Mooe Forms October 2021

1600/2306 0605/2306 Payment
tarelco 10,551.47 471.05 188.42 9,892.00

water (NORTH) 3,042.00 - - 3,042.00
water (SOUTH) 774.00 - - 774.00
SIXTO DELA CRUZ 4,000.00 - - 4,000.00
GLOBE (SCHOOL) 1,222.50 54.58 21.83 1,146.09
GLOBE (DISTRICT) 999.00 44.60 17.84 936.56
NAYA TRADING- EXAM 6,410.40 286.18 114.47 6,009.75
MME-TEV 3,000.00 - - 3,000.00
MAI-TEV 2,000.00 - - 2,000.00
CUYAPO COPY CENTER-GRAD PROGRAM 9,600.00 288.00 96.00 9,216.00
VILLANUEVA CONSTRUCTION SUPPLY 5,422.00 162.66 54.22 5,205.12
MME-DOCS STAMP 4,080.00 - - 4,080.00
DONDON-RIBBONS 1,360.00 40.80 13.60 1,305.60
DONDON-CHAIRS, TABLES, STAGE DÉCOR 4,544.00 136.32 90.88 4,316.80
NAYA TRADING- GR VI DIPLOMA PRINTING 1,700.00 75.89 30.36 1,593.75
NAYA TRADING- KINDER DIPLOMA PRINTING 732.00 32.68 13.07 686.25
FEEDING LAST TRANCHE EMIE 7,920.00 237.60 79.20 7,603.20
67,357.37 1,830.35 719.89 57,203.93
Department of Education
Region III
Schools Division of Nueva Ecija
District of NAMPICUAN
NAMPICUAN CENTRAL SCHOOL
PURCHASE REQUEST
Entity Name: Department of Education Fund Cluster: 01
Office/Section : PR No.: 2018-08-25 Date:

NAMPICUAN CENTRAL
SCHOOL Responsibility Center Code : __________________
Stock/ Property No. Unit Item Description Qty Unit Cost Total Cost
1 Ream Hard Copy Coupon Bond Long 10 220.00 2200.00

2 Ream Hard Copy Coupon Bond Short 2 210.00 420.00
3 Piece Folder Red Long 50 9.00 450.00
4 Piece Expandable Folder Long 10 15.00 150.00
5 Piece Arc File 2 200.00 400.00
6 Piece Colored Folders Long 60 9.00 540.00
7 Piece Epson Ink # 6642 Cyan 1 300.00 300.00
8 Piece Epson Ink # 6643 Magenta 1 300.00 300.00
9 Piece Epson Ink # 6644 Yellow 1 300.00 300.00
10 Piece Epson Ink # 6641 Black 1 300.00 300.00
11 Piece Magazine Box Big 5 315.00 1575.00
12 Piece Elmer's Glue 3 45.00 135.00
TOTAL 7,070.00
Purpose: Purchase of Office Supplies
_______________________________________________________________
_______________________________________________________________
Requested by: Approved by:

Signature : _________________________ ___________________________
Printed Name : CHARLIE A. CAYANGA, JR MARILOU M. EUGENIO
Designation : PROPERTY CUSTODIAN SCHOOL HEAD/Teacher in charge
151
Region III
DISTRICT OF NAMPICUAN
REQUEST FOR QUOTATION

Date: 8/20/2018
Quotation Reference Number: 2018-07-73
CUYAPO COPY CENTER AND GENERAL MERCHANDISE

Cuyapo, Nueva Ecija
Sir/Madam:
Please quote your lowest price on the item/s listed below, stating the shortest time of delivery and submit your quotation thru email at
csnampicuan@yahoo.com or fax at___________________ not later than August 22, 2018.
MARIA CRYSTAL PEARL S. FUELLOS MARILOU M. EUGENIO

