Appendix 61
PURCHASE ORDER
Republic of the Philippines
Department of Education
Schools Division of Sorsogon
Sorsogon
Supplier: VGM CATERING SERVICES / ABNIR G. MATUBA P.O. No. : 19-12-185
Address : Cawit, Casiguran, Sorsogon Date : 12/27/2019
TIN : 443-075-586-000 Mode of Procurement : Shopping
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : DepeD, SDO Delivery Term : ten (10) working day
Date of Delivery : Payment Term :
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
pax Meals ( 1 breakfast, 1 lunch & 2 snacks for 2 Days ) 125 300.00 37,500.00
Catering Services on the One-Day Forum on Career
Guidance Progran
x-x-x-x-x-x-x-x
(Total Amount in Words: THIRTY-SEVEN THOUSAND FIVE HUNDRED PESOS ONLY 37,500.00
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,
VGM CATERING SERVICES / ABNIR G. MATUBA JOSE L. DONCILLO, CESO V
Signature over Printed Name of Supplier Schools Division Superintendent
___________________________ Designation
Date
Fund Cluster : 01 ORS/BURS No. : ________________
Funds Available : _________________________________ Date of the ORS/BURS: __________
PAUL ANDY D. DEBLOIS Amount : _______________________
Accountant III
Page 1 of 44
Page 2 of 44
SCHOOLS DIVISION OF
SORSOGON
________________________________________
Quality Management System
ISO 9001:2015
REQUISITION AND ISSUE SLIP
Division : Responsibility Center Code : ______
Office : OSDS Office RIS No. :
Stock Available?
Stock
Unit Description Quantity Yes No
No.
Page 3 of 44
0
Requested by: Approved by: Issued by:
Signature :
Printed Name : JOSE L. DONCILLO, CESO V
Designation : Schools Division Superintendent
Date :
Page 4 of 44
Page 5 of 44
Appendix 63
FM-SPL-02
Revision Code: 00 Page 1 of 1
Date Effective:
28 January 2021
REQUISITION AND ISSUE SLIP
Fund Cluster : 01
Issue
Quantity Remarks
Page 6 of 44
Issued by: Received by:
Page 7 of 44
ABSTRACT OF PROPOSAL ON BIDDING AND PERSONNAL CANVASS
NAME OF BIDDERS
PARTICULARS
VGM CATERING
RUBY DUKA'S
SERVICES / ABNIR G. ENDAYA EATERY FASTFOOD
ITEMS Quantity Unit MATUBA
Unit Prize Amount Unit Prize Amount Unit Prize Amount
Meals ( 1 breakfast, 1 lunch & 2
125 pax 300.00 37,500.00 305.00 38,125.00 310.00 38,750.00
snacks for 2 Days )
Catering Services on the One-Day
Forum on Career Guidance Progran
x-x-x-x-x-x-x-x
TOTAL 37,500.00 38,125.00 38,750.00
Award to VGM CATERING SERVICES / ABNIR G. MATUBA is hereby recommended:
JOMAR E. ENGUERRA ROLANDO F. EMBILE Atty. NOEL B. EVAN FLORENCIO P. BERMUNDO MA. JEANY T. POSTRADO
BAC MEMBER BAC MEMBER BAC MEMBER BAC -Vice Chairman BAC - Chairman
Award to VGM CATERING SERVICES / ABNIR G. MATUBA are hereby approved:
JOSE L. DONCILLO, CESO V
Schools Division Superintendent
Page 8 of 44
Appendix 62
INSPECTION AND ACCEPTANCE REPORT
DepEd SCHOOLS DIVISION OF SORSOGON Fund Cluster :01
Supplier : F.E. LEE ENTERPRISES IAR No. : 18-10-194
PO No./Date : 18-09-129 / 09-18-2018 Date : 10/18/2018
Requisitioning Office/Dept. : CID Invoice No. :
Responsibility Center Code : _______________________________ Date : 9/28/2018
Stock/
Description Unit Quantity
Property No.
Cloth ( catrina-10 yards, gold gina 30 yards ) yards 40
Flowers & Ornament lot 1
3 Days Division Seminar-Workshop in Officiating
Varied Sports Event Balogo Sports Complex on
October 11-13, 2018.
