DISBURSEMENT VOUCHER

DV No: 2021-A-0001
Barangay: LUMBAC City/Municipality: PULILAN Date:
Payee: JRG-G TRADING SERVICES Province: BULACAN Fund:
Address: TIN:
Particulars Amount

LABOR AND MATERIALS - CCTV 100,000.00

100,000.00
1% -
3% -
100,000.00

A. Certified: B. Certified: C.Certified:

Existence of available appropriaton for the As to availablity of funds for the purpose, and As to validity, propriety, and legality of claim
charges/expenses indicated above completeness and property of supporting and approved payment.
documents

BRIAN PAUL AGUIRRE MICAELA L. CRUZ JULIUS H. TAYAO

(Signature Over Printed Name) (Signature Over Printed Name) (Signature Over Printed Name)
Chairman, Committee on SK Treasurer SK Chairperson
Appropriation
Date: _______________ Date:_____________ Date: _____________
D. Received Payment:
Check No:_________
JRG-G TRADING SERVICES Bank Name:_______ Date: __________
Signature Over Printed Name OR No.___________

E. Accounting Entries
Account Account Code Debit Account Code Credit
LABOR AND MATERIALS - CCTV 100,000.00
due to bir -
cash in bank 100,000.00
Prepared By:

_________
SK Bookkeeper Date

Aproved By:

PAULO DG. BERBENZANA,CPA ________

Municipal Accountant Date
 60pcs earphones - 210each = 12600 60pcs OTG 128gb - 300each = 18,000 60pcs Laptop Table - 320eac

60pcs earphones - 210each = 12600 60pcs OTG 128gb - 300each = 18,000 60pcs Laptop Table - 320each = 19,200
ble - 320each = 19,200

h = 19,200
 Republic of the Philippines
Province of Bulacan
Municipality of Pulilan
BARANGAY TIBAG

OFFICE OF THE SANGGUNIANG KABATAAN

OBLIGATION REQUEST No. 2021-A-0001

Payee JRG-G TRADING SERVICES
Office
Address

Responsibility Particulars F.P.P. Account Code Amount

Center

100,000.00
LABOR AND MATERIALS - CCTV

TOTAL 100,000.00
A. Certfied B. Certified
Changes to appropriation/allotment
Necessary, lawful and under my superviso Excistence of available appropriation
Supporting documents valid & legal

Signature Signature

Printed Name JULIUS H. TAYAO Printed Name MICAELA L. CRUZ

Position SK Chairperson Position SK Treasurer
Date Date
 PURCHASE REQUEST
Barangay: LUMBAC P.R. No: 2021-A-0001
City/Municipality: Pulilan, Bulacan Date:
REQUISITION
Item Unit of Estimated Estimated
Qty Item Description
Number Measurement Unit Cost Amount
1 1 Lot LABOR AND MATERIALS - CCTV 100,000.00 100,000.00

Total Estimated Amount P 100,000.00

Purpose:

Requested by: Approved By:

MICAELA L. CRUZ JULIUS H. TAYAO

Signature over Printed Name Signature over Printed Name
Requisitioner SK CHAIRPERSON
____________ _____________
Date Date
60pcs earphones - 210each = 12600 60pcs OTG 128gb - 300each = 18,000 60pcs Laptop Table - 320each
able - 320each = 19,200
 PURCHASE ORDER
Barangay : LUMBAC City/Municipality: PULILAN
Tel. No. Province: BULACAN
Supplier: JRG-G TRADING SERVICES P.O. No.: 2021-A-0001
Address: Date:
TIN: Mode of Procurement:
Bidding Negotiated Over the Counter
Gentlemen:
Please deliver to this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery: Date of Delivery: ASAP
Delivery Date: Term: Payment: NONE
Unit Particulars Quantity Unit Cost Amount
LOT LABOR AND MATERIALS - CCTV 1 100,000.00 100,000.00

100,000.00
(Total Amount in Words):
In case of failure to make full delivery within the time specified abive, a penalty of ane-tenth (1/10) of one percent.

