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n - • 1i:i" n ~up reme QI:ourt of tbe Jlbilippines
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<!&ffir e of tbe QCourt ~bmin istrator
;!rtllaniIn
Pr .::.1 p,:•. l"(;>d b/ ~ i... U/~

OBLIGATION REQUEST !No. i'ITCC :I. ;:·: :I. n;::'.2?<'!

Payee L..JB F'F:I~,rril\[G ~;(nVICES LC··-:.3 ~:.(.····?O l ~l

12/:l.:l./?f)Ji_::
Office

Address
Responsibility Account
Particulars F.P. P. Amount
Center Code
PAYMENT OF 200 DOCKET BOOKS, CRIMINA L 250 PAGES

:rn1030000 50 ~~0~'..() :J. 0 -··00 :I. :l (} ~ () (' i) - I\ i)

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Tota l 11(),0()4 I

~C ertified ~Ce rt ified

D Ch arges to appropriation/allotm ent necessary, lawful Existence of available appropriation

an d u nde r my d irect s u pery~ion

I
D Supporting docume nts ?~~~~o_p~r and lega l i
j

Sig nature
Printed Name ..
Signature
Printed Name
I
"
2J~v/d~--
MARIETTA R. E SDRE LO N -~---1
·- -----------j
Position - Position SC Chief J udicial Staff Officer I
Head, Requesting Office/Authorized Representative Budg et Divis ion, FM O

Date Da te
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~up rc mc QCourt of tbe flijilippincS'

<!B>ffi ce of tbc QCourt ~bministrator
;iilllaniI a
F' r··ep ;:1. 1,. c~d b/ ~ LUZ

OBLIGATION REQUEST [No. i'ITCC J? l P'.'2'.:>'!

,. Payee LJ B PRINT I NG SERVICES LC ·- ~:.: ~~.:,5 ....:?O l t::
1 ~: / :1. 1/20 :L ~=:
Office

Address
Responsibility Account
Center Particulars F.P.P. Amount
Code
PAYM E ~T OF 200 DOCKET BOOKS , CRIMINAL 250 PAGES

~·:·:. 0 l () :·:·; () 0 () 0 :.:1 (1 ~':': 03010 ·-·00 J:i O~OOO"C'O

Total l 10!,000 " 00

[6J Certified ~ Certifie d

D Ch arges to appropriation/allotment necessa ry, lawful I Existence of availa ble appropriation ·

and under my direct superviS'ion
D Supporting documents v;af~~,'.--~r~~(r an d legal
Signature Signa ture ,. : ,_,.:,,: /,;;:.(;c,,r,,<.-
Printed Name Printed Nam e !MARIETTA R. ESDRELON

Position ,Positi on SC Chief Judicial Staff Officer

Head, Requesting Office/Authorized Representativ: _ l .._ . J Budget Division, FMO · 1 J

Date Da te
Revised ~om No. 1.1
SUPREME coURT~-J1ilt PHIL
?riginal
PROPERTY DIVIS~ ~<DCA

l~)
-m-7
Republic of the Philippines
Supreme Court
Office of the Court Administrator

Manila
mr:,'~~~IU
~
PURCHASE ORO~R

Supplier : P.O. No.:

LJB Printing Services LC-356.2018
39·9 Mapa9mahal St. , Plnyahan P.O, Pate;
Diliman, Quezon Cit'} Oec. 10,2018

Tel No: 426-0495; 433·2094

[""" '"~~-~"'' Shoppi ng
Fa!< No.: 433-2094

k"'
TIN:
I Gentlemen:
x"' 'e

r'm"" '" omoo '" ""™"' '"""' """"" '"" •~ '"" oo"';'' "' ""''" h•ralo.
e of Peltv~ry: -·
0
SUPREME COURT OJ' THl! PHILIPP1Ni ' S - -- ·1oei1very 'rerm: - ----~-
· -·-~
Manila

Psyment Term:
Date of Delivery:
Thirty (30) days credit.
Within forty five (45) calendar days from receipt hereof.