X-X-X-X-X
INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________
Inspected, verified and found in order as to Complete
quantity and specifications
Partial (pls. specify quantity)
SALVADOR B. BELEN JR.
Inspection Committee Member
NICANOR P. BAILON ALBERT C. PEREZ
Inspection Committee Member Administrative Officer IV
JOMAR E. ENGUERRA
Administrative Officer IV
Inspection Committee Chairman
Appendix 62
INSPECTION AND ACCEPTANCE REPORT
DepEd SCHOOLS DIVISION OF SORSOGON Fund Cluster :01
Supplier : TUKURAN TIRE & BATTERY SUPPLIES IAR No. : 19-12-251
Project No./Date : 19-12-184 / 12-19-2019 Date : 12/26/2019
Requisitioning Office/Dept. : CID Office DR No. : 34
Responsibility Center Code : _______________________________ Date : 12/20/2019
Stock/
Description Unit Quantity
Property No.
Battery 3SMF for service vehicle with plate # SKU 206 unit 1
x-x-x-x-x-x-x
INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________
Inspected, verified and found in order as Complete
to quantity and specifications
Partial (pls. specify quantity)
SALVADOR B. BELEN JR.
Inspection Committee Member
NICANOR P. BAILON ALBERT C. PEREZ
Inspection Committee Member Administrative Officer IV
ABRAHAM GREGORY
EPS II-SOCMOBNET
Inspection Committee Chairman
Page 10 of 44
Appendix 60
PURCHASE REQUEST
DepED SCHOOLS DIVISION OF SORSOGON Fund Cluster: __________________
Office/Section : PR No.: 20-02-030 Date: 02-11-2020
Supply Responsibility Center Code : ___________
Stock/ Property
Unit Item Description Quantity Unit Cost Total Cost
No.
Distilled Water Consumption for the
School Division of Office, for the period
of January, 2020 to June 2020.
gal Distilled Water 650 35.00 22,750.00
x-x-x-x-x-x-x
TOTAL 22,750.00
Purpose: used by the different sections in the Division Office.
Requested by: Approved by:
Signature :
Printed Name : ALBERT C. PEREZ JOSE L. DONCILLO, CESO V
Designation : Administrative Officer IV Schools Division Superintendent
Appendix 63
REQUISITION AND ISSUE SLIP
DepEd SCHOOLS DIVISION OF SORSOGON Fund Cluster : ________________
Division :
DIVISIONOF SORSOGON Responsibility Center Code : ______
Office : Supply Office RIS No. :
Stock
Requisition Issue
Available?
Stock No. Unit Description Quantity Yes No Quantity Remarks
Distilled Water Consumption for the School
gal. Division of Office, for the period of December 650
23, 2019 to June 2020.
Distilled Water
x-x-x-x-x-x-x
Purpose: used by the different sections in the Division Office.
Requested by: Approved by: Issued by: Received by:
Signature :
Printed Name : ALBERT C. PEREZ JOSE L. DONCILLO, CESO V ALBERT C. PEREZ
Designation : Administrative Officer IV Schools Division Superintendent Administrative Officer IV
Date :
Appendix 71
PROPERTY ACKNOWLEDGMENT RECEIPT
DepEd SCHOOLS DIVISION OF SORSOGON
Fund Cluster: 01 PAR No.:
Date:
Property Date
Quantity Unit Description Amount
Number Acquired
Received by: Issued by:
Signatue over Printed Name Signatue over Printed Name
Position/Office Position/Office
Date Date
Page 13 of 44
Appendix 69
PROPERTY CARD
School Division Office of Sorsogon Fund Cluster: 01
Property, Plant and Property Number:
Equipment :
Description :
Reference/ Receipt Issue/Transfer/ Disposal Balance
Date Amount Remarks
PAR No. Qty. Qty. Office/Officer Qty.
Appendix 58
STOCK CARD
Entity Name: Matnog Central School Fund Cluster: 01
Item : Bond Paper Stock No. : 1
Description : HP Bond Paper A4 Re-order Point :
Unit of Measurement : per ream
Receipt Issue Balance
Date Reference No. of Days to Consume
Qty. Qty. Office Qty.
8/19/2022 90 reams 90reams
Appendix 59
INVENTORY CUSTODIAN SLIP
DepEd SCHOOLS DIVISION OF SORSOGON
Fund Cluster :01 ICS No :
Date:
Amount
Inventory Estimated
Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life
Received from: Received by:
Signature Over Printed Name Signature Over Printed Name
Position/Office Position/Office
Date Date
Page 16 of 44
Appendix 65
WASTE MATERIALS REPORT
Fund Cluster : 01
Place of Storage : Date :
ITEMS FOR DISPOSAL
Record of Sales
Item Quantity Unit Description Official Receipt
No. Date Amount
TOTAL
Certified Correct : Disposal Approved :
CERTIFICATE OF INSPECTION
I hereby certify that the property enumerated above was disposed of as follows:
Item ________ Destroyed
Item ________ Sold at private sale
Item ________ Sold at public auction
Item ________ Transferred without cost to __(Name of the Agency/Entity)__
Certified Correct: Witness to Disposal:
Chairman- Disposal Committee
DEPARTMENT OF EDUCATION
DepED Schools Division Office of Sorsogon, Sorsogon
Capitol Compound Sorsogon, Sorsogon
INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY
As at _________________________________
DepEd Schools Division Office of Sorsogon
Schools Division Superintendent Office of the Superintendent
(Name of Accountable Officer) (Designation) (Station)
INVENTORY INS
DISPOSAL
Accumulated
Property Unit Total Accumulated Carrying
Date Acquired Particulars/ Articles Qty Impairment Remarks
No. Cost Cost Depreciation Amount Sale Transfer
Losses
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)
I CERTIFY that I have inspected
I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property enumerated above. every article enumerated in this repo
the disposition made thereof was, in
the best for the public interest.
Requested by: Approved by:
(Signature over Printed Name of Accountable Officer) (Signature over Printed Name of Authorized (Signature over Printed Name of
Official) Officer)
(Designation of Accountable Officer) (Designation of Authorized Official)
RTMENT OF EDUCATION
Division Office of Sorsogon, Sorsogon
Compound Sorsogon, Sorsogon
Appendix 74
ON REPORT OF UNSERVICEABLE PROPERTY
____________________________
Fund Cluster : 01
Office of the Superintendent
(Station)
INSPECTION and DISPOSAL
DISPOSAL RECORD OF SALES
Appraised
Others Value
Destruction Total OR No. Amount
(Specify)
(13) (14) (15) (16) (17) (18)
I CERTIFY that I have inspected each and I CERTIFY that I have
every article enumerated in this report, and that witnessed the disposition of the
the disposition made thereof was, in my judgment, articles enumerated on this
the best for the public interest. report this ____day of
_____________, _____.
(Signature over Printed Name of Inspection (Signature over Printed Name
Officer) of Witness)
Appendix 75
REPORT OF LOST, STOLEN, DAMAGED OR DESTROYED PROPERTY
Entity Name : __________________________ Fund Cluster: _____
Department/Office : ___________________________________________ RLSDDP No. : _____
Accountable Officer : _________________________________________ RLSDDP Date : ____
Designation : ________________________________________________ PAR No. : ________
Police Notified : Yes Police Station : ____________________ PAR Date : _______
Date : ___________________________
No
Status of Property : (check applicable box)
Lost Damaged
Stolen Destroyed
Property No. Description Acquisition Cost
Circumstances:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
I hereby certify that the item/s and circumstances stated
above are true and correct. Noted by:
__________________________________________ __________________________________
Signature over Printed Name of the Immediate
Signature over Printed Name of the Accountable Officer Supervisor
________________ ________________
Date Date
Government Issued ID : __________________
ID No. : _____________________________
Date Issued : _________________________
SUBSCRIBED AND SWORN to before me this ______day of _____________, affiant exhibiting the above
government issued identification card.
Doc. No. _________
Page No. _________ Notary Public
Book No. _________
Series of _________
Appendix 75
PROPERTY
Fund Cluster: _____
RLSDDP No. : _____
RLSDDP Date : ____
PAR No. : ________
PAR Date : _______
Acquisition Cost
_____________
_____________
_____________
_____________
_______________
me of the Immediate
sor
______
xhibiting the above
Appendix 73
REPORT ON THE PHYSICAL COUNT OF PROPERTY, PLANT AND EQUIPMENT
________________________________
(Type of Property, Plant and Equipment)
As at ________________________________
Fund Cluster : ________________________________
For which ___(Name of Accountable Officer)__, _ (Official Designation)___, _______(Entity Name)________ is accountable, having assumed such accountability on _(Date of Assumption).
