00 13,178.97
08/-14-17 250 ANINO Lumber R&M 879.00 12,703.97
Tish Joie Gen.Mdse. R&M 1,500.00 11,824.97
08-15-17 19547 Tish Joie Gen.Mdse. R&M 1,899.00 10,324.97
08-15-17 128756 SHEENA Mktng. R&M 1,000.00 8,425.97
08-15-17 4105 ZM Coco Lumber R&M 460.00 7,425.97
08-17-17 RER Roel Chavez Labor/ Mtrls 4,000.00 6,965.97
08-24-17 82 KEZ & Xam Enterprises Photocopy 1,250.00 2,965.97
08-31-17 195 Seprado Aquastar Water Water Refill 1,720.00 1,715.97
-4.03
CERTIFICATION
I hereby certify that the foregoing is a correct and complete record of all cash advances received and disbursement made
by me in my capacity as Accountable Officer/ School Head of Luan Elementary School during the period of January-february,2017 as
indicated in the corresponding columns.

School Head
Region XI
DIVISION OF DAVAO DEL NORTE
CASH DISBURSEMENT REGISTER
CDR: MOOE for the month of May & June 2017
Working Fund BREAKDOWN OF PAYMENTS
DATE REFERENCE Trng Other Accounts

Travel Exp Schl. R & M SCHL.
Payee CASH ADV PAYMENTS BALANCE 751
EXP CODE AMOUNT
Supplies 755 Bldg.812
753
59,840.00
2-15-17 3677 ZM Coco Lumber 432.00 59,408.00 432.00
4-27-17 RER Felixberto Hostago 800.00 58,608.00 Labor 821 800.00
5-3-17 RER Angelito dela Cerna 1,000.00 57,608.00 Guard 797 1,000.00
5-16-17 0037 RGL gen. Mdse. 843.00 56,765.00 843.00
5-18-17 127319 SHEENA Mktg. 755.00 56,010.00 755.00
" 42609-610 ECO WIN Interprise 8,852.00 47,158.00 8,852.00
" 150431 Tagum Commercial 624.00 46,534.00 624.00
" 160924 DANECO 2,899.97 43,634.03 Electricity 767 2,899.97
" iAAPCP21021099 GLOBE 1,299.00 42,335.03 Internet 774 1,299.00
" 105 MJ Paper Works 6,210.00 36,125.03 6,210.00
" 0111 MJ Paper Works 340.00 35,785.03 340.00
" 92423 Elking Trade 798.00 34,987.03 798.00
" 150434 Tagum Commercial 417.00 34,570.03 417.00
5-230-17 13610 Potters Hand Eudc.Supply 710.00 33,860.03 710.00
6-1-17 RER Angelito dela Cerna 1,000.00 32,860.03 Guard 797 1,000.00
6-2-17 127596 SHEENA Mktg. 480.00 32,380.03 480.00
" 4010 J & N Sign Factor 263.00 32,117.03 Printing 263.00
6-3-17 3623 J & N Sign Factor 572.00 31,545.03 Printing 572.00
" CA Racelie J. Narido 890.00 30,655.03 890.00
30,655.03
6-6-17 CA Maya Junelle C.Argente 890.00 29,765.03 890.00
6-7-17 0009209 Handy Man- 672.00 29,093.03 672.00
6-14-17 62 Office Cubicle-Top Glass 4,000.00 25,093.03 4,000.00
" 14762 Kapalong Lightings Mktng. 380.00 24,713.03 380.00
" RER James A. Moreno 500.00 24,213.03 Labor-Wiring 500.00
6-17-17 CA Phoebe Grace C. Eran 2,000.00 22,213.03 2,000.00
6-20-17 14761 Kapalong Lightings Mktng. 1,130.00 21,083.03 1,130.00
" 337503 Daneco 2,747.06 18,335.97 Electricity 767 2,747.06
" IAAPCR21021738 GLOBE 1,299.00 17,036.97 Internet 774 1,299.00
" 201-202 MJ Paper Works 6,372.00 10,664.97 6,372.00
6-22-17 0132 MJ Paper Works 5,348.00 5,316.97 Printing & Binding 781 5,348.00
6-23-17 1062 Boy Royo Lumber 714.00 4,602.97 714.00
" 2622 FMC Gen.Mdse. 280.00 4,322.97 T Shirt 280.00
" 4090 J & N Sign Factor 400.00 3,922.97 Printing-T Shirt 400.00
" 1402 JMS Sore 1,200.00 2,722.97 E load 1,200.00
6-30-17 135 Seprado Aquastar 1,500.00 1,222.97 Water Refill 1,500.00
7/1/17 17711 Unitop Gen.Mdse. 1,300.00 - 77.03 1,300.00
TOTAL 59,917.03 3,780.00 25,497.00 9,532.00 21,108.03
Certified Correct: Certified :

Supporting Documents Complete
PHOEBE GRACE C. ERAN Noted :
HT II - Disbursing Officer
Date ________
JUDITH Q. JURIAL MA. LOURDES M. QUESADA, CPA JOSEPHINE L. FADUL, Ed.D.

