Republic of the Philippines

DEPARTMENT OF EDUCATION
Cordillera Administrative Region
DIVISION OF TABUK CITY
Western Tabuk District 1
CALANAN ELEMENTARY SCHOOL

ACTIVITY REQUEST FORM

Title of Activity Purchase of janitorial supplies

Schedule December 2020
Venue Calanan Elementary School
OBJECTIVES OUTPUTS(expected)
To purchase janitorial supplies for the use in Facemasks , rubbing alcohol,gloves,disinfectant,toilet
the school during the pandemic cleaner .

PROGRAM OF ACTIVITIES
Canvas and purchase of materials Nov. 23-27, 2020
Utilization of the materials December 2020 onwards
Participants Teachers , SH, pupils
Consultant; Joan M. Dalilis- school head
ESTIMATED EXPENSES
Item of Expenditure Unit No. of items Unit Cost Total Cost
Face masks Boxes 9 200.00 1,800.00
Rubbing alcohol gal 1 700.00 700.00
Gloves Boxes 2 500.00 1,000.00
Disinfectant 1 1 700.00 700.00
Toilet cleaner 4 4 500.00 2,000.00

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Source of Funds: local funds - MOOE P 6,200.00

Requested by:

VIOLETA R.CORONG
Teacher 1- Supply Officer
Funds Available: Approved by:
DELILAH C. LOZANO
ADAS/ Book Keeper JOAN M. DALILIS
School Head