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ANNUAL PROCUREMENT PLAN - Calendar year 2012

Name of Local Government Unit: Naic, Cavite


Program Control Unit: Amount
Department/Office:
Item
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

Description
A. F. 57
A. F. 51
CTC
A. F. 55-F
A. F. 58
A. F. 56
CTC Corp.
A. F. 51
Community Tax Cert.
Community Tax Cert.
A. F. 51
A. F. 51
CTC
A. F. 55-F
A. F. 57
A. F. 56

Amount
Regular

Unit Cost
90.00
100.00
43.45
85.00
65.00
160.00
72.60
100.00
43.35
43.45
100.00
100.00
43.45
85.00
90.00
160.00

Quantity

Unit
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads
pads

Total Cost

Total

Contingency
1st Quarter
QTY
Amount
5
450.00
100
10,000.00
100
4,345.00
20
1,700.00
5
325.00
60
9,600.00
2
145.20
100
10,000.00
100
4,335.00
50
2,172.50
100
10,000.00
60
6,000.00
50
2,172.50
20
1,700.00
5
450.00
60
9,600.00

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

72,995.20
LGU Form No. 2
ANNUAL PROCUREMENT PLAN - Calendar year 2012

Name of Local Government Unit: Naic, Cavite


Program Control Unit: Amount

Amount

Page of Pages

4th Quarter
QTY
Amount

Department/Office:
Item
No.

Regular

Description

Unit Cost

Quantity

Unit

Total Cost

Contingency
1st Quarter
QTY
Amount

Total
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount

4th Quarter
QTY
Amount

Total
This is to certify that the above procurement program is in accordance
with the objectives of this LGU.
Recommended by:____________________________________
General Service Officer

Approved by:__________________________________
(Local Chief Executive)

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:

Amount
Regular

Item

Contingency
1st Quarter

Description

Unit Cost

Quantity

Unit

Total Cost

Page of Pages
Total
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter

4th Quarter

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Total

Description
Paracetamol Tab. 500 mg
Paracetamol Drops
Paracetamol 125 mg
Salbutamol tablet
Amoxicillin Cap. 500 mg
Amoxicillin Sy
Amoxicillin drops
Contrimoxazole tablet 800 mg
Contrimoxazole susp.
Mefenamic Cap. 500 mg
Dicycloverine tablet
Dicycloverine sy
Nifidipine 20 mg
Providone iodine
Ambroxol Syrup
Ambroxol tablet 30 mg
Metronidazole 125 mg
Isoniazid tablet 300 mg
Rifampicin cap. 450 mg
Pyrazinamide 500 mg
Ethambutol 400 mg
Chlorphenamine maleate sy
Chlorphenamine tablet
Amoxicillin 250 mg suspension

Unit Cost
251.00
60.10
62.05
549.00
1,025.20
98.25
95.10
998.25
85.05
680.50
202.60
72.05
1,600.00
700.00
83.35
543.00
61.00
549.50
1,488.50
900.00
721.50
60.50
453.25
110.00

Quantity
43
116
175
22
37
122
161
23
200
22
24
135
7
1
125
4
100
48
45
46
21
153
21
112

Unit
bxs
btls
btls
bxs
bxs
btls
btls
bxs
btls
bxs
bxs
btls
bxs
btl
btls
bxs
btls
bxs
bxs
bxs
bxs
btls
bxs
btls

Total Cost
10,136.50
6,863.60
10,993.75
10,436.50
40,017.20
11,469.00
14,723.60
22,709.50
16,872.50
15,231.00
9,166.40
9,599.00
18,700.00
700.00
10,101.25
2,706.00
6,850.00
38,485.00
65,355.20
45,286.00
20,007.50
10,007.50
8,497.75
12,320.00

QTY
8
36
75
10
5
72
36
4
50
4
4
20
2
1
75
2
50
20
20
20
9
23
2

Amount
QTY
2,008.00
15
2,163.60
30
4,653.75
5,490.00
5,126.00
13
7,074.00
3,423.60
75
3,993.00
2
4,252.50
50
2,722.00 3
810.40
2
1,441.00
25
3,200.00
700.00
6,251.25
1,086.00
2
3,050.00
10,990.00
13
29,770.00
10
18,000.00
13
6,493.50
5
1,391.50
40
906.50
4
112

Amount
3,750.00
1,800.00

15,587.00
7,350.00
1,996.00
4,575.00
2,040.00
760.00
2,200.00

QTY
10
50
50
7
5

Amount
1,480.00
2,900.00
3,400.00
2,849.00
5,475.00

50
7
50
10
10
50
5

3,950.00
6,923.00
3,600.00
7,480.00
4,880.00
3,650.00
15,500.00

50

3,850.00

50
3
3
3
7
50
10

3,800.00
1,764.00
5,952.00
3,114.00
8,764.00
3,900.00
4,180.00

QTY
10

Amount
2,898.50

50
5
14
50

2,940.00
2,097.50
13,829.20
4,395.00

10
50
5
8
40

9,797.50
4,445.00
2,989.00
2,716.00
2,308.00

12
12
10

18,594.00
14,398.20
12,498.00

40
5

2,316.00
1,599.25

1,620.00
7,137.00
15,235.00
11,674.00
4,750.00
2,400.00
1,812.00
12,320.00

LGU
ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
25

Description
Nifedipine cap 10mg.

