Liquidation Forms 2021 - Mobile

LIQUIDATION FORMS
INSTRUCTIONS Fill in cells in white background with necessary data which will be used in different accounting forms.
Created by:
DISBURSEMENT VOUCHER
DATE PURCHASE November 2, 2021
NAME OF BIDDER No.1 (W) MC YEE COPY CENTER & EDUC. SUPPLY OBLIGATION REQUEST
ADDRESS OF BIDDER No.1 (W) Balingasag, Misamis Orienal

INSPECTION AND ACCEPTANCE REPORT
NAME OF BIDDER No.2 (L) KMC GENERAL MERCHANDISE
ADDRESS OF BIDDER No.2(L) Balingasag, Misamis Oriental REQUISITION AND ISSUE SLIP
NAME OF BIDDER No.3 (L) RHAODZ PRINTS & SUPPLY REPORT OF SUPPLIES AND MATERIALS ISSUED\
ADDRESS OF BIDDER No.3 (L) Balingasag, Misamis Oriental
Inventory Custodian Slip
BIDDER No. 1 (W) BIDDER No. 2 BIDDER No. 3
PURCHASE ORDER
Item No. Quantity Unit Unit Cost Article/Item Description Remarks Unit Cost Unit Cost
1 2 card 500.00 Cell Card (Globe) 505.00 510.00 ABSTRACT OF CANVAS
PRICE QOUTATION
BIDS & AWARDS
PURCHASE REQUEST
NAME OF SCHOOL BALINGASAG CENTRAL SCHOOL
ADDRESS Balingasag, Misamis Oriental
End User ADELINA C. JAPONA
Requestor: ADELINA C. JAPONA
Property Custodian: GIL MAIDO G. LADERA
School Treasurer: JILL FAYE I. CARIAGA
Canvasser JOHN LESTER A. ILAJAS
BIDS AND AWARDS COMMITTEE
HOPE (Head of Procuring Entity) ADELINA C. JAPONA
Provisional Member No. 1 ALEXANDER S. GONZAGA
Provisional Member No. 2 GEMMA R. APALLA
Regular Member No 1 MANOLITA M. SALICIO
Regular Member No. 2 MA. BELINDA G. VALMORES
Chairman MA. LUISA L. SINOGAYA
INSPECTORATE TEAM
Member No. 1 MANOLITA M. SALICIO
Member No. 2 GEMMA R. APALLA
Chairman RISEL C. JO
Appendix 43
Department of Education Fund Cluster:
DIVISION OF MISAMIS ORIENTAL
Del Pilar - Velez Sts., Cagayan de Oro City DV No.:
Tel. Nos. (08822) 724615/ (088) 856-4454 Fax No. 856-4524
Date:
DISBURSEMENT VOUCHER
November 2, 2021
Mode of ____________Others (Please specify)
MDS Check Commercial Check ADA
Payment
TIN/Employee No.: OS/BURS No.:
Payee MC YEE COPY CENTER & EDUC. SUPPLY
Responsibility Center:
Address Balingasag, Misamis Oriental Title: Code:
Particulars MFO/PAP Amount
Gross Amount P 1,000.00

Less: Total Withholding Tax 40.00
To payment of Mobile Cellular Load in the amount Net of Tax Amount 960.00
of . . . . . .
Amount Due P 960.00
A. Certified:
Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
ADELINA C. JAPONA
Principal II/HOPE
Date: November 2, 2021
C. Certified: D. Approved for payment:

Cash available
Subject to Authority to Debit Accunt (ADA) ₱960.00
X Supporting documents complete and proper Amount
JILL FAYE I. CARIAGA ADELINA C. JAPONA

School Treasurer School Principal II/HOPE
Date: November 2, 2021 Date: November 2, 2021
E. Received Payment: Check/ADA No.: 75094151

