A.

  This form shall be prepared by the office/employee of the requisitioning office/unit.

B.  It shall be forwarded to the Accounting Unit to fill up the blank spaces such as SAI No., Stock No. and Status of Stock

Likewise, it shall be the basis in the preparation of Requisition and Issue Slip if the goods/supplies is carried in stock, and Purchase Request if the
goods/supplies is not carried in stock.

D EP A R T M E N T OF ED U C A T I O N

SUPPLIES AVAILABILITY INQUIRY

Division : CEBU CITY Responsibility Center

No.
Office: PIT - OS NATIONAL HIGH SCHOOL Code 581

Stock No. Item Description Unit Quantity Status of Stock

1. TO BE FILLED - UP BY THE REQUESTING PERSONNEL

TO BE
FILLED - IN TWO COPIES ...
UP BY THE
JACKIE... TO BE FILLED -
UP BY THE
JACKIE...

Purpose/Remarks: ________________________________________________________________________
1. TO BE FILLED - UP
____________________________________________________________________________________________
BY THE REQUESTING PERSONNEL IN TWO COPIES ...
____________________________________________________________________________________________

Inquired by: Status provided by (Accounting Div.):

Signature 2. TO BE FILLED - UP AND Signature

SIGNED BY THE REQUESTING
Name PERSONNEL IN TWO COPIES ... Name JACKIE LOU B. CLARIN
Designation Designation Acting Senior Bookkeeper
Date Date

AO 6/15/02

REMINDER: IF THE STOCK IS NOT AVAILABLE, PURCHASE REQUEST MUST BE PREPARED FOR THE ITEM
REQUESTED. FORWARD THE SAI TO ATE ENG - ENG/ATE JANICE. THE LATTER WILL SCAN OR INQURE
JACKIE ON THE AVAILABITLITY OF THE STOCK. IF THE STOCK IS AVAILABLE, PREPARE REQUISITION AND
ISSUE SLIP (RIS) IN THREE COPIES.
 CHECKLIST (GOODS VAT)
pls enter date prepared
DATE Monday, June 10, 2013
NAME OF SUPPLIER LAM HONG PAPER PRODUCTS CO., INC.
AMOUNT #REF!

DOCUMENTARY REQUIREMENTS # of Copies JAO ETL JBC

upon inquiry or request of items for purchase, please prepare below documents

1 Supplies Availabilty Inquiry (SAI) 2 - short

2 Purchase Request (PR) 2 - short

3 Canvass 3 - short

4 Abstract of Canvass 3 - short

once BAC have chosen the supplier with the lowest quotation, kindly prepare the PO and give one copy to the supplier

5 Purchase Order (PO) 3 - long

once items are delivered, ask for below documents

6 Delivery Receipt (DR) from the Supplier 1

7 Sales/Charge Invoice from the Supplier

once the items are delivered have it inspected and accepted; DATES OF THE DR, INVOICE and IAR must be the same

8 Inspection and Acceptance Report (IAR) 3 - short

if nos. 1 - 8 (together with nos. 12 - 16), are completed, please prepare below documents

9 Disbursement Voucher (DV) 2 - short

10 BIR Form 2306 3 - long

11 BIR Form 2307 3 - long

have these signed once the items are released from the Custodian

12 Requisition and Issue Slip (RIS) 2 - short

Inventory Custodian Slip (ICS) /

13 Acknowledgement Receipt of Equipment 2 - short
(ARE) if applicable

14 POWE if applicable 2
15 Pictures if applicable 2

16
Acknowledgement Receipt if applicable
upon releasing the check
17 Official Receipt (OR) 1
All docs should be attached to the DV with complete signatures.
 Appendix 44

LIQUIDATION REPORT Serial No.: _________________

Period Covered: SEPTEMBER 2021 Date: _____________________

Entity Name : Punta Princesa National High School (Night) Responsibility Center Code:
Fund Cluster : _____________________________________________ __________________________

