Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date:
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 sets Epson T664 Ink 3 1,075.00 3,225.00

TOTAL 3,225.00
Total Amount in Words THREE THOUSAND TWO HUNDRED TWENTY-FIVE PESOS ONLY***
Purpose:
for Office Supplies use.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D
Name:
Designation: School Property Custodian Principal II
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: Marigold Store IAR

PO No.: Date: Invoice No.: Date:
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

sets Epson T664 Ink 3 3,225.00

THREE THOUSAND TWO HUNDRED TWENTY-FIVE PESOS ONLY***

3,225.00
INSPECTION ACCEPTANCE
Date Inspected: Date Received:

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. MAUREEN N. CASTRO SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 07/23/2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 reams A4 Coupon Bond 5 188.00 940.00
2 reams A4 Coupon Bond 5 188.00 940.00
3 reams Long Coupon Bond 3 200.00 600.00
4 reams Short Coupon Bond 2 180.00 360.00
5 bots. Pilot Ink 21 80.00 1,680.00
6 pcs. Round Bill 3 1,198.00 3,594.00

TOTAL 8,114.00
Total Amount in Words SEVEN THOUSAND SEVEN HUNDRED FOURTEEN PESOS ONLY***
Purpose:
for Office supplies use.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D
Name:
Designation: School Property Custodian Principal II
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: MARIGOLD STORE IAR

PO No.: Date: Invoice No.: 29094 Date: 06/13/2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

29094 reams A4 Coupon Bond 5 940.00
29094 reams A4 Coupon Bond 5 940.00
29094 reams Long Coupon Bond 3 600.00
29094 reams Short Coupon Bond 2 360.00
29094 bots. Pilot Ink 21 1,680.00
29094 pcs. Round Bill 3 3,594.00

SEVEN THOUSAND SEVEN HUNDRED FOURTEEN PESOS ONLY***

8,114.00
INSPECTION ACCEPTANCE
Date Inspected: 06/13/2019 Date Received: 06/13/2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. MAUREEN N. CASTRO SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 07/16/2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs. Pilot Pentel pen broad 55 34.00 1,870.00
2 bots. Elmer's Glue 55 47.00 2,585.00
3 rolls Scotch Tape 1' 55 16.00 880.00
4 rolls Double-sided tape 1' 55 38.00 2,090.00
5 pcs. Manila Paper 55 5.00 275.00
6 reams Laminating Film A4 250mic 2 798.00 1,596.00
7 pcs. Brown Envelope long 50 2.25 112.50
8 bxs Staple wire #35 5 50.00 250.00
9 rolls Assorted Cartolina Color 19 28.00 532.00
10 bxs Ballpen Flex 6 60.00 360.00
11 roll Plastic Cover 1 698.00 698.00
12 bots. Pilot Ink 34 80.00 2,720.00

TOTAL 13,968.50
Total Amount in Words THIRTEEN THOUSAND NINE HUNDRED SIXTY-EIGHT PESOS & 50/100***
Purpose:
for Office supplies use.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D
Name:
Designation: School Property Custodian Principal II
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: MARIGOLD STORE IAR

PO No.: Date: Invoice No.: 29095 Date: 07/16/2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

29095 pcs. Pilot Pentel pen broad 55 1,870.00
29095 bots. Elmer's Glue 55 2,585.00
29095 rolls Scotch Tape 1' 55 880.00
29095 rolls Double-sided tape 1' 55 2,090.00
29095 pcs. Manila Paper 55 275.00
29095 reams Laminating Film A4 250mic 2 1,596.00
29095 pcs. Brown Envelope long 50 112.50
29095 bxs Staple wire #35 5 250.00
29095 rolls Assorted Cartolina Color 19 532.00
29095 bxs Ballpen Flex 6 360.00
29095 roll Plastic Cover 1 698.00
29095 bots. Pilot Ink 34 2,720.00

THIRTEEN THOUSAND NINE HUNDRED SIXTY-EIGHT PESOS & 50/100***

13,968.50
INSPECTION ACCEPTANCE
Date Inspected: 07/16/2019 Date Received: 07/16/2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. MAUREEN N. CASTRO SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: / /2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs. Pilot Pentel Pen 55 34.00 1,870.00
2 bots. Elmer's Glue 55 47.00 2,585.00
3 rolls Scotch Tape 1' 55 16.00 880.00
4 rolls Double-sided tape 1' 55 38.00 2,090.00
5 pcs. Manila Paper 55 5.00 275.00
6 reams Laminating Film a4 2 798.00 1,596.00
7 pcs. Brown Envelope 50 2.25 112.50
8 bxs. Staple Wire #35 5 50.00 250.00
9 rolls Assorted Cartolina colored (3's) 19 28.00 532.00
10 bxs. Ballpen Flex (12's) 6 60.00 360.00
11 roll Plastic Cover 1 698.00 698.00
12 bots. Pilot ink 34 80.00 2,720.00
13 reams A4 Coupon Bond 20 188.00 3,760.00
14 bots. Epson Ink T664 black 2 250.00 500.00
15 rolls Cartolina colored (3's) 36 28.00 1,008.00
16 pc. White Board 3x4 1 1,589.00 1,589.00
17 pcs. Eva Flower Design 10 35.00 350.00

TOTAL 21,175.50
Total Amount in Words TWENTY-ONE THOUSAND ONE HUNDRED SEVENTY-FIVE PESOS& 50/100***
Purpose:
for Office Supplies use.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D.
Name:
Designation: School Property Custodian Principal II
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: MARIGOLD STORE IAR

PO No.: Date: Invoice No.: 105613/105616 Date: / /2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

105613 pcs. Pilot Pentel Pen 55 1,870.00
105613 bots. Elmer's Glue 55 2,585.00
105613 rolls Scotch Tape 1' 55 880.00
105613 rolls Double-sided tape 1' 55 2,090.00
105613 pcs. Manila Paper 55 275.00
105613 reams Laminating Film a4 2 1,596.00
105613 pcs. Brown Envelope 50 112.50
105613 bxs. Staple Wire #35 5 250.00
105613 rolls Assorted Cartolina colored (3's) 19 532.00
105613 bxs. Ballpen Flex (12's) 6 360.00
105613 roll Plastic Cover 1 698.00
105613 bots. Pilot ink 34 2,720.00
105616 reams A4 Coupon Bond 20 3,760.00
105616 bots. Epson Ink T664 black 2 500.00
105616 rolls Cartolina colored (3's) 36 1,008.00
105616 pc. White Board 3x4 1 1,589.00
105616 pcs. Eva Flower Design 10 350.00

TWENTY-ONE THOUSAND ONE HUNDRED SEVENTY-FIVE PESOS& 50/100***

21,175.50
INSPECTION ACCEPTANCE
Date Inspected: / /2019 Date Received: / /2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 10/19/2018
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 bag Cement 2 220.00 440.00
2 pc. Drill Bit 3/8 1 200.00 200.00
3 pcs. Cutting Disk 8 40.00 320.00
4 pcs. Bar 14 295.00 4,130.00
5 pcs. S. Bar white 6 215.00 1,290.00
6 pcs. Flat bar 1/8 x 1 2 160.00 320.00
7 pcs. I Bar 3 640.00 1,920.00
8 pcs. Steel Window 40 20.00 800.00
9 pcs. Welding rod 5 95.00 475.00
10 pcs. Steel Window 40 20.00 800.00
11 pcs. Cutting Grinding disk 10 70.00 700.00
12 pcs. Paint Brush 1 30.00 30.00
13 pcs. Grinding Disk 1 70.00 70.00

