Republic of the Philippines

DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS

OFFICE OF THE SECRETARY
Manila

PROPERTY ACKNOWLEDGMENT RECEIPT

Fund Cluster: ____________________ PAR No. : _________________

QMS-HRAS-SPMD Form # 4 series 2016
COA Circular No. 2015-07 S 2015
Property
Quantity Unit Description Date Acquired
Number
1 set Ground Penetrating Radar
Brand: SENSORS AND SOFTWARE
Standard package consisting of:
1 unit Noggin 250 Smartcart Configuration (DVL-500)
S/N Display: 0084-8664-2007; S/N 250: 0048-1285-1007
1 pc Noggin 100 Unit with Skid Plate
S/N 100: 0047-0910-1005
1 pc Odometer Extension Cable (0.45m)
1 pc 1/2m Smartcart Separation Kit
1 pc Noggin 1000 unit; S/N: 0059-1458-1007
1 pc Noggin 1000 Cart Conversion Kit
1 pc Topcon GPS for Noggin Smartcart (DVL-500) with cable connector
S/N: 672-70737
1 pc N250/1000 Smartcart GPS Mount (Short)
1 pc N100 Smartcart GPS Mount (Short)
2 pcs Power Source with Grey Case
2 pcs Power Source Charger (1 Amp)
1 set DVL-500 Carry Harness
1 pc EKKO_PROJECT – SUITE Software License
S/N: 0106-1934-1024
1 pc 3D Voxler Software
S/N: VX-010425-13n5

Inclusive of Three (3) Years Warranty, plus 5 days

training by a Licensed Geologist

NOTE: Delivered by PHILINSTRUMENTS CORP. under Delivery Receipt Nos. 1682 and 1683 both
dated April 2021 and Sales Invoice Nos. 7289, 7290 and 7291 all dated April 12, 2021

TOTAL:
WAYS

EIPT

_______________
PMD Form # 4 series 2016
2015-07 S 2015
Amount

( 4,475,000.00)

d 1683 both

( 4,475,000.00)
Received by : Issued by :

LORETA M. MALALUAN, CESO IV MYRNA R. DE JESUS

Signature over Printed Name of End User Signature over Printed Name of Supply and/or

Property Custodian

Regional Director, Region II Chief Administrative Officer, SPMD-HRAS

Position/Office Position/Office

Date Date
MYRNA R. DE JESUS
over Printed Name of Supply and/or

Property Custodian

ministrative Officer, SPMD-HRAS

Position/Office

Date
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
CENTRAL OFFICE
Manila

PROPERTY TRANSFER REPORT

From Accountable Officer/Agency/Fund Cluster : _____________

To Accountable Officer/Agency/Fund Cluster : ________________

Transfer Type: (check only one)

Donation
Reassignment
Date Acquired Property No. Description
Ground Penetrating Radar
Brand: SENSORS AND SOFTWARE
Standard package consisting of:
Noggin 250 Smartcart Configuration (DVL-500)
S/N Display: 0084-8664-2007; S/N 250: 0048-1285-1007
Noggin 100 Unit with Skid Plate
S/N 100: 0047-0910-1005
Odometer Extension Cable (0.45m)
1/2m Smartcart Separation Kit
Noggin 1000 unit; S/N: 0059-1458-1007
Noggin 1000 Cart Conversion Kit
Topcon GPS for Noggin Smartcart (DVL-500) with cable connector
S/N: 672-70737
N250/1000 Smartcart GPS Mount (Short)
N100 Smartcart GPS Mount (Short)
Power Source with Grey Case
Power Source Charger (1 Amp)
DVL-500 Carry Harness
EKKO_PROJECT – SUITE Software License
S/N: 0106-1934-1024
3D Voxler Software
S/N: VX-010425-13n5
Inclusive of Three (3) Years Warranty,
and 5 days training by a Licensed Geologist
x-x-x-x-x-x-x-x-
s
D HIGHWAYS

EPORT

PTR No. : ___________________

Date : _____________________

Amount Condition of PPE

4,475,000.00

50: 0048-1285-1007

DVL-500) with cable connector

Reason for Transfer: Delivered by PHILINSTRUMENTS CORP. under Delivery Receipt Nos. 1682 and 1683 both
dated April 2021 and Sales Invoice Nos. 7289, 7290 and 7291 all dated April 12, 2021

Approved by : Released/Issued by:

Signature :

Printed Name :SAMSON L. HEBRA, CESO IV JUMIYAN U. YUSOP

Designation : Director IV, BOD Chief, Surveys and Investigation Division
Date :
eceipt Nos. 1682 and 1683 both
1 all dated April 12, 2021

Received by:

LORETA M. MALALUAN, CESO IV

Regional Director, Region II
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
OFFICE OF THE SECRETARY
Manila

PROPERTY ACKNOWLEDGMENT RECEIPT

Fund Cluster: ____________________ PAR No. : _________________

QMS-HRAS-SPMD Form # 4 series 2016
COA Circular No. 2015-07 S 2015
Property
Quantity Unit Description Date Acquired
Number
1 set 24-Channel Seismograph
Brand: ABEM Terraloc Pro 2
Standard package consisting of:
1 unit Standard Terraloc Pro 24-channel filed unit
serial no. 24300002
2 pcs Seismic cable with 12 take outs at 10 m spacing
1 pc Trigger Cable
29 pcs Geophone, 4.5 Hz vertical
28 pcs Metal Tripods
1 pc Shot Plate
1 pc Car Battery - Motolite Excel 24
S/N: MX 3010156746
1 pc Car Battery Charger
2 pcs Two Way Radio - UV5R
S/N: 5RG194002 & 5RG194000
1 pc Sledge Hammer
2 pcs Fiberglass Measuring Tape, 100m
1 pc Geogiga Surface Plus Software
S/N: S-GTC 200974
1 pc ReflexW3 Software License Key 1793

Inclusive of Three (3) Years Warranty, plus 5 days

training by a Licensed Geologist

NOTE: Delivered by PHILINSTRUMENTS CORP. under Delivery Receipt No. 1694 dated April 13, 2021
and Sales Invoice Nos. 7293 and 7294 dated April 12, 2021

TOTAL:
WAYS

EIPT

_______________
PMD Form # 4 series 2016
2015-07 S 2015
Amount

( 3,050,000.00)

ted April 13, 2021

( 3,050,000.00)
Received by : Issued by :

LORETA M. MALALUAN, CESO IV MYRNA R. DE JESUS

Signature over Printed Name of End User Signature over Printed Name of Supply and/or

Property Custodian

Regional Director, Region II Chief Administrative Officer, SPMD-HRAS

Position/Office Position/Office

Date Date
MYRNA R. DE JESUS
over Printed Name of Supply and/or

Property Custodian

ministrative Officer, SPMD-HRAS

Position/Office

Date
 Republic of the Philippines
DEPARTMENT OF PUBLIC WORKS AND HIGHWAYS
CENTRAL OFFICE
Manila

PROPERTY TRANSFER REPORT

From Accountable Officer/Agency/Fund Cluster : _____________

To Accountable Officer/Agency/Fund Cluster : ________________

Transfer Type: (check only one)

Donation
Reassignment
Date Acquired Property No. Description
24-Channel Seismograph
Brand: ABEM Terraloc Pro 2
Standard package consisting of:
Standard Terraloc Pro 24-channel filed unit
serial no. 24300002
Seismic cable with 12 take outs at 10 m spacing
Trigger Cable
Geophone, 4.5 Hz vertical
Metal Tripods
Shot Plate
Car Battery - Motolite Excel 24
S/N: MX 3010156746
Car Battery Charger
Two Way Radio - UV5R
S/N: 5RG194002 & 5RG194000
Sledge Hammer
Fiberglass Measuring Tape, 100m
Geogiga Surface Plus Software
S/N: S-GTC 200974
ReflexW3 Software License Key 1793
Inclusive of Three (3) Years Warranty and
5 days Training by a Licensed Geologist
x-x-x-x-x-x-x-x-
s
D HIGHWAYS

REPORT

PTR No. : ___________________

Date : _____________________

Amount Condition of PPE

3,050,000.00
Reason for Transfer: Delivered by PHILINSTRUMENTS CORP. under Delivery Receipt No. 1694 dated April 13, 2021
and Sales Invoice Nos. 7293 and 7294 dated April 12, 2021

Approved by : Released/Issued by:

Signature :

Printed Name :SAMSON L. HEBRA, CESO IV JUMIYAN U. YUSOP

Designation : Director IV, BOD Chief, Surveys and Investigation Division
Date :
eceipt No. 1694 dated April 13, 2021

Received by:

LORETA M. MALALUAN, CESO IV

Regonal Director, Region II