Canvasser Principal/Assistant Principal
PROCUREMENT TERMS AND CONDITIONS

1. The Approved Budget for the Contract is PhP 7,070.00
2. Price quoted are subject to deduction of 3% Non -VAT & 1% EWT (for goods) or 5%VAT & 2%EWT (for services)
3. Goods, supplies, equipment or work done are subject to inspection/acceptance, DepED reserves the right to cancel
reject or rebid the items which do not conform with the specifications.
4. Complete technical specifications, brand & model must be indicated in the price quotation for evaluation purposes.
5. Delivery period shall be indicated in the quotation. A liquidated damages equivalent to 1/10 of 1% per day
of delay for the value of undelivered items shall be imposed.
6. All bids in excess of the ABC will be rejected.
7. Supplier warrants that he/she has not given nor promised to give any money or gift to any DepEd employee to
secure this offer and to obtain an award.
Item No. Quantity Unit Item and Description Unit Price Total Amount
1 10 Ream Hard Copy Coupon Bond Long 220.00 2200.00
2 2 Ream Hard Copy Coupon Bond Short 210.00 420.00
3 50 Piece Folder Red Long 9.00 450.00
4 10 Piece Expandable Folder Long 15.00 150.00
5 2 Piece Arc File 200.00 400.00
6 60 Piece Colored Folders Long 9.00 540.00
7 1 Piece Epson Ink # 6642 Cyan 300.00 300.00
8 1 Piece Epson Ink # 6643 Magenta 300.00 300.00
9 1 Piece Epson Ink # 6644 Yellow 300.00 300.00
10 1 Piece Epson Ink # 6641 Black 300.00 300.00
11 5 Piece Magazine Box Big 315.00 1575.00
12 3 Piece Elmer's Glue 45.00 135.00
*************** 7,070.00
Delivery Period:
Warranty: -
Price Validity: -
Delivery Term: Complete
Payment Term: Check
After having carefully read and accept your Procurement Terms & Conditions, I/We quote you on the item at prices
noted above.
PRINTED NAME/SIGNATURE
Designation:
Company Name: CUYAPO COPY CENTER AND GENERAL MERCHANDISE
Business Address: Cuyapo, Nueva Ecija
Telephone Number/CP number:

Email Address:
Region III

Date: 8/20/2018
NAMPICUAN BUSINESS CENTER AND GENERAL MERCHANDISE

Nampicuan, Nueva Ecija
Sir/Madam:


2. Price quoted are subject to deduction of 5% VAT & 1% EWT (for goods) or 5%VAT & 2%EWT (for services)
2 2 Ream Hard Copy Coupon Bond Short 210.00 420.00
5 2 Piece Arc File 15.00 410.00
*************** 7,370.00
Delivery Period:
Warranty: -
Price Validity: -
Payment Term: Check
noted above.
Designation:
Company Name: NAMPICUAN BUSINESS CENTER AND GENERAL
MERCHANDISE
Business Address: Nampicuan, Nueva Ecija

Email Address:
Region III

Date: 8/20/2018
ANAO BUSINESS CENTER AND GENERAL MERCHANDISE

Anao, Tarlac
Sir/Madam:


2. Price quoted are subject to deduction of 5% VAT & 1% EWT (for goods) or 5%VAT & 2%EWT (for services)
2 2 Ream Hard Copy Coupon Bond Short #REF! 410.00
5 2 Piece Arc File 18.00 410.00
*************** 7,530.00
Delivery Period:
Warranty: -
Price Validity: -
Payment Term: Check
noted above.
Designation:
Company Name: ANAO BUSINESS CENTER AND GENERAL
MERCHANDISE
Business Address: Anao, Tarlac

Email Address:
Region III
ABSTRACT OF CANVASS BID

FOR THE PURCHASE OF OFFICE SUPPLIES
Held on August 20, 2018
CUYAPO COPY CENTER AND NAMPICUAN BUSINESS CENTER ANAO BUSINESS CENTER AND
GENERAL MERCHANDISE AND GENERAL MERCHANDISE GENERAL MERCHANDISE
QTY UNIT ARTICLES
UNIT PRICE TOTAL UNIT PRICE TOTAL UNIT PRICE TOTAL
10 Ream Hard Copy Coupon Bond Long 220.00 2200.00 230.00 2,300.00 220.00 2,200.00
2 Ream Hard Copy Coupon Bond Short 210.00 420.00 210.00 420.00 205.00 410.00
50 Piece Folder Red Long 9.00 450.00 10.00 500.00 12.00 600.00
10 Piece Expandable Folder Long 15.00 150.00 15.00 150.00 18.00 180.00
2 Piece Arc File 200.00 400.00 205.00 410.00 205.00 410.00
60 Piece Colored Folders Long 9.00 540.00 10.00 600.00 12.00 720.00
1 Piece Epson Ink # 6642 Cyan 300.00 300.00 310.00 310.00 315.00 315.00
1 Piece Epson Ink # 6643 Magenta 300.00 300.00 310.00 310.00 315.00 315.00
1 Piece Epson Ink # 6644 Yellow 300.00 300.00 310.00 310.00 315.00 315.00
1 Piece Epson Ink # 6641 Black 300.00 300.00 310 310.00 315 315.00
5 Piece Magazine Box Big 315.00 1575.00 320.00 1,600.00 320.00 1,600.00
3 Piece Elmer's Glue 45.00 135.00 50.00 150.00 50.00 150.00
TOTAL 7,070.00 7,370.00 7,530.00
Recommending award to CUYAPO COPY CENTER AND GENERAL MERCHANDISE

