Macky'S Machine Shop

` Municipality of Cabugao, Ilocos Sur
CERTIFICATION ON APPROPRIATIONS, FUNDS AND OBLIGATIONS

OF ALLOTMENT
Obligation No:
Request Approved Amount: 700.00
Payee: MACKY'S MACHINE SHOP

Certification:
Allotment
Function
Class
Expense Code Amount I hereby certify as to the existence of appropriations
05-02-13-050 (08) for the expenditures in the amount specified
GF MOOE 700.00
herein:
LOLITA S. SUNIO
Municipal Budget Officer Date
Total amount requested: 700.00
Certification:
Amount in Words: Seven Hundred I hereby certify as to the availability of funds for the
Pesos Only expenditures in the amount specified herein:
Requesting Official:
JOCELYN R. SEATRIZ
EVA CLEMENS P. REINTAR Acting Municipal Treasurer Date
Supply Officer II Date
Certification:
I hereby certify that the allotments are available for
obligation in the amount specified herein:
JERIC BON G. MOTAS

Municipal Accountant Date
Subsidiary Ledger
Date Particulars/Reference Liquidations Obligation Increase (Decrease) Balance

Payment of labor
service for the repair
and maintenance of
self loader truck with
boom
Municipality of Cabugao, Ilocos Sur

OF ALLOTMENT
Obligation No:
Request Approved Amount: 1,200.00

Certification:
Allotment
Function
Class Expense Code Amount I hereby certify as to the existence of appropriations
for the expenditures in the amount specified
1,200.00
herein:
LOLITA S. SUNIO
Total amount requested: 1,200.00
Certification:
Amount in Words: One Thousand Two I hereby certify as to the availability of funds for the
Hundred Pesos Only expenditures in the amount specified herein:
JOCELYN R. SEATRIZ
DRA. VANESSA SABLAY Acting Municipal Treasurer Date
MHO Date
Certification:
JERIC BON G. MOTAS

Subsidiary Ledger

Payment of welding
service for the repair
and maintenance of
swivel chair

OF ALLOTMENT
Obligation No:

Certification:
Allotment
Function
GF MOOE 1,000.00
herein:
LOLITA S. SUNIO
Certification:
Amount in Words: One Thousand Pesos I hereby certify as to the availability of funds for the
Only expenditures in the amount specified herein:
JOCELYN R. SEATRIZ
Certification:
JERIC BON G. MOTAS

Subsidiary Ledger
Payment of welding
and alignment for the
repair and maintenance
of Self Loader Truck
with Boom

OF ALLOTMENT
Obligation No:
Request Approved Amount: 250.00

Certification:
Allotment
Function
GF MOOE 250.00
herein:
LOLITA S. SUNIO
Total amount requested: 250.00
Certification:
Amount in Words: Two Hundred I hereby certify as to the availability of funds for the
Fifty Pesos Only expenditures in the amount specified herein:
JOCELYN R. SEATRIZ
Certification:
JERIC BON G. MOTAS

Subsidiary Ledger

Payment of welding
and services for the
repair and maintenance
of Self Loader Truck
with Boom
` Municipality of Cabugao, Ilocos Sur
OF ALLOTMENT
Obligation No:
Certification:
Allotment
Function Expense Code Amount I hereby certify as to the existence of appropriations
Class
05-02-13-050 for the expenditures in the amount specified
GF MOOE (01) 1,500.00
herein:
LOLITA S. SUNIO
Certification:
Amount in Words: One Thousand I hereby certify as to the availability of funds for the
Five Hundred Pesos Only expenditures in the amount specified herein:
JOCELYN R. SEATRIZ
Certification:
DANDREI GABRIEL S. GAZMEN

Subsidiary Ledger

Payment of welding
services for the repair
and maintenance of
Payloader
.
REQUEST FOR QUOTATION
Date:
Company Name/Individual RFQ No.:
PR No.:
Complete Company Address PhilGEPS Ref. No.:
To whom it may concern: CANVASSERS' CERTIFICATION
Please Quote your lowest price/s on the lot or item/s below, This is to certify that I have the full knowledge, authority and responsibility, in
subject to General Conditions indicated herein, indicating shortest distributing and/or collecting the Request for Quotation in accordance to the guidelines in
time for delivery and submit your quotation duly signed by yor securing prices for the ___________.
official representative not later than ____________ at (time) to the
address listed above.
Very truly yours,
__________________________
___________________________
BAC Chairman Authorized Canvasser/Barangay Treas.
PLEASE QUOTE: PER LOT/ PER ITEM SUPPLIER/CONTRACTOR/CONSULTANT'S PROPOSAL BOX

APPROVED
ITEM DESCRIPTION FINANCIAL PROPOSAL TECHNICAL PROPOSAL
BUDGET OF
(ITEM
QTY UNIT CONTRACT (Indicate the Price Offer) (Indicate Brand/Model Offer)
NO. NAME&TECHNICALSPECIFICATION) (ABC)
1,600 Unit Price Total Price Yes No
welding and cutting of bucket tooth
1 1 lump sum
(Payloader)
GENERAL CONDITIONS SUPPLIER/CONTRACTOR/CONSULTANTS CERTIFICATION

1. All entries must be typewritten and legible;
2. Bidders must submit Professional License ; & Date:__________________
3. Bidders must submit necessary business permits ( SEC,
LGU, DTI , CDA, etc.);
4. Place this RFQ in a sealed envelope and type the following
details on the face of the envelope: After having carefully read and accepted
Your General Conditions, I/We quote you on the item/s at price/s noted above for
Your Company/Individual Name immediate delivery and shipment which can be made in __________________ days from
receipt of the Notice of Award.
RFQ No.
PR No.
PHILGEPS Reference No. _______________________________
PRC License No. Print Name & Signature of
Authorized Representative
5. Delivery period must be at least within seven (7) calendar
days upon receipt of the Notice of Award(Indicate the days of ________________________________
delivery in the Bidder’s Certificate box) Company Tel./Fax/Mobile No.
6. Item/s delivered must have warranties for unit replacements,

parts, labor or other services;
7. Price validity shall be for a period of three(3) months; ________________________________