Teacher's League President Division Accountant Schools Division Superintendent
Date: ______
Region XI
CASH DISBURSEMENT REGISTER
CDR: MOOE for the month of July - August, 2017
Working Fund BREAKDOWN OF PAYMENTS
DATE REFERENCE Trng Other Accounts

Travel Exp Schl. R & M SCHL.
Payee CASH ADV PAYMENTS BALANCE EXP CODE AMOUNT
751 Supplies 755 Bldg.812
753
62,147.00
5-24-17 RER Felixberto Hostago 200.00 61,947.00 Labor 200.00
5-25-17 0548 SH-TYZ mktng co. 64.00 61,883.00 64.00
5-26-17 13653 Potters Hand Educationa Supply 104.00 61,779.00 104.00
7-02-17 24512 RG Dry Goods Store 220.00 61,559.00 220.00
7-03-17 RER Angelito dela Cerna 1,000.00 60,559.00 Guard 1,000.00
7-04-17 CA Phoebe Grace C. Eran 1,000.00 59,559.00 1,000.00
7-08-17 1649 Uni City Gen Msde. 965.00 58,594.00 965.00
7-12-17 CA Marilou Gabato/Leilah Gonzales 440.00 58,154.00 440.00
7-14-17 CA Marilou C. Gabato 110.00 58,044.00 110.00
7-17-17 1863 JMS Store 1,200.00 56,844.00 Internet Load 1,200.00
7-25-17 0353512 DANECO 5,325.91 51,518.09 Electricity 5,325.91
7-25-17 IAAPCP22004110 Globe 1,299.00 50,219.09 Internet 1,299.00
7-25-17 155136 NDS NCCC Dept.Store 1,945.00 48,274.09 1,945.00
7-25-17 42603 ECO Win Entrprise 1,755.00 46,519.09 1,755.00
7-25-17 44351 DW Electronics Shop 1,000.00 45,519.09 1,000.00
7-25-17 9570 HANDYMAN 2,369.50 43,149.59 2,369.50
7-26-17 2658 FMC Gen. Mdse. 770.00 42,379.59 770.00
7-27-17 739 A. Magdoza Dry Goods 3,440.00 38,939.59 3,440.00
07-30-17 520 Minor Metal Puncher AD. 500.00 38,439.59 Printing 500.00
08-03-17 RER Angelito dela Cerna 1,000.00 37,439.59 Guard 1,000.00
37,439.59
08-0317 CA Janice Villorejo/Marilou Gabato 220.00 37,219.59 220.00
08-07-17 1123-17-1081 LBP-Fidelity Bond 1,125.00 36,094.59 Fidelity Bond 1,125.00
08-08-17 256 MJ Paper Works 10,904.60 25,189.99 Printing 10,904.60
08-08-17 7537 The Generics Pharmacy-Doktors 1,620.00 23,569.99 Medicines 1,620.00
08-008-17 IAAPCP22004396 Globe 1,299.00 22,270.99 Internet 1,299.00
08-08-17 433317 DANECO 7,632.02 14,638.97 Electricity 7,632.02
08-08-17 43103 ECO WIN Enterprise 900.00 13,738.97 900.00
08-08-17 43104 ECO WIN Enterprise 420.00 13,318.97 420.00
08-0917 128654 SHEENA Mltng. 140.00 13,178.97 140.00
08-14-17 19538 Tish Joie Gen.Mdse. 475.00 12,703.97 475.00
08/-14-17 250 ANINO Lumber 879.00 11,824.97 879.00
19763 Tish Joie Gen.Mdse. 1,500.00 10,324.97 1,500.00
08-15-17 19547 Tish Joie Gen.Mdse. 1,899.00 8,425.97 1,899.00
08-15-17 128756 SHEENA Mktng. 1,000.00 7,425.97 1,000.00
08-15-17 4105 ZM Coco Lumber 460.00 6,965.97 460.00
08-17-17 RER Roel Chavez 4,000.00 2,965.97 Labor 4,000.00
08-24-17 82 KEZ & Xam Enterprises 1,250.00 1,715.97 Photocopy 1,250.00
08-31-17 195 Seprado Aquastar Water 1,720.00 - 4.03 Water Refill 1,720.00
29,550.62
62,151.03 1,770.00 2,673.00 17,632.50 40,075.53
Certified Correct: Certified :

Supporting Documents Complete
PHOEBE GRACE C. ERAN Noted :
HT II - Disbursing Officer
Date ________
JUDITH Q. JURIAL MA. LOURDES M. QUESADA, CPA JOSEPHINE L. FADUL, Ed.D.