Prices considered just and reasonable and does not exceed the prices prevailing in the locality.
MARIA CRYSTAL PEARL S. FUELLOS CHARLIE A. CAYANGA, JR. MARILOU M. EUGENIO

School Treasurer School Property Custodian School Head
Region III
PURCHASE ORDER
Supplier : CUYAPO COPY CENTER AND GENERAL MERCHANDISE P.O. No. : 2018-08-25
Address : Cuyapo, Nueva Ecija Date:
TIN : 155-299-258 Mode of Procurement : DELIVERY
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Place of Delivery : NAMPICUAN CENTRAL SCHOOL Delivery Term : COMPLETE

Date of Delivery : Payment Term : CHECK
Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 Ream Hard Copy Coupon Bond Long 10 220.00 2,200.00
2 Ream Hard Copy Coupon Bond Short 2 210.00 420.00
3 Piece Folder Red Long 50 9.00 450.00
4 Piece Expandable Folder Long 10 15.00 150.00
5 Piece Arc File 2 200.00 400.00
6 Piece Colored Folders Long 60 9.00 540.00
7 Piece Epson Ink # 6642 Cyan 1 300.00 300.00
8 Piece Epson Ink # 6643 Magenta 1 300.00 300.00
9 Piece Epson Ink # 6644 Yellow 1 300.00 300.00
10 Piece Epson Ink # 6641 Black 1 300.00 300.00
11 Piece Magazine Box Big 5 315 1,575.00
12 Piece Elmer's Glue 3 45 135.00
7,070.00
(Total Amount in Words) Seven Thousand Seventy Pesos Only
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,
MELINDA G. CALLO MARILOU M. EUGENIO

Signature over Printed Name of Supplier Signature over Printed Name of School
Principal/Teacher in Charge
PRINCIPAL-II
Date Designation
Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

Funds Available : _________________________________ Date of the ORS/BURS: _______________
Amount : ____________________________
MARIA CRYSTAL PEARL S. FUELLOS
Signature over Printed Name of Disbursing officer/School Treasurer
153
Region III
INSPECTION AND ACCEPTANCE REPORT
Fund Cluster : 01
Supplier : CUYAPO COPY CENTER AND GENERAL MERCHANDISE IAR No. : 2018-25
PO No./Date : 2018-08-25 Date :
Requisitioning Office/Dept. : _______________________________ Invoice No. :
Responsibility Center Code : _______________________________ Date :
Stock/
Description Unit Quantity
Property No.
1 Hard Copy Coupon Bond Long Ream 10
2 Hard Copy Coupon Bond Short Ream 2
3 Folder Red Long Piece 50
4 Expandable Folder Long Piece 10
5 Arc File Piece 2
6 Colored Folders Long Piece 60
7 Epson Ink # 6642 Cyan Piece 1
8 Epson Ink # 6643 Magenta Piece 1
9 Epson Ink # 6644 Yellow Piece 1
10 Epson Ink # 6641 Black Piece 1
11 Magazine Box Big Piece 5
12 Elmer's Glue Piece 3
INSPECTION ACCEPTANCE
Date Inspected : Date Received :
Inspected, verified and found in Complete

order as to quantity and
specifications Partial (pls. specify quantity)
CHEERILYN T. TRASPE CHARLIE A. CAYANGA, JR.

Inspection Officer/Inspection Committee Supply and/or Property Custodian
Region III
SDO-NAMPICUAN ANNEX
Fund Cluster : 01
DISBURSEMENT VOUCHER Date : 7/02 /2020

DV No. : 2020-06-48
Mode of / MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
TIN/Employee No.: 233-564-058 ORS/BURS No.:
Payee JANEL'S TRADING
DOŇA CARMEN, ANAO, TARLAC
Address
Particulars Responsibility Center MFO/PAP Amount
JANEL'S TRADING
JANEL'S TRADING, Payment for School Supplies (bond

papers and Ink) for the month of June 2020
GROSS AMOUNT P 33,450.00
TAX WITHHELD
NON VAT 3% 1003.50 1338.00
1% 334.50 P
Amount Due 32,112.00
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
NOELITO M. BEDASUA
School Head/ Teacher in charge
B. Accounting Entry:
Account Title UACS Code Debit Credit
Office Supplies Expense 5020301000 33,450.00
Advances t o perating Expense 1990104000 33,450.00
C. Certified: D. Approved for Payment

Cash available
Subject to Authority to Debit Account (when applicable)
Thirty Two thousand One hundred twelve pesos
Su
proper
Signature Signature
Printed
Printed Name
Name MIRIAM A. ILDEFONSO NOELITO M. BEDASUA
Position ADAS III Position School Head/Teacher in Charge
Date 7/2/2020 Date 7/2/2020
E. Receipt of Payment JEV No.

Check/
ADA No. : 626754 Date : 07/ 02/2020 Bank Name & Account Number:
LBP 1092-1101-48
Date : 07/ 02/2020 Printed Name: MARCO B. VIDAD Date
Signature :
Official Receipt No. & Date/Other Documents 7/2/2020
92
Region III
SDO-NAMPICUAN ANNEX
Fund Cluster : 01
DISBURSEMENT VOUCHER Date: 01/ 24/2022

DV No.:2022-01

Payment
_________________
TIN/Employee No.: ORS/BURS No.:
Payee TARLAC I ELECTRIC COOPERATIVE INC
000-543-781-006
AMACALAN, GERONA, TARLAC
Address
TARLAC I ELECTRIC COOPERATIVE INC
Payment for electricity expense for the month of December

2021
TAX WITHHELD
VAT 5% 135.38 193.06
2% 57.68 P
Amount Due 2,690.40
NOELITO M. BEDASUA
Electricity Expense 5020402000 2,884.08
Advances to Operating Expense 1990102000 2,884.08

Cash available
Two thousand six hundred ninety and 40/100 pesos
Su
proper
Signature Signature
Printed
Printed Name
Name RONNEL D. DAGDAG NOELITO M. BEDASUA
Position ADAS II Position School Head/Teacher in Charge
Date Date

Check/ Date : 01/ 24 /2022 Bank Name & Account Number:
ADA No. : LBP 1092-1101-48
Date : 01/ 24 /2022 Printed Name: Date
Signature :
Official Receipt No. & Date/Other Documents
92
Region III
SDO-NAMPICUAN ANNEX
Fund Cluster : 01
Date : 11/03/2021
DISBURSEMENT VOUCHER DV No.:2021-10-134
Mode of
/ MDS Check Commercial Check ADA Others (Please specify)
Payment
_________________
Payee NOELITO M. BEDASUA
905-546-286
AMBASSADOR ALZATE VILLAGE, NAMPICUAN. NUEVA ECIJA
Address
NOELITO M. BEDASUA
Reimbursement payment for Tax withheld for the month of October 2021
GROSS AMOUNT P 513.02
P
Amount Due 513.02
NOELITO M. BEDASUA
Tax Expense ₱513.02
Advances to Operating Expense 1990104000 ₱513.02

Cash available

Five hundred thirteen and 02/100 pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 11/3/2020 Date 11/3/2020