Regular

Unit Cost
1,599.00

Quantity
1

Unit
bx

Amount
Contingency

Total Cost
1,599.00

Page of Pages
Total
Date Submitted:
DISTRIBUTION
1st Quarter
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
QTY
Amount
1
1,599.00

4th Quarter
QTY
Amount

26
27
28
29
30
31
32
33
34
35
36
37
38

Mebendazole 500mg
Rifampicin sy
Izoniazid sy
Ambroxol 15mg sy
Guiafenesin sy
Mebendazole susp.
Rifampicin susp. 200mg
Amoxicillin susp.250mg
Pleuragex sy
Salbutamol sy
INH sy
INH Tablet
Metroprolol

726.00
99.00
65.00
88.00
41.33
63.00
115.00
88.74
99.70
57.90
77.70
449.90
742.50

9
70
100
50
125
50
50
50
100
50
30
10
6

bxs
btls
btls
btls
btls
btls
btls
btls
btls
btls
btls
bxs
bxs

10,517.00
6,930.00
7,484.00
4,400.00
6,900.00
3,150.00
5,750.00
4,437.00
9,970.00
2,895.00
2,331.00
4,499.00
4,455.00

2
70
70
50
75

1,452.00
6,930.00
4,550.00
4,400.00
3,100.00

50
50
50
50

9,065.00
30

2,934.00

100
50
30
10
6

9,970.00
2,895.00
2,331.00
4,499.00
4,455.00

3,800.00
3,150.00
5,750.00
4,437.00

Total
LGU
ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
1
2
3

Description
Adding Machine Ribbon
Adding Machine sharp EL-260
Adding Machine Slip 57mm (Best buy)

Amount
Contingency

Regular

Unit Cost
18.00
5,000.00
20.00

Quantity

Unit

25
1
50

pcs
pc
pcs

Total Cost
450.00
5,000.00
1,000.00

Total
DISTRIBUTION
1st Quarter
2nd Quarter
QTY
Amount
QTY
Amount
10
15

180.00
300.00

10
10

180.00
200.00

Page of Pages
Date Submitted:
3rd Quarter
QTY
Amount
5
1
15

90.00
5,000.00
300.00

4th Quarter
QTY
Amount

10

200.00

4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Total

Adding Machine Ink


AVR Computer
Ballpen Fiber Castle 0.5
Ballpen HBW 124 red, 124 black.
Ballpen Lotus
Ballpen Pilot S Fine Asstd Color
Ballpen Zebra Z-1 0.7
Ballpen Mitsubishi 24-Red, 12 blue, 60 black gel
Battery AA Energizer
Battery AA Eveready
Battery AAA Energizer
Binding Kit Long w/ Plastic Binder
Bond Paper Subs-24 Long Paper one 80gm
Bond Paper Subs 24 Short Paper one 80gm
Bond paper Long s-20 Paper one
Bond Paper Short S-20 Paper one
Book Paper Long Advance S-24
Book Paper Short Advance S-24
Book Holder
Bostick Glue Stick
Brown Envelope Long Thick

120.00
600.00
12.00
7.00
12.00
27.00
27.00
23.00
24.00
21.00
29.00
50.00
270.00
233.00
182.00
150.00
330.00
293.00
200.00
50.00
3.50

2
1
150
248
100
642
112
96
59
137
16
11
222
224
67
129
50
105
2
10
1166

pcs
pc
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
rms
rms
rms
rms
rms
rms
pcs
pcs
pcs

240.00
600.00
1,800.00
1,736.00
1,200.00
17,334.00
3,024.00
2,208.00
1,416.00
2,877.00
464.00
550.00
59,940.00
52,192.00
12,194.00
19,350.00
16,500.00
30,765.00
400.00
500.00
4,081.00
235,821.00

2
1
62
210
31
48
48
5
6
56
56
14
30
13
27
2
3
300

240.00
600.00
434.00
5,670.00
837.00
1,104.00
1,008.00
145.00
300.00
15,120.00
13,048.00
2,548.00
4,500.00
4,290.00
7,911.00
400.00
150.00
1,050.00
59,835.00

62
210
31
48
37
5
5
56
56
14
25
12
26
2
300

434.00
5,670.00
837.00
1,104.00
777.00
145.00
250.00
15,120.00
13,048.00
2,548.00
3,750.00
3,960.00
7,618.00
100.00
1,050.00
56,791.00

75
62
50
111
25
30
26
3
55
56
20
37
13
26
3
300

900.00
434.00
600.00
2,997.00
675.00
720.00
546.00
87.00
14,850.00
13,048.00
3,640.00
5,550.00
4,290.00
7,618.00
150.00
1,050.00
62,545.00

75
62
50
111
25
29
26
3
55
56
19
37
12
26
2
266

900.00
434.00
600.00
2,997.00
675.00
696.00
546.00
87.00
14,850.00
13,048.00
3,458.00
5,550.00
3,960.00
7,618.00
100.00
931.00
56,650.00

LGU
ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
25
26
27
28
29

Description
Brown Envelope Short Thick
Calculator MS 20 TV Aurora
Calcuulator Olympia SD 200Vt 12 digits
Calculator Aurora 12 digits
Calculator Casio 12 digit big

Amount
Contingency

Regular

Unit Cost
2.50
700.00
600.00
650.00
680.00

Quantity

Unit

566
7
4
2
1

pcs
pcs
pcs
pcs
pcs

Total Cost
1,415.00
4,900.00
2,400.00
1,300.00
680.00

Page of Pages
Total
Date Submitted:
DISTRIBUTION
1st Quarter
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
QTY
Amount
142
5
2
2
1