Teacher's League President Division Accountant Schools Division Superintendent
Date: ______
Region XI
Kapalong East District
PURCHASE REQUEST
Department of Education
Agency
Department : Dep.Ed Division of Davao

P.R. No. ________ Date :___________
Section: CLEMENTA F. ROYO ELEM.SCH.
Stock No. Unit Item Description Qty Unit Cost Total Cost
1 box Paracetamol 500 mg 2 100.00 200.00
2 box Captopril25 mg 1 80.00 80.00
3 box Mefenamic Cap 1 180.00 180.00
4 box Loperamide 1 200.00 200.00
5 box Flugard 500 mg 3 300.00 900.00
6 btl. Betadine 100 cc 3 60.00 180.00
7 btl. Paracetamol Syr. 250/5mg 2 60.00 120.00
8 btl. Metoclopramide 2 60.00 120.00
9 btl. Alcohol 500cc 4 56.00 224.00
10 pck. Cotton ball 3 30.00 90.00
11 bgs Gauze Bondage 3 40.00 120.00
12 Schet Calmoseptine Ointment 10 45.00 450
13 pc. Ice Bag 2 100.00 200
14 pc Hot Compress Bag 1 100.00 100
15 btl. Effficascent Oil 3 63.20 189.6
16 box Al.mg 1 200.00 200
3,553.60
Requested by : Approved by :
Signature:
Printed Name: JUDITH Q. JURIAL PHOEBE GRACE C. ERAN.
Designation: Property Custodian SCHOOL HEAD
Region XI
PURCHASE REQUEST
Agency
P.R. No. ________ Date :___________
1 pcs. Volleyball 2 500.00 1,000.00
2 pc. Net 1 500.00 500.00

3 pc. Pole 2 250.00 500.00
4 pc. Badminton set 2 500.00 1,000.00
5 pc Basket Ball 1 500.00 500.00
6 pc Chess board 2 250.00 500.00
7 pc Buzzer 2 500.00 1,000.00
8 pc UPS 1 3,025.14 3,025.14
9 pc Cabinet 1 4,410.00 4,410.00
12,435.14
Signature:
Region XI
PURCHASE REQUEST
Agency
P.R. No. ________ Date :___________
1 pcs. Reproduction of Test Papers for 10,000 1.00 10,000.00

1st Quarter
10,000.00
Signature:
Republic of the Philippines Fund Cluster :
Region XI
Mankilam, Tagum City
DISBURSEMENT VOUCHER
MOOE
Mode of Payment
MDS Check ADAP
TIN/Employee No.: ORS/BURS No.:
Payee: TISH JOIE GEN. MERCHANDISE
Kapalong, DDN
Responsibility
Particulars Center
MFO/PAP Amount
Payment of Elementary
Repair and maintenance materials for
movable black board of grade Five-
P 1,064.00
Gemini
Amount Due 1,064.00

P 1,064.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.

School Head
B. Accounting Entry:
Account Title UACS Code Debit Credit
-
-
C. Certified: D. Approved for Payment

P
1,064.00
Signature : Signature
Printed
Printed Name JAZZTENE A. BUGHAO Name PHOEBE GRACE C. ERAN
ADMINISTRATIVE AIDE VI
Head, Accounting School Head
Position
Unit/Authorized Agency Head/Authorized Representative
Date Representative Date
E. Receipt of Payment JEV No.
Date : Bank Name & 16-09-
Check/ ADA No. :
Account Number:
Date : Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents

MJ Paper Works & Gen. Mdse.
Tagum City, DDN
Payment of Teachers Guide K-12 15,751.00

TG Grade I - VI
Amount Due 15,751.00

P 15,751.00
RAMEL Marketing
Maniki, Kapalong, DDN
1 ltr Ros blue paint 1 175.00 175.00

2 ltr Ros Pink 1 175.00 175.00
3 ltr Ros Happy days 1 175.00 175.00
4 ltr Rosco QDE 2 145.00 290.00
5 bot. Mayon Laquer thinner 4 45.00 180.00
6 pcs. Ply board 3/4M 2 935.00 1,870.00
7 pc. Plywood 5mm 1 290.00 290.00
-
-
-
-
-
-
-
-
-
-
-
P 3,155.00
PURCHASE ORDER
MJ Papers Works & Gen.Mdse. J.O. NO.______
Address: Tagum City ,DDN DATE: :________

TIN : 280-476-049-000 MODE OF PAYMENT: CASH
Gentlemen:
Please furnish this Office the following Services Subject to the terms and conditions contained herein:
Place of Delivery: CLEMENTA F. ROYO ES Delivery Term:

Date of Delivery: Payment Term: CASH
Stock Unit cost per
Unit Item Description Quantity Amount
No. serving
1 Rls. Laminating Film 2 750.00 1,500.00
2 pcs. Cheap Board 10 8.00 80.00
3 Pcs. Card ring 1 1/2 28 10.00 280.00
4 pcs. Yarn 2 10.00 20.00
5 pcs. Stick glue big 6 7.00 42.00
6 pck Index Card 1/4 3 25.00 75.00
7 box Ball pen black 1 55.00 55.00
8 pcs. Record Book 300 pp. 2 55.00 110.00
9 pcs. Cartolina 30 6.00 180.00
10 Rls. Scotch tape 2" 4 40.00 160.00
11 box Push pin 100"s 1 35.00 35.00
12 pcs. Stick glue small 4 5.00 20.00
13 pc. Tape Dispenser 1 100.00 100.00
14 rl. Scotch Tape 1" 1 25.00 25.00
15 pc. Puncher 2 holes 1 125.00 125.00
16 pc. Max Stapler # 10 1 70.00 70.00
17 box staple wire # 10 1 10.00 10.00
18 pc. Plastic Envelope -L 1 7.00 7.00
19 pc. Notebook big 1 19.00 19.00
20 pc. Notebook Pad 2X3 1 20.00 20.00
21 pc. Record Book 500 Pp. 1 65.00 65.00
2,998.00
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 every day of delay shall be imposed.
Very Truly Yours,

SCHOOL HEAD
Conforme:________________________________
Signature over printed name of supplier
Date:______________________
Funds available:
ALOBS No.______________________
AMOUNT:______________________
____

School head
______
1 set Teachers Guide K-12 Gr. I 1 1,710.75 1,710.75

2 set Teachers Guide K-12 Gr. II 3 1,584.25 4,752.75
3 set Teachers Guide K- 12 Gr. III 2 1,319.00 2,638.00
4 set Teachers Guide K- 12 Gr. IV 2 2,724.75 5,449.50
5 set Teachers Guide 1 - 6 1 1,200.00 1,200.00
6 -
7 -
-
-
-
-
-
-
-
-
P 15,751.00
PURCHASE ORDER
TISH JOIE GEN. MERCHANDISE J.O. NO.______

Address: Kapalong DDN DATE: :________9-12-17
TIN : 284-431-294-000 MODE OF PAYMENT: CASH
Gentlemen:
Please furnish this Office the following Services Subject to the terms and conditions contained herein:
Place of Delivery: CLEMENTA F. ROYO ES Delivery Term:
Date of Delivery: Payment Term: CASH
Stock Unit cost per
Unit Item Description Quantity Amount
No. serving
1 PCS 2X3X10 LUMBER 3 170.00 510.00
2 PCS. 1X2X10 LUMBER 3 70.00 210.00
3 PCS. COMMON NAILS # 3 0.25 14.00
4 PCS. PLYWOOD 5MM 1 330.00
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,064.00
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 every day of delay shall be imposed.
Very Truly Yours,

SCHOOL HEAD
Conforme:________________________________
Signature over printed name of supplier
Date:______________________
Funds available:
ALOBS No.______________________
AMOUNT:______________________
____

School head
Region XI
PURCHASE REQUEST
Agency
Department: DepEd Division of Davao del Norte P.R. No. __________ Date :
Maniki, Kapalong, DDN Date :___________
Section:
1 Rls. Laminating Film 2 750.00 1,500.00

2 pcs. Cheap Board 10 8.00 80.00
3 Pcs. Card ring 1 1/2 28 10.00 280.00
4 pcs. Yarn 2 10.00 20.00
5 pcs. Stick glue big 6 7.00 42.00
6 pck Index Card 1/4 3 25.00 75.00
7 box Ball pen black 1 55.00 55.00
8 pcs. Record Book 300 pp. 2 55.00 110.00
9 pcs. Cartolina 30 6.00 180.00
10 Rls. Scotch tape 2" 4 40.00 160.00
11 box Push pin 100"s 1 35.00 35.00
12 pcs. Stick glue small 4 5.00 20.00
13 pc. Tape Dispenser 1 100.00 100.00
14 rl. Scotch Tape 1" 1 25.00 25.00
15 pc. Puncher 2 holes 1 125.00 125.00
16 pc. Max Stapler # 10 1 70.00 70.00
17 box staple wire # 10 1 10.00 10.00
18 pc. Plastic Envelope -L 1 7.00 7.00
19 pc. Notebook big 1 19.00 19.00
20 pc. Notebook Pad 2X3 1 20.00 20.00
21 pc. Record Book 500 Pp. 1 65.00 65.00
2,998.00
Requested by:
Signature :
Printed Name:
Designation : JUDITH Q. JURIAL PHOEBE GRACE C. ERAN
School Property Custodian HT - II
Region XI
PURCHASE REQUEST
Agency
Department : Dep Ed- Division of Davao del Norte P.R. No. __________ Date : __________
Date :___________
Section:
1 ltr Ros blue paint 1 175.00 175.00

2 ltr Ros Pink 1 175.00 175.00
3 ltr Ros Happy days 1 175.00 175.00
4 ltr Rosco QDE 2 145.00 290.00
5 bot. Mayon Laquer thinner 4 45.00 180.00
6 pcs. Ply board 3/4M 2 935.00 1,870.00
7 pc. Plywood 5mm 1 290.00 290.00
-
-
-
3,155.00
Requested by:
Signature :
Printed Name:

Region XI
PURCHASE REQUEST
Agency
Department : P.R. No. __________ Date : _________