8. Quoted prices must be inclusive of taxes, and other charges Company/Individual Tax Identification No. (TIN)
or fees and shall not exceed the Approved Budget for the
Contract(ABC);
Signature : _________________________ ______________________ ___________________________
Printed Name : EVA CLEMENS P. REINTAR JOCELYN R. SEATRIZ EDGARDO JR. S. COBANGBANG
Designation : Supply Officer II Acting Mun.Treasurer Municipal Mayor
Appendix 47
PURCHASE REQUEST
LGU: CABUGAO, ILOCOS SUR___________________________ Fund: _______________________
Department:GSO____________ PR No.: ______________ Date: ____________
Section:___________________ FPP : ___________________
Item No. Unit Item Description Quantity Unit Cost Total Cost
1 lump sum Welding and alignment (Dumptruck) 1 700.00 700.00
Total 700.00
Purpose: Welding and Alignment for the repair and maintenance of Dumptruck
Requested by: Cash Availability: Approved by:
Signature : _________________________ ______________________ ___________________________
Printed Name : EVA CLEMENS P. REINTAR JOCELYN R. SEATRIZ EDGARDO JR. S. COBANGBANG
Designation : Supply Officer II Acting Mun.Treasurer Municipal Mayor
Appendix 49
PURCHASE ORDER
LGU
Supplier : MACKY'S MACHINE SHOP P.O. No. : ____________________________
Address : Cabugao, Ilocos Sur Date : _______________________________
___________________________________________________ Mode of Procurement : _________________
TIN : ________________________________________________ PR No./s
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : _LGU CABUGAO,ILOCOS SUR________________ Delivery Term : ________________________

Date of Delivery : 05/20/2021 Payment Term : ________________________
Stock/ Property
No. Unit Description Quantity Unit Cost Amount
lump sum Welding (Self Loader Truck with Boom) 1 250.00 250.00
Total 250.00
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,
Signature over Printed Name of Supplier EDGARDO JR. S. COBANGBANG

___________________________ Signature over Printed Name of Authorized Official
Date Municipal Mayor
Designation
(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)
Approved per Sanggunian Resolution No.: _____________________________________________________
Certified Correct:
_____________________________ __________
Secretary to the Sanggunian Date
Appendix 49
REQUISITION AND ISSUE SLIP
LGU : CABUGAO, ILOCOS SUR__________________________________ Fund : _____________________
Division : _____________________________FPP Code: __________________

Office GSO RIS No. : _________ Date: _______
Requisition Issuance
Stock
Unit Description Quantity Quantity Remarks
No.
Capacitor Replacement and change burned
1 pcs 1 1
wirings of aircon (13hp cabinet type)
Purpose: Airconditiong Repair Services at The Sb Office
Requested by: Approved by: Issued by: Received by:

Signature :
Printed Name : DARIO ROY A. SIRUNO JOSH EDWARD S. COBANGBANG EVA CLEMENS P. REINTAR DARIO ROY A. SIRUNO
Designation
SANGGUNIANG
: BAYAN SECRETARY Municipal Mayor Supply Officer II SANGGUNIANG BAYAN
Date : SECRETARY
Appendix 50
ACCEPTANCE AND INSPECTION REPORT
LGU : CABUGAO, ILOCOS SUR______________________________ Fund : ___________
Supplier : _MACKY'S MACHINE SHOP______________________________AIR No. : _______________

PO No./Date : ________________________________ Date : _________________
Requisitioning Office/Dept. :____________________ Invoice No. : ____________
Date : _________________
Stock/ Property No. Description Unit Quantity
build up, threading of shafting lump sum 1
ACCEPTANCE INSPECTION
Date Received : ________________________ Date Inspected : _____________________
Complete Inspected, verified and found in order as to quantity and

specifications
Partial (pls. specify)
EVA CLEMENS P. REINTAR LUCILA SOMERA

Supply and/or Property Custodian Inspection Officer/Inspection Committee
Appendix 50

PO No./Date : ________________________________ Date : _________________
Date : _________________
Acetylene welding of swivel chair pcs 4

specifications

Appendix 50

PO No./Date : ________________________________ Date : _________________
Date : _________________
Welding (Self Loader Truck with Boom) lump sum 1


specifications

Appendix 50
Supplier : _MACKY'S MACHINE SHOP_________________________AIR No. : _______________

PO No./Date : ________________________________ Date : _________________
Date : _________________
welding and cutting of bucket tooth (Payloader) lump sum 1
Complete Inspected, verified and found in order as to

quantity and specifications

Republic of the Philippines
Municipality of Cabugao
Ilocos Sur
PRE-INSPECTION REPORT
Date
FIXED ASSETS TO BE REPAIRED: Self Loader Truck with Boom
PROPERTY NO.: CABUGAO, ILOCOS SUR
PARTS TO BE REPAIRED/REPLACED:
Item Unit Description Quantity

1 lump sum welding 1
FINDINGS AND RECOMMENDATIONS:

Above labor service needed for the repair and maintenance of Self Loader Truck with Boom
INSPECTOR:
DONELL EUSTAQUIO PERALTA

Inspection Officer/Committee
Municipality of Cabugao
Ilocos Sur
PRE-INSPECTION REPORT
Date
FIXED ASSETS TO BE REPAIRED: PAYLOADER
PROPERTY NO.: CABUGAO, ILOCOS SUR
PARTS TO BE REPAIRED/REPLACED:

1 lump sum welding and cutting of bucket tooth 1

Above welding services are needed for the repair and maintenance of Payloader
INSPECTOR:

ance of Self Loader Truck with Boom
MUNICIPALITY OF CABUGAO
Ilocos Sur
POST-INSPECTION REPORT
Date: ____________
PROPERTY NO.:CABUGAO, ILOCOS SUR

PARTS REPAIRED/REPLACED:

1 lump sum build up, threading of shafting 1

Above labor service were rendered for the repair and maintenance of Self Loader Truck with Boom
INSPECTOR:

Ilocos Sur
Date: ____________
FIXED ASSETS TO BE REPAIRED: Swivel Chair


1 pcs Acetylene welding of swivel chair 4

Above welding service were rendered for the repair and maintenance of Swivel Chair
INSPECTOR:


Ilocos Sur
Date: ____________


1 lump sum Welding & Alignment (Self Loader Truck with Boom) 1
Above vulcanized and alignment were rendered for the repair and maintenance of Self Loader Truck with Boom
INSPECTOR:


Ilocos Sur
Date: ____________
FIXED ASSETS TO BE REPAIRED: Payloader

1 lump sum welding and cutting of bucket tooth 1

Above welding services were rendered for the repair and maintenance of Payloader
INSPECTOR:

WASTE MATERIALS REPORT
Cabugao, Ilocos Sur
LGU
Place of Storage: Date:
ITEMS FOR DISPOSAL

RECORD OF SALES
ITEMS QTY UNIT DESCRIPTION
O.R. NO. AMOUNT
1 welding and cutting of bucket tooth

1
(Payloader)
Certified Correct: Disposal Approved:
EVA CLEMENS P. REINTAR JOSH EDWARD S. COBANGBANG

Property Officer Municipal Mayor
CERTIFICATE OF INSPECTION
I hereby certify that te property enumerated above was disposed of as follows:

Item Destroyed
Item Sold at private sector
Item Sold at public auction
Item Transferred without cost to ___________________
Property Inspector: Witness to:
EVA CLEMENS P. REINTAR ROWEL FRUMENCIO S. SINGSON

Name & Signature Name & Signature
Cabugao, Ilocos Sur
LGU

ITEMS FOR DISPOSAL
RECORD OF SALES
O.R. NO. AMOUNT
Welding & Alignment of Self Loader Truck
1 1 lump sum w/boom (flatbed)
EVA CLEMENS P. REINTAR EDGARDO JR. S. COBANGBANG

Item Destroyed


Cabugao, Ilocos Sur
LGU
ITEMS FOR DISPOSAL

RECORD OF SALES
O.R. NO. AMOUNT
Welding & Alignment of Self-loading bracket w/boom
1 1 lump sum (flatbed)
2 1 pc Oxygen (Double Cab Canter)
set
EVA CLEMENS P. REINTAR EDGARDO JR. S. COBANGBANG

Item Destroyed

Ilocos Sur
OFFICE OF THE MUNICIPAL PLANNING & DEVELOPMENT COORDINATOR
PROGRAM OF WORK
Name of ProjeCABUGAO, ILOCOS SUR Fabrication of X mas Belen and installation of christmas decors 2015
Location of Project: Cabugao,Ilocos Sur
Source of Fund: General Fund
ESTMATED BILL OF MATERIALS
Quantity Particulars Unit Price Total Price

1 gal Maple QDE 650.00 650.00
2 ltrs Flat wall enamel 165.00 330.00
2 bots Paint thinner 40.00 80.00
2 pcs. Baby roller brush 100.00 200.00
1 pc. Tray 50.00 50.00
1 pint Black QDE 160.00 160.00
15 pcs. 1/4 thick marine plywood 450.00 6,750.00
5 pcs. Electrical tape 40.00 200.00
1 kg. Nylon 350.00 350.00
2 pcs. 1/2 marine plywood 750.00 1,500.00
6 kgs CWN asstd. 100.00 600.00
3 pcs. Flood light 250.00 750.00
1 pc Outdoor receptacle 150.00 150.00
25 pcs. 2 x 2 x 12 240.00 6,000.00
3 pks Asstd. Cyrstals 650.00 1,950.00
375 pcs. Twigs 25.00 9,375.00
35 pcs. Bamboo 70.00 2,450.00
4 pcs. Male plug 35.00 140.00
15 pcs. 3/16" x 1 1/2" angle bar 450.00 6,750.00
3 pcs. hacksaw blade 60.00 180.00
8 kgs. welding rod 100.00 800.00
4 pcs. 3/16" x 1" flat bar 250.00 1,000.00
25 pcs. 10 mm RSB 150.00 3,750.00
5 kgs. # 16 tie wire 100.00 500.00
130 pcs. LED Christmas lights 250.00 32,500.00
20 pcs. Sta. Claus w/ umbrella 250.00 5,000.00
2 pcs. Sta. Claus (orange & blue) 100.00 200.00
82,365.00
Cost of Materials ------------------------------------------------------ Php 82,365.00
Labor ------------------------------ 24,709.50
Total Cost of the Project ------------------------------ Php 107,074.50

Ilocos Sur
OFFICE OF THE MUNICIPAL PLANNING & DEVELOPMENT COORDINATOR
PROGRAM OF WORK
Name of ProjeCABUGAO, ILOCOS SUR Fabrication of X mas Belen and installation of christmas decors 2015
Location of Project: Cabugao,Ilocos Sur
Source of Fund: General Fund
ESTMATED BILL OF MATERIALS
Quantity Particulars Unit Price Total Price
Prepared by: Recommending Approval:
CRESCENCIO MARCOS C. FORMOSO FLORANTE S. JARA

Mun. Engineer MPDC
Approved by:
EDGARDO S. COBANGBANG JR.

Municipal Mayor
REIMBURSEMENT EXPENSE RECEIPT REI
Date: No. Date:
RECEIVED from TERESITA MAXIMINA S. SISON RECEIVED from

(Name)
HRMO the amount
(Official Designation)
SIX HUNDRED PESOS (Php 600.00 SIX HU
(In Words) (In Figures)
AS PAYMENT FOR LOAD (Payments for subsistence, services AS PAY
FOR THE MONTH OF JANUARY 2018
rental or transportation should show inclusive dates, re
purpose, distance, inclusive points of travel, etc.
PAYEE
Name/Signature Name/Signature
Address Address
Residence Certificate No. Residence Certificate No
Date of Issue Date of Issue
Place of Issue Place of Issue
WITNESS
Name/Signature Name/Signature
Address Address
Residence Certificate No. Residence Certificate No
Date of Issue Date of Issue
Place of Issue Place of Issue
REIMBURSEMENT EXPENSE RECEIPT
No.
RECEIVED from TERESITA MAXIMINA S. SISON

(Name)
HRMO the amount
(Official Designation)
SIX HUNDRED PESOS (Php 600.00
(In Words) (In Figures)
AS PAYMENT FOR LOAD (Payments for subsistence, services
FOR THE MONTH OF JANUARY 2018
rental or transportation should show inclusive dates,
purpose, distance, inclusive points of travel, etc.
PAYEE
Name/Signature
Residence Certificate No.
WITNESS
Name/Signature
Residence Certificate No.

DAILY WAGE PAYROLL
General Form No. 5 LABOR FOR FABRICATION OF CHRISTMAS DÉCOR

Revised January 1992
Agency: LOCAL GOVERNMENT UNIT OF CABUGAO, ILOCOS SUR
No. of Days Rate Signature of

NAME OCCUPATION AMOUNT
Worked Per Day Thumbmark
1 ROGELIO PESCADOR WELDER 3 550.00 1,650.00
2 NOEL SONIDO HELPER 3 260.00 780.00
3 ARNEL FERNANDEZ HELPER 3 260.00 780.00
4 JUN MERCADO MASTER CARPENTER 7 500.00 3,500.00
5 JOSEPH LOPEZ CARPENTER 4 400.00 1,600.00
6 FREDDIE SOTO CARPENTER 4 400.00 1,600.00
7 JEFF SALOM PAINTER/ARTIST 5 500.00 2,500.00
-
TOTAL Php 12010
Certified: Approved for payment:
Each person whose name appears on this roll had

rendered services for the time stated:
CRESCENCIO C. FORMOSO HON.EDGARDO S. COBANGBANG, JR.

Name and Signature of Foreman/Supervisor Name and Signature
0 0
AGE PAYROLL
Sheet ______ of ______ sheets
OF CHRISTMAS DÉCOR
Period: November 22-28
COMMUNITY TAX CERTIFICATE

NUMBER DATE PLACE OF ISSUE
Certified:
Each person whose name appears on the above roll has
been paid the amount stated his name after
identifying him.
LOURDES A. AZCUETA
Name of Disbursing Officer
PAYROLL
LGU-CABUGAO, ILOCOS SUR
We hereby acknowledge to have received from LOURDES A. AZCUETA,

Municipal Treasurer, the sums herein specified opposite our respective names,
representing Cash Allowances for CY2008
LOURDES A. AZCUETA
CODE SURNAME FIRSTNAME MI Cash SIGNATURE
Allowance
1 CABUGAO, ILOCOSRUDY S 500.00
2 SONIDO CONSTANCIA S 500.00
3 SUETOS EVELYN B 500.00
4 SINGSON MAYJOY C 500.00
5 SEATRIZ CATHERINE MARGIE I 500.00
6 To cash advance ofCORAZON 500.00
7 of day care workerLINDA C 500.00
8 period october 16 MYRNA 500.00 0 0
9 REYES NELIA S 500.00
10 salaries 692984.41 D 500.00
11 honrarium day car 38200 500.00
12 Incentives of Rhu 22658.95 500.00
13 Total 753843.36 S 500.00
14 SUETOS MARCELINA 500.00
15 COBANGBANG LEIZEL 500.00
16 SEATRIZ EVANGELINE U 500.00
17 SAGUN MARYJANE S 500.00
18 SOLATRE ANITA S 500.00
19 AZCUETA DINIA S 500.00 0 0
20 TALUSIG DIGNA R 500.00
21 SINGSON JOSE V 500.00
22 PASCUA RIA B 500.00
23 CURAMMENG ASELA S 500.00
24 TALUSIG RUDOLF ANTHONY 500.00
25 SOLLER NEMESIO 500.00
26 PAGUIRIGAN FILIPINA D 500.00
27 SUNIEGA GERRY P 500.00
28 SIRUNO HELEN V 500.00
29 SAVELLA ALICIA L 500.00
30 ASISTIN KATHERINE S 500.00
31 TORRES ELY S 500.00
32 BILEN GINA P 500.00
33 SAVELLANO EDITHA S 500.00
34 SAJONIA TOMASA S 500.00
35 CACHO HERMINIA S 500.00
36 NAVARRO CHERYLL ANN S 500.00
37 SANTELLA ROMMEL M 500.00
38 SAJONIA PERLA S 500.00
39 GUERRERO ERLINDA S 500.00
40 PANTE EUFROCINA N 500.00
41 ANOR CARLITO G 500.00
42 VALLEJO CORNELIO S 500.00
43 SAJONIA EDGARDO P 500.00
44 BELTRAN DIGNA P 500.00
45 SUMIBCAY WARREN D 500.00
46 CASTRO JOEY L 500.00
47 COBANGBANG PROCESO C 500.00
48 UNABIA JOCELYN V 500.00
PAYROLL

LOURDES A. AZCUETA
Allowance
49 SERRANO LEONIDA M 500.00
50 SERRANO JANET A 500.00
51 UBALDO RONEL M 500.00
52 TAPANGCO ELIZABETH P 500.00
53 DOLORES EUGENIA U 500.00
54 SISTOZA LORY-ANNE N 500.00
55 AISITIN FERDINAND G 500.00
56 SINAMPAGA FIDEL V 500.00
57 SERA EDITHA P 500.00
58 LOPEZ ROSITA S 500.00
59 SURBIDA MYRNA D 500.00
60 VICENTE TERESA S 500.00
61 SAJOR JULIE S 500.00
62 GARCIA BENJAMIN R 500.00
63 SONIDO MELCHORA M 500.00
64 AZCUETA NORMA M 500.00
65 RAGASA EMMA 500.00
66 UBALDO JANINCE 500.00
67 DE LEON RODELITA A 500.00
68 SONICO LEONARDO S 500.00
69 SUNIEGA RODEL P 500.00
70 SUNIEGA VILMA S 500.00
71 TORDA WINNE S 500.00
72 SOTO DINA S 500.00
73 SIENA ROWENA D 500.00
74 SIRUNO ESTRELLITA M 500.00
75 BISCO JOSIE E 500.00
76 SOLATRE VIRGIE S 500.00
77 SONIDO ADELINA V 500.00
78 JARA IRENE C 500.00
79 SUNIO GREPA GEM B 500.00
80 SONIDO MADELENE S 500.00
81 SAVELLANO EDWIN S. 500.00
82 CASTRO AZUCENA N 500.00
83 SAVELLA ROSEMARIE T 500.00
84 RABARA JONELLE S 500.00
85 VERGARA ANABEL 500.00
86 SAVELLANO SUSAN S 500.00
87 CORALES CECILLE R 500.00
88 FAGARAGAN MERCY S 500.00
89 ANCHETA ANABELLE R 500.00
90 DELOS SANTOS NESTOR S 500.00
91 GARCIA IIRENE R 500.00
92 SOLIS ELIZABETH G 500.00
93 RIPA VICENTA L 500.00
94 SEVILLEJA REMEDIOS 500.00
95 DUQUE EDWIN C 500.00
96 SAMBRANA CLARETTE LEIZEL B 500.00
PAYROLL

LOURDES A. AZCUETA
Allowance
97 MANANTAN VENERANDA S 500.00
98 SUNIO ANGELITA S 500.00
99 PONCE GEMMA A 500.00
100 VALLEDOR DELY S 500.00
101 SOLATRE EDISON S 500.00
102 ACACIO CHERRY ARGELYN S 500.00
103 FULLER HELEN A 500.00
104 SOMERA ODETTE V 500.00
105 SAVELLANO EDISON S 500.00
106 CAYSO JULIA A 500.00
107 POLI JUDELYN V 500.00
108 FANIO HERMELINA S 500.00
109 AGABAO NORA V 500.00
110 AGPAOA ERLINDA S 500.00
111 BRINGAS NICK B 500.00
112 PENEYRA DEMY V 500.00
113 TAPAT HAYDEE S 500.00
114 TINAZA MARILYN S 500.00
115 LAGURA JEANNIE S 500.00
116 AGUILAR CAROLYN C 500.00
117 VALLE LUZ S 500.00
118 SAVELLANO MA. CRISTINA P 500.00
119 SAJOR DONATO G 500.00
120 SAYABOC JUANA 500.00
121 SAJOR ELIZABETH P 500.00
122 SOLATRE ELVIRA C 500.00
123 PITAS LUZVIMINDA R 500.00
124 SARIBAY ARLENE G 500.00
125 DALA CRUZ FRANCIS A 500.00
126 SUNIEGA ALICIA V 500.00
127 SOLLER EMOLITA B 500.00
128 SAVELLANO JENNIFER D 500.00
129 ESTEBAN IMELDA S 500.00
130 GARCIA EVANGELINE P 500.00
131 NAVAL MILDRED M 500.00
132 AVILA OLIVA N 500.00
133 YACAP AGNES N 500.00
134 SAVELLA HELEN C 500.00
135 MANUEL ROSALINE C 500.00
136 ALCANTARA CLAIRE S 500.00
137 SONICO CHERYLL ANN 500.00
138 QUIBILAN NORA R 500.00
139 SAVELLANO ELEUTERIA D 500.00
140 PERALTA ERMELINA S 500.00
141 FERNANDO ARLYN S 500.00
142 ANCHETA RONALYN S 500.00
143 SOTO PACIFICO R 500.00
144 SABUGO ROWENA 500.00
PAYROLL

LOURDES A. AZCUETA
Allowance
145 ALEJANDRO PERPETUA G 500.00
146 SAJONIA MERLINDA S 500.00
147 MANANTAN VILMA D 500.00
148 SOMERIN GENARO S 500.00
149 PASTOR MORLITA S 500.00
150 SAVELLA JOSEPHINE M 500.00
151 SUNIO MAXIMO I 500.00
152 VALENCIA ELISA S 500.00
153 MANZUETA ARGEL G 500.00
154 REINTAR DELIA S 500.00
155 ARTATES TORIBIO JR C 500.00
156 ARTATES EMERENCIANA B 500.00
157 DORAL JUDELYN G 500.00
158 TAGAVILLA ELISA S 500.00
159 HADOC RONALYN S 500.00
160 BRACEROS DIONNE S 500.00
161 QUINSAAT IMELDA A 500.00
162 CASTAÑEDA RONALD 500.00
163 SEGURITAN ORLANDO N 500.00
164 PUNLA EVANGELINE S 500.00
165 SEVILLEJA TERESITA S 500.00
166 LUZANO GRETA R 500.00
167 JARA ERLINDA R 500.00
168 CARBONEL EDNA S 500.00
169 CARSOLA JANET 500.00
170 SAJONIA MELVI S 500.00
171 MORALES SONIA S 500.00
172 SIRUNO MARIDEL P 500.00
173 SAVELLANO FLORENCE 500.00
174 BENAVIDEZ REMEDIOS B 500.00
175 AQUINO MARLIN S 500.00
176 BARROGA SABINA S 500.00
177 SAMBRANA DONATO R 500.00
178 IRORITA DELFIN S 500.00
179 SOTO DANDY S 500.00
180 RACILES MARILYN S 500.00
181 DE PEDRO LIGAYA S 500.00
182 DOLORES SHERYL S 500.00
183 ALCONIS CLAUDETTE D 500.00
184 TATSON LOLITA S 500.00
185 SAVELLA JEANNIE P 500.00
186 TIPON VIRGIE C 500.00
Php 93,000.00
(1) I hereby certify on my official oath that the above payroll is correct, and that services above stated have
been duly rendered. Payment for such services is also hereby approved from the appropriation indicated.
LOURDES A. AZCUETA
Municipal Treasurer
PAYROLL

LOURDES A. AZCUETA
Allowance
(3) Preaudited and approved for payment
of Php 93,000.00
____________________________
Provincial Auditor
(4) Approved:
DIOCAESAR S. SUERO,MD
Municipal Mayor
(5) I hereby certify on my official oath that I have paid in cash to each official and employee
whose name appears on the above roll the amount set opposite his name under column __,
he having signed or marked his name under column __ above, in my presence and at the same
time that payment was made to him in acknowledgement of receipt of money paid him and;
(6) I further certify on my official oath that each employees whose name appears on the above
roll has been paid in cash or in cheack, and in no other mode, the amount shown under column ___
above, opposite his name. the total payments made by means of this payroll amounts to __________.
LOURDES A. AZCUETA
Municipal Treasurer
Ilocos Sur
DAILY TIME RECORD
LOURDES
NAMEA. AZCUETA
For the month of
CABUGAO, ILOCOS SUR (Regular days
and departure (Saturdays
DAY AM PM UNDERTIME
: ARRIVAL : DEPARTUR : ARRIVAL : DEPARTUR : ARRIVAL : DEPARTUR
E E E
1 : : : : : :
2 : : : : :
of day care workers & Incentives
3 of Rhu personnel
: for : : :
4 period october 1 : 0 0 : : :
5 : : : : : :
salaries
6 : : : : :
7 : : : :
8 : : : : :
Total
9 : : : : :
10 : : : : : :
11 : : : : : :
12 : : : : : :
13 : : : : : :
14 : : : : : :
15 : : 0 0 : : :
16 : : : : : :
17 : : : : : :
18 : : : : : :
19 : : : : : :
20 : : : : : :
21 : : : : : :
22 : : : : : :
23 : : : : : :
24 : : : : : :
25 : : : : : :
26 : : : : : :
27 : : : : : :
28 : : : : : :
29 : : : : : :
30 : : : : : :
31 : : : : : :
Total
I CERTIFY on my honor that the above

is true and correct report of the hours of
work performed, record of which was made
daily at the time of arrival and departure
from office.
_______________________________
(Signature of Employee)
Verified as to the prescribed office hours.
_______________________________
In-Charge
PROCUREMENT PROGRAM
Cabugao, Ilocos Sur
LGU
Program Control No. _______
Department:/Office
Item No. Description Unit Cost Quantity Unit Cost
1 Puncher 180.00 1 pc 180.00
2 Stapler 285.00 1 pc 285.00
(Total Amount in Words)

This is to certify that the above procurement program is accordance with the objectives of the LGU.
Recommended by: Reviewed by: Approved by:
EDITO DELA CRUZ LOURDES A. AZCUETA EDGARDO S. COBANGBANG JR.

OIC-General Service Officer Municipal Treasurer Municipal Mayor
OBLIGATION SLIP
No.:
Payee/Office: Richard Saturno Date:

Address: Pila, Cabugao, Ilocos Sur Responsibility Center
LOURDES A. AZCUETA F/P.P.A.

Account
Particulars Amount
Code
Payment of lettering of the mission, objectives, welcome,

2 organizational structure and tables at the ecology office
in the amount of…… 4,300.00
To cash advance of salaries of Municipal employees, Honorarium
of day care workers & Incentives of Rhu personnel for
period october 16-31,2010 4300 0
salaries 692984
honrarium day care 38200
Incentives of Rhu 22659
Total 753843
Total Php 8,600.00

A. Requested by: B. Funds Available
Certified: Charges to appropration/allotment
necessary, lawful and under my direct
supervision 0 0
Signature: Signatures
Printed Name: FLORANTE JARA Printed Name: MARIETTA S. CRUZ
Position: MPDC Position: Municipal Budget Officer
Date: Date:
ACKNOWLEDGMENT RECEIPT FOR EQUIPMENT
CABUGAO, ILOCOS SUR
LGU
No. _________________
Quantity
LOURDES A. AZCUETA Description Property No.
#REF! #REF! #REF!
CABUGAO, ILOCOS SUR #REF!
#REF!
#REF!
#REF!
#REF!
To cash advance of salaries of Municipal employees, Honorarium
#REF!
of day care workers & Incentives of Rhu personnel for #REF!
period october 16-31,2010 #REF! 0 0
#REF!
salaries 692984.41
honrarium day care 38200
Incentives of Rhu 22658.95
Total 753843.36
Received from: Received by:
0 0
EDITO S. DELA CRUZ LOURDES A. AZCUETA
Name Name
GSO Municipal Treasurer

Position Position
________________ ________________
Date Date
Local Government Unit Local Government Unit
Cabugao, Ilocos Sur Cabugao, Ilocos Sur
Standard Form No. SF-GOOD-60 Standard Form No. SF-GOOD-60
Revised on: May 24, 2004 Revised on: May 24, 2004
Standard Form Title: Request for Quotation Standard Form Title: Request for Quotation
___________________________ Date ___________________________
___________________________ ___________________________
Company Name/Address Company Name/Address
1. All entries must be typewritten
2. Delivery period within 3 calendar days
3. Warranty shall be for a period of six(6) months for supplies and materials, one (1) year .
for equipment, from date of acceptance by the procuring entity.
4. G-EPS Registration Certificate shall be attached upon submission of the quotation.
GEMMA TERESA S. CASTILLO

Adm. Assistant II
ITEM NO. ITEM and DESCRIPTION QUANTITY Unit UNIT COST AMOUNT ITEM NO.
Printed name/signature
DATE
Local Government Unit
Cabugao, Ilocos Sur
Standard Form No. SF-GOOD-60
Revised on: May 24, 2004
Standard Form Title: Request for Quotation
___________________________ Date
___________________________
Company Name/Address
1. All entries must be typewritten
2. Delivery period within 3 calendar days
3. Warranty shall be for a period of six(6) months for supplies and materials, one (1) year .
for equipment, from date of acceptance by the procuring entity.
4. G-EPS Registration Certificate shall be attached upon submission of the quotation.
GEMMA TERESA S. CASTILLO

Adm. Assistant II
ITEM and DESCRIPTION QUANTITY Unit UNIT COST AMOUNT
Printed name/signature
DATE
LIQUIDATION REPORT No.:
CABUGAO Date:
LGU Responsibiltiy Center
Code
PARTICULARS AMOUNT
Liquidation of cash advance made for the 2013 National and Local
Election Purposes with check num 713160 to wit;
Overtime Pay 53,295.44

Choc-o's Enterprises-Supplies Expense 6,436.80
Withholding tax paid under O.R. 288.20
TOTAL AMOUNT SPENT 60,020.44
AMOUNT OF CASH ADVANCE PER DV NO. ______-13-05-101 DTD. May 6, 2013 60,000.00
AMOUNT REFUNDED PER O.R. NO. DTD 0.00

AMOUNT TO BE REIMBURSED 20.44
A Certified: Correctness of the B Certified: Purpose of travel/ C Certified: Supporting documents
above data cash advance duly accomplished complete and proper
LOURDES A. AZCUETA JOSH EDWARD S. COBANGBANG ANNA LYN A. SIABABA

Municipal Treasurer Municipal Mayor Municipal Accountant
Claimant Immediate Supervisor Head, Accounting Unit JEV No.
GENERAL FORM NO. 6
Revised January 1992
SUMMARY OF PAYROLLS
LABOR FOR THE TRANSPORTATION OF STAR SCOUT OF CABUGAO DISTRICT
AT GSP HEADQUARTERS VIGAN CITY
Project
CABUGAO, ILOCOS SUR
Agency: Cabugao, Ilocos Sur Period: December 3-16,2015
PAYROLL AMOUNT OF AMOUNT PAID AMOUNT OF

NUMBER ROLLS ON ROLLS UNPAID ROLLS
1 7 0 0
Total 7 0 0
Prepared by: Certified Correct:
GEMMA TERESA S. CASTILLO EDGARDO S. COBANGBANG JR.