Check/
ADA No. : 649731 Date : 11/ 03 /2021 Bank Name & Account Number:
LBP 1092-1101-48
Date : 11/ 03 /2021 Printed Name: NOELITO M. BEDASUA Date
Signature :
92
Region III
SDO NAMPICUAN ANNEX
Fund Cluster : 01
Date : 04/27/2021
DISBURSEMENT VOUCHER DV No. : 2021-04-42
Mode of
Payment
_________________
Payee MIRIAM A. ILDEFONSO
5388414
SOUTHWEST POB., NAMPICUAN, NUEVA ECIJA
Address
MIRIAM A. ILDEFONSO
Reimbursement for Travel expense for the month of February and March, 2021
P 3,000.00
P
Amount Due 3,000.00
NOELITO M. BEDASUA
Travel Expenses 5020101000 ₱3,000.00
Advances to Operating Expense 1990104000 ₱3,000.00

Cash available

Three thousand pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 27-Apr-20 Date 27-Apr-20

Check/
ADA No. : 649654 Date: 04/ 27 /2020 Bank Name & Account Number:
LBP 1092-1101-48
Date: 04/ 27 /2020 Printed Name:MIRIAM A. ILDEFONSO Date
Signature :
92
Region III
SDO NAMPICUAN ANNEX
Fund Cluster : 01
DISBURSEMENT VOUCHER Date : 01/04/2022

DV No. : 2022-01- 1

Payment
_________________
Payee NAMPICUAN WATERWORKS SYSTEM
NAMPICUAN, NUEVA ECIJA
Address
NAMPICUAN WATERWORKS SYSTEM

NAMPICUAN WATERWORKS SYSTEM, Payment for
water expense of North Wing for the period 11/15/2021 -
12/13/2021
TAX WITHHELD
NON VAT 0%
0%
Amount Due P 1,134.00
NOELITO M. BEDASUA
Water Expenses 5020401000 1,134.00
Advances for Operating Expenses 1990104000 1,134.00

Cash available
One thousand one hundred thirty four pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 01/ /2022 01/ /2022

Check/ Date : 01/ /2022 Bank Name & Account Number:
ADA No. : cash LBP 1092-1101-48
Date : 01/ /2022 Printed Name: VENUS MADRONIO Date
Signature :
Official Receipt No. & Date/Other Documents 01/ /2022
92
Region III
Fund Cluster : 01
DISBURSEMENT VOUCHER Date : 01/25 /2022

DV No. : 2022-01-

Payment
_________________
Payee PLDT INC.
Tarlac, Tarlac
Address
PLDT INC.
payment for the Internet Connection in the North wing of NCS with
acct#0318540160 for the month of January , 2022
TAX WITHHELD
VAT 5% 93.71 131.19
2% 37.48
NOELITO M. BEDASUA
Internet subscription Expenses 5020503000 2,099.00

Cash available
One thousand nine hundred sixty seven and 81/100 pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 01/25/2022 Date 01/25/2022

ADA No. : LBP 1092-1101-48
Signature :
92
Region III
Fund Cluster : 01
Date : 01/24/2022
DISBURSEMENT VOUCHER DV No. : 2022-01
Mode of
Payment
_________________
Payee DIOSUA S. RESARE
Address
DIOSUA S. RESARE
Payment for SERVICES RENDERED AS WATCHMAN for the month of

January ,2022

NOELITO M. BEDASUA
Security Expense 5021203000 6,500.00

Cash available

Six thousand five hundred pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 01/24/2021 Date 01/24/2021

Check/ Date : 01/24/2022 Bank Name & Account Number:
ADA No. : LBP 1092-1101-48
Date : 01/24/2022 Printed Name: DIOSUA S. RESARE Date
Signature :
92
Region III
Fund Cluster : 01
Date : 10/29/2021
Mode of
Payment
_________________
Payee GLADYS JANE B. CASIANO
Address
GLADYS JANE B. CASIANO
Reimbursement of Payment for Travel expense of AO II for the month of September

2021

NOELITO M. BEDASUA
Travel Expense 5020101000 1,250.00

Cash available

One thousand two hundred fifty pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 29-Oct-21 Date 29-Oct-21

Check/
ADA No. : 649730 Date : 10/29/2021 Bank Name & Account Number:
LBP 1092-1101-48
Date : 10/29/2021 Printed Name: GLADYS JANE B. CASIANO Date
Signature :
92
Region III
SDO-NAMPICUAN ANNEX
Fund Cluster : 01

DV No. : 2021-10-132
Mode of MDS Check Commercial Check ADA Others (Please specify)