Date :___________
Section:
-
-
1 rm Long Folder 1 475.00 475.00
-
-
-
-
-
-
-
-
475.00
Requested by:
Signature :
Printed Name:
….
…
REQUISITION AND ISSUE SLIP
Entity Name : CLEMENTA F. ROYO ELEMENTARY SCHOOL Fund Cluster : ______________
Division : DepEd Division of Davao del Norte Responsibility Center Code : __________
Office : ________________________________________________ RIS No. : ________________________

Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 Rls. Laminating Film 2 2
2 pcs. Cheap Board 10 10
3 Pcs. Card ring 1 1/2 28 28
4 pcs. Yarn 2 2
5 pcs. Stick glue big 6 6
6 pck Index Card 1/4 3 3
7 box Ball pen black 1 1
8 pcs. Record Book 300 pp. 2 2
9 pcs. Cartolina 30 30
10 Rls. Scotch tape 2" 4 4
11 box Push pin 100"s 1 1
12 pcs. Stick glue small 4 4
13 pc. Tape Dispenser 1 1
14 rl. Scotch Tape 1" 1 1
15 pc. Puncher 2 holes 1 1
16 pc. Max Stapler # 10 1 1
17 box staple wire # 10 1 1
18 pc. Plastic Envelope -L 1 1
19 pc. Notebook big 1 1
20 pc. Notebook Pad 2X3 1 1
21 pc. Record Book 500 Pp. 1 1
Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : Aira Jean Q. Jurial PHOEBE GRACE C. ERAN JUDITH Q. JURIAL Aira Jea Q.Jurial
Designation : T-I School Head II Property Custodian T- I
Date :
Office : ________________________________________________ RIS No. : ________________________

1 ltr Ros blue paint 1 1

2 ltr Ros Pink 1 1
3 ltr Ros Happy days 1 1
4 ltr Rosco QDE 2 2
5 bot. Mayon Laquer thinner 4 4
6 pcs. Ply board 3/4M 2 2
7 pc. Plywood 5mm 1 1

Signature :
Printed Name : Emmy M. Padua PHOEBE GRACE C. ERAN JUDITH Q. JURIAL Emmy M. Padua
Date :
Office : ________________________________________________ RIS No. : ________________________

1 Rm. Long Folder 1 1

Signature :
Printed Name : PHOEBE GRACE C. ERAN JUDITH Q. JURIAL
Date :
INVENTORY CUSTODIAN SLIP
ICS No : ______________
Amount Estimated
Inventory
Quantity Unit Description Item No.
Useful
Unit Cost Total Cost Life
2 Rls. 750.00 1,500.00 Laminating Film
10 pcs. 8.00 80.00 Cheap Board
28 Pcs. 10.00 280.00 Card ring 1 1/2
2 pcs. 10.00 20.00 Yarn
6 pcs. 7.00 42.00 Stick glue big
3 pck 25.00 75.00 Index Card 1/4
1 box 55.00 55.00 Ball pen black
2 pcs. 55.00 110.00 Record Book 300 pp.
30 pcs. 6.00 180.00 Cartolina
4 Rls. 40.00 160.00 Scotch tape 2"
1 box 35.00 35.00 Push pin 100"s
4 pcs. 5.00 20.00 Stick glue small
1 pc. 100.00 100.00 Tape Dispenser
1 rl. 25.00 25.00 Scotch Tape 1"
1 pc. 125.00 125.00 Puncher 2 holes
1 pc. 70.00 70.00 Max Stapler # 10
1 box 10.00 10.00 staple wire # 10
1 pc. 7.00 7.00 Plastic Envelope -L
1 pc. 19.00 19.00 Notebook big
1 pc. 20.00 20.00 Notebook Pad 2X3
1 pc. 65.00 65.00 Record Book 500 Pp.
Received from: Received by:
__________________________________ ______________________________
Signature Over Printed Name Signature Over Printed Name
__________________________________ ______________________________
Position/Office Position/Office
__________________________________ ______________________________
Date Date
ICS No : ______________
Amount Estimated
Inventory
Useful
1 ltr 175.00 175.00 Ros blue paint

1 ltr 175.00 175.00 Ros Pink
1 ltr 175.00 175.00 Ros Happy days
2 ltr 145.00 290.00 Rosco QDE
4 bot. 45.00 180.00 Mayon Laquer thinner
2 pcs. 935.00 1,870.00 Ply board 3/4M
1 pc. 290.00 290.00 Plywood 5mm
3,155.00
__________________________________ ______________________________
__________________________________ ______________________________
__________________________________ ______________________________
Date Date

ICS No : ______________
Amount Estimated
Inventory
Useful
1 rm. 475.00 475.00 Long Folder
475.00
__________________________________ ______________________________
__________________________________ ______________________________
__________________________________ ______________________________
Date Date
Region XI
INSPECTION AND ACCEPTANCE

Requesting Office/Dept. CLEMENTA F. ROYO ELEMENTARY SCHOOL
Date Invoice No Unit Description Unit Cost Quantity Total Cost
1/7/2017 CASH Invoice Pcs. Decorative Frame 325.00 2 650.00

