DepEd Liquidation Report Summary

LIQUIDATION REPORT
DepEd, Division Office, Davao City
PARTICULARS
To liquidate cash advance granted last

NOVEMEBER 19 ,2014 , per chk# 0000029177
TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV. NO.
DATED 10-30-14
AMOUNT REFUNDED PER OR NO.

AMOUNT TO BE REIMBURSED
A.Certified: Correctness of the above
B. Certified: Purpose of travel/
data.
cash advance duly accomplished
ASUNCION S. INFIESTO
HELEN D. PAGUICAN, CESO V
Principal I
Schools Division Superintendent
No.
Date:
NOVEMBER 27,2014
Responsibility Center
WIRELESS ELEMENTARY SCHOOL
Code:
SBSF
22,000.00
22,075.48
22,000.00
(75.48)
C. Certified: Supporting documents

complete and proper.
LORADEL L. BARICAUA
Accountant II
Name of School
Division of Davao City
FOR THE PERIOD : , NOVEMBER 11 2014- DECEMBER 10,2014
CASH DISBURSEMENTS REGISTER

TYPE OF WORKING FUND: MOOE
DATE
(1)
REFERENCE
(OR/RER/
check #)
(2)
PAYEE/
PARTICULARS
(3)
AMOUNT
RECEIVED
(4)
22,000.00
11/16/2014 35841-35842 NCCC SUPERMARKET

11/23/2014 36723-36724-25 NCCC SUPERMARKET
11/26/2014 36862-36863 Account Code
11/17/2014
RER
RONILO LAMATAN
RER
MARIAN MANGOBAT
11/21/2014
RER
CATHERINE CARTAGENA
RER
MICHELLE BAGOHIN
RER
MICHELLE BAGOHIN
RER
CHARLITO ABARQUEZ
RER
CHARLITO ABARQUEZ
RER
CATHERINE CARTAGENA
RER
MICHELLE BAGOHIN
TOTAL
CERTIFIED CORRECT
PAYMENTS
(5)
1,655.50
6,551.64
1,940.34
853.00
1,250.00
1,100.00
1,280.00
3,296.00
275.00
560.00
1,538.00
1,776.00
22,075.48
BALANCE
(6=4-5)
(6)
TRAVEL
TRAINING
OFFICE
EXPENSES
EXPENSES
SUPPLIES
MAINTENANCE
(751)
(753)
(755)
OF SCH. BLDG.(812)
(7)
(8)
(9)
(10)
Office Equipment
Furniture and Fixture
Travel Expenses - Local
Training And Seminar Expenses
Office Supplies
NOTED:
LORADEL L. BARICAUA
Accountant II
DATE:_____________________
766
767
771
772
773
REPAIRS &
20,344.50
13,792.86
11,852.52
10,999.52
9,749.52
8,649.52
7,369.52
4,073.52
3,798.52
3,238.52
1,700.52
(75.48)
CERTIFIED: Supporting Documents and Complete
Principal II
DATE: OCTOBER 13,2014
221
222
751
753
755
BREAKDOWN OF PAYM
CASH ADVANCE
Water Expenses
Electricity Expenses
Postage and Deliveries
Telephone Expenses - Landline
Telephone Expenses - Mobile
HE
Sch
D
795
796
781
812
821
General Services
Janitorial Services
Printing and Binding Expense
Repair and Maintenance - Scho
Repair and Maintenance - Offic
Name of School
FOR THE PERIOD : , NOVEMBER 11 2014- DECEMBER 10,2014
CASH DISBURSEMENTS REGISTER

TYPE OF WORKING FUND: MOOE
DATE
REFERENCE
(OR/RER/
check #)
(2)
PAYEE/
PARTICULARS
CASH ADVANCE
BREAKDOWN OF PAYM
TRAVEL
TRAINING
OFFICE
REPAIRS &
AMOUNT
PAYMENTS
BALANCE
EXPENSES
EXPENSES
SUPPLIES
MAINTENANCE
RECEIVED
(6=4-5)
(751)
(753)
(755)
OF SCH. BLDG.(812)
(1)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
22,000.00
765
Other Supplies Expenses
774
Internet Expenses
822
Repair and Maintenance - Furn
Note: Accounts not identified in column 7,8,9 and 10. Post it to column 11,12 and 13 under other accounts .Please refer to the Account Names and Account Number stated abo
OF PAYMENTS
OTHER ACCOUNTS
ACCOUNT
ACCOUNT
NAME
CODE
(11)
(12)
OTHER SUPPLY EXPENSES
HELEN D. PAGUICAN, Ph.D.

