AUTOMATED LIQUIDATION FORMS

Notice of Purchase
Bidders Request

Inspection and
Abstract of Bids
Acceptance
Division Name School Head BAC Chairman
District Name Property Custodian BAC Vice Chairman Inventory
Distribution List
Custodian Slip
School Name Inspector BAC Member
Requisition and
School Address UACS Code DV Purchase Order
Issue Slip

Refer to canvass form prepared by bidders

Supplier Name
Qty Unit Address List of Teaching Staff
Description Unit Price Total Unit Price Total Unit Price Total
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START HERE

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 Republic of the Philippines
Department of Education
Region VIII
DIVISION OF NORTHERN SAMAR
District
0

To:
Address

NOTICE OF BIDDERS

Sealed of proposal plainly marked proposal for supplying materials to the government subject to terms
and condition contain herein will be received at the office of the School Head,, until _________________ and
publicity opened in the presence of the committee on awards and their authorized representative.

Qty. Unit Description Unit Price Total

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

TERMS AND CONDITION

Place of delivery: School Head Office, the immediate days from the receipt of the order. Absence and/or
failure to furnish on the part of the bidder(s) to appear in the opening of the sealed shall be considered as a
waiver.
I HEREBY CERTIFY that I am in a position to furnish the above articles and quantities above stated except
those marked "NONE". This terms and conditions specified above and all the at the back of this form are
hereby offered.

Canvass By: Noted:

0
Teacher School Head
 PURCHASE ORDER
Department of Education
Division of Northern Samar
District
Osmena Elementary School
Agency

Supplier 0 PO No.
Address 0 Date
TIN Mode of Payment Cash
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herewith:

Place of Delivery ,
Delivery Term
2/20/2020
Date of Delivery Payment Term

Stock Unit Description Quantity Unit Cost Amount

0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
0 0 0 0 0.00
Total Amount 0.00
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/100)
or one percent for every day of delay shall be imposed

Very truly yours,

0
School Head
Conforme

Signature Over Printed Name of Supplier

_________________
Date
Funds Available
OBRS No.
_______________________________________
Chief Accountant Amount No.
 DEPARTMENT OF EDUCATION
Division of Northern Samar

PURCHASE REQUEST

Name of School 0 PR No.

District 0 Date

Stock Unit Item Description Quantity Unit Cost Total

0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
0 0 0 0 -
Total -
Purpose

Requsted by: Approved by:

Signature
Printed Name 0
Designation Teacher I School Head
 Department of Education
Division of Northern Samar HOME TAB
District
0

ABASTRACT OF BIDS/SUMMARY OF CANVASS

Date and Time of Bids Opened:
Abstract No.
Awarded Recommendation For
TO
ITEM #
TO
ITEM #
TO
Date of Bids Opened

Supplier 1 Supplier 2 Supplier 3 Committee on Bids

Name of Supplier: 0 0 0

Address of Supplier: 0 0 0
Item # Qty Unit Description of Articles Price Price Price
0 0 0 - - - 0
0 0 0 - - - Chairman
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - - 0
0 0 0 - - - Vice Chairman
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - - 0
0 0 0 - - - Member
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
Total - - -

0 0 0 0
Chairman Vice Chairman Member School Head
 Department of Education
Division of Northern Samar
District
0
Name of School
0
Address

INSPECTION AND ACCEPTANCE

Supplier 0 AR No.
PO No. Invoice
Requisitioning Office/Department : DepEd Northern Samar

Item No. Unit Description Quantity

0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
INSPECTION ACCEPTANCE

Date Inspected Date Received

✘ Inspected, verified and found OK ✘ Complete
as to quantity and inspections Partial

0 0
Inspector Property Custodian
 INVENTORY CUSTODIAN SLIP
Entity Name: 0
Fund Cluster .
Amount Inventory Estimated
Quantity Unit Description
Unit Cost Total Cost Item # Useful Life
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
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0 0 - - 0
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0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
0 0 - - 0
Received From: Received by:

0
Signature Over Printed Name Signature Over Printed Name

Property Custodian
Position/Office Position/Office

Date Date
 Department of Education
Division of Northern Samar
0
0

DISTRIBUTION LIST OF SCHOOL SUPPLIES AND MATERIALS

Supplies and Materials Distributed

No. Name of Teacher/Recepient Purpose Date Received
Unit Qty Description

Certified Correct Noted:

0 0
Printed Name and Signature of Custodian School Head
 REQUISITION AND ISSUE SLIP
Entity Name 0 Fund Cluster

Division 0 Responsibility Center Code

Office RIS No. :

Requisition Stock Available Issue

Stock
Unit Description Quantity Yes No Quantity Remarks
No.
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
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0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
purpose here
Purpose

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

Signature
Printed Name Rica A. Cabahug Rica A. Cabahug Leo C. Muncada Catherine B. Gordo
Designation Teacher I
Date
 Fund Cluster
Republic of the Philippines
DEPARTMENT OF EDUCATION
Regional Office No. VIII
Schools Division of Northern Samar Date
District
0 DV No.

DISBURSEMENT VOUCHER
Mode of
Payment
MDS Check Commercial Check ADA Others (Please specify)
TIN Employee No. ORS/BURS No.
Payee 0

0
Address
Responsbility
Particulars MFO/PAP Amount
Center
To purchase office supplies………………………………
0.00

Amount Due
A Certified: Expenses/Cash Advance necessary,lawful and incurred under my direct supervision
0
School Head
B Accounting Entry:
Accounting Title UACs Code Debit Credit

OFFICE SUPPLIES EXPENSE 50203010 00 0.00

0.00

0.00 0.00
C Certified: D Approved for Payment

Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed proper

Signature Signature
Printed Name Printed Name 0

Position Position
Senior Bookeeper School Head
Date Date
E Receipt of Payment JEV No.
Date: Bank Name and Account Number
Check/ADA
No.:

Signature: Printed Name Date

Date:
Official Receipt No. and Date/Other Documents
Account Title UACS Code
TRAVELING EXPENSE 50201010 00 HOME TAB
TRAINING EXPENSE 50202010 00
OFFICE SUPPLIES EXPENSE 50203010 00
PRINTING & PUBLICATION EXPENSE 50299020 00
REPAIR & MAINTENANCE-SCHOOL BLDG 50213040 02
OTHER SUPPLIES and MATERIALS EXPENSE 50203990 00
WATER EXPENSE 50204010 00
ELECTRICITY EXPENSE 50204020 00
POSTAGE and COURIER EXPENSE 50205010 00
FUEL, OIL and LUBRICANTS EXPENSE 50203090 00
TELEPHONE EXPENSE- MOBILE 50205020 01
INTERNET SUBSCRIPTION EXPENSE 50205030 00
TRANSPORTATION & DELIVERY EXPENSE 50299040 00
LEGAL SERVICES 50211010 00
OTHER GENERAL SERVICES 50212990 00
JANITORIAL SERVICES 50212020 00
SECURITY SERVICES 50212030 00
OTHER MAINTENANCE & OPERATING EXPENSE 50299990 99
MANCOM REGISTRATION
School Name School Head
Osmeña Elementary School Catherine B. Gordo
Lakandula Elementary School Michael G. Dorias
San Andres Elementary School Mysan T. Nebrida
Rizal Elementary School Cherry Ann P. Legaspi
Dolores Elementary School Salve E. Tepace
H. Jole Jole Elementary School Rhea B. Gallanes
Epaw Elementary School Roma C. Gudgad
Mamaro Elementary School Stephen C. Nebrida
Lourdes Elementary School Jeroldan Dele Torre
San Miguel Elementary School Ana Marie G. Eslaban
District Address
Las Navas III Brgy. Osmeña, Las Navas Northern Samar HOME TAB
Las Navas III Brgy. Lakandula, Las Navas Northern Samar
Las Navas III Brgy. San Andres, Las Navas, Northern Samar
Las Navas III Brgy. Rizal, Las Navas, Northern Samar
Las Navas III Brgy. Dolores, Las Navas, Northern Samar
Las Navas II Brgy. H. Jole Jole, Las Navas, Northern Samar
Las Navas II Brgy. Epaw, Las Navas, Northern Samar
Las Navas I Brgy. Mamaro, Las Navas, Northern Samar
Las Navas III Brgy. Lourdes, Las Navas, Northern Samar
Victoria San, Miguel, Victoria, Northern Samar
HOME TAB