Payment
_________________
Payee BIR
CABANATUAN CITY
Address
BIR
payment for the taxwithheld 1600 (MOOE) for the month of

October 2021
GROSS AMOUNT P 306.04
Amount Due P 306.04

NOELITO M. BEDASUA

Cash available
Three hundred six and 04/100 pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 11/3/2021 Date 11/3/2021

Check/ Date : 11/03/ 2021 Bank Name & Account Number:
ADA No. : CASH LBP 1092-1101-48
Date : 11/03/ 2021 Printed Name: Date
Signature :
92
Region III
SDO-NAMPICUAN ANNEX
Fund Cluster : 01

DV No. : 2022-01-

Payment
_________________
Payee PLDT INC.
Tarlac, Tarlac
Address
PLDT INC.
payment for the Internet Connection in the south wing of NCS with
acct#0317697392 for the month of January, 2022
TAX WITHHELD
VAT 5% 71.38 99.93
2% 28.55
NOELITO M. BEDASUA
Internet subscription Expenses 5020503000 1,599.00

Cash available
One thousand four hundred ninety nine and 07/100 pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 01/ 25 /2021 Date 01/ 25 /2021

ADA No. : LBP 1092-1101-48
Signature :
Official Receipt No. & Date/Other Documents 01/ 25 /2021
92
Region III
Fund Cluster : 01
Date : 07/30/2021
Mode of
Payment
_________________
Payee RONNEL D. DAGDAG
CUYAPO, Nueva Ecija
Address
RONNEL D. DAGDAG
Reimbursement of Travel Expense of ADAS II for the month of June-July 2021

NOELITO M. BEDASUA
Travel expense 5020101000 2,750.00

Cash available

Two thousand seven hundred fifty pesos
Su
proper
Signature Signature
Printed
Printed Name
\ 30-Jul-21 Date 30-Jul-21

Check/
LBP 1092-1101-48
Date : 07/30/2021 Printed Name: RONNEL D. DAGDAG Date
Signature :
Official Receipt No. & Date/Other Documents 30-Jul-21
92
Region III
Fund Cluster : 01
Date : 07/30/2021
Mode of
Payment
_________________
Payee CIBRR INTERNET SERVICES
769-716-571-000
NAMPICUAN, NUEVA ECIJA
Address
CIBRR INTERNET SERVICES
Payment for Internet Subscription (Connectivity) for the

month of July 2021
TAX WITHHELD
VAT 1% 21.20 63.60
2% 42.40

NOELITO M. BEDASUA
Internet Subscription Expenses 5020503000 2,120.00

Cash available

Two thousand fifty six and 40/100 pesos
Su
proper
Signature Signature
Printed
Printed Name
Date 30-Jul-21 Date 30-Jul-21

Check/
LBP 1092-1101-48
Date : 07/30/2021 Printed Name: Irine Benidicto Date
Signature :
Official Receipt No. & Date/Other Documents 30-Jul-21
92
DEPARTMENT OF EDUCATION
DIVISION OF NUEVA ECIJA
NAMPICUAN DISTRICT, NUEVA ECIJA
FOR THE MONTH OF DECEMBER, 2017
CASH DISBURSEMENT REGISTER
WORKING FUND 5020101000 5020201000 5020301000 5020307000 5020399000 5020401000 5020402000 5020503000 5021299000 5021203000 5021202000 5021304002 5021299000 5021307000 5021304099 5021502000 5029999002 2020101000
Date of Check No. Of Check PAYEE Particulars Gross Amount Tax withheld Internet Rep&Main-
Issued Issued CASH ADVANCE PAYMENT FUND BALANCE Travelling Ex.
Training Office Supplies Drugs, Medicine Other Supplies
Water Ex. Electricity Ex. Subscription
Other Security Janitorial Rep&Main- Rep&Main-IT
Furniture &
Rep&Main- Fidelity Bond
Other MOOE Due to BIR
Expenses Ex. Ex. Ex. Gen.Services Services Services Schl.Bldg. EQ. Other Structures Premium
Expenses Fixtures
LBP ACCOUNT FORWARDED BALANCE 10,006.70
37,102.00 47,108.70
MOOE DOWNLOADING FOR THE
MONTH OF DECEMBER, 2017
payment for the taxwithheld 1600