Schools Division Superintendent
DATE:_____________________
xpense
ce - School Building
ce - Office Equipment
AMOUNT
(13)
22,075.48
OF PAYMENTS
OTHER ACCOUNTS
ACCOUNT
ACCOUNT
NAME
CODE
(11)
(12)
ce - Furniture and Fixture

ted above.
AMOUNT
(13)
INSPECTION & ACCEPTANCE REPORT

Department of Education
Supplier:
NCCC SUPERMARKET
P.O. NO _____
IAR No: _________
Date: NOVEMEBER 16,2014
Requisitioning Office/Dept.: ___________ WIRELESS ELEM.SCHOOL
Stock No.
Unit
Description
1
KL
CHOICE ONION RED
Kl
CS FEL REPOLYO
kl
CS FEL REPOLYO
kl
CS FEL REPOLYO
KL
AMW SAYOTE
KL
CHOICE TOMATO
KL
CHOICE TOMATO SAUCE
KL
CHOICE BROWN SUGAR 12'S
10
pck
CS FEL GINGER
11
BOT
SS SOY SAUCE
12
KG
CHOICE CHICKEN WHOLE FRESH
13
KG
G MAGNOLIA CHICKEN LIVER
14
KG
CHOICE BF SANK BULALO
15
KG
CHOICE BF GRAND SPCL
11/23/2014
36723
NCCC SUPERMARKET
16
CHOICE SUGAR BRWN
17
KG
18
KG
CHOICE BF CAMPTO
19
KG
CS MAGNOLIACHICKEN LIVER
20
KG
21
PCK
CHOICE BRWN SUGAR
22
PCK
CS EONS BLACK PEPPER GRAN
23
PCK
PAPA PONNA CRSP ORIG 1KG
24
PCK
CS EONS BLACKPEPPER POWDER
25
GAL
SS SKNG PTI 1/2 GAL
26
KG
CHOICE GINGER
27
PCK
CHOICE IODZED SLT
Invoice No: 35841-42,36723-
RAM PREMIUM COOKING OIL
INSPECTION
ACCEPTANCE
Date Inspected: 11-17-14/11-24-14
Date Received:11-17-14
Inspected, verify & found in order
Complete
As to quantity & specifications.

Partial (Pls. Specify qty)
THERESA ROCABERTE
LILIA JUYO
School Inspector
School Inspector
RODEL C. PINERO
MILAGROS SUPERA
Division Inspector
SupplyOfficer/Property Custodian

Supplier:
NCCC SUPERMARKET
P.O. NO _____
IAR No: _________
36724-36725 Date 11-26-14
Stock No.
Unit
Description
11/23/2014
36724
28
KG
29
KG
CS AMW ATSAL (SWEET PEPPER)
30
PCS
EGG LRG
31
PCK
SS CNE VNGAR 45% 1/2 GAL
31
PCK
RAM CKING OIL PLASTIC2QRT
32
PCK
BAGUIOREND EDBLE OIL PET 1L
33
PCK
DATU PTI SOY SCE 2L
34
PCK
PAPA BNNA CRISP ORIG 1KG
35
KG
CHOICE TMATO
36
KG
CHOICE GARLIC IMPORTED
37
KG
CJOICE ONION RED
38
KG
CS AMW KARLANG
11/23/2014
36725
39
KG
CS FEL UPO
40
KG
CHOICE KENTUCKY BEANS
41
KG
CS AMW CABBAGE
42
KG
CHOICE CARROT
43
KG
CS FEL SITW
44
KG
CHOICE POTATO
45
KG
CHOICE POTATO
46
KG
CS FEL KALABASA
47
PCK
CHOICE PNCT CNTON
48
PCK
GOODLIFE PREM 1ST CLS URMCLI
49
KL
50
PCK
NCCC SUPERMARKET
NCCC SUPERMARKET
CHOICE MONGGO
CHOICE AP FLOUR SPCL
INSPECTION
ACCEPTANCE
Date Inspected: 11-26-14