No. Stock No. Unit DESCRIPTION QTY. Ufllt Pri:ie Amount

I
1 bk Docket Book, criminal :Z50 pa!;Jes. leaves are peg~d from 1-250, as per 2 00 Php550,00 Php110,000.00
,_,....-

sample

.
-~

, ____
I

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~

ONE HUNDRED TEN THOUSAN'i5PESOS ONLY Php1 10,000.00 I

P.R. No. 294
PURPOSE: For Issuance to lower courts. MTCC.
NOTE: Original authority attach<>d.

In case of failure to make full delivery within !he time specified apove, a penalty of one-\enth (1/10) of one percent ( 1%) for
everyday delivery of delay shall be Imposed.

Conforme: Ve':'J tru!y yours,

~ ~ l~
Signature over printed name of Supplier
a CARtbAD A. PABELLO
OCA Chief cl Office
O!no., or the !\rjrr.ir.l6trallvi:: Servlce3
DFJ!ei

r.:A:~., '}nAA~
- I I

l
MA~I ETTA R. l.!!SORl!!l,.ON ~!.LOf:!S NO: __t!!EC/_~.R 2-~'J'~
SC Ctiiel Judlelal St~tf Olfio~.r

Budget Divis:o,,..FMO, OC/l, Amount

JG>- //(}, 000

/mdaa
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--
Revised f c.>rn'l No. 1.1 Page 1of 1
Otlglnal RISS No.

Republic of the Phili ppines

Supreme Court
Office of the Court Admin is trator
Manila

PURCHASE ORDER

l
Supplier : P.O. No.:
LJB Printing S ervic es LC·356· 2016
39-B Ma.p agma!lal St. , Piny0han P.O. Date:
Dillman, Quezon C ity Dec. 10,2018
Mode of Procurement :

Tel No: 426-0495; 433·2094 S hopping

Fax No.: 433-2094
TIN :
Gentlemen:
.-- I
Pleeelil furn ish this office the following articles subject to thB temis end condition~ contain herein.

~.

Pl~ce of Delivery: SUPREME COURT OF tHE PHILIPPINES Oe!ivery T\lrm:

Manila

Payment Term:
Date of Delivery:
Thirty (30) day~ credit.
Within forty five (45) calenpar clays from receipt hereof.

No. Stock No. Unit DESCRIPTION QTY. Unit Price Amount

-
1 bk Docket Book. criminal 250 pages. leaves are paged from 1-250, as par 200 Php550.00 P hp110.0 00 0 0

sample .

;\-

·-

ONE HUNDRED TEN THOUSAND PESOS ONLY P hp1 10,000.00

P. R. No. 294
PURPOSE: For issuance to lower courts - MTCC.
NOTE: Orlglnal authQrlty attached.

In case of failure to make full delivery within the time specified abo'Je, a penalty of one-tenth (1/10) of one percent (1%) tor
everyday delivery of delay shall be imposed.

Conforme: Very truly yours,

Signature over printed name of Supplier ~Ao\J[~o

tJ,ocA Chief of Office
Office of the AdmlniW ative Services
--Da;--
r~

Fund Available:

./f'/ JZ.C/V ~ 2..Z-9 f/

MAR l ~TTJI, R. E;SOR~LON
SC Chiel Judicial Staff Offioer
A.LLOSS NO:
··- r / ·./0,ooo--- ~
Budgl!lt Dlvlslon-FMO. OCA Amount

'--~~~~~~~~~~..,...~~~~..,...~~~~~~~~.~~~~~~~~~-"~~~ - ·

/mdaa
-
REiviseq F.orrn No. 1.1 Page 1 of1
Or;ginal RISS No

Republic of tho Philippines

Supreme Court
Office of the Court Administrator
Manila

PURCHASE ORDER

·supplier: - --
L.JB Printing Servlc0s P.O. No.: LC-355-2018
39-S lll!apcigrnahal St. , Pinyahan P.O. D~te :

Oillman, Quezon City Dec. 10,2018

Mode of Procuremen: :

Tel No: 426-0495; 433-2094 Shopping

Fax No.: 433-2094
TIN:
Gentlemen:
Please fuml$h this office the following articles subject to the terms and conditions contain herein.