Date: November 2, 2021 JEV No.
MC YEE COPY CENTER & EDUC. SUPPLY Bank Name/Acct.#:DBP- 0-06287-811-5
Signature Over Printed Name OR No.:/Other Date:
Date: November 2, 2021 Doc. Issued: November 2, 2021
B. Accounting Entries:
Account Title UACS Code Debit Credit
Mobile Load 5020502000 960.00
Advances for Operating Expenses 199010100 960.00
OBLIGATION REQUEST AND STATUS ORS No.:
Department of Education Date:
Division of Misamis Oriental November 2, 2021
Location Code: 104305000 Fund: 02-01101101 MOOE
Payee: MC YEE COPY CENTER & EDUC. SUPPLY
Office:
Address: Balingasag, Misamis Orienal
Responsibility
Particulars MFO/PAP UACS Code/ Amount
Center Expenditure
070010810005 Traveling Expenses - Local 261003020500002 5020100000

Training Expenses (Seminars, GAD, INSET) Operation of Schools 5020201000
Office Supplies Expense Elementary 5020301000
Medical, Dental and Laboratory Supplies 5020307000
Fuel, Oil and Lubricants Expenses 5020309000
Water Expenses 5020401000
Electricity Expenses 5020402000
Telephone Expenses - Landline/Mobile 5020502000 1,000.00
Internet Subscription Expenses 5020503000
Semi-Expandable M&E Exp. Office Equipment 5020321002
Other Professional Services 5021199000
Janitorial Services 5021202000
Security Services 5021203000
Other General Services 5021299000
Repair & Maintenance - School Buildings 5021304002
Repair & Maintenance - Machinery 5021305001
Repair & Maintenance - Office Equipment 5021305002
Repair & Maintenance - Motor Vehicles 5021306001
Repair & Maintenance - Furniture & Fixtures 5021307000
Fidelity Bond Premiums 5021502000
Insurance Expenses 5021503000
Printing and Publication Expenses 5029902000
Representation Expenses 5029903000
Transportation and Delivery Expenses 5029904000
Rent/Lease Expenses 5029905000
Purpose: Payment of Cell Card April 2021 Total: 1,000.00
A. Certified B. Certified
P Charges to appropriation/allotment necessary, P Allotment available and obligated for the purpose/
lawful, and under my direct supervision; and adjustment necessary as indicated above
P Supporting documents valid, proper and legal
Signature: Signature:
Printed Printed
Name: ADELINA C. JAPONA Name: JILL FAYE I. CARIAGA
Principal II School Treasurer
Position: Position:
Head, Requesting Unit/Authorized Representative Head, Budget Unit/Authorized Representative
Date: November 2, 2021 November 2, 2021

C. STATUS OF OBLIGATION
Reference Amount
Date Particulars ORS/JEV/RCI No. Utilization Payment Not Yet Due Due and
Demandable
Utilization ORS 1,000.00
November 2, 2021 Cell Card JEV 1,000.00
Totals 1,000.00 1,000.00

Department of Education
Region X
Division of Misamis Oriental
BALINGASAG CENTRAL SCHOOL
Balingasag, Misamis Oriental
INSPECTION & ACCEPTANCE REPORT
Supplier: MC YEE COPY CENTER & EDUC. SUPPLY AR No. _______________________________

Balingasag, Misamis Orienal
P.O. No.: ___________________ Date: ________________ Invoice No. Date: November 2, 2021
Requisitioning Officer/Department.: ADELINA C. JAPONA
Item No. Unit Description Unit Cost Quantity Total Cost
1 card Cell Card (Globe) 500.00 2 1,000.00

-
-
-
-
-
-
-
TOTAL 1,000.00
INSPECTION ACCEPTANCE
Date Inspected: November 2, 2021 Date Received: November 2, 2021

Inspected, verified and found OK
as to quantity and specifications
Complete √ Complete √
Partial Partial
MANOLITA M. SALICIO GEMMA R. APALLA