355.00
3,500.00
1,200.00
1,300.00
680.00

141

352.50
-

142
2
2

355.00
1,400.00
1,200.00
-

4th Quarter
QTY
Amount
141

352.50
-

30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
Total

Calculator Casio FX 570 Scientific


Calculator Scientific 14 Digits- Sharp- EL
Calculator Sharp (12 digits)
Calculator 12 Digits Dual Power
Carbon Paper Permafilm Long
Carbon Paper Red Feather Long
Carbon Paper Red Feather Short
Cartolina Assorted Color
Clear Book Long (Thick)
Clear Book Short (Thick)
Columnar Notebook 4 cols. Veco
Columnar Notebook 5 cols. Veco
Columnar Notebook 8 cols. Veco
Columnar Notebook 14 cols. Veco
Columnar Notebook 24 cols. Veco
Columnar Printed Pad 8 cols. 50 leaves veco
Columnar Printed Pad 14 cols. 50 leaves veco
Computer Ink- Canon PG-810
Computer Ink- Canon CL-811
Computer Ink Canon PG-40

750.00
1,800.00
837.00
500.00
690.00
150.00
130.00
10.00
100.00
90.00
29.00
29.00
29.00
50.00
60.00
60.00
75.00
900.00
1,150.00
1,200.00

2
1
2
5
18
39
9
20
6
5
22
10
6
10
6
2
2
8
4
47

pcs
pc
pcs
pcs
box
box
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

1,500.00
1,800.00
1,674.00
2,500.00
12,420.00
5,850.00
1,170.00
200.00
600.00
450.00
638.00
290.00
174.00
500.00
360.00
120.00
150.00
7,200.00
4,600.00
56,400.00
109,291.00

2
1

5
8
5
5
3
3
12
5
5
3
1
1

15

1,500.00
1,800.00
3,450.00
1,200.00
650.00
50.00
300.00
270.00
348.00
145.00
250.00
180.00
60.00
75.00
18,000.00
35,313.00

4
8
4
5
3
2
10
5
5
3

2,760.00
1,200.00
520.00
50.00
300.00
180.00
290.00
145.00
250.00
180.00
9,600.00
15,827.50

2
5
5
13
5

1
1
4
2
12

1,674.00
2,500.00
3,450.00
1,950.00
50.00
87.00
60.00
75.00
3,600.00
2,300.00
14,400.00
33,101.00

4
10
5

4
2
12

2,760.00
1,500.00
50.00
87.00
3,600.00
2,300.00
14,400.00
25,049.50

LGU Form No. 2


Appendix "B"
ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
50
51
52
53
54
55

Description
Computer Ink Canon CL-41
Computer Ink Canon 830 Black
Computer Ink Canon 831 colored
Computer Ink Canon BC 03
Computer Ink Epson N-73 Magenta
Computer Ink Epson N-73 Yellow

Amount
Contingency

Regular

Unit Cost
1,400.00
950.00
1,200.00
1,600.00
600.00
600.00

Quantity

Unit

45
20
20
22
2
2

pcs
pcs
pcs
pcs
pcs
pcs

Total Cost
63,000.00
19,000.00
24,000.00
35,200.00
1,200.00
1,200.00

Total
DISTRIBUTION
1st Quarter
2nd Quarter
QTY
Amount
QTY
Amount
13
3
3
2

18,200.00
2,850.00
3,600.00
3,200.00
-

10
3
3
2

14,000.00
2,850.00
3,600.00
3,200.00
-

Page of Pages
Date Submitted:
3rd Quarter
QTY
Amount
12
7
7
9
1
1

16,800.00
6,650.00
8,400.00
14,400.00
600.00
600.00

4th Quarter
QTY
Amount
10
7
7
9
1
1

14,000.00
6,650.00
8,400.00
14,400.00
600.00
600.00

56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
Total

Computer Ink Epson N-73 Blue


Computer Ink Epson N-73 Black
Computer Ink Epson C59 to 751
Computer Ink Epson C59 to 752
Computer Ink Epson C59 to 753
Computer Ink Epson C59 to 754
Computer Ink HP 21 Black
Computer Ink HP 22 colored
Computer Ink HP 8727
Computer Ink HP 8728
Computer Ink HP 60 colored D2560
Computer Ink IP 1980 830 black
Computer Ink IP 1980 831 colored
Computer Ink HP 60 Black
Computer Ribbon Epson FX 2175
Computer Ribbon LX 300 8750
Cork Board 18X24
Computer Chair with arm rest (mest chair)

600.00
600.00
400.00
400.00
400.00
400.00
900.00
1,050.00
1,200.00
1,300.00
1,050.00
950.00
1,200.00
900.00
550.00
160.00
500.00
4,000.00

2
2
2
2
2
2
16
14
44
19
15
12
10
17
8
78
1
2

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pc
pcs

1,200.00
1,200.00
800.00
800.00
800.00
800.00
14,400.00
14,700.00
52,800.00
24,700.00
15,750.00
11,400.00
12,000.00
15,300.00
4,400.00
12,480.00
500.00
8,000.00
335,630.00

1
1
1
1
6
6
14
6
8

8
2
25
1

400.00
400.00
400.00
400.00
5,400.00
6,300.00
16,800.00
7,800.00
8,400.00
7,200.00
1,100.00
4,000.00
500.00
86,950.00

6
6
14
5
7

7
2
25

5,400.00
6,300.00
16,800.00
6,500.00
7,350.00
6,300.00
1,100.00
4,000.00
77,400.00

1
1
1
1
1
1
2
1
8
4
6
5
2
2
14
2

600.00
600.00
400.00
400.00
400.00
400.00
1,800.00
1,050.00
9,600.00
5,200.00
5,700.00
6,000.00
1,800.00
1,100.00
2,240.00
8,000.00
92,740.00