PARTICULARS AMOUNT

9,700.00

To Liquidate the SEPTEMBER 2021

Allocated for Punta Princesa Night High School
SHS

TOTAL AMOUNT SPENT 9,709.97

AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______ 9,700.00
AMOUNT REFUNDED PER OR NO. ________DTD. ___________ -9.97
AMOUNT TO BE REIMBURSED
A Certified: Correctness of the B Certified: Purpose of travel / C Certified: Supporting
above data cash advance duly accomplished documents complete and proper

JESUSIMA B. JUMALON RIZALINDA A. CAIRO JAENE P. AGUILA - Accountant III

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Claimant Immediate Supervisor Head, Accounting Division Unit
JEV No.: ________________
Date: ______________________ Date: _____________________ Date: __________________

Entity Name
Sub-Office/District/Division
Municipality/City/Province
Fund Cluster
CASH DISBURSEMENTS REGISTER
: Punta Princesa National High School (Night) Name of Accountable Officer : JESUSIMA B. JUMALON
: Cebu City, South District 5 Official Designation : School Head
: Cebu Station : __________________________________
: 101 - Regular Funds Register No. : ___ - 2018 - ____
Sheet No. : page _____ of _____

Advances to Special Disbursing Officers BREAKDOWN OF PAYMENTS

Due to BIR
(19901030) (Gross Amount)
DV/Payroll/ Amount Office Other
Date Particulars Tax
Check No. Training Supplies Supplies Janitorial Security Electricity Water
Withheld
Expenses Expenses
Cash
Payments Balance
Advance (5021202000
### (5020201000) (5020301000) (5020399000) (5021203000) (5020402000) (5020401000)
)

9/28/2021 11213095 JESUSIMA B. JUMALON 9,700.00

10/12/2021 133801 BAYAD CENTER-GLOBE (Aug.27-Sept.26,2021) 9,259.97 440.03

10/12/2021 367223 PEOPLE'S EDUCATIONAL SUUPLY 440.00 0.03 440.00

10/12/2021 CENRR#1 WILMA CABELLON 10.00 (9.97)

Totals 9,700.00 9,709.97 (9,709.97) 440.00

The total of the ‘Advances for Operating Expenses – Payments’ column must always be equal to the sum of the totals of the ‘Br
CERTIFIED CORRECT: RECEIVED BY:

JESUSIMA B. JUMALON _______________________________________________________

Signature over Printed Name Division Office Pre - Auditor
Date:_______________ Date:_________________
 Appendix 43

A B. JUMALON

_______________________

NTS

OTHERS
Other
MOOE
UACS
Account
Description
Object Amount
(5029999099) Code

774 9,259.97

784 10.00

9,269.97
#VALUE!
Recapitulation:
UACS
Account
Object Amount
Description
Code
INTERNET 774 9,259.97
OFFICE
SUPPLIES 755 440.00
TRANSPO 784 10.00
Total 9,709.97

sum of the totals of the ‘Breakdown of Payments’ columns.

_______
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EPA R T M EN T O F ED U C A T IO N

Busay, Cebu City Name of School: QUIOT NATIONAL HIGH

Tel. Nos. 254 SCHOOL
- 5923 / 254 - 0893
BIDS AND AWARDS COMMITTEE - GOODS AND SERVICES
REQUEST FOR PRICE QUOTATION

Date:
PR No.
Name of Firm :
Address :
Contact No. :
Company TIN :

Please quote your lowest price on the item/s listed below stating the shortest time of delivery
and submit your quotation duly signed by your authorized representative not later than ________________.
Insert your duly accomplished quotation inside the attached return envelope and seal the same.
JESUSIMA B. JUMALON

ITEM & DESCRIPTION Supplier / Bidder's Quotation

Item No. QTY UNIT
(Please indicate brand and model,delivery period,warranty) UNIT COST TOTAL COST