Total Sales 11,495.00

less: tax 615.81
TOTAL 10,879.19
Total Amount in Words TEN THOUSAND EIGHT HUNDRED SEVENTY-NINE PESOS & 19/100****
Purpose:
for repair of ALS room window.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA ELIZABETH M. CALULUT
Name:
Designation: School Property Custodian Principal I
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: KIONGSON LUMBER & GEN. MERCHANDISE IAR

PO No.: Date: Invoice No.: 13238/13231/13232 Date: 10/19/2018
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

13238 bag Cement 2 440.00
13231 pc. Drill Bit 3/8 1 200.00
13231 pcs. Cutting Disk 8 320.00
13231 pcs. Bar 14 4,130.00
13231 pcs. S. Bar white 6 1,290.00
13231 pcs. Flat bar 1/8 x 1 2 320.00
13231 pcs. I Bar 3 1,920.00
13232 pcs. Steel Window 40 800.00
13232 pcs. Welding rod 5 475.00
13232 pcs. Steel Window 40 800.00
13232 pcs. Cutting Grinding disk 10 700.00
13232 pcs. Paint Brush 1 30.00
13232 pcs. Grinding Disk 1 70.00

Total Sales 11,495.00

less: tax 615.81
TEN THOUSAND EIGHT HUNDRED SEVENTY-NINE PESOS & 19/100****
10,879.19
INSPECTION ACCEPTANCE
Date Inspected: 10/19/2018 Date Received: 10/19/2018

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 2/9/2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 pck. Fresh Bathroom Tissue 12'2 1 118.50 118.50
2 pcks. Downy Fabric Conditioner 24 6.75 162.00
3 bot. Green Cross Alcohol 1 64.80 64.80
4 bot. Green Cross Alcohol 1 64.80 64.80
5 pcs. Surf Powder 12 6.80 81.60

TOTAL 491.70
Total Amount in Words FOUR HUNDRED NINETY-ONE PESOS & 70/100***
Purpose:
for Office supplies/Janitorial use.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D.
Name:
Designation: School Property Custodian Principal II
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: CSI LINGAYEN BRANCH IAR

PO No.: Date: Invoice No.: 76430 Date: 2/9/2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

76430 pck. Fresh Bathroom Tissue 12'2 1 118.50
76430 pcks. Downy Fabric Conditioner 24 162.00
76430 bot. Green Cross Alcohol 1 64.80
76430 bot. Green Cross Alcohol 1 64.80
76430 pcs. Surf Powder 12 81.60

FOUR HUNDRED NINETY-ONE PESOS & 70/100***

491.70
INSPECTION ACCEPTANCE
Date Inspected: 2/9/2019 Date Received: 2/9/2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Repuplic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office I Pangasinan
SUAL CENTRAL SCHOOL
Sual, Pangasinan

CERTIFICATION
March 20,2019
This is to certify that the following teachers prepared 4th Periodic Test Paper and received exact
number of test papers photocopied by DISU ENTERPRISES. This certifies further that NO monetary collection
from pupils was made for the printing/photocopying of the test papers.

GRADE NO. OF
NAME OF TEACHER PARTICULARS AMOUNT SIGNATURE
LEVEL PCS.
Glenda M. Tiangson Grade 1 35 copiesx 17 pages 595 357.00
Brenda A. Isidro Grade 1 30 copies x 17 pages 510 306.00
Juvelyn A. Domondon Grade 1 30 copies x 17 pages 510 306.00
Vilinda M. Dumlao Grade 1 29 copies x 17 pages 510 306.00
Leila G. Cruz Grade 1 29 copies x 17 pages 510 306.00
Liberty F. Ahorro Grade 1 31 copies x 17 pages 527 316.20
Jenefer F. Bersalona Grade 1 29 copies x 17 pages 493 295.80
Efraim M. Espinoza Grade 1 30 copies x 17 pages 510 306.00
Mailyn R. Fernandez Grade 2 33 copies x 23 pages 759 455.40
Maria Grace A. Vidal Grade 2 31 copies x 25 pages 775 465.00
Flordeluna C. Lauriano Grade 2 29 copies x 25 pages 725 435.00
Rosario C. Sioco Grade 2 30 copies x 21 pages 630 378.00
Charlyn Joy D. Ahorro Grade 2 31 copies x 21 pages 651 390.60
Mary Rose P. Rosario Grade 2 31 copies x 23 pages 713 427.80
Rhodora B. Rampas Grade 3 35 copies x 33 pages 1155 693.00
Daphne C. De Vera Grade 3 31 copies x 36 pages 1116 669.60
Agnes Rica C. De Vera Grade 3 31 copies x 33 pages 1023 613.80
Joan F. Dona Grade 3 32 copies x 34 pages 1088 652.80
Marivic R. Caburao Grade 3 30 copies x 31 pages 930 558.00
Christian john Tiongson Grade 3 32 copies x 34 pages 1088 652.80
Brent Ruen Balaoing Grade 3 31 copies x 33 pages 1023 613.80
Grace S. Puzon Grade 4 30 copies x 26 pages 780 468.00
Maureen N. Castro Grade 4 30 copies x 26 pages 780 468.00
Edelminda A. Bernardo Grade 4 35 copies x 26 pages 910 546.00
Ligaya C. Prado Grade 4 30 copies x 26 pages 780 468.00
Sandra O. Manuel Grade 4 31 copies x 26 pages 806 483.60
Avelina P. Ramos Grade 4 29 copies x 26 pages 754 452.40
Kathrina Joy Ulanday Grade 5 42 copies x 40 pages 1680 1,008.00
Gloria O. Dacocos Grade 5 42 copies x 40 pages 1680 1,008.00
Marlon R. De Guzman Grade 5 43 copies x 40 pages 1720 1,032.00
Eva C. Mina Grade 5 41 copies x 40 pages 1640 984.00
Rogelio R. Alcazar Grade 5 37 copies x 40 pages 1480 888.00
Shedrich M. Sevillena Grade 5 39 copies x 40 pages 1560 936.00
Ma. Jessa Mae Gorospe Grade 6 245 copies x 5 pages 1225 735.00
Sherry Rose Tabangcura Grade 6 37 copies x 5 pages 185 111.00
Kevin Tejada Grade 6 245 copies x 4 pages 980 588.00
Ma. Jessa Mae Gorospe Grade 6 245 copies x 4 pages 980 588.00
Rolando C. Prado Grade 6 250 copies x 4 pages 1000 600.00
Loida L. Adona Grade 6 245 copies x 6 pages 1470 882.00
Conie P. Verzosa Grade 6 150 copies x 3 pages 450 270.00
Gina Salvador Grade 6 245 copies x 5 pages 1225 735.00
TOTAL 22,755.60

Prepared by: Certified by:

SHERRY ROSE N. TABANGCURA VILLA R. GALICIA,Ed.D

School Property Custodian Principal II
 Repuplic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office I Pangasinan
SUAL CENTRAL SCHOOL
Sual, Pangasinan

CERTIFICATION
October 1, 2018
This is to certify that the following teachers & non-teaching personnel received their T-shirt for the
World Teacher's Day Celebration. This certifies further that NO monetary collection from teachers &
non-teaching staff was made for the purchased of this T-shirts.
NO. NAME OF EMPLOYEES DESIGNATION SIZE AMOUNT SIGNATURE
1 Calulut, Elizabeth M. P1 XL 250.00
2 Abarra, Daisy M. T1 SMALL 250.00
3 Adona, Loida L. MT1 SMALL 250.00
4 Ahorro, Charlyn Joy D. T1 MEDIUM 250.00
5 Ahorro, Liberty F. MT2 MEDIUM 250.00
6 Alcazar, Rogelio R. T3 LARGE 250.00
7 Balaoing, Brent Ruen T1 LARGE 250.00
8 Bermio, Danilo U. T2 LARGE 250.00
9 Bernardo, Edelminda A. T3 LARGE 250.00
10 Bersalona, Jenefer F. T2 MEDIUM 250.00
11 Borja, Daisy T. T3 LARGE 250.00
12 Bustamante, Jo-Ann B. T1 SMALL 250.00
13 Calamno, Hazel Mae T1 SMALL 250.00
14 Casingal, Cyrill Mae T1 MEDIUM 250.00
15 Castro, Maureen N. T3 MEDIUM 250.00
16 Cruz, Leila G. MT1 MEDIUM 250.00
17 Dacocos, Gloria O. T3 MEDIUM 250.00
18 De Castro, Jyasmin R. T3 3XL 250.00
19 De Guzman, Marlon R. T1 XL 250.00
20 De Vera, Agnes Rica D. T3 MEDIUM 250.00
21 De Vera, Daphne C. T3 SMALL 250.00
22 Domondon, Juvelyn A. T3 MEDIUM 250.00
23 Doquenia, Angelie L. T1 XL 250.00
24 Duli, Evelinda P. SPET3 SMALL 250.00
25 Dumlao, Vilinda M. T3 SMALL 250.00
26 Espinoza, Efraim M. T1 LARGE 250.00
27 Fernandez, Joan M. T1 MEDIUM 250.00
28 Fernandez, Mailyn R. T3 MEDIUM 250.00
29 Gorospe, Maria Jessa N. T3 SMALL 250.00
30 Isidro, Brenda A. T3 SMALL 250.00
31 Lapak, Reynaldo B. T3 XL 250.00
32 Lauriano, Flordeluna C. T2 LARGE 250.00
33 Lopez, Angelica B. T1 MEDIUM 250.00
34 Manuel, Sandra O. T3 MEDIUM 250.00
35 Mina, Eva C. MT1 SMALL 250.00
36 Pangan, Mary Rose B. T1 MEDIUM 250.00
37 Prado, Ligaya C. T3 SMALL 250.00
38 Prado, Rolando C. T3 MEDIUM 250.00
39 Puzon, Grace S. T3 SMALL 250.00
40 Rabanal, Esmeralda E. SPET1 SMALL 250.00
41 Ramos, Avelina P. T2 LARGE 250.00
42 Rampas, Rhodora B. T3 SMALL 250.00
43 Salvador, Gina R. T3 SMALL 250.00
44 Sevillena, Shedrich M. T1 SMALL 250.00
45 Sioco, Rosario C. MT1 LARGE 250.00
46 Tabangcura, Sherry Rose N. T3 MEDIUM 250.00
47 Tejada, Kevin L. T1 MEDIUM 250.00
48 Tiangson, Glenda M. T3 3XL 250.00
49 Tiongson, Christian John T1 MEDIUM 250.00
50 Ulanday, Kathrina Joy T1 SMALL 250.00
51 Verzosa, Conie P. T3 MEDIUM 250.00
52 Vidal, Maria Grace A. T3 MEDIUM 250.00
53 Abad, Amor Sheila ADAS3 XL 250.00
54 Garcia, Jennifer ADAS2 MEDIUM 250.00
TOTAL 13,500.00
Prepared by: Certified by:
SHERRY ROSE N. TABANGCURA ELIZABETH M. CALULUT
School Property Custodian Principal I
 Appendix 01
PURCHASE ORDER
SUAL CENTRAL SCHOOL
Entity Name

Supplier : P.O. No. :

Address : Date :
TIN : Mode of Procurement: SHOPPING
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Delivery Term :

Date of Delivery : Payment Term :

Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pcs. 35 copiesx 17 pages 595 0.60 357.00
2 pcs. 30 copies x 17 pages 510 0.60 306.00
3 pcs. 30 copies x 17 pages 510 0.60 306.00
4 pcs. 29 copies x 17 pages 510 0.60 306.00
5 pcs. 29 copies x 17 pages 510 0.60 306.00
6 pcs. 31 copies x 17 pages 527 0.60 316.20
7 pcs. 29 copies x 17 pages 493 0.60 295.80
8 pcs. 30 copies x 17 pages 510 0.60 306.00
9 pcs. 33 copies x 23 pages 759 0.60 455.40
10 pcs. 31 copies x 25 pages 775 0.60 465.00
11 pcs. 29 copies x 25 pages 725 0.60 435.00
12 pcs. 30 copies x 21 pages 630 0.60 378.00
13 pcs. 31 copies x 21 pages 651 0.60 390.60
14 pcs. 31 copies x 23 pages 713 0.60 427.80
15 pcs. 35 copies x 33 pages 1155 0.60 693.00
16 pcs. 31 copies x 36 pages 1116 0.60 669.60
17 pcs. 31 copies x 33 pages 1023 0.60 613.80
18 pcs. 32 copies x 34 pages 1088 0.60 652.80
19 pcs. 30 copies x 31 pages 930 0.60 558.00
20 pcs. 32 copies x 34 pages 1088 0.60 652.80
21 pcs. 31 copies x 33 pages 1023 0.60 613.80
22 pcs. 30 copies x 26 pages 780 0.60 468.00
23 pcs. 30 copies x 26 pages 780 0.60 468.00
24 pcs. 35 copies x 26 pages 910 0.60 546.00
25 pcs. 30 copies x 26 pages 780 0.60 468.00
26 pcs. 31 copies x 26 pages 806 0.60 483.60
27 pcs. 29 copies x 26 pages 754 0.60 452.40
28 pcs. 42 copies x 40 pages 1680 0.60 1,008.00
29 pcs. 42 copies x 40 pages 1680 0.60 1,008.00
30 pcs. 43 copies x 40 pages 1720 0.60 1,032.00
31 pcs. 41 copies x 40 pages 1640 0.60 984.00
32 pcs. 37 copies x 40 pages 1480 0.60 888.00
33 pcs. 39 copies x 40 pages 1560 0.60 936.00
34 pcs. 245 copies x 5 pages 1225 0.60 735.00
35 pcs. 37 copies x 5 pages 185 0.60 111.00
36 pcs. 245 copies x 4 pages 980 0.60 588.00
37 pcs. 245 copies x 4 pages 980 0.60 588.00
38 pcs. 250 copies x 4 pages 1000 0.60 600.00
39 pcs. 245 copies x 6 pages 1470 0.60 882.00
40 pcs. 150 copies x 3 pages 450 0.60 270.00
41 pcs. 245 copies x 5 pages 1225 0.60 735.00
TOTAL 22,755.60
Total Amount in Words TWENTY TWO THOUSAND SEVEN HUNDRED FIFTY-FIVE PESOS AND 60/100***

