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 EN T OF ED U C A T IO 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

TO BE
1. TO BE FILLED - UP BY THE REQUESTING
FILLED - PERSONNEL 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 #REF!
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.
 Department of Education
Region VII- Central Visayas
Division of Cebu City DEPARTMEN T OF EDU CATION

ACKNOWLEDGEMENT RECEIPT
We hereby acknowledge the receipt of ID with sling.
NO. NAME OF STUDENT SIGNATURE
1 ADOLFO, NATHANIEL
2 ARENDAYING, RANZ BRENDON
3 ASIM, JOHN ZEL
4 BABOR, RYU
5 BITOS, CYRUS WAYNE ISSEE
6 BOLOTAOLO, ENDIE
7 CAMOTA, JUDE
8 CERILLES, WINDEL
9 CUEVAS, JAN CLERK
10 EJARES, JAN RICH JADE
11 ENDOMA, PRINCE CLARK
12 FIGUEROA, EZEKIEL
13 ISUGAN, JUNRYL
14 LAO, DREIX EDWARD
15 MUARES, CHRISTIAN
16 OPORTO, SANTINO GABRIEL
17 PULGO, TYRELL
18 RAFOLS, KRIS
19 RECOLA, JM
20 RICABLANCA, PHILIP
21 SERRADOR, TRAVIS DYLAN
22 VELARDE, NOEL
23 YBANEZ, JANREY
24 AMANCIO, MARY JANE
25 APDUJAN, DAISY JANE
26 BORINAGA, MARY ROSE
27 BRION, TRISH MAE
28 CABAHUG, MARY ROSE
29 ENTIZE, CHELSEA BIEN
30 FLORES, MIYUKI
31 FLORES, KELLY MAE
32 GARLET, ADJENCARLA
33 GOMIA, SOFIA MAY
34 GORNE, MARY ANN
35 NABELLA, JESSA MAE
36 PELONIO, GEORWEL ANN
37 PERALES, JEPSIE
38 POCDOL, JASHA MAE
39 QUIJANO, ANGELICA
40 RUBINOS, MERA AUDRE
41 SUMAYA, KIMBERLY
42 VILLARBA, LEONORA MARIA

Prepared by: Approved by:

JHUN KEVIN G. DICHOSA
CINDY O. PERIGO
Principal
 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 : #REF! 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! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #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!

###
(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
 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 #REF!

(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:

#REF!

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
 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