1 SAS 2X2X8 ECO 8 pcs

2 SAS 2X3X8 ECO 8 pccs

3 PVC DOOR WHITE 1 pcs

4 SOLIGNUM CLEAR 1 bot

5 PAINT BRUSH 2" 1 pc

6 NAILS 2" 1/2 kilo

7 NAILS 1 1/2" 1/2 kilo

8 NAILS 1" 1/2 kilo

9 MARINE PLYWOOD 1/4" 3 pcs

10 LOCKSET GUARD 1 pcs

11 DOOR HINGES 2 sets

21 #REF! #REF! #REF!
Terms of payment :
Delivery Term :
Note : Price Validity is 120 days from the date of quotation

After having carefully read and accepted the terms and conditions of this RFQ, I/We quote you on the item at prices noted above inclusive of all costs and applicable taxes.

Printed name and signature

Date: _______________ Telephone No.: _______________

Address: ____________________________________________

Mayor’s Permit No.: __________________________________

DTI/SEC/CDA Registration Certificate No.:_______________

Phil-GEPS Registration No.:____________________________

(Please submit the photocopies of the above documents upon submission of quotation)

Canvassed by:

BABY LUIS L. LUCENA

Teacher III
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EPA R TM EN T

Name of School: PUNTA PRINCESA NATIONAL HIGH SCHOOL (Night)

PROGRAM OF WORKS AND ESTIMATES (POWE)

Name of Project : Two Self-Learning Modules Cabinets 4 x 8 x 2 cubic feet

Location : Punta Princesa National High School (Night)

No. Description Unit Quantity Amount

1 Plywood Marine 3/4 x 4 x 8 sheets 9 ###
2 Plywood Marine 1/4 x 4 x 8 sheets 2 420.00
3 Flat Wall Enamel Paint gallon 2 595.00
4 Gloss Enamel Paint gallon 4 638.00
5 Paint Roller 6 inches pieces 2
6 Nails #2 kilogram 4 65.00
7 Nails #1 kilogram 1 65.00
8 Sandpaper #120 sheets 5 80.00
9 Half Round Sticks sticks 20
10 Wood Glue liter 1 85.00
11
12
13
14
15
16
17
18
19
20

Material
Labor Cos
Total Cos

Prepared by: Recommending Approval

 D EPA R TM EN T OF ED U C A TION

bic feet

Total
###
###
###
###
-
###
65.00
###
-
85.00
-
-
-
-
-
-
-
-
-
-
###
###
###

commending Approval:
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY
D EPA RTM EN T OF ED U C ATION
Name of School:PUNTA PRINCESA NATIONAL HIGH SCHOOL (Night)

A B S T R A C T O F C A N V A S S
please d
Abstract of canvass/bids for furnishing and delivering of supplies to Quiot National High School , opened on 6/12/2021
(Name of School) (Date)
in the office of the School Head.

B I D D E R S

Item LAM HONG PAPER VICTORY EDUCATIONAL GOLDEN FU'S SHOPPING AWARD
Qty. Unit Articles and Description
No. PRODUCTS CO., INC. SUPPLY MALL, INC. RECOMMENDED

Unit Cost Total Cost Unit Cost Total Cost Unit Cost Total Cost

LAM HONG PAPER

1 5 unit Bond Paper ₱144.00 ₱7,920.00 ₱160.00 ₱8,800.00 ₱250.00 ₱13,750.00 PRODUCTS CO., INC.

7 - -

10

BIDS AND AWARDS COMMITTEE

We hereby certify to have personally canvassed the herein above items and the prices quoted by the respective bidders are just and reasonable. Thus, the same is hereby referred to the AWARDS COMMITTEE for
awarding.