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,

______________________________ VILLA R. GALICIA,Ed.D

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official
____________ PRINCIPAL II
Date
Fund Cluster : MOOE ORS/BURS No. : __________________
Funds Available : Date of the ORS/BURS : _____________
Amount : _________________________
ROBERT E. MAMARIL
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 02/20/2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs. 35 copiesx 17 pages 595 0.60 357.00
2 pcs. 30 copies x 17 pages 510 0.60 306.00
3 pcs. 30 copies x 17 pages 510 0.60 306.00
4 pcs. 29 copies x 17 pages 510 0.60 306.00
5 pcs. 29 copies x 17 pages 510 0.60 306.00
6 pcs. 31 copies x 17 pages 527 0.60 316.20
7 pcs. 29 copies x 17 pages 493 0.60 295.80
8 pcs. 30 copies x 17 pages 510 0.60 306.00
9 pcs. 33 copies x 23 pages 759 0.60 455.40
10 pcs. 31 copies x 25 pages 775 0.60 465.00
11 pcs. 29 copies x 25 pages 725 0.60 435.00
12 pcs. 30 copies x 21 pages 630 0.60 378.00
13 pcs. 31 copies x 21 pages 651 0.60 390.60
14 pcs. 31 copies x 23 pages 713 0.60 427.80
15 pcs. 35 copies x 33 pages 1155 0.60 693.00
16 pcs. 31 copies x 36 pages 1116 0.60 669.60
17 pcs. 31 copies x 33 pages 1023 0.60 613.80
18 pcs. 32 copies x 34 pages 1088 0.60 652.80
19 pcs. 30 copies x 31 pages 930 0.60 558.00
20 pcs. 32 copies x 34 pages 1088 0.60 652.80
21 pcs. 31 copies x 33 pages 1023 0.60 613.80
22 pcs. 30 copies x 26 pages 780 0.60 468.00
23 pcs. 30 copies x 26 pages 780 0.60 468.00
24 pcs. 35 copies x 26 pages 910 0.60 546.00
25 pcs. 30 copies x 26 pages 780 0.60 468.00
26 pcs. 31 copies x 26 pages 806 0.60 483.60
27 pcs. 29 copies x 26 pages 754 0.60 452.40
28 pcs. 42 copies x 40 pages 1680 0.60 1,008.00
29 pcs. 42 copies x 40 pages 1680 0.60 1,008.00
30 pcs. 43 copies x 40 pages 1720 0.60 1,032.00
31 pcs. 41 copies x 40 pages 1640 0.60 984.00
32 pcs. 37 copies x 40 pages 1480 0.60 888.00
33 pcs. 39 copies x 40 pages 1560 0.60 936.00
34 pcs. 245 copies x 5 pages 1225 0.60 735.00
35 pcs. 37 copies x 5 pages 185 0.60 111.00
36 pcs. 245 copies x 4 pages 980 0.60 588.00
37 pcs. 245 copies x 4 pages 980 0.60 588.00
38 pcs. 250 copies x 4 pages 1000 0.60 600.00
39 pcs. 245 copies x 6 pages 1470 0.60 882.00
40 pcs. 150 copies x 3 pages 450 0.60 270.00
41 pcs. 245 copies x 5 pages 1225 0.60 735.00

TOTAL 22,755.60
Total Amount in Words TWENTY TWO THOUSAND SEVEN HUNDRED FIFTY-FIVE PESOS AND 60/100***
Purpose:
for photocopying of 4th Periodical Test Paper.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D.
Name:
Designation: School Property Custodian Principal I
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: DISU ENTERPRISES IAR

PO No.: Date: Invoice No.: 34000 Date: 03/20/2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

34000 pcs. 35 copiesx 17 pages 595 357.00

34000 pcs. 30 copies x 17 pages 510 306.00
34000 pcs. 30 copies x 17 pages 510 306.00
34000 pcs. 29 copies x 17 pages 510 306.00
34000 pcs. 29 copies x 17 pages 510 306.00
34000 pcs. 31 copies x 17 pages 527 316.20
34000 pcs. 29 copies x 17 pages 493 295.80
34000 pcs. 30 copies x 17 pages 510 306.00
34000 pcs. 33 copies x 23 pages 759 455.40
34000 pcs. 31 copies x 25 pages 775 465.00
34000 pcs. 29 copies x 25 pages 725 435.00
34000 pcs. 30 copies x 21 pages 630 378.00
34000 pcs. 31 copies x 21 pages 651 390.60
34000 pcs. 31 copies x 23 pages 713 427.80
34000 pcs. 35 copies x 33 pages 1155 693.00
34000 pcs. 31 copies x 36 pages 1116 669.60
34000 pcs. 31 copies x 33 pages 1023 613.80
34000 pcs. 32 copies x 34 pages 1088 652.80
34000 pcs. 30 copies x 31 pages 930 558.00
34000 pcs. 32 copies x 34 pages 1088 652.80
34000 pcs. 31 copies x 33 pages 1023 613.80
34000 pcs. 30 copies x 26 pages 780 468.00
34000 pcs. 30 copies x 26 pages 780 468.00
34000 pcs. 35 copies x 26 pages 910 546.00
34000 pcs. 30 copies x 26 pages 780 468.00
34000 pcs. 31 copies x 26 pages 806 483.60
34000 pcs. 29 copies x 26 pages 754 452.40
34000 pcs. 42 copies x 40 pages 1680 1,008.00
34000 pcs. 42 copies x 40 pages 1680 1,008.00
34000 pcs. 43 copies x 40 pages 1720 1,032.00
34000 pcs. 41 copies x 40 pages 1640 984.00
34000 pcs. 37 copies x 40 pages 1480 888.00
34000 pcs. 39 copies x 40 pages 1560 936.00
34000 pcs. 245 copies x 5 pages 1225 735.00
34000 pcs. 37 copies x 5 pages 185 111.00
34000 pcs. 245 copies x 4 pages 980 588.00
34000 pcs. 245 copies x 4 pages 980 588.00
34000 pcs. 250 copies x 4 pages 1000 600.00
34000 pcs. 245 copies x 6 pages 1470 882.00
34000 pcs. 150 copies x 3 pages 450 270.00
34000 pcs. 245 copies x 5 pages 1225 735.00

TWENTY TWO THOUSAND SEVEN HUNDRED FIFTY-FIVE PESOS AND 60/100*** 22,755.60
INSPECTION ACCEPTANCE
Date Inspected: 03/20/2019 Date Received: 03/20/2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)
Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Repuplic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office I Pangasinan
SUAL CENTRAL SCHOOL
Sual, Pangasinan

CERTIFICATION
September 16,2019
This is to certify that the following teachers received their Students School I.D. for the school year 2019-2020
which was printed by PORCHSIA BREE PRINTS & PHOTOGRAPHY. This certifies further that NO monetary collection
from teachers & pupils was made for the printingof the said School I.D.

GRADE NO. OF
NAME OF TEACHER PARTICULARS AMOUNT SIGNATURE
LEVEL PCS.
GRACE S. PUZON Grade 4 School I.D. FL: 11-M/26-F 37 1,850.00
MAUREEN N. CASTRO Grade 4 School I.D. Sampaguita: 14-M/23-F 37 1,850.00
EDELMINDA A. BERNARDO Grade 4 School I.D. Ilang-ilang: 24-M/16-F 40 2,000.00
LIGAYA C. PRADO Grade 4 School I.D. Rosal: 19-M/19-F 38 1,900.00
SANDRA O. MANUEL Grade 4 School I.D. Camia: 19-M/18-F 37 1,850.00
AVELINA P. RAMOS Grade 4 School I.D. Lily: 17-M/20-F 37 1,850.00
KATHRINA JOY F. ULANDAY Grade 5 School I.D. FL: 13-M/21-F 34 1,700.00
GLORIA O. DACOCOS Grade 5 School I.D. Sampaguita: 19-M/21-F 40 2,000.00
MARY ROSE P. ROSARIO Grade 5 School I.D. Ilang-ilang: 28-M/11-F 39 1,950.00
EVA C. MINA Grade 5 School I.D. Rosal: 22-M/19-F 41 2,050.00
ROGELIO R. ALCAZAR Grade 5 School I.D. Camia: 24-M/11-F 35 1,750.00

MARIA JESSA MAE N. GOROSPE Grade 6 School I.D. FL: 17-M/23-F 40 2,000.00

SHERRY ROSE N. TABANGCURA Grade 6 School I.D. Sampaguita: 22-M/19-F 41 2,050.00

REYNALDO B. LAPAK Grade 6 School I.D. Ilang-ilang: 23-M/18-F 41 2,050.00

GINA R. SALVADOR Grade 6 School I.D. Rosal: 22-M/17-F 39 1,950.00
KEVIN L. TEJADA Grade 6 School I.D. Camia: 24-M/13-F 37 1,850.00
LOIDA L. ADONA Grade 6 School I.D. Lily: 22-M/19-F 41 2,050.00

TOTAL 654 32,700.00

Prepared by: Certified by:

SHERRY ROSE N. TABANGCURA VILLA R. GALICIA,Ed.D

School Property Custodian Principal II
 Appendix 01
PURCHASE ORDER
SUAL CENTRAL SCHOOL
Entity Name

Supplier : P.O. No. :

Address : Date :
TIN : Mode of Procurement: SHOPPING
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Delivery Term :

Date of Delivery : Payment Term :

Stock/
Property Unit Description Quantity Unit Cost Amount
No.
1 pcs. School I.D. FL: 11-M/26-F 37 50.00 1,850.00
2 pcs. School I.D. Sampaguita: 14-M/23-F 37 50.00 1,850.00
3 pcs. School I.D. Ilang-ilang: 24-M/16-F 40 50.00 2,000.00
4 pcs. School I.D. Rosal: 19-M/19-F 38 50.00 1,900.00
5 pcs. School I.D. Camia: 19-M/18-F 37 50.00 1,850.00
6 pcs. School I.D. Lily: 17-M/20-F 37 50.00 1,850.00
7 pcs. School I.D. FL: 13-M/21-F 34 50.00 1,700.00
8 pcs. School I.D. Sampaguita: 19-M/21-F 40 50.00 2,000.00
9 pcs. School I.D. Ilang-ilang: 28-M/11-F 39 50.00 1,950.00
10 pcs. School I.D. Rosal: 22-M/19-F 41 50.00 2,050.00
11 pcs. School I.D. Camia: 24-M/11-F 35 50.00 1,750.00
12 pcs. School I.D. FL: 17-M/23-F 40 50.00 2,000.00
13 pcs. School I.D. Sampaguita: 22-M/19-F 41 50.00 2,050.00
14 pcs. School I.D. Ilang-ilang: 23-M/18-F 41 50.00 2,050.00
15 pcs. School I.D. Rosal: 22-M/17-F 39 50.00 1,950.00
16 pcs. School I.D. Camia: 24-M/13-F 37 50.00 1,850.00
17 pcs. School I.D. Lily: 22-M/19-F 41 50.00 2,050.00

TOTAL 32,700.00
Total Amount in Words THIRTY-TWO THOUSAND SEVEN HUNDRED 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,

______________________________ VILLA R. GALICIA,Ed.D

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official
____________ PRINCIPAL II
Date
Fund Cluster : MOOE ORS/BURS No. : __________________
Funds Available : Date of the ORS/BURS : _____________
Amount : _________________________
ROBERT E. MAMARIL
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 10/01/2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcs. School I.D. FL: 11-M/26-F 37 50.00 1,850.00
2 pcs. School I.D. Sampaguita: 14-M/23-F 37 50.00 1,850.00
3 pcs. School I.D. Ilang-ilang: 24-M/16-F 40 50.00 2,000.00
4 pcs. School I.D. Rosal: 19-M/19-F 38 50.00 1,900.00
5 pcs. School I.D. Camia: 19-M/18-F 37 50.00 1,850.00
6 pcs. School I.D. Lily: 17-M/20-F 37 50.00 1,850.00
7 pcs. School I.D. FL: 13-M/21-F 34 50.00 1,700.00
8 pcs. School I.D. Sampaguita: 19-M/21-F 40 50.00 2,000.00
9 pcs. School I.D. Ilang-ilang: 28-M/11-F 39 50.00 1,950.00
10 pcs. School I.D. Rosal: 22-M/19-F 41 50.00 2,050.00
11 pcs. School I.D. Camia: 24-M/11-F 35 50.00 1,750.00
12 pcs. School I.D. FL: 17-M/23-F 40 50.00 2,000.00
13 pcs. School I.D. Sampaguita: 22-M/19-F 41 50.00 2,050.00
14 pcs. School I.D. Ilang-ilang: 23-M/18-F 41 50.00 2,050.00
15 pcs. School I.D. Rosal: 22-M/17-F 39 50.00 1,950.00
16 pcs. School I.D. Camia: 24-M/13-F 37 50.00 1,850.00
17 pcs. School I.D. Lily: 22-M/19-F 41 50.00 2,050.00

TOTAL 32,700.00
Total Amount in Words THIRTY-TWO THOUSAND SEVEN HUNDRED PESOS ONLY***
Purpose:
for printing of Students School I.D.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D.
Name:
Designation: School Property Custodian Principal II
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: PORCHSIA BREE PRINTS & PHOTOGRAPHY IAR

PO No.: Date: Invoice No.: 0096 Date: 10/01/2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

0096 pcs. School I.D. FL: 11-M/26-F 37 1,850.00
0096 pcs. School I.D. Sampaguita: 14-M/23-F 37 1,850.00
0096 pcs. School I.D. Ilang-ilang: 24-M/16-F 40 2,000.00
0096 pcs. School I.D. Rosal: 19-M/19-F 38 1,900.00
0096 pcs. School I.D. Camia: 19-M/18-F 37 1,850.00
0096 pcs. School I.D. Lily: 17-M/20-F 37 1,850.00
0096 pcs. School I.D. FL: 13-M/21-F 34 1,700.00
0096 pcs. School I.D. Sampaguita: 19-M/21-F 40 2,000.00
0096 pcs. School I.D. Ilang-ilang: 28-M/11-F 39 1,950.00
0096 pcs. School I.D. Rosal: 22-M/19-F 41 2,050.00
0096 pcs. School I.D. Camia: 24-M/11-F 35 1,750.00
0096 pcs. School I.D. FL: 17-M/23-F 40 2,000.00
0096 pcs. School I.D. Sampaguita: 22-M/19-F 41 2,050.00
0096 pcs. School I.D. Ilang-ilang: 23-M/18-F 41 2,050.00
0096 pcs. School I.D. Rosal: 22-M/17-F 39 1,950.00
0096 pcs. School I.D. Camia: 24-M/13-F 37 1,850.00
0096 pcs. School I.D. Lily: 22-M/19-F 41 2,050.00

THIRTY-TWO THOUSAND SEVEN HUNDRED PESOS ONLY*** 32,700.00

INSPECTION ACCEPTANCE
Date Inspected: 10/01/2019 Date Received: 10/01/2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)
Inspectorate Team:
1. LEILA G. CRUZ
2. MAUREEN N. CASTRO SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 09/17/2018
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 pcks. Daily Time Record 10 18.05 180.50
2 bots. Glue 2 8.32 16.64
3 pcs. Elmers Glue 4 39.43 157.72
4 pcs. Correction Tape 5 20.66 103.30
5 pcs. Coupon Bond-A4 1 209.95 209.95
6 ream Coupon Bond-short 1 196.65 196.65
7 ream Coupon Bond-long 1 232.75 232.75
8 pcs. Cartolina-assorted colors 20 8.55 171.00
9 pcs. Cartolina-white 5 6.65 33.25
Total Sales 1,301.76

Total Sales Net of Vat 1,162.29

add: Withholding Tax 69.73
TOTAL 1,232.02
Total Amount in Words ONE THOUSAND TWO HUNDRED THIRTY-TWO PESOS & 02/100****
Purpose:
for School Office Supplies.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed SHERRY ROSE N. TABANGCURA ELIZABETH M. CALULUT
Name:
Designation: School Property Custodian Principal I
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: PANDAYAN BOOKSHOP, INC. IAR

PO No.: Date: Invoice No.: 20942 Date: 09/17/2018
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

20942 pcks. Daily Time Record 10 180.50
20942 bots. Glue 2 16.64
20942 pcs. Elmers Glue 4 157.72
20942 pcs. Correction Tape 5 103.30
20942 pcs. Coupon Bond-A4 1 209.95
20942 ream Coupon Bond-short 1 196.65
20942 ream Coupon Bond-long 1 232.75
20942 pcs. Cartolina-assorted colors 20 171.00
20942 pcs. Cartolina-white 5 33.25
Total Sales 1,301.76

Total Sales Net of Vat 1,162.29

add: Withholding Tax 69.73
ONE THOUSAND TWO HUNDRED THIRTY-TWO PESOS & 02/100****
1,232.02
INSPECTION ACCEPTANCE
Date Inspected: 09/17/2018 Date Received: 09/17/2018

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA SHERRY ROSE N. TABANGCURA
3. RHODORA B. RAMPAS School Property Custodian
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Appendix 60

PURCHASE REQUEST
SUAL CENTRAL SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 09/10/2018
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 kls. Kalabasa 10 60.00 600.00
2 kls. Sitaw 7 90.00 630.00
3 kls. Carrots 4 160.00 640.00
4 kls. Potatoes 10 80.00 800.00
5 kls. Monggo 10 95.00 950.00
6 kls. Onions 2 100.00 200.00
7 kls. Garlic 2 90.00 180.00
8 kls. Salt 5 25.00 125.00

TOTAL 4,125.00
Total Amount in Words FOUR THOUSAND ONE HUNDRED TWENTY-FIVE PESOS ONLY***
Purpose:
for School based Feeding Program.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed CONIE P. VERZOSA ELIZABETH M. CALULUT
Name:
Designation: School Feeding Coordinator Principal I
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: JOSIE & OFRING STORE IAR

PO No.: Date: Invoice No.: 19726 Date: 09/10/2018
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

19726 kls. Kalabasa 10 600.00
19726 kls. Sitaw 7 630.00
19726 kls. Carrots 4 640.00
19726 kls. Potatoes 10 800.00
19726 kls. Monggo 10 950.00
19726 kls. Onions 2 200.00
19726 kls. Garlic 2 180.00
19726 kls. Salt 5 125.00

FOUR THOUSAND ONE HUNDRED TWENTY-FIVE PESOS ONLY***

4,125.00
INSPECTION ACCEPTANCE
Date Inspected: 09/10/2018 Date Received: 09/10/2018

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA CONIE P. VERZOSA
3. RHODORA B. RAMPAS SBFP Coordinator
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 LIST OF SCHOOL PTA OFFICERS

ESTANZA ELEMENTARY SCHOOL

____________________

POSITION Unit NAME Total Cost

CONTRIBUTION

President sRachelle O. Enierga 1,000.00

###
Vice President Nelson S. Diaz 500.00
Secretary Maria Maricar Mae Padrinas TEACHER
Tresurer Nilda Soriano 500.00
Co-Tresurer Jessica Macumpang
Auditor Rosita Sison NEW 500.00 N
Co-Auditor Julie Ann Vidal
Board of Directors Mary Ann Santos
Violeta Vasquez
Rommel Ibanez
Manolo Zacarias
Janice Ferrer
Juvita Samson
Chona Estrada
Glen Sindayen
Kristine Gonzales
Jacqueline S. Fernandez
Rolando T. Cruz TEACHER
Jossie E. Ocampo TEACHER
Liza C. Palabino TEACHER
Joan V. Acosta TEACHER
Liezel P. Villanda TEACHER

###
 SOLICIT
500
500
500
1000

CONTRIBUTION & SOLICIT A TOTAL OF = 4500

3202 -MATERIALS
900-LABOR
350-MERIENDA
TOTAL 4452
4500
48
 INSPECTION AND ACCEPTANCE REPORT

SUAL CENTRAL SCHOOL

Supplier: GAVIN RICE STORE IAR

PO No.: Date: Invoice No.: 4470 Date: 09/08/2018
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

4470 sacks Rachelle O. Enierga 0 -

#NAME?
-
INSPECTION ACCEPTANCE
Date Inspected: 09/08/2018 Date Received: 09/08/2018

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. LEILA G. CRUZ
2. DAPHNE C. DE VERA CONIE P. VERZOSA
3. RHODORA B. RAMPAS SBFP Coordinator
4. BRENDA ISIDRO
5. ROLANDO C. PRADO
 Republic of the Philippines
Department of Education
Region 1
Schools Division Office 1 Pangasinan
Lingayen
SUAL CENTRAL SCHOOL

PROGRAM OF WORK

NATURE OF WORK: Replacement of School Main Gate

Expected Date of Repair: June 18-21, 2019

A. MATERIALS QUANTITY UNIT COST TOTAL

Steel Pipe 5 ₱ 700.00 ₱ 3,500.00
Cutting Disk 6 55.00 330.00
Welding Rod 2 350.00 700.00
Sphero - green paint 1 220.00 220.00
Red Oxide paint 1 200.00 200.00
Grinding Disk 3 55.00 165.00
Flat Bar 3 295.00 885.00

TOTAL ### 6,000.00

B. LABOR COST
Welder/Laborer 4 days 500.00 ₱ 2,000.00
Welder/Laborer 4 days 500.00 2,000.00

TOTAL ### 4,000.00

GRAND TOTAL ₱ 10,000.00

Prepared and Estimated by:

REYNALDO B. LAPAK VILLA R. GALICIA, Ed.D.

School Facilities Coordinator Principal II

NOTED:

ENGR. STEVE S. MANZANO

SGOD Engineer
 Republic of the Philippines
Department of Education
Region 1
Schools Division Office 1 Pangasinan
Lingayen
SUAL CENTRAL SCHOOL

PROGRAM OF WORK

NATURE OF WORK: Repair of Kindergarten Classroom Windows

Expected Date of Repair: October 19-22, 2018

A. MATERIALS QUANTITY UNIT COST TOTAL

Cement 2 ₱ 220.00 ₱ 440.00
Drill Bit 3/8 1 200.00 200.00
Cutting Disk 8 40.00 320.00
Bar 14 295.00 4,130.00
S. Bar white 6 215.00 1,290.00
Flat bar 1/8 x 1 2 160.00 320.00
I Bar 3 640.00 1,920.00
Steel Window 40 20.00 800.00
Welding rod 5 95.00 475.00
Steel Window 40 20.00 800.00
Cutting Grinding disk 10 70.00 700.00
Paint Brush 1 30.00 30.00
Grinding Disk 1 70.00 70.00
Total Sales 11,495.00
less: tax 615.81
TOTAL 10,879.19
B. LABOR COST
Mason 3.5 days 500.00 ₱ 1,750.00
Welder/Laborer 3.5 days 500.00 1,750.00
Welder/Laborer 3.5 days 500.00 1,750.00
Painter 3.5 days 500.00 1,750.00
TOTAL 7,000.00
GRAND TOTAL ₱ 17,879.19

Prepared and Estimated by:

REYNALDO B. LAPAK ELIZABETH M. CALULUT

School Facilities Coordinator Principal I

NOTED:
ENGR. STEVE S. MANZANO
SGOD Engineer
 Republic of the Philippines
Department of Education
Region 1
Schools Division Office 1 Pangasinan
Lingayen
SUAL CENTRAL SCHOOL

PROGRAM OF WORK

NATURE OF WORK: Repair of Handwashing Facilities.

Expected Date of Repair: June 22-26, 2018

A. MATERIALS QUANTITY UNIT COST TOTAL

CHB4 30 ₱ 12.00 ₱ 360.00
Cement 2 220.00 440.00
Elbow 1/2 blue 9 25.00 225.00
Blue pipe 1/2 2 85.00 170.00
Neltex 2 110.00 220.00
Faucet blue 1/2 7 85.00 595.00
Tiles 8x8 32 25.00 800.00
Teflone 1/2 2 25.00 50.00
Pipe 2 orange 4 285.00 1,140.00
Elbow 2 5 65.00 325.00
Tee 1/2 blue 1 25.00 25.00
Strainer Round 2 145.00 290.00
B. Valve 1/2 2 265.00 530.00
Coupling 1/2 blue 2 25.00 50.00
Nipple 1/2x6 H/D 2 185.00 370.00
Nipple 1/2x5 H/D 4 155.00 620.00
Gi Coupling 1/2 H/D 6 35.00 210.00

TOTAL ### 6,420.00

B. LABOR COST
Mason - ₱ 500.00 x 5 days ₱ 2,500.00
Laborer - ₱ 400.00 x 4 day 2,000.00

TOTAL ### 4,500.00

GRAND TOTAL ₱ 10,920.00

Prepared and Estimated by:

REYNALDO B. LAPAK ELIZABETH M. CALULUT

School Facilities Coordinator Principal I

NOTED:

ENGR. STEVE S. MANZANO

SGOD Engineer
 Republic of the Philippines
Department of Education
Region 1
Schools Division Office 1 Pangasinan
Lingayen
SUAL CENTRAL SCHOOL

PROGRAM OF WORK

NATURE OF WORK: Repair of Electrical Wirings

Expected Date of Repair: July 10, 2018

A. MATERIALS QUANTITY UNIT COST TOTAL

THHN #14 20 ₱ 25.00 ₱ 500.00
Flex hose 3/4 10 8.00 80.00
Bulb 9 watts 4 120.00 480.00
Outlet 2 gag 2 120.00 240.00
Clamp 1/2 6 2.50 15.00
Electrical Tape 1 15.00 15.00
Ameo Box 2 65.00 130.00

TOTAL ### 1,460.00

B. LABOR COST
Laborer - ₱ 500.00 x 1 day ₱ 500.00

TOTAL ### 500.00

GRAND TOTAL ₱ 1,960.00

Prepared and Estimated by:

REYNALDO B. LAPAK ELIZABETH M. CALULUT

School Facilities Coordinator Principal I

NOTED:

ENGR. STEVE S. MANZANO

SGOD Engineer
 INVENTORY CUSTODIAN SLIP

Entity Name: SUAL CENTRAL SCHOOL PS No.:

Fund Cluster: MOOE

AMOUNT Inventory Estimated

Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life
1 unit 3,998.00 3,998.00 Epson L3110 1 3 years

Received From (Property Custodian) Received By (Pad User)

SHERRY ROSE N. TABANGCURA VILLA R. GALICIA, Ed.D.

Signature Over Printed Name Signature Over Printed Name

School Property Custodian Principal II

Position Office Position Office

07/30/2019 07/30/2019
Date Date
 INVENTORY CUSTODIAN SLIP

Entity Name: SUAL CENTRAL SCHOOL PS No.:

Fund Cluster: MOOE

AMOUNT Inventory Estimated

Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life
0

Received From (Property Custodian) Received By (Pad User)

SHERRY ROSE N. TABANGCURA CONIE P. VERZOSA

Signature Over Printed Name Signature Over Printed Name

School Property Custodian SBFP Coordinator

Position Office Position Office

05/27/2018 05/27/2018
Date Date
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office I Pangasinan
SUAL CENTRAL SCHOOL
District of Sual

ABSTRACT OF CANVASS FORM

PROJECT TITLE: PURCHASES OF WTD T-SHIRT

DATE: September 27, 2019
IMPLEMENTING OFFICE: Sual Central School
APPROVED BUDGET FOR THE CONTRACT: ₱ 14,000.00

SUPPLIER 1 SUPPLIER 2 SUPPLIER 3

NAME OF SUPPLIER SARAPSAMATA DESIGN & MING-MING'S GENERAL
MALDITA REN ENTERPRISES
PRINTS MERCHANDIZE
Amount of Quotation ₱17,500.00 ₱16,100.00 ₱14,000.00

Remarks: LOWEST BID

REYNALDO B. LAPAK AGNES RICA D. DE VERA EVA C. MINA SHERRY ROSE N. TABANGCURA
EBAC Chairman BAC Member TWG - Inspectorate School Property Custodian
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office I Pangasinan
SUAL CENTRAL SCHOOL
District of Sual

ABSTRACT OF CANVASS FORM

PROJECT TITLE: FOR PURCHASED OF MEALS AND SNACKS DURING GAD FOR SENIOR CITIZENS
DATE: November 6, 2019
IMPLEMENTING OFFICE: Sual Central School
APPROVED BUDGET FOR THE CONTRACT: ₱ 9,920.00

SUPPLIER 1 SUPPLIER 2 SUPPLIER 3

NAME OF SUPPLIER LOPEZ FOOD TASTE HAUZ &
JCA CATERING SERVICES UNTALASCO CATERING
RESTAURANT
Amount of Quotation ₱10,400.00 ₱10,200.00 ₱9,920.00

Remarks: LOWEST BID

REYNALDO B. LAPAK AGNES RICA D. DE VERA EVA C. MINA SHERRY ROSE N. TABANGCURA
EBAC Chairman BAC Member TWG - Inspectorate School Property Custodian
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
Schools Division Office I Pangasinan
SUAL CENTRAL SCHOOL
District of Sual

ABSTRACT OF CANVASS FORM

PROJECT TITLE: SENIOR CITIZEN'S DAY CELEBRATION LUNCH

DATE: October 17, 2018
IMPLEMENTING OFFICE: Sual Central School
APPROVED BUDGET FOR THE CONTRACT: ₱7,560.00

SUPPLIER 1 SUPPLIER 2 SUPPLIER 3

NAME OF SUPPLIER LOPEZ FOOD TASTE HAUZ
KAMAYAN IHAW-IHAW KRIS BIARCHE EATERY
BAKERY & RESTAURANT
Amount of Quotation ₱8,050.00 ₱7,700.00 ₱7,560.00

Remarks: LOWEST BID

REYNALDO B. LAPAK AGNES RICA D. DE VERA EVA C. MINA SHERRY ROSE N. TABANGCURA
EBAC Chairman BAC Member TWG - Inspectorate School Property Custodian
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen
SUAL CENTRAL SCHOOL

BIDS AND AWARDS COMMITTEE

PRICE QUOTATION FORM

Project Title: MEALS & SNACKS (GAD FOR SENIOR CITIZENS)

Item
Unit Items & Description Quantity Unit Cost Total Price
No.
1 pax Meals & Snacks 40 ₱ ₱

TOTAL: ₱

This is to submit our price quotations indicated above subject to the Terms and Conditions of this RFQ.
Supplier/Bidder's
TIN:
Company Name:

Address: Tel No.:

Email Address: Fax No.:

Supplier's/Bidder's
Authorized
Representative Date:
Signature Over Printed

Name

CANVASS CONDUCTED BY:

GINA R. SALVADOR
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen
SUAL CENTRAL SCHOOL

BIDS AND AWARDS COMMITTEE

PRICE QUOTATION FORM

Project Title: REPAIR OF HANDWASHING FACILITIES

Item
Unit Items & Description Quantity Unit Cost Total Price
No.
1 pcs. Teplon 3/4 2 ₱ ₱
2 pcs. Coupling 3/4 blue 8
3 pcs. Faucet 4

TOTAL: ₱

This is to submit our price quotations indicated above subject to the Terms and Conditions of this RFQ.
Supplier/Bidder's
TIN:
Company Name:

Address: Tel No.:

Email Address: Fax No.:

Supplier's/Bidder's
Authorized
Representative Date:
Signature Over Printed

Name

CANVASS CONDUCTED BY:

REYNALDO B. LAPAK
 LIST OF SCHOOL PTA OFFICERS

ESTANZA ELEMENTARY SCHOOL

POSITION NAME

TOTAL: ₱
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region I
SCHOOLS DIVISION OFFICE I PANGASINAN
Lingayen
SUAL CENTRAL SCHOOL

BIDS AND AWARDS COMMITTEE

PRICE QUOTATION FORM

Project Title: REPAIR OF HANDWASHING FACILITIES

Item
Unit Items & Description Quantity Unit Cost Total Price
No.
1 pcs. CHB4 30 ₱ ₱
2 bag Cement 2
3 pcs. Elbow 1/2 blue 9
4 pcc. Blue pipe 1/2 2
5 pcs. Neltex 2
6 pcs. Faucet blue 1/2 7
7 pcs. Tiles 8x8 32
8 pcs. Teflone 1/2 2
9 pcs. Pipe 2 orange 4
10 pcs. Elbow 2 5
11 pc. Tee 1/2 blue 1
12 pcs. Strainer Round 2
13 pcs. B. Valve 1/2 2
14 pcs. Coupling 1/2 blue 2
15 pcs. Nipple 1/2x6 H/D 2
16 pcs. Nipple 1/2x5 H/D 4
17 pcs. Gi Coupling 1/2 H/D 6

TOTAL: ₱

This is to submit our price quotations indicated above subject to the Terms and Conditions of this RFQ.
Supplier/Bidder's
TIN:
Company Name:
Address: Tel No.:

Email Address: Fax No.:

Supplier's/Bidder's
Authorized
Representative Date:
Signature Over Printed
Name

CANVASS CONDUCTED BY:

REYNALDO B. LAPAK
 Appendix 01
PURCHASE ORDER
SUAL CENTRAL SCHOOL
Entity Name

Supplier : P.O. No. :

Address : Date :
TIN : Mode of Procurement: SHOPPING

Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Delivery Term :

Date of Delivery : Payment Term :

Stock/
Property Unit Description Quantity Unit Cost Amount
No.

TOTAL
Total Amount in Words

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,

______________________________ VILLA R. GALICIA, Ed.D.

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official
____________ Principal II
Date

Fund Cluster : MOOE ORS/BURS No. : __________________

Funds Available : Date of the ORS/BURS : _____________
Amount : _________________________
ROBERT E. MAMARIL
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit
 Appendix 01
PURCHASE ORDER
SUAL CENTRAL SCHOOL
Entity Name

Supplier : P.O. No. :

Address : Date :
TIN : Mode of Procurement: SHOPPING

Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Delivery Term :

Date of Delivery : Payment Term :

Stock/
Property Unit Description Quantity Unit Cost Amount
No.

TOTAL
Total Amount in Words

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,

______________________________ RUFO F. DELA CRUZ, Ed.D.

Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official
____________ PSDS/OIC, Office of the School Head
Date

Fund Cluster : MOOE ORS/BURS No. : __________________

Funds Available : Date of the ORS/BURS : _____________
Amount : _________________________
ELVIRA C. ESCAÑO
Signature over Printed Name of Chief
Accountant/Head of Accounting Division/Unit
 INSPECTION AND ACCEPTANCE REPORT

CABALITIAN ELEMENTARY SCHOOL

Supplier: MARIGOLD STORE IAR

PO No.: Date: Invoice No.: 68925 Date: 12/19/2018
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

68925 ream Book Paper - long 22 4,730.00
68925 units Industrial Fan 4 7,992.00
68925 bots. Air Freshner 2 400.00
68925 bots. Baygon 1 330.00
68925 pcs. stapler #35 1 100.00

Total Sales
THIRTEEN THOUSAND FIVE HUNDRED FIFTY-TWO PESOS ONLY*** 13,552.00
INSPECTION ACCEPTANCE
Date Inspected: 12/19/2018 Date Received: 12/19/2018

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. RENATO HUMILDE
2. MERCEDES OBRA ROMMEL CONCEPCION
3. RUFFA DOQUENIA School Property Custodian
 Appendix 60

PURCHASE REQUEST
BAYBAY ELEMENTARY SCHOOL
Entity

Entity Name: SUAL CENTRAL SCHOOL Fund Cluster: MOOE

Office/Section: PR No.: ________________________________ Date: 02/11/2019
____________________ Responsibilty Center Code: ________________
Stock/
Property Unit Item Description Quantity Unit Cost Total Cost
No.
1 unit Pensonic Flat TV 20" (Instructional Material) 1 5,998.00 5,998.00
2 set Epson Ink T664 (4 color/bots.) 4 330.00 1,320.00
3 reams Coupon Bond - Long 6 215.00 1,290.00
4 ream Coupon Bond - Short 1 210.00 210.00
5 bots. Elmers Glue 7 47.00 329.00
6 rolls Double-sided tape 4 38.00 152.00

TOTAL 9,299.00
Total Amount in Words NINE THOUSAND TWO HUNDRED NINETY-NINE PESOS ONLY****
Purpose:
for Office Supplies use/Instructional Material.
OK as to APP.

Requested by: Approved by:

Signature: ________________________________ _________________________
Printed AIDA T. SAMPAGA RUFO F. DELA CRUZ, Ed.D.
Name:
Designation: School Property Custodian PSDS/OIC-School Head
 INSPECTION AND ACCEPTANCE REPORT

BAYBAY ELEMENTARY SCHOOL

Supplier: MARIGOLD STORE IAR

PO No.: Date: Invoice No.: 69917 Date: 02/11/2019
Requisitioning Office/Dept.:

O.R. No. Unit Description Quantity Amount

69917 unit Pensonic Flat TV 20" (Instructional Material) 1 5,998.00
69917 set Epson Ink T664 (4 color/bots.) 4 1,320.00
69917 reams Coupon Bond - Long 6 1,290.00
69917 ream Coupon Bond - Short 1 210.00
69917 bots. Elmers Glue 7 329.00
69917 rolls Double-sided tape 4 152.00

NINE THOUSAND TWO HUNDRED NINETY-NINE PESOS ONLY****

9,299.00
INSPECTION ACCEPTANCE
Date Inspected: 02/11/2019 Date Received: 02/11/2019

Inspected, verified and found in order as to Complete

Partial (pls. specify quantity)

Inspectorate Team:
1. ARBIEBS C. VASO
2. NOEMI U. CASTILLO AIDA T. SAMPAGA
3. JESSABEL A. DAMASCO School Property Custodian
 INVENTORY CUSTODIAN SLIP

Entity Name: BAYBAY ELEMENTARY SCHOOL PS No.:

Fund Cluster: MOOE

AMOUNT Inventory Estimated

Quantity Unit Description
Unit Cost Total Cost Item No. Useful Life
1 UNIT 5,998.00 5,998.00 PENSONIC FLAT TV 20" 1 4 YEARS

Received From (Property Custodian) Received By (Pad User)

AIDA T. SAMPAGA RUFO F. DELA CRUZ, Ed.D.

Signature Over Printed Name Signature Over Printed Name

School Property Custodian PSDS/OIC-School Head

Position Office Position Office

02/11/2019 02/11/2019
Date Date