Member Member GIL MAIDO G. LADERA
Property Custodian
RISEL C. JO
Chairman
Region X
REQUISITION AND ISSUE SLIP (RIS)

Office of BALINGASAG CENTRAL SCHOOL RIS No.
End-User ADELINA C. JAPONA
Address Balingasag, Misamis Oriental SAI No.
REQUISITION ISSUANCE
Unit of
Item No. Description Unit Cost Quantity Total Cost Remarks
Issue
1 card Cell Card (Globe) 500.00 2 1,000.00 Complete
-
-
-
-
-
TOTAL 1,000.00
Purpose:
For Cell Card of Principal
Requested by: Approved by: Issued by: Received by:
Signature
Printed Name ADELINA C. JAPONA ADELINA C. JAPONA JILL FAYE I. CARIAGA GIL MAIDO G. LADERA
Designation Principal I Principal I School Treasurer School Property Custodian
Date November 2, 2021 November 2, 2021 November 2, 2021 November 2, 2021

DEPARTMENT OF EDUCATION
Region X
District of Balingasag North
REPORT OF SUPPLIES AND MATERIALS ISSUED
Date: November 2, 2021 No. 17-12-001

No. 19-06-18
To be filled up in the
To be filled up in the Supply and Property Unit
Accounting Unit
Responsibility Center Stock Qty. Unit
RIS No. Item Unit Amount
Code No. Issued Cost
1 Cell Card (Globe) card 2 500.00 1,000.00
TOTAL 1,000.00
Recapitulation: Recapitulation:
Stock No. Qty. Unit Cost Total Cost Account Code
17-08-011 1 2 Cell Card (Globe) card 500.00 1,000.00 5020502001
TOTAL 1,000.00
I hereby certify to the correctness of the above information. Posted by/date:
GIL MAIDO G. LADERA JILL FAYE I. CARIAGA

School Property Custodian School Treasurer
Republic of Philippines
Region X
INVENTORY CUSTODIAN SLIP
For: BALINGASAG CENTRAL SCHOOL No.__________
Estimated
Inventory
Quantity Unit Description Unit Cost Total Cost Useful Life
Item No.
(In years)
2 card Cell Card (Globe) 500.00 1,000.00 1 5

0 0 0 - - 1 5
0 0 0 - - 1 5
0 0 0 - - 1 5
0 0 0 - - 1 5
0 0 0 - - 1 5
TOTAL 1,000.00
RECEIVED BY: RECEIVED FROM:
GIL MAIDO G. LADERA

SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME
Position/Office Position/Office
End-User School Property Custodian
November 2, 2021 November 2, 2021

Date Date
Region X
PURCHASE ORDER
Supplier: P.O. No.
MC YEE COPY CENTER & EDUC. SUPPLY
Address: Balingasag, Misamis Orienal Date: November 2, 2021
TIN: 151-342-709-000 Mode of Procurement: SHOPPING

Gentlemen:
Please furnish this office the following artiles subject to terms and conditions contained herein:
Place of Delivery: BALINGASAG CENTRAL SCHOOL Delivery Term:
Date of Delivery: November 2, 2021 Payment Term:
Item No. Qty Unit Description of Articles/Services Unit Cost Amount

1 2 card Cell Card (Globe) 500.00 1,000.00
TOTAL AMOUNT: 1,000.00

In case of failure to make the full delivery within the time specied above, a penalty of one-tenth (1/10) of one percent
for every day of delay shall be imposed.
Conforme: Very truly yours,