REAH B. MEDALLO JELLY MAE A. MIÑOZA-ROSAGARAN IRIS GRACE A. INVENTO

BAC Member BAC Member BAC Member

DANIEL D. PATRIMONIO, JR. HARRY S. BEBIDA

BAC Vice - Chairman BAC Chairman

Approved by:

JESUSIMA B. JUMALON
School Head
Head of the Procuring Entity (HOPE)
 PURCHASE ORDER
Republic of the Philippines
D EP A R T M EN T O F ED U C A T IO N
Department of Education
Region VII, Central Visayas
#REF!
Supplier : LAM HONG PAPER PRODUCTS CO., INC. P.O. No. :
Address : Magallanes St., Cebu City Date :
enter PO
TIN # : 000 314 816 000 Mode of Procurement : SHOPPING
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : #REF! Delivery Term : 2 days after receipt of the P.O.
enter dat
Date of Delivery : Payment Term: Cash on Delivery term e.g.
payment
Stock/ account
Property UNIT DESCRIPTION QTY UNIT COST AMOUNT
No.
#REF! unit Bond Paper 5 144.00 720.00

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -

#REF! - - - - -
-
TOTAL #REF!
TAX BASE #REF!
LESS: TAX WITHHELD
5% VAT #REF!
1 % ETAX #REF!
TOTAL TAX WITHHELD : #REF!

Amount in Words #VALUE! #REF!

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)
of one percent for every day of delay shall be imposed.

Very truly yours,

#REF!
CONFORME : #REF!

LAM HONG PAPER PRODUCTS CO., INC.

(Signature over Printed Name of Supplier)

____________________________________________
Date

Fund Cluster : 01 - Regular Agency Fund ORS/BURS No. :

Funds Available : #REF! Date of the ORS/BURS :

Amount : #REF!

JACKIE LOU B. CLARIN enter bookkeeper's name

Admnistrative Officer II
 Appendix 60

Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EP AR T M EN T OF ED U CA T ION

Name of School: QUIOT NATIONAL HIGH SCHOOL

PURCHASE REQUEST
Entity Name : DEPARTMENT OF EDUCATION Fund Cluster : 01 - Regular Agency Fund
Office/Section : ________ PR No.:_________________________________________
Date: _____________________
______________________ Responsibility Center Code : ____________________

Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.

TOTAL AMOUNT

Purpose :

Requested by:

Signature :
Printed Name : KAREN RITA S. JAKOSALEM JESUSIMA B. JUMALON
Designation : School Property Custodian School Head
 Appendix 61
Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EPA R T M EN T OF ED U C A T ION

Name of School: QUIOT NATIONAL HIGH SCHOOL

PURCHASE ORDER
Supplier: P.O. No. : ______________________________
Address : _____________________________________________ Date : _________________________________
TIN : ________________________________________________ Mode of Procurement : _________________
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : ___________________________________ Delivery Term : ________________________

Date of Delivery : ____________________________________ Payment Term : ________________________

Stock/ Property
Unit Description Quantity Unit Cost Amount
No.

pcs SAS 2X2X8 ECO 8

pccs SAS 2X3X8 ECO 8

pcs PVC DOOR WHITE 1

bot SOLIGNUM CLEAR 1

pc PAINT BRUSH 2" 1

kilo NAILS 2" 1/2

kilo NAILS 1 1/2" 1/2

kilo NAILS 1" 1/2

pcs MARINE PLYWOOD 1/4" 3

pcs LOCKSET GUARD 1

sets DOOR HINGES 2

(Total Amount in Words) Six thousand six hundred sixty-five

In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every
day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

__________________________ JESUSIMA B. JUMALON

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official

___________________________ School Head

Date Designation

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________

Amount : ____________________________
JESUSIMA B. JUMALON
Signature over Printed Name of Chief Accountant/Head of
Accounting Division/Unit
Signature over Printed Name of Chief Accountant/Head of
Accounting Division/Unit
 Appendix 62
Department of Education
Region VII - Central Visayas
D EPA R T M EN T O F ED U C A TIO N

DIVISION OF CEBU CITY

Name of School: PUNTA PRINCESA NIGHT HIGH SCHOOL

INSPECTION AND ACCEPTANCE REPORT

Entity Name : PUNTA PRINCESA NIGHT HIGH SCHOOL Fund Cluster : 01 - Regular Agency Fund

Supplier : :
PO No./Date: __________________________________________ Date :

Requisitioning Office/Dept. : _______________________________ Invoice No. :

Responsibility Center Code : _______________________________ Date :

Stock/
Description Unit Quantity
Property No.

INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________

Inspected, verified and found in order as to quantity and Complete

specifications
Partial (pls. specify quantity)

MARIZA F. TORREFIEL CELIA D. COMAINGKING

Inspection Officer / Inspection Committee Supply and/or Property Custodian

enter inspector a
custodian's nam
 BIR Form No.

Republika ng Pilipinas Certificate of Creditable Tax

Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas Withheld At Source 2307
1 For the Period
From
01 01 18 (MM/DD/YY) To
01 31 18 (MM/DD/YY)

Part I Payee Information

2 Taxpayer
000 314 816 000
Identification Number

3 Payee's Name LAM HONG PAPER PRODUCTS CO., INC.

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)

4 Registered Address Magallanes St., Cebu City 4A Zip Code 6000

5 Foreign Address 5A Zip Code

Payor Information
6 Taxpayer 000 863 958 010
Identification Number
7 Payor's Name DEPED, DIVISION OF CEBU CITY
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address NEW IMUS ROAD, BRGY. DAY - AS, CEBU CITY 8A Zip Code 6000

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter

INCOME PAYMENTS MADE BY THE

GOVERNMENT TO ITS LOCAL/RESIDENT WC640 #REF! #REF!
SUPPLIERS OF GOODS

Total #REF! #REF!

Money Payments Subject to Withholding

of Business Tax (Government & Private)

Total #REF! #REF!

We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief,
is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
JACKIE LOU B. CLARIN Admnistrative Officer II
Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

LAM HONG PAPER PRODUCTS CO., INC.

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
 Appendix 71
Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EP A R T M EN T O F ED U C A T IO N

Name of School: ________________________________________________________________

PROPERTY ACKNOWLEDGMENT RECEIPT

Entity Name : Department of Education
Fund Cluster: 01 - Regular Agency Fund PAR No.: ______________
Property Date
Quantity Unit Description Amount
Number Acquired

Received by: Issued by:

_________________________________________ __________________________________________
Signature over Printed Name of End User Signature over Printed Name of Supply and/or Property Custodian

____________________________ ____________________________
Position/Office Position/Office

_________________________ _________________________
Date Date
 Appendix 59
Department of Education
Region VII - Central Visayas
D EP A R T M EN T O F ED U C A T ION
DIVISION OF CEBU CITY

Name of School: Punta Princesa National High School (Night)

INVENTORY CUSTODIAN SLIP

Entity Name : : Department of Education
Fund Cluster: : 01 - Regular Agency Fund ICS No : _________

Amount Inventory Estimated

Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life

1 unit 80,000.00 80,000.00 rent to own HP Photocopier machine

Received from: Received by:

CELIA D. COMAINGKING WILMA Y. CABELLON/ ADAS II

Signature over Printed Name Signature over Printed Name of Recepient or End - user
Property Custodian ADMIN. ASST. II
Position/Office
__________________________________ __________________________________
Date Date
 ACKNOWLEDGEMENT RECEIPT
We hereby acknowledge the receipt of ______________________________________________
(Name of item)

NAME DESIGNATION DATE RECEIVED QUANTITY SIGNATURE

1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33
34

35
TOTAL
Approved by:

EMELITA T. LANARIA
Principal II
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EPA R TM EN T OF ED U C A T IO N

Name of School: PUNTA PRINCESA NATIONAL HIGH SCHOOL (Night)

PRE - REPAIR INSPECTION REPORT

Item / Description: Repair of SHS CR; Construction of 3 support doors
Property Number: Property Accountability Receipt
Acquisition Cost : Acquisition Date:
Nature and Scope of Last Repair , if any :

Complaints/Defects : Unpleasant smell near the SHS CR

Parts /components to be Repaired / Replaced:

FINDINGS / OBSERVATIONS: There is a need to support doors for SHS CR, because learners
especially the elemntary piupils hide near the SHS CR and urinate
near theSHS CR doors that resulted into unpleasant smell in the nearby classrooms.