1
1

2
1
8
4
6
5
2
14

600.00
600.00
1,800.00
1,050.00
9,600.00
5,200.00
5,700.00
6,000.00
1,100.00
2,240.00
78,540.00

LGU Form No. 2


Appendix "B"
ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
74
75
76
77
78
79
80
81

Description
Continuous Ink
Cordless Phone
Correction Fluid Touch & Go
Correction Pen- Pilot Fine point
Copy paper Long S-24 hard Copy
Copy Paper Short S-24 Hard Copy
Copy paper colored (Yellow) Long 80gm
Copy Paper colored (Yelow) Short 80gm

Amount
Contingency

Regular

Unit Cost
2,000.00
3,500.00
38.00
120.00
295.00
250.00
340.00
290.00

Quantity

Unit

3
3
194
18
51
52
11
11

set
pcs
pcs
pcs
rms
rms
rms
rms

Total Cost
6,000.00
10,500.00
7,372.00
2,160.00
15,045.00
13,000.00
3,740.00
3,190.00

Total
DISTRIBUTION
1st Quarter
2nd Quarter
QTY
Amount
QTY
Amount
1
59
5
15
16
1
1

3,500.00
2,242.00
600.00
4,425.00
4,000.00
340.00
290.00

59
5
14
16

2,242.00
600.00
4,130.00
4,000.00
-

Page of Pages
Date Submitted:
3rd Quarter
QTY
Amount
3
2
39
4
11
10
5
5

6,000.00
7,000.00
1,482.00
480.00
3,245.00
2,500.00
1,700.00
1,450.00

4th Quarter
QTY
Amount

37
4
11
10
5
5

1,406.00
480.00
3,245.00
2,500.00
1,700.00
1,450.00

82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
Total

CD Rewritable- Imation
CD Rewritable- ( Imation) w/ Indv. Casing
Cutter big
D- Link Router Wireless
D-Link 8 port Switch
Daily Time Record 500`s
Desk tray (length wise)
Diskette Verbatin 2HD 10/box
Document File
Double Sided Tape
Duplo Ink
Elite Specialty Board 10`s veco
Elite Specialty Paper 10`s veco
Enveloped Expandable w/ String Long hard bond
Enveloped Plastic Long thick
Eraser-White board
Eraser Staedler SM TB-30

20.00
45.00
50.00
2,600.00
1,500.00
100.00
100.00
250.00
250.00
90.00
1,100.00
39.00
26.00
22.00
15.00
20
22

170
120
5
1
1
10
6
5
20
3
17
175
175
82
500
1
12

pcs
box
pcs
pc
pc
pack
pcs
box
pcs
pcs
cart.
packs
packs
pcs
pcs
pcs
pcs

3,400.00
5,400.00
250.00
2,600.00
1,500.00
1,000.00
600.00
1,250.00
5,000.00
270.00
18,700.00
6,825.00
4,550.00
1,804.00
7,500.00
20.00
264.00
121,940.00

25
5

3
2
3
6
25
25
31
250
1
6

500.00
250.00
300.00
500.00
270.00
6,600.00
975.00
650.00
682.00
3,750.00
20.00
132.00
30,026.00

25

31
250
6

500.00
5,500.00
682.00
3,750.00
132.00
21,536.00

60
60

1,200.00
2,700.00
2,600.00
1,500.00
500.00
300.00
750.00
2,500.00
3,300.00
2,925.00
1,950.00
220.00
44,302.00

1
1
5
3
3
10
3
75
75
10

60
60

10
3
75
75
10

1,200.00
2,700.00
500.00
2,500.00
3,300.00
2,925.00
1,950.00
220.00
26,076.00

LGU Form No. 2


Appendix "B"
ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
99
100
101
102
103

Description
Fastener Plastic
Fastener Metal
Fax machine PC-402 RF
Fax Machine Roll paper 216x30mm
Field Folder w/ Cover Long

Amount
Contingency

Regular

Unit Cost
38.00
50.00
1,500.00
77.00
150.00

Quantity

Unit

35
3
3
14
3

pcs
box
pcs
pcs
pcs

Total Cost
1,330.00
150.00
4,500.00
1,078.00
450.00

Total
DISTRIBUTION
1st Quarter
2nd Quarter
QTY
Amount
QTY
Amount
9
3
1
14
3

342.00
150.00
1,500.00
1,078.00
450.00

342.00
-

Page of Pages
Date Submitted:
3rd Quarter
QTY
Amount
9
1

342.00
1,500.00
-

4th Quarter
QTY
Amount
8
1

304.00
1,500.00
-

104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
Total

Folder Long 16 pt Metro Best buy


Folder Long hard bond best buy
Folder Green Expandable long
Foldback Clip or Binder Clip 5 ins
Foldback clip or binder clip 2 1/2 ins
Folder Sliding short moroco- veco
Folder thick with Tab clip long
Frame for Certificate (13x15)
Glass Filter for computer
Glue Gun
Glue Elmer`s 487ml
Glue Gun Stick
Glue Liquid Twin
Hard Drive portable
Illustration board (whole)
Index card (5x3)500/pack
Ink Roller IR 40 T
Lettering Brush

7.25
6.50
23.00
25.00
15.00
12.00
25.00
150.00
200.00
300.00
140.00
5.00
75.00
5,000.00
58.00
90.00
400.00
500.00