MC YEE COPY CENTER & EDUC. SUPPLY
(Signature Over Printed Name) ADELINA C. JAPONA
Principal I
November 2, 2021
Date
Amount: ______________
Funds Available: ALOBS No.
JILL FAYE I. CARIAGA ______________
School Treasurer
ABSTRACT OF PRICE QUOTATIONS FOR FURNISHING EQUIPMENT, SUPPLIES & MATERIALS TO BE
PROCURED BY THE DepEd, BALINGASAG CENTRAL SCHOOL, UNDER ALTERNATIVE METHOD pursuant
Par.D. Sec. 48, Art, XVI, of Republic Act No. 9184 (New Government Procurement Form Act) per Request for Price
Quotation dated ___November 2, 2021____ opened by School's Bids and Award Committee of Balingasag Central
School on ___November 2, 2021___.
Purpose: To payment for the Office Supplies
NAME OF BIDDERS
UNIT OF DESCRIPTION OF MC YEE COPY
ITEM NO. QTY RHAODZ PRINTS &
ISSUE ARTICLE/SERVICES CENTER & KMC Merchandise EDUC. SUPPLY
EDUC. SUPPLY
1 2 card Cell Card 500.00 505.00 505.00
We hereby certify to the correctness of this abstract, the price/s of which were taken from the attached Price
Quotations from supplier/s or store/s submitted by the authorized canvasser/s. According to this abstract, the price
quotations of the following supplier/s or store/s represents the most advantageous to the government. We therefore
award the article/s or service/s described above to the following supplier/s or store/s.
Item Number : 1 Awarded to: MC YEE COPY CENTER & EDUC. SUPPLY
Item Number : Awarded to:
BIDS AND AWARDS COMMITTEE: BALINGASAG CENTRAL SCHOOL

REGULAR MEMBERS:
MANOLITA M. SALICIO MA. BELINDA G. VALMORES

Member Member
ALEXANDER S. GONZAGA GEMMA R. APALLA

Member Member
MA. LUISA L. SINOGAYA

BAC Chairman
APPROVED:
ADELINA C. JAPONA
Principal - I (HOPE)
or
Region X
Cagayan de Oro City
REQUEST FOR PRICE QUOTATIONS FOR READILY AVAILABLE

GOODS OR ORDINARY/REGULAR EQUIPMENT
The Proprietor/Manager
_________________________
_________________________
Sir/Madam:
This office requests you to please indicate hereunder opposite each indicated items latest prices which is/are
READILY AVAILABLE in your store/ firm wherein this agency will immediately procure under ALTERNATIVE METHOD
pursuant to paragraph d, Section 48, Article XVI, of Republic Act 9184 (New Government Procurement Reform Act.)
Very truly yours,

For the Chairman, Bids and Awards Committee:

BAC Chairman
For use in BALINGASAG CENTRAL SCHOOL

(Name of Section/Office/School)
Unit
Item No. Quantity Description of Article/s Service/s Price Quotation
Issued
1 2 card Cell Card (Globe)
I/We hereby certify that the price quotation/s indicated above are our prevailing market price/s
and the quantity of goods/equipment are readily available in this store/firm.
_______________________________
(Signature over Printed Name)
Contact No: ___________________
Date: _________________________
TIN # _________________________
DTI/SEC. Reg'n # _____________
VAT or NON-VAT ______________
PHILGEPS Reg'n # _____________
Canvassed by:
VIRGO JOEL R. ZAPICO

Canvasser
Region X
SCHOOL’S BIDS AND AWARDS COMMITTEE
RESOLUTION ON THE RECOMMENDATION FOR THE MODE OF

PROCUREMENT TO BE ADAPTED FOR THE PURCHASE OF GOODS OR
SERVICES STATED BELOW
CELL CARD
(Description of Item/s )
WHEREAS, the item/s to be procured as enumerated in the Approved Purchase Request is/are items
which is/are readily available off-the-shelf of the stores in the locality for goods and persons for
services;
WHEREAS, such items are not available in the PS-DBM as confirmed, the amount is less than the
threshold for a competitive public bidding and does not result splitting of contract thereafter;
IT IS RESOLVED AS THIS BODY HEREBY RESOLVES to recommend to the Head of Procuring Entity
(HOPE) of BALINGASAG CENTRAL SCHOOL that the Mode of Procurement to be adapted for the
purchase of the items indicated above shall be SHOPPING one of the ALTERNATIVE METHODS
FOR THE PROCUREMENT OF GOODS AND SERVICES per Section 52, Rule XVI of the Revised
Implementing Rules and Regulations of RA 9184.
SCHOOL’S BIDS AND AWARDS COMMITTEE:
REGULAR MEMBERS:

Member Member

Member Member

Chairman
APPROVED:
ADELINA C. JAPONA
Principal – I
PURCHASE REQUEST
Department of Education, Division of Misamis Oriental
. Cagayan de Oro City
Department: DepED Mis. Or. PR. No.: Date: November 2, 2021

Section: BALINGASAG CENTRAL SCHOOL SAI No.: Date:
Item UNIT OF
QTY ITEM DESCRIPTION
NO. ISSUE UNIT COST TOTAL COST
1 2 card Cell Card (Globe) 500.00 1,000.00
1,000.00
Purpose: Purchase of Mobile Cards . . . ..

REQUESTED BY: APPROVED BY:
Signature:
Printed Name: ADELINA C. JAPONA ADELINA C. JAPONA
Designation: Principal I Principal I
Balingasag, Misamis Oriental ACCT.
Balingasag North District CODE
AGENCY PROCUREMENT REQUEST
November 2, 2021
Date
TO: PROCUREMENT SERVICE
Department of Budget and Management, RO-X
Antonio Luna St., Capitol Compound, Cagayan de Oro City
( ) Please furnish us with Price Estimate (for office equipment/furniture & supplementary items)
( ) Please purchase for our agency the equipment/furniture/supplementary items per your estimate
(PS RAD No. _____________ attached dated:____________, 20________.
( ) Please issue common-use supplies/materials per PS Price List as of January 9, 2009
( ) Please issue certificate of Price Reasonableness
( ) Please furnish us with your latest/updated Price List
( ) Others> (Specify)__________________________
IMPORTANT: PLEASE SEE INSTRUCTIONS/CONDITIONS AT THE BACK OF ORIGINAL COPY
ITEM NO. ITEMS & DESCRIPTION/SPECIFCATIONS/STOCK NO. QUANTITY UNIT UNIT PRICE AMOUNT
1 Cell Card (Globe) 10 card 500.00 148,500.00

2 0 3 0 - -
3 0 2 0 - -
4 0 18 0 - -
5 0 9 0 - -
6 0 2 0 - -
7 0 2 0 - -
8 0 1 0 - -
9 0 6 0 - -
Total Amount : 148,500.00
NOTE: ALL SIGNATURES MUST BE OVER PRINTED NAME
STOCKS REQUESTED ARE

CERTIFIED TO BE WITHIN APPROVED FUNDS CERTIFIED AVAILABLE: APPROVED:
PROGRAM:
GIL MAIDO G. LADERA JILL FAYE I. CARIAGA ADELINA C. JAPONA

School Property Custodian
School Treasurer Principal I
Agency Head/Authorized Signature
(FUNDS DEPOSITED WITH PS ( ) _____Check No.____________IN THE AMOUNT OF:_________________________
__________________________(P______________) ENCLOSE
C E R T I F I C A T I O N
This is to certify that the following non-common supplies are not available at qualified Stores
in the District. These will be procured from in the next/ nearest District or in Cagayan de Oro City.
No. Unit Item Description Quantity Unit Cost AMOUNT

1 card Cell Card (Globe) 994 500.00 497,000.00
2 ream Paper Bond, legal 10 220.00 2,200.00
3 bottle Ink Printer, ( Assorted colors) 100 275.00 27,500.00
T O T A L 526,700.00
SCHOOL'S BIDS & AWARDS COMMITTEE (BAC)

BAC - Member BAC - Member

BAC - Member BAC - Member

BAC Chairman
Recommending Approval:
ADELINA C. JAPONA
Principal II
APPROVED:
EVAH B. ENTUSIASMO, Ph.D.