Inspected by:

ENGR. WENDEL J. TABAR CELIA D. COMAINGKING

Physical Facilities Coordinator School Property Inspector
Date :____________________ Date :____________________

Noted by:

ARNEL R. PEPITO
School Head

POST - REPAIR INSPECTION REPORT

Job Order No. Amount : Invoice No. Amount : 14,890.77
Findings/Comments:
The construction of SHS CR support doors is already finished and the problem of
unpleasant smell has been solved. It only needs constant maintenance in orfer to prolong
its usefulness.

Inspected by:

ENGR. WENDEL J. TABAR CELIA D. COMAINGKING

Physical Facilities Coordinator School Property Inspector
Date :____________________ Date :____________________

Noted by:
ARNEL R. PEPITO
School Head
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY D EPAR TM EN T OF ED U C A TION

Name of School: PUNTA PRINCESA NATIONAL HIGH SCHOOL (Night)

PROGRAM OF WORKS AND ESTIMATES (POWE)

Name of Project : Library Bookshelf

Location : Punta Princesa National High School (Night)

No. Description Unit Quantity Amount Total

1 S4S 2X2X12 Palo China pcs 11 235.00 2,585.00
2 Common Nails 1/2 kl 0.50 64 32.00
3 Common Nails 1/4 kl 0.25 64.00 16.00
4 Marine Plywood 1/4 slub 2 435.00 870.00
5 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
Material Cost 3,503.00
Labor Cost 1,226.05
Total Cost 4,729.05

Prepared by: Recommending Approval:

ENGR. WENDEL J. TABAR JESUSIMA B. JUMALON

Physical Facility Coordinator School Head

Reviewed by: Approved by:

WENDELL J. TABAR BIANITO A. DAGATAN, CESO V

DEPED Engineer Schools Division Superintendent
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY
Name of School: Punta Princesa Night High School
PAYROLL
D EPARTM EN T OF ED

For the period October 22 to October 26, 2018

Entity Name : Department of Education
Fund Cluster : 101 - Regular
We acknowledge receipt of cash shown opposite to our names as payment for meal allowance during the Mid-Year In-Service Training for Teachers last October 22 to
2018 and Instructional Material (IM) Making for Teachers on October 26, 2018 @ Punta Princesa Night High School, Tres de Abril St., Punta Princesa, Cebu City.