1061
831
123
6
12
48
4
125
2
2
2
48
1
1
2
8
1
1

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pc
pc
pcs
pack
pc
set

7,692.25
5,401.50
2,829.00
150.00
180.00
576.00
100.00
18,750.00
400.00
600.00
280.00
240.00
75.00
5,000.00
116.00
720.00
400.00
500.00
51,517.75

200
200
50
6
12
24
4
15
1
1
2
24
1
1
2
2
1
1

1,450.00
1,300.00
1,150.00
150.00
180.00
288.00
100.00
2,250.00
200.00
300.00
280.00
120.00
75.00
5,000.00
116.00
180.00
400.00
500.00
17,559.00

200
185
50

24
15

1,450.00
1,202.50
1,150.00
288.00
2,250.00
180.00
6,862.50

361
246
23

48
1
1
24

2,617.25
1,599.00
529.00
7,200.00
200.00
300.00
120.00
180.00
14,587.25

300
200

47

2,175.00
1,300.00
7,050.00
180.00
12,509.00

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
122
123
124
125

Description
Laminating Film ax100mx125 micron
Mailing Enveloped long white Ord.
Mailing Envelope Long white Trojan
Masking Tape #1 crocodile

Amount
Regular

Unit Cost
900.00
280.00
625.00
45.00

Quantity

Unit

2
5
2
28

rolls
bxs
bxs
pcs

Total Cost
1,800.00
1,400.00
1,250.00
1,260.00

Contingency
1st Quarter
QTY
Amount
2
1
7

560.00
625.00
315.00

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

315.00

1
3
1
7

900.00
840.00
625.00
315.00

4th Quarter
QTY
Amount
1

900.00
315.00

126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
Total

Masking Tape #2 crocodile


Master Roll Duplo Machine
Mechanical Pencil 0.5 Steadler
Mimeo Paper long S-18 w/w Advance
Mimeo Paper short S-18 w/w Advance
Mongopl Pencil #2
Moroco Board
Mouse pad
National seal global no.23
Notebook 6x8 (Fly and Free)
Optical Mouse- USB
Packing Tape 2 best buy
Paper catcher Finger Moistener
Paper clip big coated gem type
Paper clip small coated gem type
Paste 200 gsm Red Stone
Pay Envelope with Logo 8 1/2

66.00
5,000.00
175.00
212.00
179.00
7.50
35.00
100.00
65.00
75.00
400.00
35.00
25.00
18.00
9.00
28.00
400.00

26
3
4
137
110
522
21
4
10
10
12
33
10
54
55
28
50

pcs
pcs
pcs
rms
rms
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
bxs
bxs
pcs
bxs

1,716.00
6
15,000.00
1
700.00
1
29,044.00
35
19,690.00
20
3,915.00
158
735.00
400.00
2
650.00
10
750.00
10
4,800.00
3
1,155.00
30
250.00
5
972.00
20
495.00
20
784.00
10
20,000.00 15
106,766.00

396.00
5,000.00
175.00
7,420.00
3,580.00
1,185.00
200.00
650.00
750.00
1,200.00
1,050.00
125.00
360.00
180.00
280.00
6,000.00
30,051.00

6
1
1
35
15
158

19
20
9
10

396.00
5,000.00
175.00
7,420.00
2,685.00
1,185.00
1,200.00
342.00
180.00
252.00
4,000.00
23,150.00

7
1
1
34
38
103
2

3
3
5
8
8
6
15

462.00
5,000.00
175.00
7,208.00
6,802.00
772.50
200.00
1,200.00
105.00
125.00
144.00
72.00
168.00
6,000.00
31,113.50

7
1
1
33
37
103
21

200
3

7
7
3
10

462.00
5,000.00
175.00
6,996.00
6,623.00
772.50
735.00
15,000.00
1,200.00
126.00
63.00
84.00
4,000.00
42,451.50

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
143
144
145
146
147
148
149
150
151

Description
Padding Glue
Padding Glue stick up 1kg.
Paper Holder for computer
Pentel Energel liquid gel 0.5
Pentel pen pilot broad/fine
Pencil Sharpener Heavy Duty
Plastic Cover 4pack
Plastic cover 100/roll
Photo paper Epson veco 10`s

Amount
Regular

Unit Cost
60.00
300.00
150.00
70.00
40.00
350.00
100.00
600.00
150.00

Quantity

Unit

1
1
2
12
349
1
4
2
17

pcs
pcs
pcs
pcs
pcs
pcs
pack
roll
pck

Total Cost
60.00
300.00
300.00
840.00
13,960.00
350.00
400.00
1,200.00
2,550.00

Contingency
1st Quarter
QTY
Amount
1
1
1
6
102
1
1
12

60.00
300.00
150.00
420.00
4,080.00
350.00
600.00
1,800.00

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

101

4,040.00
750.00

1
6
73
4
1

150.00
420.00
2,920.00
400.00
600.00
-

4th Quarter
QTY
Amount

73

2,920.00
-

152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
Total

Post-it 2x3 3m
Post it 3x3 3m
Post it 3x4 3m
Post it 3x5 3m
Post it 3x6 3m
Postage Stamp
Postage Stamp
Puncher HD carl
Push pin 50/pack
Record Book ledger cash 300 leaves veco
Record Book 150 leaves veco
Record Book 200 leaves veco
Record Book 300 leaves veco
Record Book 500 leaves veco
Ring Binder
Ring Binder Size 1/2 in x 48 long

31.00
52.00
69.00
69.00
59.00
7.00
3.00
350.00
21.00
267.00
50.00
50.00
62.00
85.00
50.00
45.00

50
42
9
12
20
1000
1000
7
14
4
11
24
55
104
20
10

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pack
pcs
pcs
pcs
pcs
pcs
pcs
pcs