Public Schools District Supervisor
DETAILED SUMMARY OF EXPENSES FOR THE MONTH OF NOVEMBER 2020

Nature of Name of Payee of Amount No.of Supplies
Unit SIGNATURE
Expenses Recipient Check OF Check Items Received
1. Janitor Rodulfo Briones Rodolfo Briones 5,000.00
2. Watchman Edgardo Laurete Edgardo Laurete 5,000.00
3. Other Gen. Services Grass Cutter Operator Joseph Virata Joseph Virata 3,500.00
4. Other Gen. Services Grass Cutter Operator Angelo Valdon Angelo Valdon 3,500.00
1. Water Bills Balingasag Water District Balingasag Water District
7,126.00
3. Office Supplies LASERTECH COPIER 30 Tube Ink, Riso

1.MARIA VANESSA V. RAMIREZ 93,060.00
CENTER 8 Roll Master Roll
4. Office Supplies MCYEE COPY CENTER &
1.MARIA VANESSA V. RAMIREZ 79,200.00 4400 pc Plastic Envelope, Legal
EUCATIONAL SUPPLY
T O T A L 196,386.00
EMERE C. JENISAN, Ph.D.

Principal II
DETAILED SUMMARY OF EXPENSES FOR THE MONTH OF DECEMBER

Nature of Name of Payee of Amount No.of Supplies
Unit SIGNATURE
Expenses Recipient Check OF Check Items Received
1. Janitor Rodulfo Briones Rodolfo Briones 5,000.00
2. Watchman Edgardo Laurete Edgardo Laurete 5,000.00
3. Other Gen. Services Grass Cutter Operator Joseph Virata Joseph Virata 3,500.00
4. Other Gen. Services Grass Cutter Operator Angelo Valdon Angelo Valdon 3,500.00
1. Water Bills Balingasag Water District Balingasag Water District 7,126.00
3. Office Supplies LASERTECH COPIER 30 Tube Ink, Riso

1.MARIA VANESSA V. RAMIREZ 93,060.00
CENTER 8 Roll Master Roll
4. Office Supplies MCYEE COPY CENTER &
1.MARIA VANESSA V. RAMIREZ 79,200.00 4400 pc Plastic Envelope, Legal
EUCATIONAL SUPPLY
T O T A L 196,386.00
EMERE C. JENISAN, Ph.D.

Principal II
CERTIFICATION
This is to certify that the items procured / disbursements made are found
in the School Annual Procurement Plan (SUPPLEMENTAL - 2ND QUARTER) for
CY 2020 and in accordance with the activities reflected in the School Improvement
Plan.
Done this 23rd day of November, 2020.
EMERE C. JENISAN, Ph. D.

School Principal II
made are found
h. D.
Region X
Cagayan de Oro City
ACKNOWLEDGEMENT RECEIPT OF CELLCARD
NO. NAME DESIGNATION SIGNATURE REMARKS