Serial Employee DATES

NAME POSITION AMOUNT DUE
No. No. Oct 22 Oct 23 Oct 24 Oct 25 Oct 26
1 ABANTO JOSEPHINE R. T III 200.00 200.00 200.00 200.00 200.00 1,000.00
2 ABELLA JENNIFER S. T III 200.00 200.00 200.00 200.00 200.00 1,000.00
3 ABELLANA ROSELYN G. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
4 ACASIO BEA B. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
5 ASPIRIN V.G. L. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
6 BAAN ALIPIO JR H. TIII 200.00 200.00 200.00 200.00 200.00 1,000.00
7 BINONDO NORBERTO JR P. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
8 CAMPOSANO RUTH C. TIII 200.00 200.00 200.00 200.00 200.00 1,000.00
9 CAQUILALA STEPHEN B. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
10 CUYOS RICHILLE B. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
11 COMAINGKING CELIA D. T III 200.00 200.00 200.00 200.00 200.00 1,000.00
12 ERMITANIO JASMIN N. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
13 EWICAN LYSANDRA S. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
14 MADRIAGA MAUREEN CLARICE L. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
15 MAGHANOY ADORA C. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
16 NAYRE JONA KIE N. TII 200.00 200.00 200.00 200.00 200.00 1,000.00
17 OBERES JESTLY R. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
18 PEPITO ARNEL R. HTI 200.00 200.00 200.00 200.00 200.00 1,000.00
19 RAGO MYGILL S. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
20 SALAZAR ANGELICA G. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
21 SARAÑA REGIENE Y. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
22 SILVOSA CED CHARISSE M. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
23 TABAR CLARISSA S. T III 200.00 200.00 200.00 200.00 200.00 1,000.00
24 TOCMO CHAR GIL S. MTI 200.00 200.00 200.00 200.00 200.00 1,000.00
25 TORREEFIEL MARIZA F. TIII 200.00 200.00 200.00 200.00 200.00 1,000.00
26 YAP MERVIC N. TII 200.00 200.00 200.00 200.00 200.00 1,000.00
27 ZUNIEGA RUBYLIN B. TI 200.00 200.00 200.00 200.00 200.00 1,000.00
TOTAL 5,400.00 5,400.00 5,400.00 5,400.00 5,400.00 27,000.00
A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYMENT:
twenty - seven thousand pesos only 27,000.00

MARIZA F. TORREFIEL - Assisting Principal __________________ ARNEL R. PEPITO - School Head

Signature over Printed Name of Authorized Official Date (Signature over Printed Name)
Head of Agency/Authorized
B CERTIFIED: Supporting documents complete and proper; and cash available D Representative
CERTIFIED: Each employee whose name
in the amount of PHP 27,000.00 . appears on the payroll has been paid
the amount as indicated opposite his/her name
ARNEL R. PEPITO - School Head __________________
(Signature over Printed Name) Date ARNEL R. PEPITO - School Head
Head of Accounting Division/Unit (Signature over Printed Name)
 Appendix 33

D EPARTM EN T OF ED U C ATION

or Teachers last October 22 to October 26,

unta Princesa, Cebu City.

AMOUNT DUE Signature of Recipient

1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
 1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
27,000.00
T:
27,000.00

________________
Date

E
ORS/BURS No. : _________
Date : ____________________
JEV No. : __________________
Date : ____________________
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY
Name of School: Punta Princesa Night High Sch
PAYROLL
For the period December 7 to 8, 2017

Entity Name : Department of Education

Fund Cluster : 101 - Regular
We acknowledge receipt of cash shown opposite to our names as payment for services rendered for the installation
of 12 classrooms for the Senior High Building last December 7 to 8, 2017 @ Cebu City Don Carlos A. Gothong Mem

Serial Employee DATES

NAME POSITION
No. No. December 7
1 Maghanoy Virgilio Carpenter 300.00

TOTAL - 300.00
A CERTIFIED: Services duly rendered as stated. C APPROVED FOR PAYM
six hundred pesos on

JESUSIMA B. JUMALON - School Head __________________ JESUSIMA B. JUMALON - Sc

Signature over Printed Name of Authorized
Official
B CERTIFIED: Supporting documents complete and proper; and cash
available .
in the amount of PHP 300.00
JESUSIMA B. JUMALON - School Head
(Signature over Printed Name)
Head of Accounting Division/Unit
Date (Signature over Printed N
Head of Agency/Author
D Representative
CERTIFIED: Each employe
whose name appears on th
payroll has been paid the a
as indicated opposite his/he
__________________
JESUSIMA B. JUMALON - Schoo
Date (Signature over Printed Name)
 Appendix 33
Education
ral Visayas
EBU CITY
sa Night High School D EPARTM EN T OF ED U CA TION

OLL
mber 7 to 8, 2017

dered for the installation of steel bracket for the installed water supply for the 2 sets
Carlos A. Gothong Memorial National High School, C. Padilla St., Cebu City.