Pcs. Certificate / Frames 65.00 10 650.00
O.R # -
17711 -
1,300.00
INSPECTION ACCEPTANCE
Date Inspected : Date Received :
Inspected, verified and found in order as to _____/___ Complete
quantity and specifications. ________ Partial ( Pls. specify quantity)
BELLA LIZA F. TUMALE

Inspection Committee
JUDITH Q. JURIAL
DELINA J. INGAR Property Officer
RUTH T. RAMOS

Region XI

08/27/17 CASH Invoice ltr Ros blue paint 175.00 1 175.00

ltr Ros Pink 175.00 1 175.00
O.R # ltr Ros Happy days 175.00 1 175.00
11262 ltr Rosco QDE 145.00 2 290.00
bot. Mayon Laquer thinner 45.00 4 180.00
pcs. Ply board 3/4M 935.00 2 1,870.00
pc. Plywood 5mm 290.00 1 290.00
3,155.00

JUDITH Q. JURIAL
RUTH T. RAMOS

Region XI

3/10/2017 CASH Invoice set Teachers Guide K-12 Gr. I 1,710.75 1 1,710.75
set Teachers Guide K-12 Gr. II 1,584.25 3 4,752.75
O.R # set Teachers Guide K- 12 Gr. III 1,319.00 2 2,638.00
0308 set Teachers Guide K- 12 Gr. IV 2,724.75 2 5,449.50
set Teachers Guide 1 - 6 1,200.00 1 1,200.00
-
-
-
-
-
15,751.00

JUDITH Q. JURIAL
RUTH T. RAMOS

Region XI
REQUEST FOR QUOTATION
Potters Hand School supplies
Kapalong, DDN
Please quote your lowest price in the item/s listed below, subject to the General conditions, stating the shortest time of delivery and submit your
quotation duly signed by your representative not later than _______ in the return envelope attached herewith.
LEILAH V. GONZALES
BAC Chairman
NOTE:
1. ALL ENTRIES MUST BE TYPEWRITTEN OR LEGIBLY WRITTEN.
2. DELIVERY PERIOD WITHIN ____________ CALENDAR DAYS.
3. WARRANTY SHALL BE FOR PERIOD OF (6) SIX MONTHS FOR SUPPLIES AND MATERIALS ONE YEAR FOR EQUIPMENT FROM DATE OF ACCEPTANCE BY THE PROCURING
ENTITY.
4. PRICE VALIDITY SHALL BE A PERIOD OF _________ CALENDAR DAYS.
5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATION OF THE PRODUCT BEING OFFERED.
ITEM NO. ITEM AND DESCRIPTION UNIT COST QUANTITY TOTAL COST
1 Laminating Film 790.00 2 1,580.00

2 Cheap Board 10.00 10 80.00
3 Card ring 1 1/2 11.00 28 280.00
4 Yarn 10.00 2 20.00
5 Stick glue big 9.00 6 42.00
6 Index Card 1/4 28.00 3 75.00
7 Ball pen black 58.00 1 55.00
8 Record Book 300 pp. 55.00 2 110.00
9 Cartolina 6.00 30 180.00
10 Scotch tape 2" 4 160.00
43.00
11 Push pin 100"s 35.00 1 35.00
12 Stick glue small 7.00 4 20.00
13 Tape Dispenser 160.00 1 100.00
14 Scotch Tape 1" 25.00 1 25.00
15 Puncher 2 holes 145.00 1 125.00
16 Max Stapler # 10 70.00 1 70.00
17 staple wire # 10 80.00 1 10.00
18 Plastic Envelope -L 7.00 1 7.00
19 Notebook big 22.00 1 19.00
20 Notebook Pad 2X3 24.00 1 20.00
21 Record Book 500 Pp. 69.00 1 65.00
₱3,078.00
After having carefully read and accepted your General Conditions , I / We quote you on the item/s at price noted above.
______________________________
Printed Name/ Signature
____________________
Tel.No./Cellphone No.
_____________________
Date:
Region XI

ZM Coco Lumber & Construction supply

Kapalong, DDN
LEILAH V. GONZALES
BAC Chairman
NOTE:

ENTITY.
1 Flat Latex 348.00 2 696.00

2 Latex Thalo Green 58.00 1 58.00
3 Latex Lamp Black 58.00 2 116.00
4 Latex Raw Siena 58.00 1 58.00
5 Thalo Blue 58.00 3 174.00
6 Paint Brush # 1 17.00 5 85.00
7 Paint brush # 2 1/2 25.00 5 125.00
8 Black Board Stating 175.00 1 175.00
₱1,487.00
______________________________
____________________
_____________________
Date:
1 Teachers Guide K-12 Gr. I 1,750.00 1 1,750.00
2 Teachers Guide K-12 Gr. II 1,610.00 3 4,830.00
3 Teachers Guide K- 12 Gr. III 1,350.00 2 2,700.00
4 Teachers Guide K- 12 Gr. IV 2,800.00 2 5,600.00
5 Teachers Guide 1 - 6 1,400.00 1 1,400.00
-
-
₱16,280.00
Region XI
SHEENA Marketing
Kapalong, DDN
LEILAH V. GONZALES
BAC Chairman
NOTE:

ENTITY.
1 Temptation Paint 625.00 1 625.00

2 Rosco QDE 455.00 1 455.00
3 TTCF Hansa Yellow 145.00 1 145.00
4 Thalo Blue 115.00 1 115.00
5 Hinges 4X4 95.00 1 95.00
6 Hawk 12.00 3 36.00
7 room pipe 135.00 1 135.00
8 Conrete nail # 3 24.00 1/4 24.00
9 Paint Brush # 2 1/2 48.00 2 96.00
10 Pad Lock Yale 205.00 1 205.00
1,931.00
______________________________
____________________
_____________________
Date:
Region XI
_______________________
Abstract of Quotation
AWARDED
NAME OF DEALERS
TO
ITEM NO. QTY. UNIT PARTICULARS
MJ Papers DIADEM Potters Hand MJ Paper Works
1 2 Rls. Laminating Film 750.00 780.00 790.00

2 10 pcs. Cheap Board 8.00 12.00 10.00
3 28 Pcs. Card ring 1 1/2 10.00 11.00 11.00
4 2 pcs. Yarn 10.00 10.00 10.00
5 6 pcs. Stick glue big 7.00 6.00 9.00
6 3 pck Index Card 1/4 25.00 25.00 28.00
7 1 box Ball pen black 55.00 62.00 58.00
8 2 pcs. Record Book 300 pp. 55.00 55.00 55.00
9 30 pcs. Cartolina 6.00 6.50 6.00
10 4 Rls. Scotch tape 2" 40.00 41.00 43.00
11 1 box Push pin 100"s 35.00 35.00 35.00
12 4 pcs. Stick glue small 5.00 8.00 7.00
13 1 pc. Tape Dispenser 100.00 120.00 160.00
14 1 rl. Scotch Tape 1" 25.00 25.00 25.00
15 1 pc. Puncher 2 holes 125.00 145.00 145.00
16 1 pc. Max Stapler # 10 70.00 85.00 70.00
17 1 box staple wire # 10 10.00 10.00 80.00
18 1 pc. Plastic Envelope -L 7.00 7.00 7.00
19 1 pc. Notebook big 19.00 19.00 22.00
20 1 pc. Notebook Pad 2X3 20.00 22.00 24.00
21 1 pc. Record Book 500 Pp. 65.00 78.00 69.00
We, the undersigned members of the committee on bids hereby that we have this_______
opened the bids for above list and the prices by each dealer are as appearing in their quotation and that
lowest bids as above articles have been taking into consideration your lowest and advantageous prices
for the government in accordance with the specific item submitted.
JUDITH Q. JURIAL ZENELLIEN B. HERMANO DELINA J. INGAR

DELINA J. INGAR
Chairman Vice -Chairman Member
MARILOU C. GABATO ROWENA G. QUILLA

Member Member
Region XI
_______________________
Abstract of Quotation
AWARDED
NAME OF DEALERS
TO
ITEM NO. QTY. UNIT PARTICULARS
MJ Paper works Allan's Books Colours Paperhous
MJ Paper Woks
gen. Mdse. store & Gen Mdse.
1 1 set Teachers Guide K-12 Gr. I 1,710.75 1,800.00 1,750.00

2 3 set Teachers Guide K-12 Gr. II 1,584.25 1,650.00 1,610.00
3 2 set Teachers Guide K- 12 Gr. III 1,319.00 1,350.00 1,350.00
4 2 set Teachers Guide K- 12 Gr. IV 2,724.75 2,900.00 2,800.00
5 1 set Teachers Guide 1 - 6 1,200.00 1,400.00 1,400.00
We, the undersigned members of the committee on bids hereby that we have this_______
opened the bids for above list and the prices by each dealer are as appearing in their quotation and that
lowest bids as above articles have been taking into consideration your lowest and advantageous prices
for the government in accordance with the specific item submitted.
JUDITH Q. JURIAL ZENELLIEN B. HERMANO DELINA J. INGAR

DELINA J. INGAR
Chairman Vice -Chairman Member
MARILOU C. GABATO ROWENA G. QUILLA

Member Member
STATEMENT OF PRINTING
# OF NAME OF TEACHERS TYPE NO.OF SIGNATURE

DATE RECEIPT COPPIES/PAGES
Principals Office/ 625
03/17/17 0041 Maya Junelle C.Argente 1,112
BELLA LIZA F.TUMALE 880
DELINA J. INGAR 883
Rosel Recemiento 1,112
ROWENA G. QUILLA 1,112
ROSE ANN E. EA
1,112
MaryJoy Idong 1,112
Crishmel Tangon 1,112
TRISHA MONIQUE R. EDIT 990
JUDITH Q. JURIAL 1,112
LEILAH V. GONZALES
1,112
RUTH T.RAMOS
1112
ZENELLEN B. HERMANO
1175
MARILOU C. GABATO
16911X 0.70 1175
ISMAEL A. UCOL
= 11,837.70 1175
16911