Plao!l of Delivery: stJf>Re rlleco~Hitii>Pi'N%'r~ Daliv9ry Term:~~ " = -

Mar.Ila

Pe.yn-1 c111Ti.:rnt
Date of Oellvery:
Thirty (80) d~ya crodit.
Within ferty five (45) c11lond'!f (jays !rem reeelp\ hereof

~=r;tockNo. j ~nl; "I ·: - -~~--:ESC~l?~ION- , w I Q~]·"·~~ ~ [ - Amount

1

bk Dooket Book, c;rlminal 250 pages, leaves ere paged from 1-250, as per
eample - • , . . ' ' :
t 200
:~
I
:-1 " ~~- : :
Phl)550.00± Php 110,COO.OO
~
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ONE HUNORE: N THOUSAND PES'OiioNl y - _ __:_::i=i=--: :t Pho110.cCo.c:

P.R. No.294
PURPOSE: For lssuanc~ tu lower courts. MTCC.
NOTE; Original authority attached.

In C6lse of failure to make full delivery within the time ~pecltied abO\:e, o pen>1lty of one-tenth (1/10) ofcfle p11rren\ (1%) l or
everyday delivery of delay s~1ali be Imposed.

Confurm~: Very tn.J!y i'0Llf<>,

L_, (! ~t<-_
--s;g;;;;ure eve~ printed r.amfl of S~ppl~; .......,. CARIO~D A. J;er=LLO
L} OCA Chi<;<or Offico
Of/los of i~<: Aornlnis:rs\i·;A Services
DAta

~.--~·---, -~-~-~--~~-~~~----~]
Fund Av~li::ible: J

A ~. !:.5t::>i'l~I..ON Al,(.,r:l~t'I ~J~: -~.,,,,.7;:.,~(..~!.~::::'!:-9~1

MAR.IE:T'l'
.
SC Ch1<lf J4ctl~li.I 91;.~ Ol!i:O.ii
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 .' 7. (i -.·
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PURCHASE REQUEST

Entity Name: Supreme Court of the Philippines Fund Cluster:

Office/ Sectio n: OCA-Property Division P.R. No.: 294 Date : Nov. 29, 2018
Responsibi !ty Center Code:

Stock No. I Unit Item Description Quantity Unit Cost Total Cost
bk Docket Book, Criminal, 250 pages, leaves are pages 200 p 550.00 p 110,000.00
from 1-250, as per sample
- Nothing Follows -

NOTE : See attachmen t

Incl uded in the Approved Procurement Plan

Yr2018

Purpose : For issuance to MTCC

cl»J!~
Noted
MARIA RO 0 A. LABUGUEN

' In-charge, Property Division, OCA . Acting 'Chief of Office

~ Office of the Admi nistrative Services-OCA Office of t he Admi n~trative Services-OCA
//O, O"lh') ~ will be made

~
The amount of fl'
availabl e for this requi sition for J]~30J()-O()
· chargeeable against fl!Vtl;..G...: Noted:
~~
MARIETTA R. ESDRELON RUBY %TEBAN-GARCIA
SC Chief Judicia l Staff Officer otr~hief
of Office
Budget Division, FMO-OCA Finandial Management Office

r - - - - -- - -- - -- - - - - -- - - -StJPREME-GGURi::..oE_THE_e.HIL
PROPERTY DIVISION - OCA
Recommending Approval :

. f
~DAD~. P'~
OCA Chief of Office
Office of t he Adm inistrat ive Services

Approved:'

~-
~s
~~o~r~:dministrator
P. MARQUEZ <Vk
J
' For procurement request with a t otal cost o f up to Pl ,000,000.00 per A.M. No. 10-1-10-SC dated M arch 6, 2018