DATES
AMOUNT DUE Signature of Recipient
December 8
300.00 600.00
-
-
-
-
-
300.00 600.00
APPROVED FOR PAYMENT:
six hundred pesos only .

SIMA B. JUMALON - School Head ________________________

(Signature over Printed Name) Date
Head of Agency/Authorized
Representative E
CERTIFIED: Each employee
whose name appears on the
payroll has been paid the amount
ORS/BURS No. : _______________
as indicated opposite his/her name Date : ____________________
B. JUMALON - School Head JEV No. : _____________________
nature over Printed Name) Date : ____________________
 Department of Education
Region VII - Central Visayas
DIVISION OF CEBU CITY
D EPARTM EN T OF ED U CATION
Name of School: PUNTA PRINCESA NATIONAL HIGH SCHOOL (Night)

ACKNOWLEDGEMENT RECEIPT
We hereby acknowledge the receipt of Photocpy of modules
(Name of item / s)

NAME DESIGNATION DATE RECEIVED QUANTITY SIGNATURE

5 ,

6 ,

7 ,

8 ,

9 ,

10 ,

11 ,

12 ,

13 ,

14 ,

15 ,

16 ,

17 ,

18 ,

19 ,

20 ,

21 ,

22 ,

23 ,

24 ,

25 ,

TOTAL

Received from: Approved by:

CELIA D. COMAINGKING JESUSIMA B. JUMALON

School Property Custodian School Head
 Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Punta Princesa NHS Fund Cluster : ________________ Entity Name: Punta Princesa NHS Fund Cluster : ________________
Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from ___________JESUSIMA B. JUMALON____________ RECEIVED from ___________JESUSIMA B. JUMALON___________

(Name) (Name)

_________SCHOOL HEAD________________________ the amount _________SCHOOL HEAD________________________ the amount

(Official Designation) (Official Designation)

of __________________________________________ (P__________) of __________________________________________ (P__________)

(In Words) (in Figures) (In Words) (in Figures)

in payment for _______________________________________________ in payment for _______________________________________________

(Payments for subsistence, services, (Payments for subsistence, services,

_________________________________________________________ _________________________________________________________
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

_________________________________________________________ _________________________________________________________
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE

Name/Signature __________________________________________ Name/Signature __________________________________________

Address ________________________________________________ Address ________________________________________________

WITNESS WITNESS

Name/Signature __________________________________________ Name/Signature __________________________________________

Address ________________________________________________ Address ________________________________________________

Appendix 46 Appendix 46

REIMBURSEMENT EXPENSE RECEIPT REIMBURSEMENT EXPENSE RECEIPT

Entity Name: Punta Princesa NHS Fund Cluster : ________________ Entity Name: Punta Princesa NHS Fund Cluster : ________________
Date : _______________________ RER No. : ___________________ Date : _______________________ RER No. : ___________________

RECEIVED from ___________JESUSIMA B. JUMALON____________ RECEIVED from __________JESUSIMA B. JUMALON____________

(Name) (Name)
_________SCHOOL HEAD________________________ the amount _________SCHOOL HEAD________________________ the amount
(Official Designation) (Official Designation)

of __________________________________________ (P__________) of __________________________________________ (P__________)

(In Words) (in Figures) (In Words) (in Figures)

in payment for _______________________________________________ in payment for _______________________________________________

(Payments for subsistence, services, (Payments for subsistence, services,
_________________________________________________________ _________________________________________________________
rental or transportation should show inclusive dates, rental or transportation should show inclusive dates,

_________________________________________________________ _________________________________________________________
purpose, distance, inclusive points of travel, etc.) purpose, distance, inclusive points of travel, etc.)
PAYEE PAYEE

Name/Signature __________________________________________ Name/Signature __________________________________________

Address ________________________________________________ Address ________________________________________________

WITNESS WITNESS
Name/Signature __________________________________________ Name/Signature __________________________________________
Address ________________________________________________ Address ________________________________________________