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PURCHASE REQUEST

Municipal Government of Pangil


Nat'l. Road, Barangay San Jose, Pangil, Laguna

Department: PR No.___________ Date:


Section: SAI No.___________ Date:____________
ObR No.______________ Date:____________
Est. Unit Estimated
Item no. Qty Unit Item Description's
Cost Cost

1 12 roll Citaron #3 White 950.00 11,400.00


2 12 roll Citaron #3 Light Blue 950.00 11,400.00
3 30 roll Plastic Twine 105.00 3,150.00
4 6 pc. Scissor Big 120.00 720.00
5 6 pc. Stapler 150.00 900.00
6 25 box Staple Wire No. 35 - 5m 65.00 1,625.00
7 35 yard Geena Cloth Assorted Color 35.00 1,225.00
8 72 bd. ft. 2" x 3" x 12" - Coco Lumber = 12 pcs. 21.00 1,512.00
9 48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs. 21.00 1,008.00
10 3 pc. Sandflex 45.00 135.00
11 2 pc. Gun Tucker 160.00 320.00
12 4 box Tucker 80.00 320.00
13 5 roll Ribbon Cloth Assorted Color 205.00 1,025.00
14 30 pc. Native Fan Abaca 35.00 1,050.00
15 1 pint Waterbase Paint Yellow 85.00 85.00
16 1 pint Waterbase Paint Red 85.00 85.00
17 1 pint Waterbase Paint Blue 85.00 85.00
18 1 pint Waterbase Paint Green 85.00 85.00
19 5 kl. Common Nail 3" 90.00 450.00
20 3 kl. Common Nail 2" 80.00 240.00
21 8 kl. G.I. Wire # 16 85.00 680.00

TOTAL AMOUNT REQUESTED 37,500.00

Purpose: Materials to be used in Stage Decoration for Fiesta 2022

Requested By: Approved By:

Signature
Printed Name HON. GERALD A. ARITAO
Designation Municipal Mayor
(Requisitioning Department Head)
Republic of the Philippines
Province of Laguna
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna
BIDS & AWARDS COMMITTEE
REQUEST FOR QUOTATION
Procurement / Purchase of:

Materials to be used in Panguil River Eco Park

Gentlemen/Madam:

Please quote your price for the government of the following materials or articles to be
delivered immediately at the work site by indicating under the proper column below the unit price
of each kind and return the same with your signature in a sealed envelope.

Very truly your's,

0
0

Please quote your lowest government price for the following items/articles specified below:
Unit Total
Qty Unit Made and Description of Materials
Price Amount
12 roll Citaron #3 White
12 roll Citaron #3 Light Blue
30 roll Plastic Twine
6 pc. Scissor Big
6 pc. Stapler
25 box Staple Wire No. 35 - 5m
48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs.
3 pc. Sandflex
2 pc. Gun Tucker
4 box Tucker
5 roll Ribbon Cloth Assorted Color
30 pc. Native Fan Abaca
1 pint Waterbase Paint Yellow
1 pint Waterbase Paint Red
1 pint Waterbase Paint Blue
1 pint Waterbase Paint Green
5 kl. Common Nail 3"
8 kl. G.I. Wire # 16
- - -
TOTAL AMOUNT - -
I HEREBY CERTIFY that the above prices are true and correct subject to the TERMS AND CONDITIONS of here stated.

Supplier’s Complete Business Name (Signature ove Printed Name)


Supplier’s Authorized Representative

Supplier’s Complete Business Address Business TIN No:

TERMS AND CONDITIONS


1. Suppliers are required to give complete specification for the specific items and jobs/services in accordance with the quality,
quantity and specifications called for by municipality of Pangil.
2. Goods/Services are subject to inspection of the property inspector,Supply Officer or its duly authorized representative.
3. The articles/services offered must be bonafide stocks within the capability of the Supplier.
4. Unless otherwise specified, Items/Goods must be BRAND NEW.
5. Except when otherwise stated all laws, rules, regulations and standard specifications approved by the Bureau of Standards
and/or the Commission on Audit including tolerance to apply to govern these articles.
6. Goods/Services supplied thereon shall be delivered within 10 calendar days from receipt of purchase/job order.
7.The total price quoted above is subject to withholding tax and payable in check.

For NON-ACCREDITED Suppliers of Pangil-LGU, please secure your accreditation requirements for PANGIL-LGU.
Republic of the Philippines
Province of Laguna
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna
BIDS & AWARDS COMMITTEE
REQUEST FOR QUOTATION
Procurement / Purchase of:

Materials to be used in Panguil River Eco Park

Gentlemen/Madam:

Please quote your price for the government of the following materials or articles to be
delivered immediately at the work site by indicating under the proper column below the unit price
of each kind and return the same with your signature in a sealed envelope.

Very truly your's,

TIMOTEO A. LAMBATING
ICO-Municipal General Services Officer

Please quote your lowest government price for the following items/articles specified below:
Unit Total
Qty Unit Made and Description of Materials
Price Amount
12 roll Citaron #3 White
12 roll Citaron #3 Light Blue
30 roll Plastic Twine
6 pc. Scissor Big
6 pc. Stapler
25 box Staple Wire No. 35 - 5m
48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs.
3 pc. Sandflex
2 pc. Gun Tucker
4 box Tucker
5 roll Ribbon Cloth Assorted Color
30 pc. Native Fan Abaca
1 pint Waterbase Paint Yellow
1 pint Waterbase Paint Red
1 pint Waterbase Paint Blue
1 pint Waterbase Paint Green
5 kl. Common Nail 3"
8 kl. G.I. Wire # 16
- - -
TOTAL AMOUNT -
I HEREBY CERTIFY that the above prices are true and correct subject to the TERMS AND CONDITIONS of here stated.

Supplier’s Complete Business Name (Signature ove Printed Name)


Supplier’s Authorized Representative

Supplier’s Complete Business Address Business TIN No:

TERMS AND CONDITIONS


1. Suppliers are required to give complete specification for the specific items and jobs/services in accordance with the quality,
quantity and specifications called for by municipality of Pangil.
2. Goods/Services are subject to inspection of the property inspector,Supply Officer or its duly authorized representative.
3. The articles/services offered must be bonafide stocks within the capability of the Supplier.
4. Unless otherwise specified, Items/Goods must be BRAND NEW.
5. Except when otherwise stated all laws, rules, regulations and standard specifications approved by the Bureau of Standards
and/or the Commission on Audit including tolerance to apply to govern these articles.
6. Goods/Services supplied thereon shall be delivered within 10 calendar days from receipt of purchase/job order.
7.The total price quoted above is subject to withholding tax and payable in check.
For NON-ACCREDITED Suppliers of Pangil-LGU, please secure your accreditation requirements for PANGIL-LGU.

Republic of the Philippines


Province of Laguna
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna
BIDS & AWARDS COMMITTEE
REQUEST FOR QUOTATION
Procurement / Purchase of:

Materials to be used in Panguil River Eco Park

Gentlemen/Madam:

Please quote your price for the government of the following materials or articles to be
delivered immediately at the work site by indicating under the proper column below the unit price
of each kind and return the same with your signature in a sealed envelope.

Very truly your's,

RAYMUND M. DIAZ
BAC Chairman

Please quote your lowest government price for the following items/articles specified below:
Unit Total
Qty Unit Made and Description of Materials
Price Amount
12 roll Citaron #3 White
12 roll Citaron #3 Light Blue
30 roll Plastic Twine
6 pc. Scissor Big
6 pc. Stapler
25 box Staple Wire No. 35 - 5m
48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs.
3 pc. Sandflex
2 pc. Gun Tucker
4 box Tucker
5 roll Ribbon Cloth Assorted Color
30 pc. Native Fan Abaca
1 pint Waterbase Paint Yellow
1 pint Waterbase Paint Red
1 pint Waterbase Paint Blue
1 pint Waterbase Paint Green
5 kl. Common Nail 3"
8 kl. G.I. Wire # 16
- - -
TOTAL AMOUNT -
I HEREBY CERTIFY that the above prices are true and correct subject to the TERMS AND CONDITIONS of here stated.

Supplier’s Complete Business Name (Signature ove Printed Name)


Supplier’s Authorized Representative

Supplier’s Complete Business Address Business TIN No:

TERMS AND CONDITIONS


1. Suppliers are required to give complete specification for the specific items and jobs/services in accordance with the quality,
quantity and specifications called for by municipality of Pangil.
2. Goods/Services are subject to inspection of the property inspector,Supply Officer or its duly authorized representative.
3. The articles/services offered must be bonafide stocks within the capability of the Supplier.
4. Unless otherwise specified, Items/Goods must be BRAND NEW.
5. Except when otherwise stated all laws, rules, regulations and standard specifications approved by the Bureau of Standards
and/or the Commission on Audit including tolerance to apply to govern these articles.
6. Goods/Services supplied thereon shall be delivered within 10 calendar days from receipt of purchase/job order.
7.The total price quoted above is subject to withholding tax and payable in check.
For NON-ACCREDITED Suppliers of Pangil-LGU, please secure your accreditation requirements for PANGIL-LGU.
PURCHASE ORDER
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna

Supplier: IRLANDEZ Hollowblocks & Hardware P.O. No. ______________


Address: Date: _________________
Quinale, Siniloan, Laguna
Mode of Procurement ________
Gentlemen/Madam,

Please furnish this office the following articles to the terms and conditions contained herein..

Place of Delivery: Delivered Term: __________ Days after P.O.


Date of Delivery: Payment Term: Upon Complete delivery
Item No. Qty Unit Descriptions Unit Cost Total Amount
1 12 unit Citaron #3 White 950.00 11,400.00
2 12.0 roll Citaron #3 Light Blue 950.00 11,400.00
3 30 roll Plastic Twine 105.00 3,150.00
4 6 pc. Scissor Big 120.00 720.00
5 6 pc. Stapler 150.00 900.00
6 25 box Staple Wire No. 35 - 5m 65.00 1,625.00
7 35 yard Geena Cloth Assorted Color 35.00 1,225.00
8 72.0 bd. ft. 2" x 3" x 12" - Coco Lumber = 12 pcs. 21.00 1,512.00
9 48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs. 21.00 1,008.00
10 3 pc. Sandflex 45.00 135.00
11 2 pc. Gun Tucker 160.00 320.00
12 4 box Tucker 80.00 320.00
13 5 roll Ribbon Cloth Assorted Color 205.00 1,025.00
14 30 pc. Native Fan Abaca 1,050.00
15 1 pint Waterbase Paint Yellow 85.00
16 1 pint Waterbase Paint Red 85.00
17 1 pint Waterbase Paint Blue 85.00
18 1 pint Waterbase Paint Green 85.00
19 5 kl. Common Nail 3" 450.00
21 8 kl. G.I. Wire # 16 680.00
- - - - -
TOTAL AMOUNT 37,260.00
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

Conforme: Very Truly yours,

IRLANDEZ Hollowblocks & Hardware


(Signature over Printed Name) HON. GERALD A. ARITAO
Supplier’s Authorized Representative Municipal Mayor

Date

( In case of negotiated purchase Requisitioning Fund Available


pursuant to section 359 (e) of RA 7150, Office/Dept. Amount
this portion must be accomplished)
R.O No.
Approved to purchase thru negotiated
purchase per Sngguniang Res.
No. __________________ 0 JOSEPHINE G. APALLA
0 Chief Accountant
Certified correct: ________________ Department Head Requisitioning
( SB Secretary )
Republic of the Philippines Annex "H"
Province of Laguna ABSTRACT OF CANVASS
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna
ABSTRACT OF CANVASS AND RECOMMENDATION TO AWARD

Abstract of canvass and award for the purchase of Office Supplies, Materials, Medicine, Medical supplies and/or equipment to be used in
Materials to be used in Stage Decoration for Fiesta 2022
ENO-COR Construction &
No Qty Unit Specification of Materials IRLANDEZ Hollowblocks & Hardware PAG-MEN Trading
Hauling Services

1 12 unit Citaron #3 White 11,400.00 3,500.00 3,560.00


2 12.0 roll Citaron #3 Light Blue 11,400.00 5,025.00 5,010.00
3 30 roll Plastic Twine 3,150.00 1,560.00 1,560.00
4 6 pc. Scissor Big 720.00 280.00 280.00
5 6 pc. Stapler 900.00 100.00 101.00
6 25 box Staple Wire No. 35 - 5m 1,625.00 700.00 720.00
7 35 yard Geena Cloth Assorted Color 1,225.00 175.00 186.00
8 72.0 bd. ft. 2" x 3" x 12" - Coco Lumber = 12 pcs. 1,512.00 110.00 140.00
9 48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs. 1,008.00 450.00 390.00
10 3 pc. Sandflex 135.00 1,000.00 1,000.00
11 2 pc. Gun Tucker 320.00 425.00 325.00
12 4 box Tucker 320.00 525.00 490.00
13 5 roll Ribbon Cloth Assorted Color 1,025.00 105.00 108.00
14 30 pc. Native Fan Abaca 1,050.00 1,081.50 1,071.00
15 1 pint Waterbase Paint Yellow 85.00 87.55 86.70
16 1 pint Waterbase Paint Red 85.00 87.55 86.70
17 1 pint Waterbase Paint Blue 85.00 87.55 86.70
18 1 pint Waterbase Paint Green 85.00 87.55 86.70
19 - - - - - -

TOTAL AMOUNT 36,130.00 15,386.70 15,287.80


________________________
Date
RAYMUND M. DIAZ Engr. JOSHUA K. GRIFALDA GLORIA A. ARENAL
BAC Chairman BAC VICE Chairman BAC Member

Reccomending approval of award to IRLANDEZ Hollowblocks & Hardware


to Municipal Governement of Pangil for being lower and reasonable hence advantageous to the government. 36,130.00

JOCELYN L. GUALBERTO RONELLE D. NALAGAN JONATHAN J. ADORNA TIMOTEO A. LAMBATING


BAC Member BAC Member BAC Member BAC Member
INSPECTION AND ACCEPTANCE REPORT
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna

Supplier: IRLANDEZ Hollowblocks & Hardware


P.O. No.___________ Date:________ Invoice no. Date.
uisitioning Office/Department: 0

Item No. Unit Description of Materials/Supplies Quantity

1 unit Citaron #3 White 12


2 roll Citaron #3 Light Blue 12.0
3 roll Plastic Twine 30
4 pc. Scissor Big 6
5 pc. Stapler 6
6 box Staple Wire No. 35 - 5m 25
7 yard Geena Cloth Assorted Color 35
8 bd. ft. 2" x 3" x 12" - Coco Lumber = 12 pcs. 72.0
9 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs. 48
10 pc. Sandflex 3
11 pc. Gun Tucker 2
12 box Tucker 4
13 roll Ribbon Cloth Assorted Color 5
14 pc. Native Fan Abaca 30
15 pint Waterbase Paint Yellow 1
16 pint Waterbase Paint Red 1
17 pint Waterbase Paint Blue 1
18 pint Waterbase Paint Green 1
19 kl. Common Nail 3" 5
- - - -

( x ) Inspected and Verified and Found ( x ) Complete


OK as to Quantity and Quality ( ) Partial
Specification

TIMOTEO A. LAMBATING
MEINRADO M. ASTOVEZA ICO-MGSO
Inspection Officer

JOSEPHINE G. APALLA 0
Municipal Accountant Requesting Officer
Republic of the Philippines
MUNICIPAL GOVERNMENT OF PANGIL
Nat'l. Road, Barangay San Jose, Pangil, Laguna

OBLIGATION REQUEST NO.


Payee IRLANDEZ Hollowblocks & Hardware
Office 0
Address Quinale, Siniloan, Laguna
Resposibility Account
Particulars F.P.P Amount
Center Code

Payment for

Materials to be used in Stage Decoration for Fiesta 2022 37,260.00

TOTAL 37,260.00
.A Certified .B Certified
Charges to appropriation/ allotment necessary. Lawful
and under my direct supervision Existance of available appropriation
Supporting documents valid, proper and legal

Signature Signature
Printed name 0 Printed name GLORIA A. ARENAL
Position 0 Position Municipal Budget Officer
Head, Requesting Officer/ Authorized representative Head, Budget Unit/ Authorized representative
Date Date
Republic of the Philippines
MUNICIPAL GOVERNMENT OF PANGIL
Nat'l. Road, Barangay San Jose, Pangil, Laguna

No.
DISBURSEMENT VOUCHER
Mode of
X Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee IRLANDEZ Hollowblocks & Hardware 161-628-522-000

Responsibility Center
Quinale, Siniloan, Laguna
Address
Office 0
EXPLANATION AMOUNT

Payment for
Materials to be used in Stage Decoration for Fiesta 2022

amounting to 35,263.93

TOTAL INVOICE: 37,260.00


Less: 1% Withholding Income Tax 332.68
Less: 5% Final Value-Added-Tax Withholding 1,663.39
NET: 35,263.93

TOTAL AMOUNT DUE 35,263.93


.A Certified Certified
.B
Allotment Obligated for the purpose as indicated above
Supporting documents complete Cash Available

Signature Signature

Printed Date Printed


JOSEPHINE G. APALLA FLORDELIZA S. SANTELICES
Name Name
MUNICIPAL ACCOUNTANT MUNICIPAL TREASURER - OIC
Position Position
Head, Accounting Unit/ Authorized Representative Treasurer/Authorized Representative
APPROVED FOR PAYMENT: Received Payment
.C .D
Check No. Bank Name Date
Signature

Printed Date Signature


Name HON. GERALD A. ARITAO Printed Name
MUNICIPAL MAYOR O.R./ Other Doc JEV No. Date
Agency Head/ Authorized Representative
Republic of the Philippines
MUNICIPAL GOVERNMENT OF PANGIL
Nat'l. Road, Barangay San Jose, Pangil, Laguna

No.
DISBURSEMENT VOUCHER
Mode of
X Check Cash Others
Payment
TIN/Employee No. Obligation Request No.
Payee IRLANDEZ Hollowblocks & Hardware

Responsibility Center
Quinale, Siniloan, Laguna
Address
Office 0
EXPLANATION AMOUNT

Payment for
Materials to be used in Stage Decoration for Fiesta 2022

amounting to 35,769.60

TOTAL INVOICE: 37,260.00


Less: 1% Withholding Income Tax 372.60
Less: 3% Final Value-Added-Tax Withholding 1,117.80
NET: 35,769.60

TOTAL AMOUNT DUE 35,769.60


.A Certified .B Certified
Allotment Obligated for the purpose as indicated above
Supporting documents complete Cash Available

Signature Signature

Printed Date Printed


JOSEPHINE G. APALLA FLORDELIZA S. SANTELICES
Name Name
MUNICIPAL ACCOUNTANT MUNICIPAL TREASURER - OIC
Position Position
Head, Accounting Unit/ Authorized Representative Treasurer/Authorized Representative
Approved for Payment Received Payment
.C .D
Check No. Bank Name Date
Signature

Printed Date Signature


Name HON. GERALD A. ARITAO Printed Name
Municipal Mayor O.R./ Other JEV No. Date
Agency Head/ Authorized Representative Documents
Republic of the Philippines
Province of Laguna
Municipality of Pangil

BIDS AND AWARD COMMITTEE

RESOLUTION RECOMMENDING TO RESORT TO ANY ALTERNATIVE METHOD OF PROCUREMENT


SUBJECT TO THE PRIOR APPROVAL OF THE LOCAL CHIEF EXECUTIVE.

WHEREAS, under the provision of the Republic Act. 9184 “Government Procurement Act”. and it’s implementing
rules and regulation (IRR) “Alternative Methods of Procurements” Subject to the approval of the
HOPE or its duly authorized representative, and whenever justified by the conditions provided in this
ACT, the procuring entity may, in order to promote economy and efficiency, resort to any alternative
mode of procurement provided in this rule.

WHEREAS, under section 10, Rule IV of the I.R.R.A. provides that all procurement shall be done through
competitive bidding, specific exception for the exercise of “Executive Discretion” and sound
“Managerial Judgment” to cope with, respond to and remedy contingencies and emergencies are
mandated by the same I.R.R.A. in its section 52 entitled Shopping, to wit:

Section 52a, when there is a foreseen contingency requiring immediate purchase AND procurement of ordinary or
regular office supplies and equipment not available in DBM-PS; provided that the amount shall not
exceed the following;

Section 52b, the phrase “ordinary or regular office supplies” shall be understood to include those supplies,
commodities, or materials which are necessary in the transaction of its official businesses, and
consumed in the day-to-day office operations.

Except for those with ABCs equal to Fifty Thousand Pesos (P50,000.00) and below, RFQs shall be
posted for a period of at least three (3) calendar days in the PhilGEPS website, website of the
Procuring Entity, if available, and at any conspicuous place reserved for this purpose in the premises
of the Procuring Entity.

WHEREAS, the procurement of Materials to be used in Stage Decoration for Fiesta 2022

NOW THEREFORE, on a motion properly seconded, the BAC hereby recommend to the LCE to resort the mode of
procurement to Shopping for the abovementioned article for it’s so reasonable and most advantageous
to the government.

IN WITNESS WHEREOF, we hereby set our hand this _____________ Municipality of Pangil, Province of Laguna.
(Date)

RAYMUND M. DIAZ Engr. JOSHUA K. GRIFALDA


BAC CHAIRMAN BAC VICE CHAIRMAN
Chief Tourism Operation Officer Municipal Engineer

GLORIA A. ARENAL RONELLE D. NALAGAN


BAC MEMBER BAC MEMBER
Municipal Budget Officer Civil Registration Officer I

JOCELYN L. GUALBERTO JONATHAN J. ADORNA


BAC MEMBER BAC MEMBER
MHO/RHU - Nurse II Municipal Agricultural Technologist

TIMOTEO A. LAMBATING GRETCHEN AUDREY C. RAYELA


BAC MEMBER Head - BAC Secretariat
ICO - Mun. Gen. Services Officer Municipal Assessment Clerk III

TREJERMIN A. BACONAWA ARIANE V. CAYA


BAC SECRETARY BAC SECRETARY
Admin Aide I Admin Aide I

…… Approved and/or
…… Disapproved:
Hon. OSCAR R. RAFANAN
Municipal Mayor
LOCAL CHIEF EXECUTIVE
Head of Procuring Entity
Municipal Mayor
LOCAL CHIEF EXECUTIVE
Head of Procuring Entity
REQUISITION & ISSUE SLIP
Municipal Government of Pangil
Nat'l. Road, Barangay San Jose, Pangil, Laguna
ANNEX D
Department: RIS No. Date:
0
SAI No. Date:____________
Section:
REQUISITION ISSUANCE
Stock. no. Unit Description Quantity Quantity Remarks

1 roll Citaron #3 White 12 12


2 roll Citaron #3 Light Blue 12 12
3 roll Plastic Twine 30 30
4 pc. Scissor Big 6 6
5 pc. Stapler 6 6
6 box Staple Wire No. 35 - 5m 25 25
7 yard Geena Cloth Assorted Color 35 35
8 bd. ft. 2" x 3" x 12" - Coco Lumber = 12 pcs. 72 72
9 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs. 48 48
10 pc. Sandflex 3 3
11 pc. Gun Tucker 2 2
12 box Tucker 4 4
13 roll Ribbon Cloth Assorted Color 5 5
14 pc. Native Fan Abaca 30 30
15 pint Waterbase Paint Yellow 1 1
16 pint Waterbase Paint Red 1 1
17 pint Waterbase Paint Blue 1 1
18 pint Waterbase Paint Green 1 1
19 kl. Common Nail 3" 5 5
21 kl. - 8 8

TOTAL AMOUNT REQUESTED / ISSUED 307 307

Purpose:
Materials to be used in Stage Decoration for Fiesta 2022

Requested By: Received By:

Signature
Printed Name 0 Affix signature over printed name
Designation 0
(Requisitioning Department Head) Designation
Approved By: Issued By:

Signature
Printed Name HON. GERALD A. ARITAO TIMOTEO A. LAMBATING
Designation Municipal Mayor ICO - Municipal General Services Officer
(Requisitioning Department Head)
Date Issued:
Republic of the Philippines
Province of Laguna
MUNICIPAL GOVERNMENT OF PANGIL
MUNICIPAL GENERAL SERVICES OFFICE

ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT


SEMI-EXPANDABLE AND NON-EXPANDABLE PROPERTY

0
General Form: No. 32(B) Office Code - CY - GL Code - Series
(Revised May, 2013) Physical Count Inventory Property No.: 6911-2017-860-001

Quantity Unit PARTICULAR(s) / DESCRIPTION VALUE


12 unit Citaron #3 White 11,400.00
12 roll Citaron #3 Light Blue
30 roll Plastic Twine 3,150.00
6 pc. Scissor Big 720.00
6 pc. Stapler 900.00
25 box Staple Wire No. 35 - 5m 1,625.00
35 yard Geena Cloth Assorted Color 1,225.00
72 bd. ft. 2" x 3" x 12" - Coco Lumber = 12 pcs. 1,512.00
48 bd. ft. 2" x 2" x 12" - Coco Lumber = 12 pcs. 1,008.00
3 pc. Sandflex 135.00
2 pc. Gun Tucker 320.00
4 box Tucker 320.00
5 roll Ribbon Cloth Assorted Color 1,025.00
30 pc. Native Fan Abaca 1,050.00
1 pint Waterbase Paint Yellow 85.00
1 pint Waterbase Paint Red 85.00
1 pint Waterbase Paint Blue 85.00
1 pint Waterbase Paint Green 85.00
5 kl. Common Nail 3" 450.00
- - - -
TOTAL VALUE 25,180.00
ARTICLES Received By:
Date of Acquisition: January 17, 2017
I acknowledge to have received the above
Repair & Maintenance - Other Public Infrastructures
Aquired Through: Gen. Fund (20% Devt.) mentioned Property / Particular(s) for which I
Appraisal: am responsible, subject to the provision of the
Location: Waterworks Accounting Law "New Gov't Accounting
Date of Count: System (NGAS)":

Issued By:
0
TIMOTEO A. LAMBATING Name / Accountable Officer
OIC - Muncipal General Services Officer 0
Position / Designation
Physical Count Inventory & Inspection Team
Validation: Date Received

NOTATION / REMARK(s):
Office of the Mayor OB-R & DV
Office of the Vice Mayor Payment for
Office of the Sangguniang Bayan Reimbursement for
Municipal Treasurer's Office Cash Advance for
Municipal Accounting Office Amount payable for
Municipal Budget Office Amount due for
Municipal Planning & Development Council Amount due to
Municipal Engineering Office
Municipal General Service Office
Municipal Assessor's Office
Office of Municipal Civil Registrar IAR - INSPECTORS
Municipal Health Office / Rural Health Unit MEINRADO M. ASTOVEZA
Municipal Social Welfare & Development Office HILMA C. AGANA
Municipal Fire Station ORESTES NA-ORBE
Municipal Sanitation Office
Municipal Population Office
Municipal Nutrition & Action Center
Office of Senior Citizen Affairs Senior Administrative Assistant III
Municipal Agriculture Office
Municipal Agro Forestry
Pangil River Eco Park
Municipal Local Government Operations Office
Balian Community College
Pangil Municipal Police Station
Pangil Material Recovery Facility / MENRO
Local School Board
People's Law Enforcement Board
COMELEC
Human Resources Management Office
Office of the Senior Citizens Affair
DILG-Pangil LGU
MDRRMO
REQUISITIONING HEADS OFFICE DESIGNATION
Hon. OSCAR R. RAFANAN Municipal Mayor
Hon. ALFREDO V. PAJARILLO Municipal Vice Mayor
FLORDELISA S. SANTELICES ICO-Municipal Treasurer
JOSEPHINE G. APALLA,CPA Municipal Accountant
GLORIA A. ARENAL Municipal Budget Officer
MARIA PAZ G. SANTOS MPDO/HRMO - Designate
Engr. JOSHUA K. GRIFALDA Municipal Engineer
TIMOTEO A. LAMBATING ICO-Municipal General Service Officer
FINA S. ACAYLAR Municipal Assessor
LEONORA D. SANDIGAN Municipal Civil Registrar
SUSAN E. ALCANTARA, M.D. Municipal Health Officer
LYNNE N. PEÑAMORA, RSW Municipal Social Welfare & Development Officer
SF01 ARVIN R. LEYNES, BFP Pangil Fire Prevention Officer
KEITH JOHN C. SUBIJANO Municipal Sanitation Officer
CRESENCIANA TEJADA Municipal Population Officer
JOCELYN GUALBERTO Municipal Nutrition & Action Officer
Municipal Senior Citizen President
ANTONIO M. VALIN Municipal Agriculture Officer
JONATHAN ADORNA MGLOO
RAYMUND M. DIAZ Chief Tourism Operation Officer
TIRZO ALVIN LAVIÑA Municipal Local Government Operations Officer
SOLEDAD DEL ROSARIO Principal II
PS/I. EDMOND O. CAPISTRANO Pangil Chief of Police
EUGENE M. RENIVA MENRO
ROSARIO GARCIA-YCOY Local School Board Chairman
People's Law Enforcement Board Chairman
REBECCA F. JOVELLANO Election Officer II
RIEL JOHN R. CIRRIQUIA BAC Chairman
OIC-Human Resources Management Officer
Municipal Administrator
Municipal Councilor
HON. JOSELITO PAJARILLO Office of the Senior Citizens Affair Head
HON. JUBERT ARITAO Senior Administrative Assistant III
HON. MARLON B. BASAS MDRRMO
HON. GILDO AGUILAR
HON. ROLANDO VELASQUEZ
HON. ELEXANDER S. VISAYA
HON. ENRIQUE DURANTE
HON. MICHAEL UMALI
Mayor's Office 1010
Vice Mayor's Office 1020
Sanguniang Bayan Office 1030 CODE
Municipal Civil Registrar 1050 201
Municipal Treasurer's Office 1090 202
Municipal Accounting Office 1080 205
Municipal Assessor's Office 1100 211
Municipal Budget Office 1070 212
Municipal Engineer Office 8750 213
Municipal Planning & Developme 1040 214
Municipal Agriculture's Office 8710 215
Municipal Social Welfare & Dev 7610 221
Municipal Health Office 4410 222
Municipal Environmental & Natu 8730 223
20% Development Fund 6911 229
Municipal Disaster Risk Reduc 9999 230
Barangay Fund 1915 231
Gender and Development 1920 232
Election Reserve (COMELEC) 1991 233
Balian Community College 3320 240
Panguil River Eco Park 8850 241
Water Works 8770 244
Municipal Market 8811 248
Municipal Cemetery 8841 251
Municipal Enterprises Managem 8740 254
Continuing Appropriation 20% 8741 255
COMELEC 8742 257
DILG 3331 260
PNP 3332 765
COA 3333 783
OSCA 3334 812
841
851
854
860
893
878
TIN No.
2 161-628-522-000 V
PARTICULARS 3 147-506-959-000 NV
Land 4 910-093-340-000 V
Land Improvements 5 244-780-896-000 NV
Electrification 6 142-230-575-000 V
Office Building 7 101-809-159-000 V
School Building 8 206-398-969-001 V
Hospital & Health Centers 9 209-954-789-001 V
Market & Slaughterhouse 10 209-954-789-000 V
Other Structures 11 006-732-397-000 V
Office Equipment 12 008-009-019-000 NV
Furnitures & Fixtures 13 104-049-000-000 V
IT Equipment & Software 14 197-787-354-000 NV
Communication Equipment 15 901-176-354-000 NV
Construction & Heavy Equipment 16 260-841-384-000 NV
Firefighting Equipment 17 304-703-861-000 NV
Hospital Equipment 18 154-574-855-000 NV
Medical, Dental & Laboratory 19 403-352-315-000 NV
Other Machineries & Equipment 20 243-530-571-000 NV
Motor Vehicles 21 216-285-303-000 NV
Watercrafts 22 291-086-427-001 NV
Other Transportation 23 153-560-479-000 NV
Roads & Highways 24 415-167-565-000 NV
Artesian Wells & Reservoir 25 210-750-988-001 NV
Irrigation & Canals 26 189-676-965-000 NV
Waterways & Aquaduct 27 V
Other Public Infrastructures 28
Other Supplies Expenditures 29
Representation Expenditures 30
Repair & Maintenance - School Buildings 31
Repair & Maintenance - Motor Vehicle 32
Repair & Maintenance - Roads & Highways 33
Repair & Maintenance - Artesian Wells & Reservoir 34
Repair & Maintenance - Other Public Infrastructures 35
Insurance Expenditure 36
Donations 37
38
39
40
41
42
43
CONTRACTOR / SUPPLIERS ADDRESS
IRLANDEZ Hollowblocks & Hardware Quinale, Siniloan, Laguna
ASHBAH Enterprises San Jose St., Pangil, Laguna
FRS Enterprises 1195 M. H. Del Pilar IV Poblacion, Sta Cruz, Laguna
ZARO Trading Balian, Pangil, Laguna
CLU DATA Images Enterprises S. Cajudo St., Brgy. Magdalo, Famy, Laguna
BELAYERS Trading G. Redor St., Siniloan, Laguna
EVERY MINUTE POWER GAS G. Redor St., Siniloan, Laguna
MONTEBAGON Enterprises 278 P. Aguja St. Brgy. IV, Sta. Maria, Laguna
BAGMONT Drug Distributor 278 P. Aguja St. Brgy. IV, Sta. Maria, Laguna
GAZUTO Merchandizing Inc 24-B Panay Ave., Paligsahan, QC
Scientia Tech Co. Unit 404-405 J.L. Domingo
TRINITY Appliance Center P Guevara Ave. Sta Cruz, Laguna
REA-GAN Trading G. Redor St., Siniloan, Laguna
GEMMA RANADA Enterprises #338 Brgy. Patimbao, Sta Cruz, Laguna
YIU'S Appliances and Gen. Mdse G. Redor St., Siniloan, Laguna
YS COMPUTECH Trading & Services C De Leon St., Siniloan, Laguna
FAIR General Merchandise 1 E. Castro St., Brgy. Bagumbarangay, Siniloan, Laguna
FIESTA PANGILENIAN Restaurant Nat'l Rd. Brgy. Sulib, Pangil, Laguna
REVTECH Store Brgy. Balian, Panguil, Laguna
PATNESS Eatery Hi-way, Brgy. Sulib, Pangil, Laguna
ST TROPEZ ENTERPRISES Burgos St., Brgy. Primera Parang, Lumban, Laguna
DIAGNOSTICA Trading Cordillera St Joeltown Subd. San Rafael, San Pablo City
JESSIE QUINTERO GENERAL MDSE Public Market, G. Redor St., Siniloan, Laguna
ADZ PRO DIGITAL PRINTING & GEN 20 J.Rizal St. BRGY j. Rizal (Pob) Sdiniloan, Laguna
MAMAM WATER Refilling Station 129 Tavera St., Pakil, Laguna
GOLDEN 28 HARDWARE Hi-way Brgy. Longos, Kalayaan, Laguna
EXTENSIVE COMMERCIAL Sta Cruz, Laguna
MOTORWORLD Sta Cruz, Laguna
PAG-MEN Trading Mabitac, Laguna
ENO-COR Construction & Hauling ServicFamy, Laguna

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