1 ENTUSIASMO, EVAH B PDSD
2 JENISAN, EMERE C. Principal II
3 RAMIREZ, MARIA VANESSA Asst. Principal
4 ABAMONGGA, SHIELA B Master Teacher 2
5 ABUGATAL, JONATHAN P. Teacher I
6 ACIERTO, EVELYN B Teacher 2
7 APALLA, GEMMA, R. Master Teacher 1
8 BAGUHIN, RUFA C. Teacher 1
9 BAHIA, GINA C. Teacher 1
10 BALLENTOS, CARMEN LOREEN Q. Teacher 3
11 BORJA, LORELYN E. Master Teacher 1
12 CACHO, TERESITA S. Teacher 2
13 CAGALAWAN, GREGORIO E. Teacher 1
14 CAGULADA, MARIECRIS D. Teacher 1
15 CANATOY, MARIE FE I. Teacher 1
16 CARIAGA, JILL FAYE I. Master Teacher 2
17 CASINILLO, MARIA ELENA G. Teacher 1
18 CASTILLON, IRENE F. Teacher 1
19 CASTILLON, MARLON T. Teacher 3
20 DACOCO, ZENITHA MAE A. Master Teacher 2
21 DADANG, MARICHU B. Teacher 2
22 DAHANG, EDISON T. ADAS 3, Bookkeeper
23 DAHANG, MERLINA R. ADAS 3, Bookkeeper
24 DALIT, OLIVET O. Teacher 1
25 DINOPOL, NONA, M. Teacher 1
26 ELNAS, THERESA V. Teacher 2
27 ECHEVERIA, LAILA D. Teacher 1
28 EMBATE, SUZETTE S. Teacher 1
29 FAJARDO, PERLA J. Master Teacher 2
30 FERMO, ARNOLD EFREN A. Teacher 3
31 FERMO, MARICEL R. Teacher 3
32 GALDO, GINA M. Teacher 1
33 GOMEZ, MARIA ANNALY M. Teacher 2
34 GONZAGA, ALEXANDER S. Master Teacher 1
35 GONZAGA, JOGEN G. Teacher 3
36 GUMAHIN, LORIJANE T. Teacher 3
37 GUZMAN, JOAN G Teacher 1
38 GUZMAN, MA. VIVIEN LOU L. Teacher 1
39 ILAJAS, JOHN LESTER A. Teacher 1
40 JO, AL C. Teacher 1
41 JO, RISEL C. Teacher 3
42 KHU, EDERNI M. Teacher 2
43 LADERA, CORAZON C. Teacher 2
44 LADERA, GIL MAIDO G. Teacher 1
45 LEDDA, LIEZL A. Teacher 1
46 MACABIT, J LEE CRIS G. Teacher 1
47 MACABODBOD, CHONA G. Master Teacher 1
48 MADRONERO, ARIEL S. Teacher 1
49 MAHUSAY, MAYFAIR E. Teacher 3
50 MAURIN, BRALYN S. Teacher 1
51 MISO, RANEL F. Teacher 1
52 MONTECILLIO, ANNA MAE A. Nurse 2
53 MORENO, LEAH G. Teacher 2
54 MORENO, RUTH C. Teacher 1
55 MOVE, TIFFANY J. SPET 1
56 NADUMA, JEANINA L. Teacher 3
57 OBEMIO, LOIDA ESTRELLITA M. Teacher 1
58 PAMISA, AMOR M. Teacher 2
59 PESCADERO, RODORES Teacher 1
60 QUITAMUNDO, JASMIN A. Teacher 1
61 RAMOSO, MARY ANN G. Teacher 3
62 ROA, LEA U. Teacher 3
63 SALAS, NYMSLLOYD S. Teacher 1
64 SALAPANG, ETHEL JANE Teacher 1
65 SALICIO, MANOLITA M. Master Teacher 2
66 SERNA, MILAGROS G. Techer 1
67 SIAREZ, DULCE CRISTINA C. ADAS 2
68 SINOGAYA, EUGENE T Teacher 1
69 SINOGAYA, MA. LUISA L. Master Teacher 2
70 SUAZO, ELSA MARIE R. Teacher 3
71 TABAMO, MARIA LIZA A. Teacher 3
72 TAGAPULOT, LALAINE M. SPET 1
73 TOLENTINO, ANTONIETTE J. Teacher 1
74 UYAN, MILDRED A. Master Teacher 1
75 VALDE, ANTHONY L. Techer 1
76 VALMORES, MA. BELINDA G. Master Teacher 2
77 VEGA, RINA P. Teacher 1
78 VERONILLA, LILIBETH P. Teacher 3
79 VILLAGANAS, CRISTINA M. Teacher 3
80 YAHON, GERLIE B. Teacher 3
81 ZABALLERO, MA. LOURDES R. ADA 1
82 ZABALLERO, MITCHILINE M. Techer 1
83 ZAPICO, JESSICA J. Techer 2
84 ZAPICO, VIRGO JOEL R. Teacher 1
85 ZAYAS, MARIA CHEILO R. Teacher 3
Prepared by:
JILL FAYE I. CARIAGA