LBP-BIR
859.68
payment for the taxwithheld
1601-e
LBP-BIR
293.41
TOTAL - - 47,108.70 - - - - - - - - - - - - - - - - - - - 1,153.09
Certified Correct: Certified Correct: Approved:

MARILOU M. EUGENIO MARAH M. PACSON RONALDO A. POZON, Ph.D., CESO V
SCHOOL HEAD DIVISION ACCOUNTANT SCHOOLS DIVISION SUPERINTENDENT
DATE DATE DATE

LIQUIDATION REPORT No:
Date:December 10, 2020
Department of Education Responsibility Center
Sama-Sama Region III Code:
sa DepEd Division of Nueva Ecija
PARTICULAR Amount
TO LIQUIDATE DOWNLOADED MOOE FOR THE MONTH OF November and December 2020 AMOUNTING TO
One hundred eleven thousand Four hundred eighty one and 50/100 pesos 111,481.50
TOTAL AMOUNT SPENT

111,481.50
BALANCE OF PREVIOUS CASH ADVANCE
790.15
AMOUNT OF CASH ADVANCE PER DV NO.
111,191.35
BALANCE OF CASH ADVANCE DTD.
500.00
A Certified: Correctness of the B Certified: Purpose of travel/cash C Certified: Supporting documents
above data: advance duly accomplished: complete and proper:
Pre-Audited by:
MARILOU M. EUGENIO ARNOLD M. GALVEZ, PhD MARIBEL B. BARRIENTOS
Claimant Immediate Supervisor ADAS III
Designation: SP II
School: NAMPICUAN CENTRAL SCHOOL
MOOE ATTACHMENTS
*** Inspectors should be included in the pictures (while cheking goods/evaluating output of services)
For the purpose of actual validation of purchases
Please accomplish and arrange in order.
Travel Expenses Purchased supplies and materials

1. Picture of Check 1. Picture of Check
2. Disbursement Voucher 2. Disbursement Voucher
3. Travel Order 3. Invoice/OR/DR/RER
4. Duly Approved Itinerary of travel 4. Pictures***
5. Certificate of travel completed 5. IAR
6. Certificate of appearance 6. Purchase Order (P.O.)
7. Attach Memorandum Req.(if) training/Seminar attaended 7. Abstract of Open Canvass
8. For rentals of van, Acknowledgment receipt 8. Request for Quotations (RFQs)
9. Purchase Request (P.R.)
Training Expenses 10. Property Acknowledgment Receipt (PAR) if equipment; Inventory Custodian Slip if semi-expendable
1. Picture of Check
2. Disbursement Voucher General Services/ Security/ Janitorial services
3. Memorandum 1. Picture of Check
4. Official receipt 2. Disbursement Voucher
5.Certificate of appearance 3. Contract of service
6. Photocopy of Certificate of Participation 4. Duly approved DTR
5. Accomplishment report
Water/Electricity/Internet Expenses
1. Picture of Check Tax remittances
2. Disbursement Voucher (1 for supplier, 1 for reimbursing personnel) 1. Disbursement Voucher (1 for supplier, 1 for reimbursing personnel)
3. Statement of Account/Bill 2.Picture of Check
4. Official Receipt 3.Deposit slip
6. BIR form 2306 4.BIR form 1600
7. BIR form 2307 5.BIR form 1601-E
6.Alphalist of 1601-E
Repairs & Maintenance
1. Picture of Check
2. Disbursement Voucher
3. Invoice/OR/DR
4. Pictures with Caption***
(before, during, after)
5. IAR
6. Purchase Order (P.O.)
7. Abstract of Open Canvass
8. Request for Quotations (RFQs)
9. Program of works
10. Purchase Request (P.R.)
11. Labor Contract
12. Labor Payroll and
Acknowledgment Receipt
*for repairs 10,000 and above
1.Letter request duly approved by the Schools Division Superintendent
*for repairs with donated materials
1. Certificate or copy of the received donated materials/Proof of donation/Resolution
Account Codes for Disbursement Vouchers
5020101000 Travel Expenses
5020201000 Training Expenses
5020301000 Office Supplies Expenses
5020307000 Drugs, Medicine Expenses
5020399000 Other Supplies Expenses
5020401000 Water Expenses
5020402000 Electricity Expenses
5020503000 Internet Subscription Expenses
5021299000 Other Gen.Services
5021203000 Security Services
5021202000 Janitorial Services
5021304002 Rep&Maintenance-School Building
5021299000 Rep&Maintenance-IT Equipment
5021307000 Rep&Main-Furniture & Fixtures
5021304099 Rep&Main-Other Structures
5021502000 Fidelity Bond Premium
5029999002 Other MOOE
1990104000 Advances for Operating Expenses

Mooe Forms October 2021

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Mooe Forms October 2021

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1600/2306 0605/2306 Payment

tarelco 10,551.47 471.05 188.42 9,892.00

Entity Name: Department of Education Fund Cluster: 01

Office/Section : PR No.: 2018-08-25 Date:

1 Ream Hard Copy Coupon Bond Long 10 220.00 2200.00

Requested by: Approved by:

NAMPICUAN CENTRAL SCHOOL

REQUEST FOR QUOTATION

CUYAPO COPY CENTER AND GENERAL MERCHANDISE

MARIA CRYSTAL PEARL S. FUELLOS MARILOU M. EUGENIO

PROCUREMENT TERMS AND CONDITIONS

Business Address: Cuyapo, Nueva Ecija

Telephone Number/CP number:

NAMPICUAN CENTRAL SCHOOL

REQUEST FOR QUOTATION

NAMPICUAN BUSINESS CENTER AND GENERAL MERCHANDISE

MARIA CRYSTAL PEARL S. FUELLOS MARILOU M. EUGENIO

PROCUREMENT TERMS AND CONDITIONS

Business Address: Nampicuan, Nueva Ecija

Telephone Number/CP number:

NAMPICUAN CENTRAL SCHOOL

REQUEST FOR QUOTATION

ANAO BUSINESS CENTER AND GENERAL MERCHANDISE

MARIA CRYSTAL PEARL S. FUELLOS MARILOU M. EUGENIO

PROCUREMENT TERMS AND CONDITIONS

Business Address: Anao, Tarlac

Telephone Number/CP number:

ABSTRACT OF CANVASS BID

TOTAL 7,070.00 7,370.00 7,530.00

Recommending award to CUYAPO COPY CENTER AND GENERAL MERCHANDISE

MARIA CRYSTAL PEARL S. FUELLOS CHARLIE A. CAYANGA, JR. MARILOU M. EUGENIO

Place of Delivery : NAMPICUAN CENTRAL SCHOOL Delivery Term : COMPLETE

(Total Amount in Words) Seven Thousand Seventy Pesos Only

Conforme: Very truly yours,

MELINDA G. CALLO MARILOU M. EUGENIO

Fund Cluster : ___________________________________ ORS/BURS No. : ______________________

INSPECTION AND ACCEPTANCE REPORT

Inspected, verified and found in Complete

CHEERILYN T. TRASPE CHARLIE A. CAYANGA, JR.

DISBURSEMENT VOUCHER Date : 7/02 /2020

Mode of / MDS Check Commercial Check ADA Others (Please specify)

Particulars Responsibility Center MFO/PAP Amount

JANEL'S TRADING, Payment for School Supplies (bond

GROSS AMOUNT P 33,450.00

C. Certified: D. Approved for Payment

Date 7/2/2020 Date 7/2/2020

E. Receipt of Payment JEV No.

DISBURSEMENT VOUCHER Date: 01/ 24/2022

Mode of / MDS Check Commercial Check ADA Others (Please specify)

Particulars Responsibility Center MFO/PAP Amount

TARLAC I ELECTRIC COOPERATIVE INC

Payment for electricity expense for the month of December

GROSS AMOUNT P 2,884.08

C. Certified: D. Approved for Payment

E. Receipt of Payment JEV No.

GROSS AMOUNT P 513.02

C. Certified: D. Approved for Payment

Subject to Authority to Debit Account (when applicable)

Position ADAS III Position School Head/Teacher in Charge

Date 11/3/2020 Date 11/3/2020

Official Receipt No. & Date/Other Documents 11/3/2020

C. Certified: D. Approved for Payment

Subject to Authority to Debit Account (when applicable)

Fund Cluster : _____________ ORS/BURS No. :