QUANTITY QUANTITY
PROPERTY UNIT OF UNIT SHORTAGE/OVERAGE
ARTICLE DESCRIPTION per per REMAKS
NUMBER MEASURE VALUE
PROPERTY CARD PHYSICAL COUNT Quantity Value
Certified Correct by: Approved by: Verified by:
_______________________________
Signature over Printed Name of Signature over Printed Name of Head of Signature over Printed Name of
Inventory Committee Chair and Agency/Entity or Authorized Representative COA Representative
Members
Appendix 71
PROPERTY ACKNOWLEDGMENT RECEIPT
DepEd SCHOOLS DIVISION OF SORSOGON
Fund Cluster: 01 PAR No.: 16-09-297
SGOD Office
Property Date
Quantity Unit Description Amount
Number Acquired
HP 245 G5, Notebook PC, Laptop-5Q 9NVU8Q,
1 unit 4096MB RAM, windows 10 pro 64-bit( 10.0, 16-09-297 9/23/2016 17,301.803966
build 10586) S/N: 5CG628527D
w/ carriying bag
x-x-x-x-x-x-x-x
Received by: Issued by:
RONALD ESTEVES ALBERT C. PEREZ
Signatue over Printed Name Signatue over Printed Name
EPS Administrative Officer IV
Position/Office Position/Office
9/27/2019 9/27/2019
Date
Appendix 66
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
_________________________________
(Type of Inventory Item)
As at ________________________
Fund Cluster : ________________________________
For which ___(Name of Accountable Officer), _ (Official Designation)___, __________(Entity Name)_________is accountable, having assumed such accountability on ___(Date of Assumption)____.
Balance Per On Hand Shortage/Overage
Stock Unit of Unit
Article Description Card Per Count Remarks
Number Measure Value
(Quantity) (Quantity) Quantity Value
Certified Correct by: Approved by: Verified by:
________________________________ _______________________________
Signature over Printed Name of Inventory Signature over Printed Name of Head Signature over Printed Name of COA
Committee Chair and Members of Agency/Entity or Authorized Representative
Representative
REPORT OF SUPPLIES AND MATERIALS ISSUED
DepEd SCHOOLS DIVISION OF SORSOGON
Fund Cluster: 01
To be filled up by the Supply and/or Property Division/Unit
Responsibility Stock
RIS No. Item Unit
Center Code No.
Recapitulation:
Stock No. Qty
I hereby certify to the correctness of the above information.
ALBERT C. PEREZ
Administrative Officer IV
Appendix 64
ERIALS ISSUED
Serial No. :
Date :
To be filled up by the Accounting
Division/Unit
Quantity
Unit Cost Amount
Issued
Recapitulation:
UACS Object
Unit Cost Total Cost
Code
Posted by:
__________________________ ______________
Date
Signature over Printed
Name of Designated
Accounting Staff
PROPERTY TRANSFER REPORT
Entity Name : DICT Fund Cluster : _____________
From Accountable Officer/Agency/Fund Cluster : DICT
To Accountable Officer/Agency/Fund Cluster : DepEd Schools Division Office of Sorsogon
Transfer Type: (check only one)
/ Donation Relocate
Reassignment Others (Specify) _________________
Date Acquired Property No. Description
Reason for Transfer:
To transfer of accountability from DICT to DepEd Shools Division Office Of Sorsogon
Approved by: Released/Issued by:
Signature :
Printed Name :
Designation :
Date :
Appendix 76
PORT
ter : _____________
PTR No. : ______________
Date : 3-29-20109
__________
Condition of
Amount
PPE
n Office Of Sorsogon
Received by:
JOHN REY J. PEREZ
IT Officer
3/29/2019
Item Description Textbook ( QTY
)
Filipino sa Piling Larang ( Academic ), SHS 4203
Filipino sa Piling Larang ( Tech-Voc ), SHS 5444
Filipino sa Piling Larang ( Sining at Disenyo ), SHS 21
Filipino sa Piling Larang ( Isport), SHS 21
Oral Communication, SHS 9689
Teacher Manual
(QTY)
88
75
1
1
165