Very truly yours,

JULIUS H. TAYAO
Signature over Printed Name
SK CHAIRPERSON
___________________
Date

Conforme: Existence of Available Appropriations of:

JRG-G TRADING SERVICES MICAELA L. CRUZ

Signature over Printed Name Signature over Printed Name
Supplier Chairman, Committee on Appropriations
__________________ ___________________
Date Date
 ACCEPTANCE & INSPECTION REPORT
BARANGAY LUMBAC

Supplier: JRG-G TRADING SERVICES Air No.

PO No. :2021-A-0001 Date: __________ Invoice No.: _________ Date: ________
Requisitioning Office/Department: __________________________________________
Item No. Unit Description Quantity
1 Pcs CCTV 11
2 Pc LED TV 43'' 1
3 Pc VIDEO RECORDER 1

ACCEPTANCE INSPECTION

Date Received: _________________ Date Inspected: ___________________________

Requestor / End User : Inspected, Verified and found OK

as to quantity and specifications

NAME & SIGNATURE Inpection Officer/Committee

CONTACT NO. : __________________

MICAELA L. CRUZ BRIAN PAUL AGUIRRE

Property Officer Authorized Inspector
 Republic of the Philippines
Province of Bulacan
Municipality of Pulilan
Barangay Lumbac

QUOTATION
You are hereby invited to quote price on the article listed for immediate delivery if available in your
stock. Please submit your quotation in sealed envelope to the office of the Secretariat, Bids and Awards Committee
of this barangay.
We may purchase from you, any or all of the stock of the article in quotation subject to the existing
regulation governing purchase in case that your stock could be most advantageous to Barangay Tibag of
Pulilan, Bulacan.

APPROVED:

JULIUS H. TAYAO MICAELA L. CRUZ

Sk Chairperson SK Treasurer

INVITATION FOR PRICE QUOTATION

ITEM QTY UNIT DESCRIPTION UNIT PRICE TOTAL COST

1 1 LOT LABOR AND MATERIALS - CCTV 100,000.00 100,000.00

Total 100,000.00

I/We hereby agree to furnish and deliver the abovemetioned article according to the specification and
price quoted that delivery of materials will be made in the presence of requesitioning officer

CANVASS BY BIDDED BY

MICAELA L. CRUZ JRG-G TRADING SERVICES

SK Treasurer
 Republic of the Philippines
Province of Bulacan
Municipality of Pulilan
Barangay Lumbac

OFFICE OF THE SANGGUNIANG KABATAAN

ABSTRACT OF QUOTATION

DATE :
FOR : USE IN BARANGAY
___________________________________________________________________________________

ITEM NAME OF FIRM / SUPPLIER ADDRESS TOTAL

1 JRG-G TRADING SERVICES PULILAN, BULACAN 100,000.00

2 110,000.00
3 115,000.00

APPROVED AWARD TO : JRG-G TRADING SERVICES

__________________________
BRIAN PAUL AGUIRRE
Chairman, BAC

__________________________
CENTEE ARCEO
Vice-Chairman, BAC

_____________________ _________________________

TWINKLE KATE JUSTINE CRUZ KAREN NAVARRO

Member, BAC Member, BAC

__________________________
MARY ANN CALEON
Member, BAC
 REQUISTION AND ISSUE SLIP

Barangay LUMBAC Responsibility Center RIS No.: Date:

City/Municipality: PULILAN Date:
Province BULACAN
Requisition Issuance
Stock No. Unit Description Quantity Remarks
1 PCS CCTV 11
2 PC LED MONITOR 43'' 1
3 PC VIDEO RECORDER 1

Purpose:

Approved By: Requested By: Received by:

Signature:
Printed Name: JULIUS H. TAYAO MICAEL L. CRUZ JULIUS H. TAYAO

Designation: SK CHAIRPERSON SK TREASURER SK CHAIRPERSON

Date: