REQUISTION AND ISSUE SLIP

Barangay: SALABAN Municipality: San Jose RIS No.:

Contact No.: Province: Batangas Date:

UNIT PARTICULARS Quantity QTY Remarks/Amount

FULLY CONSUMED
sacks Welled Milled Rice 12 1,420.00 17,040.00
box Canned Goods- Corned Beef 150g 4 1,245.00 4,980.00
box Canned Goods- Meatloaf 7 1,390.00 9,730.00
box Canned Goods- Sardines 7 2,640.00 18,480.00
box Noodles 72 9 1,220.00 10,980.00
box Coffee Twin Pack 240 9 2,630.00 23,670.00
box 1.4L Oil 90 150.00 13,500.00
pcs Eco Bag 90 18.00 1,620.00

(Total Amount in Words) One hundred thousand pesos only 100,000.00

Purpose: For Barangay Senior and PWD

B.Approval for
A. Requested by: C. Received by: D. Issued by:
Issuance

Signature:
Printed Name: ALOHA A. CARRILLO ARMANDO BRIONES SHCERMA MAYE MANALO ALOHA A. CARRILLO
Designation: Barangay Treasurer Punong Barangay Barangay Secretary Barangay Treasurer
Date: December 31, 2023 December 31, 2023 December 31, 2023 December 31, 2023
 SUMMARY OF WELFARE GOODS ISSUED
Barangay SALABAN, San Jose, Batangas
For the period of December 31, 2023
ITEM Requistion and Issue Slip Numbers Total
Unit of Quantity Issued Quantity Unit Cost Total Cost
Mueasurement Issued
No. Description (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
1 Welled Milled Rice sacks 12 12 1,420.00 17,040.00
2 Canned Goods- Corned Beef 150g box 4 4 1,245.00 4,980.00
3 Canned Goods- Meatloaf box 7 7 1,390.00 9,730.00
4 Canned Goods- Sardines box 7 7 2,640.00 18,480.00
5 Noodles 72 box 9 9 1,220.00 10,980.00
6 Coffee Twin Pack 240 box 9 9 2,630.00 23,670.00
7 1.4L Oil box 90 90 150.00 13,500.00
8 Eco Bag pcs 90 90 18.00 1,620.00
9
10
11
12
13
14
15

Prepared by: Certified by: Posted in the SLC by/date:

ALOHA A. CARRILLO ARMANDO BRIONES ALOHA A. CARRILLO

Barangay Treasurer Punong Barangay Barangay Treasurer

149.75
 Annex 21

INVENTORY CUSTODIAN SLIP

Barangay: SALABAN City/Municipality: San Jose ICS No.: 2023-12-001
Tel No.: Province: Batangas
Quantity Unit Description Estimated Useful Life
12 sacks Welled Milled Rice 1 MONTH
4 box Canned Goods- Corned Beef 150g 1 MONTH
7 box Canned Goods- Meatloaf 1 MONTH
7 box Canned Goods- Sardines 1 MONTH
9 box Noodles 72 1 MONTH
9 box Coffee Twin Pack 240 1 MONTH
90 box 1.4L Oil 1 MONTH
90 pcs Eco Bag 1 MONTH

Received by: Issued by:

SHCERMA MAYE MANALO ALOHA A. CARRILLO

(Signature Over Printed Name) (Signature Over Printed Name)
Barangay Secretary Barangay Treasurer

DECEMBER 31, 2023 DECEMBER 31, 2023

Date Date
 Republic of the Philippines
Province of Batangas
Municipality of San Jose
Barangay SALABAN

CERTIFICATION
This is to certify that Barangay SALABAN, Utilized and issued the following
Welfare Goods Supplies Inventory.

UNIT DESCRIPTION QTY Unit Cost Total Cost

sacks Welled Milled Rice 12 1,420.00 17,040.00
box Canned Goods- Corned Beef 150g 4 1,245.00 4,980.00
box Canned Goods- Meatloaf 7 1,390.00 9,730.00
box Canned Goods- Sardines 7 2,640.00 18,480.00
box Noodles 72 9 1,220.00 10,980.00
box Coffee Twin Pack 240 9 2,630.00 23,670.00
box 1.4L Oil 90 150.00 13,500.00
pcs Eco Bag 90 18.00 1,620.00

TOTAL 100,000.00

Issued on the 31ST day of December 2023.

Certified by: Noted by:

ALOHA A. CARRILLO ARMANDO BRIONES

Barangay Treasurer Punong Barangay
 ANNEX 31
REPORT ON INVENTORY OF SUPPLIES AND MATERIALS
As of December 31, 2023
Barangay: DAGATAN City/Municipality: SAN JOSE
Tel No.: Province: BATANGAS
For which ALOHA A. CARRILLO Barangay Treasurer is accountable, having assumed accountability on December 31, 2023
(Name of Accountable Officer) (Official Designation) (Date of Assumption)

STOCK UNIT OF BALANCE PER ON HAND PER SHORTAGE/OVERAGE

ARTICLE DESCRIPTION NUMBER MEASURE UNIT VALUE CARD COUNT REMARKS
(QUANTITY) (QUANTITY) QUANTITY VALUE

rice Welled Milled Rice 2023-10-001 sacks 1,420.00 0

goods Canned Goods- Corned Beef 150g 2023-10-002 box 1,245.00 0
goods Canned Goods- Meatloaf 2023-10-003 box 1,390.00 0
goods Canned Goods- Sardines 2023-10-004 box 2,640.00 0 fully distributed
noodles Noodles 72 2023-10-005 box 1,220.00 0
coffee Coffee Twin Pack 240 2023-10-006 box 2,630.00 0
oil 1.4L Oil 2023-10-007 box 150.00 0
bag Eco Bag 2023-10-008 pcs 18.00 0

Prepared by: Approved by:

ALOHA A. CARRILLO EDWIN G. ANONUEVO ARMANDO BRIONES

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Barangay Treasurer Punong Barangay or Representative Punong Barangay
Member, Inventory Committee Chairman, Inventory Committee
December 31, 2023 December 31, 2023 December 31, 2023
Date Date Date