HT - II
Region XI
QUANTITY UNIT DESCRIPTION INVENTORY Estemated useful life
Received by: Received from:
JUDITH Q. JURIAL CHARLES V. DOMINGO

Signature Over Printed name Signature Over Printed name
District Property Custodian

Date Date
Appendix 61
JOB ORDER
______________________
Entity Name
Supplier : _________________________________________P.O. No. : ____________________________

Address : ___________________________________________ Date : _______________________________
TIN : _____________________________________________Mode of Procurement : _________________
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained here
Place of Delivery : _________________________________ Delivery Term : ________________________

Date of Delivery : __________________________________ Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
(Total Amount in Words)
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,
__________________________ ________________________________
Signature over Printed Name of Authorized
Signature over Printed Name of Supplier
Official
___________________________ _____________________________
Date Designation
Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
________________________________________ Amount : ____________________________
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit

MOOE Forms UPDATED

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

MOOE Forms UPDATED

Uploaded by

Copyright:

Available Formats

Republic of the Philippines

CLEMENTA F. ROYO ELEMENTARY SCHOOL

JULY 05, 2017

This is to respectfully request the amount of SIXTY TWO THOUSAND THREE

Code Items Amount

Very truly yours,

PHOEBE GRACE C. ERAN

CLEMENTA F. ROYO ELEMENTARY SCHOOL

SEPT. 04, 2017

This is to respectfully request the amount of SIXTY TWO THOUSAND THREE

Code Items Amount

Very truly yours,

PHOEBE GRACE C. ERAN

CLEMENTA F. ROYO ELEMENTARY SCHOOL

OCTOBER 23, 2017

This is to respectfully request the amount of SIXTY TWO THOUSAND THREE

Code Items Amount

Very truly yours,

PHOEBE GRACE C. ERAN

Department: Department of Education

UNIT OF QUANTITY REQUIREMENT

V.GRAND TOTAL: 355,360.00

Prepared by: Noted: Certified Funds Available

Supply/Pro School Head District Supervisor Division Accountant II

5,775.67 5,775.67 5,775.67 17,327.01 69,308.00 69,308.00

29,613.32 29,613.32 29,613.32

Nature of Cash Advance Cash Advance

5-16-17 0037 RGL gen. Mdse. Painting Materials 843.00 56,765.00

5-18-17 127319 SHEENA Mktg. Painting Materials 755.00 56,010.00

" 42609-610 ECO WIN Interprise Schl. Supplies 8,852.00 47,158.00

" 150431 Tagum Commercial Schl.Supplies 624.00 46,534.00

" iAAPCP21021099 GLOBE Internet 1,299.00 42,335.03

" 105 MJ Paper Works School Supplies ₱ 6,210.00 36,125.03

" 201-202 MJ Paper Works School Supplies 6,372.00 10,664.97

PHOEBE GRACE C. ERAN

5-24-17 RER Felixberto Hostago Labor 200.00 62,147.00

5-25-17 0548 SH-TYZ mktng co. School Supplies 64.00 61,947.00

Potters Hand Educationa

7-02-17 24512 RG Dry Goods Store School Supplies 220.00 61,779.00

7-03-17 RER Angelito dela Cerna Guard 1,000.00 61,559.00

7-04-17 CA Phoebe Grace C. Eran Travel 1,000.00 60,559.00

08-0317 CA Janice Villorejo/Marilou Gabato Travel 220.00 37,439.59

08-07-17 1123-17-1081 LBP-Fidelity Bond Bond 1,125.00 37,219.59

08-008-17 IAAPCP22004396 Globe Internet 1,299.00 23,569.99

PHOEBE GRACE C. ERAN

DATE REFERENCE Trng Other Accounts

TOTAL 59,917.03 3,780.00 25,497.00 9,532.00 21,108.03

Certified Correct: Certified :

JUDITH Q. JURIAL MA. LOURDES M. QUESADA, CPA JOSEPHINE L. FADUL, Ed.D.

DATE REFERENCE Trng Other Accounts

Certified Correct: Certified :

JUDITH Q. JURIAL MA. LOURDES M. QUESADA, CPA JOSEPHINE L. FADUL, Ed.D.

Department : Dep.Ed Division of Davao

1 pcs. Volleyball 2 500.00 1,000.00

2 pc. Net 1 500.00 500.00

1 pcs. Reproduction of Test Papers for 10,000 1.00 10,000.00

Amount Due 1,064.00

PHOEBE GRACE C. ERAN

C. Certified: D. Approved for Payment

Official Receipt No. & Date/Other Documents

Tagum City, DDN

Payment of Teachers Guide K-12 15,751.00

Amount Due 15,751.00

Maniki, Kapalong, DDN

Department : P.R. No. __ Date : _

Office : ________________________ RIS No. :

Office : ________________________ RIS No. :

Office : ________________________ RIS No. :