.J..q '-(
 .'
PURCHASE REQUEST

' E- - --- , N
- s
- - -- -- - - c-
f the Phil" ..,..,,, ........
--- - . Fund Cl
Office/ Section: OCA-Property Division P.R. No.: 294 Date: Nov. 29, 2018
Responsibilty Center Code:
Stock No. Unit Item Description Quantity Unit Cost Total Cost
bk Dock et Book, Cri m inal, 250 pages, l eaves are pages 200 I'> 550.00 I'> 110,000.00
from 1-25 0, as per sample
- Nothing Follows -

NOTE : See attachment

Included in th e A pproved Procurem ent Plan

Yr 2018

Purpose : For issuance to MTCC

~
TENIOS~ LIBED
In-charge, Prop rty Division, OCA
Noted•
MARIA ROS.
Acting A
A. LABUGUEN
Chief of Office
Office of the Adm inistrative Services-OCA Office of the Administrative Services-OCA
The amount of ~ will be made
available for this requisition for
chargeea ble aga inst Noted:

MARIETTA R. ESDRELON RUBY C. ESTEBAN-GARCIA

SC Chief Judicial Staff Officer OCA Ch ief of Office
Budget Division, FMO-OCA Financia l Management Office

Recom mending Approval:

CARIDAD A . PABELLO
OCA Chief of Office
Office of the Administrative Services

Approved:"

JOSE MIDAS P. MARQUEZ

Cou rt Administrator

•For procurement request with a total cost of up to Pl,000,000.00 pe r A.M. No. 10-1-10-SC dated Ma rch 6, 2018
 PURCHASE REQUEST

Entity Name: Supreme Court_gfthe PhilipJ)ines Fund Cluster:

Office/ Section: OCA-Property Division D.R. No .: 294 Date: Nov. 29, 2018
Responsi bilty Center Cod e:

Stock No. Unit Item Description Quantity Unit Cost Total Cost

bk Docket Book, Criminal, 250 pages, leaves ar e pages 200 ~ 550.00 ~ 110,000.00
from 1-25 0, as per sample
- Nothing Follows -

NOTE : See attachment

Included in the Approved Procurement Plan

Yr 2018

Purpose : For issuance to MTCC

Noted• ~
TENIOfr· LIBED MARIA RO A. LABUGUEN
In-charge, Pro y Division, OCA Acting A · Chief of Office
Office of the Ad minis rative Services-OCA Office of t he Ad ministrative Services-OCA
Th e a mount of~ will be made
available for thi s requi sition for
chargeea bl e aga inst Npt ed :

MARIETIA R. ESDRELON RUBY C. ESTEBAN-GARCIA

SC Chief Judicial St aff Officer OCA Chief of Office
Budget Division, FMO-OCA Financial Management Office

Recommending Approval :

CARIDAD A. PABELLO
OCA Chief of Office
Office of th e Adm i nistrative Se rvices

Approved:'

JOSE MIDAS P. MARQU EZ

Court Admi nistrator

' For procurement request with a total cost of up to Pl,000,000.00 per A.M . No. 10-1-10-SC dated M arch 6, 2018
 P:f L .g,
I

a ·. . 3l\epnblic of tl)e ~IJilippines .

~upreme ~outt

•
@ff ice of tbe .~ourt sgbministrator
T~ITTAL .

FOR -' · MARJA CARINA M. CUNANAN

Chief of Office · '"
Office of Administrative Services
Supreme Court of the Philippines

"FROM TENIOSO .B~ LIBED

. In-Charge, Property Divfsion,
Office of the Administrative Services~ OCA
. . . ' . . ... ,' .
.SUBJECT REQUEST FOR QUOTATION (RFQ) FOR, THE
PROCUREMENT OF DOCKET BOOK, CRIMINAL, 500 and
250pages · · · ·

DATE .. 7 November 2018

.. . t
-.

