Department of Education

National Capital Region

Schools Division Office of Caloocan City
Sampaguita High School
11thParaiso St. Sampaguita Subd. Camarin, Caloocan City

REQUISITION AND ISSUE SLIP

DEPARTMENT OF EDUCATION

Division: Responsibility Center Code:

 CALOOCAN
Office  SAMPAGUITA HS Code:

REQUISITION ISSUANCE
Stock No. Unit Description Quantity Quantity Remarks

1 PCS. CERTIFICATE PRINTING WITH NAMES 746 15.00 11,190.00

2 PCS. SOUVENIR PROGRAM 780 116.74 91,057.20

3 PCS. MEDALS - GOLD 5 65.00 325.00

4 PCS. MEDALS - SILVER 260 65.00 16,900.00

5 PCS. MEDALS - BRONZE PLAIN 990 50.00 49,500.00

7 LOT STAGE DÉCOR SUPPLIES 1 7,000.00 7,000.00

8 PCS. LONG PLASTIC ENVELOP 750 18.00 13,500.00

189,472.20

Purpose: To provide supplies and materials for End of School Year Rites.

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

Signature Signature
Printed Name ELIZABETH M. TEBRERO  AMORZOSIMO V. CORTEZ JAYSON P. INCION

Designation   BAC SECRETARIAT  PRINCIPAL II Supply Officer

Date
SSUANCE
Remarks

11,190.00

91,057.20

325.00

16,900.00

49,500.00

7,000.00 10,000.00

13,500.00

189,472.20 189,473.69 1.49

Received by:
 Department of Education
National Capital Region
Schools Division Office of Caloocan City
Sampaguita High School
11thParaiso St. Sampaguita Subd. Camarin, Caloocan City

REQUISITION AND ISSUE SLIP

DEPARTMENT OF EDUCATION

Division: Responsibility Center Code:

 CALOOCAN
Office  SAMPAGUITA HS Code:

REQUISITION ISSUANCE
Stock No. Unit Description Quantity Quantity

1 PCS. EPSON EcoTank L3310 Printer 3 in 1 1 14,900.00

2 Pack STICKER PAPER 5 85.00

3 PCS. DUCT TAPE 5 50.00
CIRCUIT BREAKER PLUG IN TYPE 20
4 PCS. 3 2,500.00
AMP. (Branded)
CIRCUIT BREAKER PLUG IN TYPE 30
5 PCS. 3 2,900.00
AMP. (Branded)

CIRCUIT BREAKER PLUG IN TYPE

6 PCS. 3 3,600.00
100 AMP. (Branded)

7 PCS. LED TUBE LIGHT LONG 20 WATTS 8 580.00

8 PCS. BLEACH - ZONROX 1/2 Gal. 65 490.00

9 Sachet Powder Detergent Soap 67 220.00
10 pack garbage bag XL 10 800.00
11 pcs. Floor Brush with Handle 5 490.00
12 Pcs. Toilet Bowl Brush 5 190.00

Purpose:

Requested by: Approved by: Issued by:

Signature
Printed Name ELIZABETH M. TEBRERO  AMORZOSIMO V. CORTEZ JAYSON P. INCION

Designation   BAC SECRETARIAT  PRINCIPAL II Supply Officer

Date
City

ISSUANCE
Remarks

14,900.00

425.00
250.00
7,500.00

8,700.00

10,800.00

4,640.00

31,850.00 5
14,740.00 5
8,000.00
2,450.00
950.00

105,205.00 105,263.16 58.16

Received by:
Signature