1,550.00
2,184.00
621.00
828.00
1,180.00
7,000.00
3,000.00
2,450.00
294.00
1,068.00
550.00
1,200.00
3,410.00
8,840.00
1,000.00
450.00
55,585.00

10
12
3
6
10

3
7
6
5
15
30

310.00
624.00
207.00
414.00
590.00
1,050.00
147.00
300.00
250.00
930.00
2,550.00
15,132.00

10
10
3

3
7
5
5
15
29

310.00
520.00
207.00
1,050.00
147.00
250.00
250.00
930.00
2,465.00
10,919.00

15
10
3
6
10
1000
1000

4
11
15
25
20
10

465.00
520.00
207.00
414.00
590.00
7,000.00
3,000.00
1,068.00
550.00
930.00
2,125.00
1,000.00
450.00
22,809.00

15
10

11
10
20

465.00
520.00
350.00
550.00
620.00
1,700.00
7,125.00

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
168
169
170
171
172
173
174
175
176
177

Description
Rubber band SM Arrow 30 gms round
Rubber Band Big Arrow 350 gms flat
Rubber Stamp(mayor)
Ruler 12 plastic orion
Scissor big #7 Helix
Scotch Tape 1/2 3M
Scotch Tape #1 3M
Scotch tape #2 3M
Sign pen My Gel 0.5
Sign pen pilot G-tech C4 Black

Amount
Regular

Unit Cost
15.00
110.00
200.00
25.00
80.00
40.00
60.00
66.00
20.00
80.00

Quantity

Unit

35
16
18
14
18
25
81
5
554
50

bxs
bxs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

Total Cost
525.00
1,760.00
3,600.00
350.00
1,440.00
1,000.00
4,860.00
330.00
11,080.00
4,000.00

Contingency
1st Quarter
QTY
Amount
10
5
6
8
7
26
5
140
22

150.00
550.00
150.00
640.00
280.00
1,560.00
330.00
2,800.00
1,760.00

Page of Pages
Total
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
10
5
8
5
5
7
25
140
22

150.00
550.00
1,600.00
125.00
400.00
280.00
1,500.00
2,800.00
1,760.00

8
3
10
3
5
6
15
137
6

120.00
330.00
2,000.00
75.00
400.00
240.00
900.00
2,740.00
480.00

4th Quarter
QTY
Amount
7
3

5
15
137

105.00
330.00
200.00
900.00
2,740.00
-

178
179
180
181
182
183
184
185
186
187
188
189
190
191
Total

Sign pen pilot V7 Hi-tech 0.7


Sign pen pilot V7 Hi-tech grip
Sign pen Dong A 0.5 U-knok
Sign pen Parker Roller ball/blk 3blue, 5black 0.7
Sign Pen roller ball refill blk 0.5
Sign pen pilot V5 Hi-tech blue 17, black 50,red 12
Sponge- Finger tip moisturizer
Stabilo Boss marker
Stamp pad Artline #1 with Ink
Stamp pad Ink Artline 50cc
Stamp pad best buy
Stamp pad artline without ink
Stamp pad ink Eveready
Stapler HD Swingline

60.00
60.00
37.00
450.00
150.00
60.00
25.00
35.00
180.00
120.00
60.00
140.00
35.00
400.00

144
63
86
8
3
84
13
100
8
26
17
4
2
1

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs

8,640.00
3,780.00
3,182.00
3,600.00
450.00
5,040.00
325.00
3,500.00
1,440.00
3,120.00
1,020.00
560.00
70.00
400.00
64,072.00

42
26
40
4
3
42
7
35
2
10
6
2
2
1

2,520.00
1,560.00
1,480.00
1,800.00
450.00
2,520.00
175.00
1,225.00
360.00
1,200.00
360.00
280.00
70.00
400.00
22,620.00

42
25
40
4
42
35
9
5
2

2,520.00
1,500.00
1,480.00
1,800.00
2,520.00
1,225.00
1,080.00
300.00
280.00
21,870.00

30
12
6

6
15
6
4
3

1,800.00
720.00
222.00
150.00
525.00
1,080.00
480.00
180.00
12,442.00

30

15
3
3

1,800.00
525.00
360.00
180.00
7,140.00

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
192
193
194
195
196
197
198
199
200
201
202
203

Description
Staple with remover #35 max
Staple wire #35 max
Staple wire T-50 4/pack Arrow
Staple wire remover
Staple wire #10 B/12
Spiral Notebook
Straw Big
Tape Dispenser HD
Thumd Tacks
Typewriter ribbon old town
Transparent tape Big
USB Flashdisk 2 GB transient

Amount
Regular

Unit Cost
260.00
40.00
950.00
16.00
50.00
15.00
80.00
90.00
10.00
25.00
66.00
850.00

Quantity

Unit

27
64
6
14
2
6
5
5
2
68
20
8

pcs
bxs
pack
pcs
bxs
pcs
rolls
pcs
box
pcs
rolls
pcs

Total Cost
7,020.00
2,560.00
5,700.00
224.00
100.00
90.00
400.00
450.00
20.00
1,700.00
1,320.00
6,800.00

Contingency
1st Quarter
QTY
Amount
9
20
3
6
2
6
5
1
2
15
10
4

2,340.00
800.00
2,850.00
96.00
100.00
90.00
400.00
90.00
20.00
375.00
660.00
3,400.00

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

9
19
2
6

15
10
3

2,340.00
760.00
1,900.00
96.00
375.00
660.00
2,550.00

6
15
1
2

2
19
1

1,560.00
600.00
950.00
32.00
180.00
475.00
850.00

4th Quarter
QTY
Amount
3
10

2
19

780.00
400.00
180.00
475.00
-

204
205
206
207
208
209
210
211
212
213

USB Flashdisk 4 GB transient


USB Flashdisk 8 GB (Push In)
USB Flashdisk 10GB
USB Flashdrive
White board 2x3
White board marker pilot
White board Eraser
Wall Clock
Yellow Pad Catleya
Yellow Ruled Pad best buy

1,000.00
1,500.00
1,500.00
800.00
900.00
58.00
25.00
600.00
37.00
37.00

19
2
3
5
1
5
2
1
165
10

pcs
pcs
pcs
pcs
pc
pcs
pcs
pcs
pads
pcs

Total

19,000.00
3,000.00
4,500.00
4,000.00
900.00
290.00
50.00
600.00
6,105.00
370.00
65,199.00

6
2
5
4
2
1
46
10

6,000.00
3,000.00
4,000.00
232.00
50.00
600.00
1,702.00
370.00
27,175.00

46

4,500.00
1,702.00
14,883.00

1
1

37

7,000.00
900.00
58.00
1,369.00
13,974.00

36

6,000.00
1,332.00
9,167.00

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
214
215
216
217
218
219
220
221
222
223
224

Description
JANITORIAL SUPPLIES
Air Freshener (My Shaldan) in can
Air Freshener Spray Califotnia Scent
Air Freshener Spray Bayfresh/Glade
Ajax Cleanser (big)
Albatross (Toilet Deodorant)big
Alcohol 40% 500ml Johnson
Alcohol 70% 500ml Johnson
Bath Soap Safeguard Family
Baygon Spray Water Base 340ml
Binding Thread
Broom Stick (Walis Tingting)

Amount
Regular

Unit Cost
85.00
180.00
185.00
50.00
38.00
50.00
70.00
38.00
270.00
40.00
20.00

Quantity

Unit

67
3
98
18
94
221
85
55
29
4
768

pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
pcs
btl.
pcs

Total Cost
5,695.00
540.00
18,130.00
900.00
3,572.00
11,050.00
5,950.00
2,090.00
7,830.00
160.00
15,360.00

Contingency
1st Quarter
QTY
Amount
19
32
5
27
56
25
19
10
2
262

1,615.00
5,920.00
250.00
1,026.00
2,800.00
1,750.00
722.00
2,700.00
80.00
5,240.00

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

19
32
5
27
56
20
19
10
250

1,615.00
5,920.00
250.00
1,026.00
2,800.00
1,400.00
722.00
2,700.00
5,000.00

19
3
17
4
20
56
20
9
9
131

1,615.00
540.00
3,145.00
200.00
760.00
2,800.00
1,400.00
342.00
2,430.00
2,620.00

4th Quarter
QTY
Amount
10
17
4
20
53
20
8
2
125

850.00
3,145.00
200.00
760.00
2,650.00
1,400.00
304.00
80.00
2,500.00

225
226
227
228
229
230
231
232
233
234
235
236
Total

Broom Soft (walis tambo)


Cup
Curtain
Detergent Powder 1kg Tide
Disinfectant Spray Lysol 370 ml
Dishwashing Paste Axion Big
Dishwashing Liquid Joy Big
Dust Pan HD Steel
Floor wax 90grms
Floor wax 500ml Johnson
Garbage Bag L
Garbage Bag XXL 10`s

80.00
20.00
750.00
290.00
340.00
50.00
69.00
250.00
15.00
450.00
75.00
650.00

42
24
4
24
22
7
122
18
100
6
1
8

pcs
pcs
panel
pack
pcs
pcs
pcs
pcs
pcs
cans
pack
bxs

3,360.00
480.00
3,000.00
6,960.00
7,480.00
350.00
8,418.00
4,500.00
1,500.00
2,700.00
75.00
5,200.00
115,300.00

15
12

5
1
35
8
2
3

1,200.00
240.00
1,700.00
50.00
2,415.00
2,000.00
900.00
1,950.00
32,558.00

10

5
34

2
3

800.00
1,700.00
2,346.00
900.00
1,950.00
29,129.00

12
12
24
6
6
27
10
100
2
2

960.00
240.00
6,960.00
2,040.00
300.00
1,863.00
2,500.00
1,500.00
900.00
1,300.00
34,415.00

5
4
6
26

400.00
3,000.00
2,040.00
1,794.00
75.00
19,198.00

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.
.
238
239
240
241
242
243
244
245
246
247
248
249
250

Description
Garbage Bin
Glass
Glass Cleaner 300ml Mr. Muscle
Hand Washing Liquid Soap
Kalaykay
Laundry Bar Soap Tide
Liquid Sosa Big
Mop Heavy Duty Aloy
Mop Head Cotton
Mop Head Handle aluminum
Muriatic Acid Med.
Muriatic Acid 3 ltrs.
Muriatic Acid Gals.
Pail Small

Amount
Regular

Unit Cost
200.00
20.00
150.00
100.00
250.00
25.00
70.00
400.00
75.00
150.00
70.00
100.00
600.00
50.00

Quantity

Unit

7
24
9
39
10
34
1
9
11
1
14
1
8
1

pcs
pcs
pcs
btl.
pcs
bar
pc
pcs
pcs
pcs
pcs
gals
gals
pc

Total Cost
1,400.00
480.00
1,350.00
3,900.00
2,500.00
850.00
70.00
3,600.00
825.00
150.00
980.00
100.00
4,800.00
50.00

Contingency
1st Quarter
QTY
Amount
5
12
3
7
10
1
3
2
4
3

1,000.00
240.00
450.00
700.00
250.00
70.00
1,200.00
150.00
280.00
1,800.00
-

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

3
7

450.00
700.00
1,200.00
280.00
-

2
12
3
15
10
12
3
6
6
5

400.00
240.00
450.00
1,500.00
2,500.00
300.00
1,200.00
450.00
420.00
3,000.00
-

4th Quarter
QTY
Amount

10
12

3
1
1
1

1,000.00
300.00
225.00
150.00
100.00
50.00

251
Pala Tombo
550.00
10
pcs
5,500.00
252
Rubber Gloves Ansell
90.00
8
pcs
720.00
253
Scotch Brite
25.00
96
pcs
2,400.00
254
Scotch Brite w/ Foam
40.00
4
pcs
160.00
255
Surgical Gloves Med.
500.00
1
box
500.00
256
Tide Powder 1000gms
220.00
50
pack
11,000.00
257
Tide Powder Small
90.00
22
pack
1,980.00
258
Tissue Kleenex Box
70.00
60
box
4,200.00
259
Tissue Paper/Toilet paper 2 ply Joy
15.00
1852
pcs
27,780.00
260
Toilet Bowl Cleaner, Toilet Duck big
170.00
27
pcs
4,590.00
261
Zonrox Large
37.00
56
pcs
2,072.00
262
Chlorox Big
37.00
18
pcs
666.00
Total
82,623.00
This is to certify that the above procurement plan is in accordance with the objectives of this LGU.

4
27
1
12
12
15
400
5
22

360.00
675.00
40.00
2,640.00
1,080.00
1,050.00
6,000.00
850.00
814.00
19,649.00

Recommended by: ROSARIO C. ALLONES


General Service Officer

2
26

11
15
400

180.00
650.00
2,420.00
1,050.00
6,000.00
12,930.00

10
22
3
1
14
10
15
550
15
17
12

5,500.00
550.00
120.00
500.00
3,080.00
900.00
1,050.00
8,250.00
2,550.00
629.00
444.00
34,033.00

2
21

13
15
502
7
17
6

180.00
525.00
2,860.00
1,050.00
7,530.00
1,190.00
629.00
222.00
16,011.00

Approved by: Hon. EDWINA P. MENDOZA


Municipal Mayor

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2012
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.

Description
FORMS
Assessment Roll

Amount
Regular

Unit Cost

2.00

Quantity

Unit

10000

pcs

Total Cost

20,000

Contingency
1st Quarter
QTY
Amount

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

4th Quarter
QTY
Amount

Book Cover Tax Declaration


Book Cover- Faas
Business Permit Sticker, Orajet laminated Outdoor
Sticker
Building Permit Forms
Calling Card
Cover Line- Birth
Community Tax (corp)
Community Tax Certificate (individual)
Desk Pad/for Mun.Mayor & Administrator
Desk Pad/ for
List ot Taxpayer Form (Index Card)
Mayor`s Permit form elit (vellum Cream)
Special Board paper
Sanitary Permit Forms
Tricycle Permit Sticker Drajet, Laminated Outdoor
Sticker
Tricycle Permit Form (vellum Cream)
Special Board paper

250.00
250.00

90
90

pcs
pcs

40.00
750.00
4,000.00
300.00
100.80
64.40
260.00

3000
7
12
36
2
200
20

pcs
pads
boxes
pcs
pads
pads
pads

6.00

500

pcs

10.00
6.00

3000
3000

40.00
10.00

Total
This is to certify that the above procurement program is in accordance
with the objectives of this LGU.
Recommended by:____________________________________
General Service Officer

22,500
22,500
120,000.00 3000
5,250.00
4,800.00
10,800.00
201.60
12,880.00
2,600.00
3,000

120,000.00

500

3,000.00

pcs
pcs

30,000 3000
18,000 3000

30,000.00
18,000.00

3000

pcs

120,000 3000

120,000.00

3000

pcs

30,000 3000

30,000.00

321,000.00

Approved by:__________________________________
(Local Chief Executive)

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2011
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.

Description

Amount
Regular

Unit Cost

Quantity

Unit

Total Cost

Contingency
1st Quarter
QTY
Amount

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

4th Quarter
QTY
Amount

Total

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2011

Name of Local Government Unit: Naic, Cavite


Program Control Unit: Amount
Department/Office:
Item
No.

Total

Description

Amount
Regular

Unit Cost

Quantity

Unit

Total Cost

Contingency
1st Quarter
QTY
Amount

Page of Pages
Total
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount

4th Quarter
QTY
Amount

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2011
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.

Total

Description

Amount
Regular

Unit Cost

Quantity

Unit

Total Cost

Contingency

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

1st Quarter
QTY
Amount

4th Quarter
QTY
Amount

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2011
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.

Total

Description

Amount
Regular

Unit Cost

Quantity

Unit

Total Cost

Contingency

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

1st Quarter
QTY
Amount

4th Quarter
QTY
Amount

LGU Form No. 2


ANNUAL PROCUREMENT PLAN - Calendar year 2004
Name of Local Government Unit: Naic, Cavite
Program Control Unit: Amount
Department/Office:
Item
No.

Total

Description

Amount
Regular

Unit Cost

Quantity

Unit

Total Cost

Contingency

Page of Pages
Date Submitted:
DISTRIBUTION
2nd Quarter
3rd Quarter
QTY
Amount
QTY
Amount
Total

1st Quarter
QTY
Amount

4th Quarter
QTY
Amount

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