This r~fers to the procurement of dock~t book, ·criminal 500 and 250 pages. Pqrsuant to Republic
Act 9 184 alJ: procurement must be posted, at any conspicuous pla.ce resyrved for this purpose in
the premises of the Procuring Entity.

In li.ne with this, may we request the .assistance of . your office for. the .posting of the attached
copies of the RFQs at the. Sµpreme Court bulletin board assigp,~d for the this purpose from Nov.
8-13, 2018. ' . . , . .

·Thank you very much. ·;

~~· ..

..

/mdaa ll .7.18
 ' \ __,
~~ 31\epublic of tbe ~lJilippines

~11'
· ~npteme <1I:ourt
i~ ~
~ ~ffice of tbe @:outt ~bmini5trator
~~ ;Manila

REQUEST FO~ QUOTATION

RFQ No. 101-lly07-18
7 November 2018

The Stlpreme Court of the Philippines, through the Property Divisio!l, Office of the Court
Adminisirator (OC.A)? is reql!esting for a fonnal price quotation for the supply and delivery of docket
book, ·criminal, in accordanc~ with Republic Act 9184, otherwise known as 'the . Government
Procurement Refom1 Act. ·

Delivery Date: Forty five (45) calendar days upon receipt of the Purchase Order
Delivery Place: Supreme Court of the Philippines~ ·Padre Faura St., Ermita

Prospective bidders shall accomplish, provide correct and accurate information and 's ubmit the
duly signed Price Quotation (Annex A) fomi in a sealed envelope not later than 4:30 p.m. on 13
November 2018. Quotations submitted after the said deadline shall not be accepted.

Quotations must be valid for a period of sixty (60) calendar days from the date of submission.

Award shall .be made to the lowest quotation which complies with the minimum technical
specifications and other terms and c:onditions stated herein·.·Any interlineations, erasures or overwriting
.shall be void unless signed or _initialled by the bidde~ or its duly _authorized representative~

The Supreme Court shall have the right to

inspect and ·1.or test the goods to confirm their
confonnity to the teclmical specifications. Liquidated damages equivalent to one-tenth of <;m e percent.
(0.0001 %) of the value of the goods not delivered ·w ithin the prescribed delivery period. shall be
. imposed per day of delay. .. The Supreme Coli.rt shatl cancel the Purchase. Order once the cumulative
amount of liquidated damages reaches ten percent (10%) of the amount, without ·prejudice to other
courses of action and remedies· open to it.· The Supreme Court reserves the right to accept or reject an'y .
or al~ quotations arid to impose additional terms and col).dition.s as it may deem proper.

~ In-Charge, Property Division, ~

Office of the Court Administrator
 ..:'
__.

Annex A

. PRICE QUOTATION FORM

Date:
---------
TENIOSO B. LIBED
Jn-Charge, Property Division
Office of the Court Administrator
Supreme Court of the Philippines
Tel. 525-1270; Telefax 525-7036

After having carefully read and accepted the terms and conditions in the Request for Quotation,
we are submitting our prop·osal as follows:
...
:··. · ·
' ·: .· .
Des~ription of Items and . ·~;'.·:.~?
, .i .Specifications '.· ... -·~ .. .. :;,.;
';
.·
; '•
.··
.':;
Qty .
''..' ;i',1
'· ·'
I

, ' ' I·
-
.Unit Price
·.. '·
~~
...
'~
-,; ~(. -I I .;\
".. . Total Bid ,Price
1 --·~
• At.- ··
:1 .,.
.
I

I
Docket book, criminal, 250 pages, leaves are 550 books
paged from 1-250, as per sample

Docket book, criminal, 500 pages, leaves are 500 books

paged from 1-500, as per sample

Delivery peripd: forty five (45) calendar days

The above quoted prices are inclusive of all costs and applicable taxes and valid for sixty
(60) calendar days.

Very truly yours,

Signature over Printed Name

Position

Company Name

Company Address

Contact No.

