Republic of the Philippines

Department of Budget and Management

PROCUREMENT SERVICE
PS BACOLOD DEPOT

Certificate of Non-Availability of Stocks

Agency Name: ______ __________ Reference APR No._________

_______________________________________________________ Control Number: _________

Address: ___________________ Date Requested:___ ______

Items in List
Status
Item Quantity Date Items (A / D)*
Item Description UOM Unit Price
No. Requested Needed

1. Envelope, A4 Size 1 box

2. Envelope, Expanding, Legal 2 boxes
3. Envelop Mailing 5 boxes
4. Fastener 5 boxes
5. Folder with Tab, A4 1 Pack
6. Folder with Tab, Legal Size 2 Packs
7. Glue 5 Jars
8. Pad Paper, Ruled 10 Pads
9. Paper, Multipurpose, A4 Size 10 Reams
10. Paper, Multipurpose, Legal Size 60 Reams
11. Pencil, Lead with eraser 1 Box
12. Record Book, 500 pages 2 Pieces
13. Rubber Band 1 Box
14. Scissors 2 Pieces
15. Sign Pen 6 Pieces
16. Stamp Pad Ink 1 Bottle
17. Stamp Pad Felt 1 Pad
18. Staple Wire, Standard 2 Boxes
19. Staple Wire Remover 2 Pieces
20. Tape Dispenser, Table top 2 Pieces
21. Tape, Masking 48mm 6 Rolls
22. Tape, Packaging 48mm 6 Rolls
23. Tape, Transparent 24mm 6 Rolls
24. Twine, Plastic 2 Rolls
***nothing follows***

*A – Approved D – Disapproved
Note: (1) Due to urgency of need, agency may procure from other sources.
(2) Valid only for above-indicated APR, until ________________.

Conforme:

_____________________________________
(Authorized Official / Representative)
Approved:

_______________________________
MR. ARNEL J. ARGUSAR
Depot Supervisor