School Treasurer
Noted by:
EMERE C. JENISAN
Principal - I

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LIQUIDATION FORMS

ADDRESS OF BIDDER No.1 (W) Balingasag, Misamis Orienal

1 2 card 500.00 Cell Card (Globe) 505.00 510.00 ABSTRACT OF CANVAS

BIDS & AWARDS

NAME OF SCHOOL BALINGASAG CENTRAL SCHOOL

ADDRESS Balingasag, Misamis Oriental

End User ADELINA C. JAPONA

Requestor: ADELINA C. JAPONA

Property Custodian: GIL MAIDO G. LADERA

School Treasurer: JILL FAYE I. CARIAGA

Canvasser JOHN LESTER A. ILAJAS

BIDS AND AWARDS COMMITTEE

HOPE (Head of Procuring Entity) ADELINA C. JAPONA

Provisional Member No. 1 ALEXANDER S. GONZAGA

Provisional Member No. 2 GEMMA R. APALLA

Regular Member No 1 MANOLITA M. SALICIO

Regular Member No. 2 MA. BELINDA G. VALMORES

Chairman MA. LUISA L. SINOGAYA

Member No. 1 MANOLITA M. SALICIO

Member No. 2 GEMMA R. APALLA

Particulars MFO/PAP Amount

Gross Amount P 1,000.00

Amount Due P 960.00

C. Certified: D. Approved for payment:

JILL FAYE I. CARIAGA ADELINA C. JAPONA

E. Received Payment: Check/ADA No.: 75094151

070010810005 Traveling Expenses - Local 261003020500002 5020100000

P Supporting documents valid, proper and legal

Date: November 2, 2021 November 2, 2021

Totals 1,000.00 1,000.00

INSPECTION & ACCEPTANCE REPORT

Supplier: MC YEE COPY CENTER & EDUC. SUPPLY AR No. _______________________________

Requisitioning Officer/Department.: ADELINA C. JAPONA

Item No. Unit Description Unit Cost Quantity Total Cost

1 card Cell Card (Globe) 500.00 2 1,000.00

Date Inspected: November 2, 2021 Date Received: November 2, 2021

MANOLITA M. SALICIO GEMMA R. APALLA

REQUISITION AND ISSUE SLIP (RIS)

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

Designation Principal I Principal I School Treasurer School Property Custodian

Date November 2, 2021 November 2, 2021 November 2, 2021 November 2, 2021

REPORT OF SUPPLIES AND MATERIALS ISSUED

Date: November 2, 2021 No. 17-12-001

GIL MAIDO G. LADERA JILL FAYE I. CARIAGA

INVENTORY CUSTODIAN SLIP

For: BALINGASAG CENTRAL SCHOOL No.__________

2 card Cell Card (Globe) 500.00 1,000.00 1 5

RECEIVED BY: RECEIVED FROM:

GIL MAIDO G. LADERA

November 2, 2021 November 2, 2021

TIN: 151-342-709-000 Mode of Procurement: SHOPPING

Item No. Qty Unit Description of Articles/Services Unit Cost Amount

TOTAL AMOUNT: 1,000.00

Conforme: Very truly yours,

Purpose: To payment for the Office Supplies

BIDS AND AWARDS COMMITTEE: BALINGASAG CENTRAL SCHOOL

MANOLITA M. SALICIO MA. BELINDA G. VALMORES

ALEXANDER S. GONZAGA GEMMA R. APALLA

MA. LUISA L. SINOGAYA

REQUEST FOR PRICE QUOTATIONS FOR READILY AVAILABLE

Very truly yours,

MA. LUISA L. SINOGAYA

For use in BALINGASAG CENTRAL SCHOOL