ADM. ASST. II/GSO-DESIGNATE MUNICIPAL MAYOR
ACCOUNTING ENTRY
Account Code Debit Credit Certified Correct:
ANNA LYN A. SIABABA

Municipal Accountant
Appendix 33
No. : __________________
PETTY CASH VOUCHER
LGU : ___CABUGAO Date : _________________
Fund : _____________________________
FPP:
Payee/office: TORRES REFRIGERATION AND AIRCON SERVICES ______________________
Address : RIZAL, CABUGAO, ILOCOS SUR
I. To be filled out upon request II. To be filled out upon liquidation
Particulars Amount
Payment of airconditioning 2,650.00 Total Amount Granted ______________
services at the Sangguniang
Bayan Office. Total Amount Paid per
OR/Invoice No. _______ ______________
Amount Refunded/
(Reimbursed)
2,650.00
A Requested by: C
Received Refund
DARIO ROY A. SIRUNO
Signature over Printed Name Reimbursement Paid
Requestor
Approved by:
JOSH EDWARD COBANGBANG JOCELYN R. SEATRIZ

Signature over Printed Name Signature over Printed Name
Immediate Supervisor Petty Cash Custodian
C B
D A
B Paid by: D
Liquidation Submitted
JOCELYN R. SEATRIZ
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian
Cash Received by:
TORRES REFRIGERATION AND AIRCON SERVICES TORRES REFRIGERATION AND AIRCON SERVICES
Signature over Printed Name Signature over Printed Name
Payee Payee
Date: _______________ Date: _______________
m
e
C
oa
sf
h
Republic of the Philippines C
MUNICIPALITY OF CABUGAO, ILOCOS SUR lA
da
No. iv
DISBURSEMENT VOUCHER a
m
an
x CHECK CASH OTHERS cn
Mode of Payment te
:
Payee EVA CLEMENS REINTAR
Responsibility Center
Address: CABUGAO, ILOCOS SUR Office/Unit/Project Code:
EXPLANATION AMOUNT
1,200.00
To reimburse payment of travelling allowance in going to

Procurement Service Baguio City to purchase office supplies as per
supporting papers hereto attached..
A
m
o
u
n
MICHAEL SOMERA ALLAN SOMERA t
D
u
1,200.00 e
D
A.A Certified P.B
Allotment obligated for the purpose as indicated
Funds Available
above
Supporting documents complete
Signature Signature
Printed Name ANNA LYN A. SIABABA Date Printed Name LOURDES A. AZCUETA Date
Municipal Accountant Municipal Treasurer
Position Position
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative
.C Approved for Payment .D Received Payment

Check No. Bank Name Date
Signature
Date Signature
Printed Name JOSH EDWARD S. COBANGBANG
Printed Name EVA CLEMENS REINTAR Date
Municipal Mayor OR/Other Documents JEV No. Date
Position
Head of Agency/Authorized Representative
PROPERTY ACKNOWLEDGMENT RECEIPT
Office : SB OFFICE City/Municipality : Cabugao PAR No. : ___________
Tel. No. : _______________ Province : Ilocos Sur Accounting File
QTY UNIT DESCRIPTION PROPERTY NO. DATE ACQUIRED COST

"PROPERTIES IN THE V.MAYOR'S LOUNGE & OFFICE"
1 PCS SWIVEL CHAIR
1 PCS LONG SOFA (WHITE) 2/29/2016 99, 750.00
1 PCS LONG SOFA (BLACK) 2/29/2016
6 PCS SHORT SOFA 2/29/2016
10 PCS DINING CHAIR 2/29/2016 102, 850.00
1 PCS CONFERENCE TABLE (SOLID WOOD) 2/29/2016 149,950.00
1 PCS TRITANMED AIR PURIFIER
1 PCS WOODEN NAMEPLATE
1 PCS METAL STOCK CABINET
4 PCS SOLID WOOD STOCK CABINET 2/29/2016 302,140.00
1 PCS SMART SAMSUNG TV
1 PCS SAMSUNG REFRIGERATOR ( MODEL: RB29FSRNDSA)
2 PCS KOPPEL (CABINET TYPE AIR CONDITIONER)
1 PCS KOPPEL (WINDOW TYPE AIR CONDITIONER)
Received by: Issued by:
DARIO ROY SIRUNO EVA CLEMENS P. REINTAR

SANGGUNIANG BAYAN SECRETARY SUPPLY OFFICER II
Recipient/User
_____________________ _____________________
Date Date
PROPERTY ACKNOWLEDGMENT RECEIPT

Office : SB OFFICE City/Municipality : Cabugao PAR No. : ___________
Tel. No. : _______________ Province : Ilocos Sur Accounting File
QTY UNIT DESCRIPTION PROPERTY NO. DATE ACQUIRED COST

120 SQ. FT. ROLL UP BLINDS (12PCS @ 9.98sq. Ft.) 2/29/2016 98,802.00
Received by: Issued by:
DARIO ROY SIRUNO EVA CLEMENS P. REINTAR

SANGGUNIANG BAYAN SECRETARY SUPPLY OFFICER II
Recipient/User
_____________________ _____________________
Date Date
Province of Ilocos Sur
No.:
OBLIGATION REQUEST
TRIPLE P ENTERPRISES
Payee:
CABUGAO, ILOCOS SUR
Address:
Responsibility Particulars F.P.P. Account Code Amount

Center
Payment of supplies used in relation to COVID 7,269.00
19 Pandemic
Total 7,269.00
A. CERTIFIED: B. CERTIFIED:
Charges to appropriation/allotment Existence of available appropriation
necessary, lawful and under my
direct supervision.
Supporting documents valid, proper
and legal.
EDGARDO S. COBANGBANG JR. LOLITA S. SUNIO

Municipal Mayor Municipal Budget Officer
Head, Requesting Office/Authorized Representatives
________________
Date Date
LGU - Cabugao, Ilocos Sur
REQUEST FOR QOUTATION
Company Name:_________________________________ Date :_______________
_________________________________ Qoutation No :_______________
Address :_________________________________
Please qoute your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the shortest time of
delivery and submit your qoutation duly signed by your representative not later than ______________________________________
in the return envelope attached herewith.
_________________________________ ROSARIO CORAZON S. ABARA
BAC Chairman
NOTE: 1. ALL ENTRIES MUST BE TYPEWRITTEN
2. DELIVERY PERIOD WITHIN __________________ CALENDAR DAYS
3. WARRANTY SHALL BE A PERIOD OF SIX (6) MONTHS FOR SUPPLIES & MATERIALS, ONE (1) YEAR FOR EQUIPMENT
FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE A PERIOD OF _________________ CALENDAR DAYS
5. PHIL-GEPS REGISTRATION Number ___________________________________
6. BUILDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATION OF THE PRODUCT BEING OFFERED
7. APPROVED BUDGET FOR CONTRACT (ABC) Php__280.00_____________________________________
ITEM NO. UNIT ITEM AND DESCRIPTION QTY. UNIT PRICE AMOUNT
1 lump sum Welding (Self Loader Truck with Boom) 1
Brand Model :_______________________________ Warranty :_____________________________

Deliver Period :_______________________________ Price Validity :_____________________________
After having carefully read and accepted your General Condition, I/We qoute you on the item/s at price noted above.
________________________________
Printed Name & Signature
________________________________
Contact No./Email address
________________________________
Date
_________________________________ Qoutation No :_______________
Address :_________________________________
BAC Chairman
7. APPROVED BUDGET FOR CONTRACT (ABC) Php__1,600.00_____________________________________
1 pcs Acetylene welding of swivel chair 4

________________________________
________________________________
________________________________
Date
_________________________________ Qoutation No :_______________
Address :_________________________________
BAC Chairman
7. APPROVED BUDGET FOR CONTRACT (ABC) Php__1,100.00_____________________________________
1 lump sum Welding & Alignment (Self Loader Truck with Boom) 1

________________________________
________________________________
________________________________
Date
_________________________________ Qoutation No :_______________
Address :_________________________________
BAC Chairman
1 lump sum Welding ( self-loader truck with boom) 1

________________________________
________________________________
________________________________
Date
_________________________________ Qoutation No :_______________
Address :_________________________________
BAC Chairman
1 lump sum Welding and alignment (Dumptruck) 1

________________________________
________________________________
________________________________
Date

Macky'S Machine Shop

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` Municipality of Cabugao, Ilocos Sur

CERTIFICATION ON APPROPRIATIONS, FUNDS AND OBLIGATIONS

Payee: MACKY'S MACHINE SHOP

JERIC BON G. MOTAS

Date Particulars/Reference Liquidations Obligation Increase (Decrease) Balance

Municipality of Cabugao, Ilocos Sur

Payee: MACKY'S MACHINE SHOP

JERIC BON G. MOTAS

Date Particulars/Reference Liquidations Obligation Increase (Decrease) Balance

Municipality of Cabugao, Ilocos Sur

Payee: MACKY'S MACHINE SHOP

JERIC BON G. MOTAS

Municipality of Cabugao, Ilocos Sur

Payee: MACKY'S MACHINE SHOP

JERIC BON G. MOTAS

Date Particulars/Reference Liquidations Obligation Increase (Decrease) Balance

DANDREI GABRIEL S. GAZMEN

Date Particulars/Reference Liquidations Obligation Increase (Decrease) Balance

To whom it may concern: CANVASSERS' CERTIFICATION

PLEASE QUOTE: PER LOT/ PER ITEM SUPPLIER/CONTRACTOR/CONSULTANT'S PROPOSAL BOX

GENERAL CONDITIONS SUPPLIER/CONTRACTOR/CONSULTANTS CERTIFICATION

6. Item/s delivered must have warranties for unit replacements,

7. Price validity shall be for a period of three(3) months; ________________________________

Place of Delivery : _LGU CABUGAO,ILOCOS SUR________________ Delivery Term : ________________________

Conforme: Very truly yours,

Signature over Printed Name of Supplier EDGARDO JR. S. COBANGBANG

Approved per Sanggunian Resolution No.: _____________________________________________________

LGU : CABUGAO, ILOCOS SUR__________________________________ Fund : _____________________

Division : _____________________________FPP Code: __________________

Purpose: Airconditiong Repair Services at The Sb Office

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

LGU : CABUGAO, ILOCOS SUR______________________________ Fund : ___________

Supplier : _MACKY'S MACHINE SHOP______________________________AIR No. : _______________

Date Received : ________________________ Date Inspected : _____________________

Complete Inspected, verified and found in order as to quantity and

EVA CLEMENS P. REINTAR LUCILA SOMERA

LGU : CABUGAO, ILOCOS SUR______________________________ Fund : ___________

Supplier : _MACKY'S MACHINE SHOP______________________________AIR No. : _______________

Date Received : ________________________ Date Inspected : _____________________

Complete Inspected, verified and found in order as to quantity and

EVA CLEMENS P. REINTAR LUCILA SOMERA

LGU : CABUGAO, ILOCOS SUR______________________________ Fund : ___________

Supplier : _MACKY'S MACHINE SHOP______________________________AIR No. : _______________

Date Received : ________________________ Date Inspected : _____________________

Complete Inspected, verified and found in order as to quantity and

EVA CLEMENS P. REINTAR LUCILA SOMERA

LGU : CABUGAO, ILOCOS SUR______________________________ Fund : ___________

Supplier : _MACKY'S MACHINE SHOP_________________________AIR No. : _______________

Complete Inspected, verified and found in order as to

EVA CLEMENS P. REINTAR LUCILA SOMERA

PROPERTY NO.: CABUGAO, ILOCOS SUR

Item Unit Description Quantity

FINDINGS AND RECOMMENDATIONS:

DONELL EUSTAQUIO PERALTA

PROPERTY NO.: CABUGAO, ILOCOS SUR

Item Unit Description Quantity

FINDINGS AND RECOMMENDATIONS:

DONELL EUSTAQUIO PERALTA

PROPERTY NO.:CABUGAO, ILOCOS SUR

Item Unit Description Quantity

FINDINGS AND RECOMMENDATIONS:

DONELL EUSTAQUIO PERALTA

PROPERTY NO.:CABUGAO, ILOCOS SUR

Place of Delivery : _LGU CABUGAO,ILOCOS SUR Delivery Term : ________

LGU : CABUGAO, ILOCOS SUR______________ Fund : _

Division : ___________FPP Code:

LGU : CABUGAO, ILOCOS SUR____________________ Fund : _

Supplier : _MACKY'S MACHINE SHOP________________AIR No. : _

Date Received : ____ Date Inspected : _

LGU : CABUGAO, ILOCOS SUR____________________ Fund : _

Supplier : _MACKY'S MACHINE SHOP________________AIR No. : _

Date Received : ____ Date Inspected : _

LGU : CABUGAO, ILOCOS SUR____________________ Fund : _

Supplier : _MACKY'S MACHINE SHOP________________AIR No. : _

Date Received : ____ Date Inspected : _

LGU : CABUGAO, ILOCOS SUR____________________ Fund : _

Supplier : _MACKY'S MACHINE SHOP___________AIR No. : _