Mayor 's Permit No. - - -- -- - - -- - - - - -- - -- - --

DTI or SEC Registration Certificate No. - - - - -- - - - - - - --
PhilGEPS Registration No. - - - - - - - -- - - - - - - - - -
 Si:JFP..E2-:"". CCH"JRT OF THE F f-ITT IPPE·i.FS :Fund C:~ lust.er ·
f

f~espcnsibility Center Cede:

f1s !·-To.

; -~ ' \
f ~tod~ I.fo. i Unit E en:arks

·-- - ·-·----- - -·-- - ------------+--------<-------+------+------+------------

1-----·~-+----------~

Reque~te-.:i by: Apprav ed by: Issied by :

 f\1\Ah: !L/".

STOCK POS.!T!Of\! SHEET

AF:TiCLE: PCS.
St2ndard Stock Leve.!:

1) Balani:;e 0 11 hand .................... ........ ..... ·--· ···· -· ····- ·· ·· -···· ·· ···· ·········-······-······ 32
2.) \ten: in transit .·- ······ ·-· ········-·····-·········-······················· ····-··············· ··········
3) This requisition No- ·· ···- -············ ···········- ·-·· ·-···· ··· ·-··· ·- ·-··········· ··-·-·····--····· 200
4) Tot2I expected stock __ _( surn of 1-3) ·· -··-·· ···-· ·-·-·-··- --- -- ·-·· ·-··-·--· --····· ··· ··· 232
5) Monthly· a·•erage consumption ·· ·· ·· ····-· ····· ··· ·· ····· ··· ··· ···· ··-····· ······ ···· ········ 44
6) Estimated l\lo. of months to ::omume ( line 4 /line 5) -····· ······· ··········-· 5.29

: certify ta the fairness and reasonabieness of the above data .

10/23/2018
~vWM
SU S,.O. N fv1 . VELASCO
Date Head of Sectio n
Shtppmg & Delivery Section
P ropertv DM~I C.tn,DAS,QC.b,

RMR/lS

)\ •
Ba1ance 1 · '. .
I
) ouantrtv 1 o uant1tv Ea!anc.e m
• • •
l!fiit
\
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c,n Hand
i reque~teci
l _ .
&/
1
m tM t he APP a;
1
1 !
dei1V.ereu 2Dl8 APP c.if this. dat e
. \ I
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 Republic of the Philippines
Supreme Court
Office of the Court Administrator
Manila

Property Division
ABSTRACT OF CANVASS

1ting Services Trojeka Trading Co. ;vtVEA Printing Services Uniwin Multiprinting

Total Price Unit Price Total Price Unit Price Total Price Unit Price Total Price
~ 110,000.00 p 590.00 p 118,000.00 p 620.00 p 124,000.00 p 670.00 134,000.00

'I
I

-
ffi
~j \W'\iyV
Checked by: Raf ilJ3 P. Figueroa
Office Pro rty Division, OCA

Noted by
~In-Charge, Property Division
Office of the Court Administrator
 Docket book, crimina•, 250 pages; leav_es are -550 bl)O~ - .;:

paged from 1_-250, a_s p_er sample : ; , - - - --- -

. ,- •. t .·
:·
. '.: ""'~· . . .: -~. ;--::

-Docket book, criminal, 500 pages,_leave~ -- are . J: 50_0 _~o,_o~

-paged from 1-500, as p_er sample - - ~/.•' ..~·l··· ~

: · - Delivery period: foqy fiye (45) palen4~ __->· _: _-- <_- ____ _- l { ; _
- The above quoted pri~es are incl_\l~iy-~~Qf a~l :~Q~_t$ .~rtd,Jlpp!icab!e.: ~.a,~es a-nd,:y~li(;J; .f'.~r sixty

l _V.J;rJ_ pt{,pJ~A " :-·. _Ulf,Jkf;:v.--W : -·, ~' - .- - r-.

..~ "' ' ~

_ Signatur~, over.l?rinteq Nfiln.e - -

!.'.:. -~j_~-vf~: _.-_-: - -·· , ·'. ~.,· .. .

-- Position _.. - _· > __ .- - l·

··•c6;P:~·J.:~~>:71h; . ·.,~· . ..
•.:
• ~ r ' ' • ." • ~

-,· _ -- 3-:~~ ~~~J.f- -Qu~ .f !j , -~-- _~:

--·company fui&ess_- -· - .- - · .- -: _:l _

;
· . . ..
.- ;_tizi ~tier/.-~:v ft~'1__/ .- ·.;' _.-_:}t-. -: ·•.

C01fractNo; - r: -' ---_ - · -· : '~ -f · ~.

Mayor's Pennit No. · ;Lvt)l- i~J61 - -- - ~I • i

DTI or SEC Registration Certificate No . . O'f" ~ '-/ ¥.;k& C ·: .··.:. !

-·-
PhilGEPS Registration N o. - - 2;v0~- (thf 3 -1

~I
-
.

If. -~ ;Cf
~ .
 . _----· """"' .cuntnal, 250 pageso leaves are• . . SSifbocil<s
pa~ed.from 1..,250~ ~ persam_ple '· ·.
It'-:?.f ~ , 11J/
. .. ~/t;: . :
f 3.::L:'~ .-_1' .. .., 1 . f.'v-p, V1
- ·.· ..· ,., _

. .. . . ~·. . ...:"· . ·.::. ~- . ; ·~.

· Docket book,: ciim.i1:1al, 500 pages 2 Ieayes a.re · . .500

paged fn>m l-500, as per sample- ··
. ..·:··h··ooks .
. ._ : .· ·· - .
•

fPaJ&.t?J/
Pu-uJi .
r; <f!S-,n . d1

Deiivery period:: forty five={45) c<!lendar days:·· .

The ~hove: quoted · pric~s are in~lusiye of'all.· ~Q~ts ~nd a·p pJicable t~:x~~·-~n.~Lvalidifor sixty
(60) calendar days. · · · · » · · · · . · · .: ···.: ,,.· . ·. ··. ·: > · ·. · i · ' ·
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- Company N~~ . ·
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G.ontac;t.No., · · ·· · 1 · ·

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Mayor 's Permit No. --->J<::J--------,..-..:,,,...~~~---:­
DTI or SEC Registration,. erti~te" No.
PhilGEPS Regis~ation No.. _,.F
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 Docket book, criminal, 250 pages, leaves are
paged from 1-250, as per sample
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Docket book, criminal, 500 pages, leaves are I 500 bool

paged from 1-500, as per sample <t\s:.~ I~~~~,~~,~
Delivery period: forty five (45) calendar days
The above quoted prices are inclusive of all costs and applicable taxes and valid for sixty
(60) calendar days.

rinted Name

~V'ct..Q~~
CompanyN~

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Company Address

~~,~~·~...~J.O~ - O..\~-\(-~~
Contact No.

Mayor's Permit No.

- -- ------------------
DTI or SEC Registration Certificate No.
------------~
PhilGEPS Registration N o . - - - - -- - -- - - - - - -- - - -

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Docket book, criminal, 250 pages, leaves are I 550 books IPc, to .<Yb
paged from 1-250, as per sample

Docket book, criminal, 500 pages, leaves :ue I 500 books I"P CJ 2.0. ()1)
paged from 1-500, as per sample

Delivery period: forty five (45) calendar days

- The above quoted prices arc inclusive of all costs and applicable -taxes. and valid, for sixty
(60) calendar days. · · . ·_ · -_ · . ! '

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Signature over Printed N rune

Product-; m Mqn qqer

Position

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Company Name

M'!Jqt ~al omat, Froj ·4, Q. C .

Co any Address ·

Contact No.

Mayor's Permit No. -- - - - - - - - - - - - - - - - - - - - - -

i
DTI or SEC Registration Certificate N o . - - - - - - - -- - - - - -
PhilGEPS Registration No. - - - - - - - - - - - - - - - - - - -

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