Republic of the Philippines

Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
DISTRICT: ________________ SCHOOL: _______________________________________ DATE: _____________

Please be informed that the following documentary requirements are arranged and attached accordingly for the
claim of SCHOOL BASED FEEDING PROGRAM included in the Liquidation Report for the month of ____________,
_______ submitted to the Accounting Section of the Division Office. (Month)
(Year)

 Disbursement Voucher  Official Receipt/Sales Invoice  Pictures (preparation and actual

 Photocopy of Check Issued
 Purchase Request (PR)
 Canvass from at least 3 suppliers
 Abstract of Canvass
 Purchase Order (PO)
 Inspection and Acceptance Report
 Attendance/ Signatures of
Beneficiaries
 Other Expenses (cook), DTR,
Payroll
implementation)
 Business Permit, BIR Certificate of
Registration, DTI Registration

Certified by:

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address:quezon@deped.gov.ph
Website: www.depedquezon.com.ph

--------------------------------------------------------------------------------------------------------------------------------------------------------------
(To be accomplished by accounting personnel)
DISTRICT: ______________________SCHOOL: ____________________________________________________PERIOD COVERED: _____________________

Sir/Ma’am:

Based on the submitted documents for the claim, the following are the findings which shall complied before the deadline to be liquidated:
 Please arrange/attached the forms properly based on the checklist  Please attach copy of check issued.
 DISBURSEMENT VOUCHER
 Incomplete fill out: date/s; series number; name; check number  Wrong Accounting Entry
 No Signature on BOX A / BOX B  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 PURCHASE REQUEST:
 Incomplete fill out: date/s; series number; name; quantity; purpose  No Signature  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 CANVASS/ABSTRACT OF CANVASS
 Incomplete fill out: date/s; series number; name; quantity; purpose  Should be handwritten by merchant
 No signature of canvasser/merchant/school head  Quantity/Amount does not match  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 PURCHASE ORDER
 Incomplete fill out: date/s; series number; name; quantity;  No Signature  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 OFFICIAL RECEIPT/SALES INVOICE
 With alteration  No Signature  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 INSPECTION AND ACCEPTANCE REPORT
 Incomplete fill out: date/s; series number; name; quantity; particulars  Quantity does not match with PO  No signature/s
 Others: ___________________________________________________________________________________________________________________
 MENU: _______________________________________________________________________________________________________________________
 ATTENDANCE OF BENEFICIARIES: _______________________________________________________________________________________________
 PICTURES: ___________________________________________________________________________________________________________________
 BUSINESS PERMITS: ___________________________________________________________________________________________________________
 BIR FORMS: ___________________________________________________________________________________________________________________
 OTHERS:______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
THANK YOU.
 Republic of the Philippines
Department of Education
Region IV-A
SCHOOLS DIVISION OF QUEZON PROVINCE
____________________________________
Signature over printed name of School Head

DEPEDQUEZON-TM-SDS-04-025-003

“Creating Possibilities, Inspiring Innovations”

Address: Sitio Fori, Brgy. Talipan, Pagbilao, Quezon
Trunkline #: (042) 784-0366, (042) 784-0164, (042) 784-0391, (042) 784-0321
Email Address:quezon@deped.gov.ph
Website: www.depedquezon.com.ph

--------------------------------------------------------------------------------------------------------------------------------------------------------------
(To be accomplished by accounting personnel)
DISTRICT: ______________________SCHOOL: ____________________________________________________PERIOD COVERED: _____________________

Sir/Ma’am:

Based on the submitted documents for the claim, the following are the findings which shall complied before the deadline to be liquidated:
 Please arrange/attached the forms properly based on the checklist  Please attach copy of check issued.
 DISBURSEMENT VOUCHER
 Incomplete fill out: date/s; series number; name; check number  Wrong Accounting Entry
 No Signature on BOX A / BOX B  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 PURCHASE REQUEST:
 Incomplete fill out: date/s; series number; name; quantity; purpose  No Signature  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 CANVASS/ABSTRACT OF CANVASS
 Incomplete fill out: date/s; series number; name; quantity; purpose  Should be handwritten by merchant
 No signature of canvasser/merchant/school head  Quantity/Amount does not match  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 PURCHASE ORDER
 Incomplete fill out: date/s; series number; name; quantity;  No Signature  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 OFFICIAL RECEIPT/SALES INVOICE
 With alteration  No Signature  Miscomputation
 Others: ___________________________________________________________________________________________________________________
 INSPECTION AND ACCEPTANCE REPORT
 Incomplete fill out: date/s; series number; name; quantity; particulars  Quantity does not match with PO  No signature/s
 Others: ___________________________________________________________________________________________________________________
 MENU: _______________________________________________________________________________________________________________________
 ATTENDANCE OF BENEFICIARIES: _______________________________________________________________________________________________
 PICTURES: ___________________________________________________________________________________________________________________
 BUSINESS PERMITS: ___________________________________________________________________________________________________________
 BIR FORMS: ___________________________________________________________________________________________________________________
 OTHERS:______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
THANK YOU.