Appendix 61

PURCHASE ORDER
MASIGUN ELEMENTARY SCHOOL

Supplier : D'TWINS HARDWARE P.O. No. : 61-2020-07-002

Address : Burgos, Isabela Date : July 15, 2020
TIN : 488-795-237-000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : MASES Masigun, Burgos, Isabela Delivery Term : ________________________

Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
load Gravel & Sand 4 3,640.00 14,560.00
bag Portland Cement 30 244.40 7,332.00
piece Lumber 2" x 5" x 10' 5 417.00 2,085.00

(Total Amount in Words) Twenty three thousand nine hundred seventy-seven pesos 23,977.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
MARLON S. NOLASCO
Teacher In-Charge
 Appendix 61

PURCHASE ORDER
MASIGUN ELEMENTARY SCHOOL

Supplier : MAELA'S DRY GOODS & GEN. MDSE. P.O. No. : 61-2020-07-001
Address : Public Market, Roxas, Isabela Date : July 15, 2020
TIN : 929-364-313-000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : MASES Masigun, Burgos, Isabela Delivery Term : ________________________

Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
piece Thermo Gun 1 2,500.00 2,500.00
bottle Alcohol, 70% ethyl 15 100.00 1,500.00
bottle Hand Sanitizer 15 50.00 750.00
piece Foot Bath/Stamp 4 350.00 1,400.00
pouch Detergent Powder 20 120.00 2,400.00
pack Battery AAA 4 120.00 480.00
bottle Epson Ink 003 black 3 300.00 900.00
bottle Epson Ink 003 magenta 3 300.00 900.00
bottle Epson Ink 003 yellow 3 300.00 900.00
bottle Epson Ink 003 cyan 3 300.00 900.00
bottle Epson Ink T664 black 6 300.00 1,800.00
bottle Epson Ink T664 magenta 6 300.00 1,800.00
bottle Epson Ink T664 cyan 6 300.00 1,800.00
bottle Epson Ink T664 yellow 6 300.00 1,800.00
piece Sign Pen (black) 20 25.00 500.00
pack Hand Soap 15 25.00 375.00
(Total Amount in Words) Twenty thousand seven hundred five pesos 20,705.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
MARLON S. NOLASCO
Teacher In-Charge
 Appendix 62

INSPECTION AND ACCEPTANCE REPORT

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : ___________

Supplier : NAKAYAMA INDUSTRIES IAR No. : 62-2020-05-084

PO No./Date : _61-2020-05-084______________ Date : _________________
Requisitioning Office/Dept. : OSDS Office Invoice No. : ____________
Responsibility Center Code : _______________________________ Date : _________________

Stock/
Description Unit Quantity
Property No.
Grandia Battery Reverse 3SM unit 1

INSPECTION ACCEPTANCE
Date Inspected : ________________________ Date Received : _____________________

Inspected, verified and found in order as to Complete

quantity and specifications
Partial (pls. specify quantity)
FERNANDO A. TUNGPALAN ________________________
MARIETESS B. BAQUIRAN __________________________
ELMUNDO IMBAG ________________________________
FE V. VALDEZ____________________________________
EDMUNDO B. CAMMAGAY JR_______________________
SHARON A. BULAUAN_____________________________

Inspection Officer/Inspection Committee LIZEL. V. CASILIHAN

 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-08-001
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 ream Bond Paper, Substance 20 (A4) 200 Yes 200
2 bottle Ink 003 Black 17 Yes 17
3 bottle Ink 003 Cyan 17 Yes 17
4 bottle Ink 003 Yellow 17 Yes 17
5 bottle Ink 003 Magenta 17 Yes 17
6 bottle Ink T664 Black 3 Yes 3
7 bottle Ink T664 Cyan 3 Yes 3
8 bottle Ink T664 Magenta 3 Yes 3
9 bottle Ink T664 Yellow 3 Yes 3
10 piece Staple, Standard Type 8 Yes 8
11 piece Expandable Envelope 350 Yes 350
12 box Staple wire, Standard #35 8 Yes 8
13 piece Duck Tape (2 inches) 9 Yes 9
14 pack Acetate (A4) 2 Yes 2

Purpose: Reproduction of LRs and LAS

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/
Designation : BAC CHAIRMAN/Master Teacher 2 Principal 2 Property Custodian Master Teacher 2
Date :
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : GOOD LUCK TRADING P.O. No. : 61-2020-08-002

Address : City of Ilagan, Isabela Date : August 17, 2020
TIN : 168-083-578-000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 ream Bond Paper, Substance 20 (A4) 200 172.00 34,400.00
2 bottle Ink 003 Black 17 290.00 4,930.00
3 bottle Ink 003 Cyan 17 290.00 4,930.00
4 bottle Ink 003 Yellow 17 290.00 4,930.00
5 bottle Ink 003 Magenta 17 290.00 4,930.00
6 bottle Ink T664 Black 3 290.00 870.00
7 bottle Ink T664 Cyan 3 290.00 870.00
8 bottle Ink T664 Magenta 3 290.00 870.00
9 bottle Ink T664 Yellow 3 290.00 870.00
10 piece Staple, Standard Type 8 300.00 2,400.00
11 piece Expandable Envelope 350 16.00 5,600.00
12 box Staple wire, Standard #35 8 40.00 320.00
13 piece Duck Tape (2 inches) 9 82.00 738.00
14 pack Acetate (A4) 2 350.00 700.00
-
(Total Amount in Words) Sixty Seven thousand Three hundred Fifty Eight pesos 67,358.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : GOOD LUCK TRADING P.O. No. : 61-2020-08-003

Address : City of Ilagan, Isabela Date : August 20, 2020
TIN: 168-083-578-000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 bottle Ink 003 Black 21 290.00 6,090.00

-
(Total Amount in Words) Six Thousand Ninety pesos 6,090.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : ___________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-10-003
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack Art Paper (Legal) 13 √ 13
2 roll Scotch Tape - 2 inches (Big) 30 √ 30
3 piece Glue (Big) 20 √ 20
4 box Staple wire #35 15 √ 15
5 piece Staple Remover 15 √ 15
6 unit Printer 1 √ 1

Purpose: For classroom and office supplies

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/
Designation : BAC CHAIRMAN/Master Teacher 2 Principal 2 Property Costudian Master Teacher 2
Date :
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : GOOD LUCK TRADING P.O. No. : 61-2020-10-004

Address : City of Ilagan, Isabela Date : _____________________
TIN : 168-083-578-000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 ream Bond Paper, Substance 20 (A4) 235 170.00 39,950.00
2 bottle Ink 003 Black 38 270.00 10,260.00
3 bottle Ink 003 Cyan 17 295.00 5,015.00
4 bottle Ink 003 Yellow 17 295.00 5,015.00
5 bottle Ink 003 Magenta 17 295.00 5,015.00
6 bottle Ink T664 Black 3 270.00 810.00
7 bottle Ink T664 Cyan 3 295.00 885.00
8 bottle Ink T664 Magenta 3 295.00 885.00
9 bottle Ink T664 Yellow 3 295.00 885.00
10 piece Staple, Standard Type 8 195.00 1,560.00
11 box Staple wire, Standard #35 8 39.00 312.00
12 piece Duck Tape (2 inches) 9 95.00 855.00
13 pack Acetate (A4) 2 1,000.00 2,000.00
-
(Total Amount in Words) Seventy Three thousand Four hundred Forty Seven pesos 73,447.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : GOOD LUCK TRADING P.O. No. : 61-2020-10-005

Address : City of Ilagan, Isabela Date : _____________________
TIN : 168-083-578-000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pack Art Paper (Legal) 13 25.00 325.00
2 roll Scotch Tape-2 inches (Big) 30 55.00 1,650.00
3 piece Glue (Big) 20 55.00 1,100.00
4 box Staple wire, Standard #35 15 39.00 585.00
5 piece Staple Remover 15 25.00 375.00
6 unit Printer with scanner 1 7,950.00 7,950.00

-
(Total Amount in Words) Eleven thousand Nine hundred Eighty Five pesos 11,985.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-10-004
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 ream Bond Paper, Substance 20 (A4) 235 Yes 235
2 bottle Ink 003 Black 38 Yes 38
3 bottle Ink 003 Cyan 17 Yes 17
4 bottle Ink 003 Yellow 17 Yes 17
5 bottle Ink 003 Magenta 17 Yes 17
6 bottle Ink T664 Black 3 Yes 3
7 bottle Ink T664 Cyan 3 Yes 3
8 bottle Ink T664 Magenta 3 Yes 3
9 bottle Ink T664 Yellow 3 Yes 3
10 piece Staple, Standard Type 8 Yes 8
11 box Staple wire, Standard #35 7 Yes 7
12 piece Duck Tape (2 inches) 9 Yes 9
13 pack Acetate (A4) 2 Yes 2

Purpose: Reproduction of LRs and LAS

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/
Designation : BAC CHAIRMAN/Master Teacher 2 Principal 2 Property Custodian Master Teacher 2
Date :
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : PHILCOMP, COMPUTER CENTER P.O. No. : 61-2020-10-006

Address : Roxas, Isabela Date : _____________________
TIN : 189-812-360 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 ream Paper, Multicopy A4 350 185.00 64,750.00
2 bottle Ink T664 (Black) 33 280.00 9,240.00
3 bottle Ink T664 (Cyan) 5 307.00 1,535.00
4 bottle Ink T664 (Yellow) 5 307.00 1,535.00
5 bottle Ink T664 (Magenta) 5 307.00 1,535.00
6 unit Printer 2 8,050.00 16,100.00

-
(Total Amount in Words) Ninety Four thousand Six hundred Ninety Five pesos 94,695.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-10-005
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 ream Paper, Multicopy A4 350 Yes 350
2 bottle Ink T664 Black 33 Yes 33
3 bottle Ink T664 Cyan 5 Yes 5
4 bottle Ink T664 Yellow 5 Yes 5
5 bottle Ink T664 Magenta 5 Yes 5
6 unit Printer 2 Yes 2

Purpose: For office supplies

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/
Designation : BAC CHAIRMAN/Master Teacher 2 Principal 2 Property Custodian Master Teacher 2
Date :
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-10-006
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 ream Paper, Multicopy A4 47 Yes 47
2 gallon Alcohol, ethyl 70%, 1 gallon 8 Yes 8
3 piece Sign Pen, Black 16 Yes 16
4 box Fasterner, metal 14 Yes 14

Purpose: For office supplies

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/
Designation : BAC CHAIRMAN/Master Teacher 2 Principal 2 Property Custodian Master Teacher 2
Date :
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : DAVY'S BREADHAUZ P.O. No. : __________________

Address : Caliguian, Burgos, Isabela Date : _____________________
TIN : 426-737-481-0000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pack NUTRI BUN 430 18.00 7,740.00
2 pack EMPANADA 430 18.00 7,740.00
3 pack PAN DE LECHE 516 18.00 9,288.00

-
(Total Amount in Words) Twenty-four thousand seven hundred sixty-eight pesos 24,768.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 61

PURCHASE ORDER
CULLALABO ELEMENTARY SCHOOL

Supplier : DAVY'S BREADHAUZ P.O. No. : ______________________

Address : Caliguian, Burgos, Isabela Date : _____________________
TIN : 426-737-481-0000 Mode of Procurement : _Shopping_
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : CULES- Cullalabo del Sur, Burgos, Isabela Delivery Term : ________________________
Date of Delivery : 10 days upon receipt of PO Payment Term : ________________________
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pack NUTRI BUN 344 18.00 6,192.00
2 pack EMPANADA 430 18.00 7,740.00
3 pack PAB DELECHE 430 18.00 7,740.00

-
(TWENTY-ONE THOUSAND SIX HUNDRED SEVENTY-TWO PESOS) 21,672.00

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,

__________________________ MADELYN L. MACALLING, PhD, CESO VI

Signature over Printed Name of Supplier Assistant Schools Division Superintendent
___________________________ Officer In-Charge
Date Office of the Schools Division Superintendent

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
PEDRITO G. DALLEGO
Principal 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-007
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack EMPANADA 86 / 86 Complete
2 pack NUTRI BUN 86 / 86 Complete

Purpose: For School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC BAC CHAIRMAN/
CHAIRMAN/Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-008
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1
Nutri Bun /
PACK 86 86 Complete

2 PACK Pande Leche 86 / 86 Complete

3 PACK Empanada 86 / 86 Complete

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEOPEDRITO G. DALLEGOEDWIN L. CORDOVA MARIVIC L. MATEO
BAC BAC CHAIRMAN/
CHAIRMAN/Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-009
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack Nutri Bun 86 / 86 Complete
2 pack Empanada 86 / 86 Complete

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC BAC CHAIRMAN/
CHAIRMAN/Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
______
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-010
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack Empanada 86 / 86 Complete
2 pack Nutri Bun 86 / 86 Complete
3 pack Pande Leche 86 / 86 Complete

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/ BAC CHAIRMAN/
Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
______________
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-011
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack Emapanada 86 / 86 Complete
2 pack Nutri Bun 86 / 86 Complete

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO

BAC CHAIRMAN/ BAC CHAIRMAN/

Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
______

TEO
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-013
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1
pack Empanada 86 / 86
2 pack Nutri Bun 86 / 86
3 pack Pande Leche 86 / 86

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC
BAC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA BAC
CHAIRMAN/ MARIVIC L. MATEO
CHAIRMAN/
Master Teacher Master
Designation : 2 Principal 2 Property Custodian Teacher 2
 SBFPRIS6

______
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-012
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 kilo banana 71 / 71 Complete

Purpose: For School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO

BAC CHAIRMAN/ BAC CHAIRMAN/

Designation : Master Teacher 2 Principal 2 Property Custodian Master Teacher 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-014
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 Combo Fruit Pack
/
pack (Orange Banana) 86 86 Complete
Combo Fruit pack /
2 pack ( Apple Banana) 86 86 Complete

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :

Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/
BAC CHAIRMAN/ Master
Designation : Master Teacher 2 Principal 2 Property Custodian Teacher 2
______
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-015
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1
Nutri Bun /
pack 86 86 Complete

Purpose: School-Based Feeding Program

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC CHAIRMAN/ BAC CHAIRMAN/
Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
________
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-16
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack Nutri Bun 86 Yes 86 Complete
2 pack Empanada 86 Yes 86 Complete

Purpose: Reproduction of LRs and LAS

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO PEDRITO G. DALLEGO EDWIN L. CORDOVA MARIVIC L. MATEO
BAC
CHAIRMAN/Master BAC CHAIRMAN/
Designation : Teacher 2 Principal 2 Property Custodian Master Teacher 2
 REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELAFund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-017
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity
1
pack Nutri Bun Yes
86 86
2 pack Empanada 86 Yes 86
3 pack Pande Leche 86 Yes 86

Purpose: Reproduction of LRs and LAS

Requested by: Approved by: Issued by:

Signature :
Printed Name : MARIVIC L. MATEO
PEDRITO G. DALLEGO
EDWIN L. CORDOVA
 BAC
CHAIRMAN/M
Designation : aster Teacher 2 Principal 2 Property Custodian
 Appendix 63

SUE SLIP

Fund Cluster : __III___

bility Center Code : _______________

: 63-2020-11-017
Issue
Remarks

Complete
Complete
Complete

Received by:

MARIVIC L. MATEO
BAC CHAIRMAN/
Master Teacher 2
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-018
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1
pack Nutri Bun Yes
86 86 Complete
2 pack Empanada 86 Yes 86 Complete
3 pack Pande Leche 86 Yes 86 Complete

Purpose: Reproduction of LRs and LAS

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO
PEDRITO G. DALLEGO
EDWIN L. CORDOVA MARIVIC L. MATEO
 BAC
CHAIRMAN/Maste BAC CHAIRMAN/
Designation : r Teacher 2 Principal 2 Property Custodian Master Teacher 2
____________
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-019
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1
pack Nutri Bun Yes
86 86 Complete
2 pack Empanada 86 Yes 86 Complete

Purpose: Reproduction of LRs and LAS

Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO
PEDRITO G. DALLEGOEDWIN L. CORDOVA MARIVIC L. MATEO
 BAC
CHAIRMAN/M BAC CHAIRMAN/
Designation : aster Teacher 2 Principal 2 Property Custodian Master Teacher 2
_________
 Appendix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA Fund Cluster : __III___

Division : _Schools Division of Isabela_____ Responsibility Center Code : _______________

Office : CULLALABO ELEMENTARY SCHOOL RIS No. : 63-2020-11-020
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 pack Nutri Bun 86 Yes 86 Complete

Yes
2 pack Empanada 86 86 Complete
3 pack Nutri Bun 86 Yes 86 Complete

Purpose: Reproduction of LRs and LAS

Requested by:Approved by: Issued by: Received by:

Signature :
Printed Name : MARIVIC L. MATEO
PEDRITO G. DALLEGOEDWIN L. CORDOVA MARIVIC L. MATEO
BAC
CHAIRMAN/ BAC CHAIRMAN/
Master Master
Designation : Teacher 2 Principal 2 Property Custodian Teacher 2
 Appen
dix 63

REQUISITION AND ISSUE SLIP

Entity Name : SCHOOLS DIVISION OFFICE OF ISABELA

Fund Cluster : __III___
_____________
Division : _Schools Division of Isabela_____ Responsibility Center Code : ______________
Office : CULLALABO ELEMENTARY SCHOOL
RIS No. : 63-2020-11-021
Requisition Stock Available? Issue
Stock No. Unit DescriptionQuantity Yes No Quantity Remarks
1 Nutri
pack Yes
Bun 86 86 Complete
2 pack Empanada 86 Yes 86 Complete

Purpose: Reproduction of LRs and LAS

 RequestedApproved by: Issued by: Received by:

L. MATEO Signature :

Printed Name :MARIVIC L. MATEO

PEDRITO G. DALLEGO
EDWIN L. CORDOVA
MARIVIC L. MATEO
BAC
BAC CHAIRM
CHAIRM AN/
AN/Maste
r Teacher Master
Designation : 2 Principal 2 Property Custodian Teacher 2
uster : __III___

ter Code : _______________

 Received by:

RIVIC L. MATEO