/
Date Received: 11-26-14
Complete

THERESA ROCABERTE
LILIA JUYO
School Inspector
School Inspector
RODEL C. PINERO
MILAGROS SUPERA
Division Inspector

Supplier:
NCCC SUPERMARKET
P.O. NO _____
IAR No: _________
Date: NOVEMBER 26,2014
Invoice No: 36862-36863 Date:11-26 -14
Stock No.
Unit
Description
51
KL
CHOICE CHICKEN FRESH
52
KL
GOODLIFE PREM VERMECL
53
KG
CHOICE GARLIC
54
KL
CHOICE PNCIT CNTN
55
KL
BAGUIO EDIBLE PLAS
56
KL
PAPA BANANA CTSP ORIG
57
KL
SS SUKANG PUTI
58
KL
CHOICE ONION RED
11/26/2014
36863
58
KL
BELL PEPPER RED
59
KL
LOCAL TOMATO
60
KL
CHOICE GINGER
61
pck
CHOICE IODIZED SALT
62
pck
CHOICE BRWN SUGAR
11/17/2014
RER
63
kl
11/17/2014
RER
64
KL
65
BUNDLE
66
KL
TOMATO
67
KL
KALABASA
68
KL
POTATO
11/17/2014
RER
69
KL
CHICKEN LIVER
70
KL
BAITIKOLON
71
KL
ONION
NCCC SUPERMARKET
CATHERINE CARTAGENA
WHOLE FRESH CHICKEN
RONILO LAMATAN
MONGO
TINANGKONG
MARIAN MANGUBAT
INSPECTION
ACCEPTANCE

/
Date Received: 11-26-14
Complete

THERESA ROCABERTE
LILIA JUYO
School Inspector
School Inspector
RODEL C. PINERO
MILAGROS SUPERA
Division Inspector

Supplier:
NCCC SUPERMARKET
P.O. NO _____
IAR No: _________
Date: NOVEMEBER 17,2014
Stock No.
Unit
Description
11/21/2014
RER
CHARLITO ABARQUEZ
72
KL
MONGO
73
KL
BATONG
74
KL
CAMOTE TOPS
75
KL
PETCHAY
76
KL
KALABASA
77
KL
TALONG
11/21/2014
RER
78
KL
11/21/2014
RER
79
KL
11/21/2014
RER
80
KL
BIHON
81
KL
PANCIT CANTON
82
KL
FLOUR
Invoice No:
MICHELLE BAGOHIN
TUNA FISH
MICHELLE BAGOHIN
BARILES SLICE
KATHERINE CARTAGENA
INSPECTION
ACCEPTANCE

/
Date Received: __________________
Complete

THERESA ROCABERTE
LILIA JUYO
School Inspector
School Inspector
RODEL C. PINERO
MILAGROS SUPERA
Division Inspector
oice No: 35841-42,36723-24 DATE:

Quantity
0.418
0.512
0.568
0
1.656
0.611
200
1
50
0.138
1
1.146
0.982
2.042
2
2
4
3.96
3.03
5.434
1
1
1
1
1
0.172
ACCEPTANCE
ed:11-17-14
Complete
ODEL C. PINERO
fficer/Property Custodian
-36725 Date 11-26-14

Quantity
0.116
0.116
102
1
1
1
1
1
1.158
0.506
0.846
0.86
2.608
1.868
1.83
1.884
0.974
5.01
5.05
7.335
ACCEPTANCE
ed: 11-26-14
Complete
ODEL C. PINERO
2
2
5
1
62-36863 Date:11-26 -14
Quantity
4.562
2
0.444
3
2
2
1
1
0.212
0.876
0.19
1
2
11.83
ACCEPTANCE
ed: 11-26-14
Complete
5
6
1
3
3
5
2
1
ODEL C. PINERO
oice No: RER

Quantity
7
1
1
1
1
1
8.04
ACCEPTANCE
ed: __________________
Complete
ODEL C. PINERO
8
5
15
2
Rehiyon XI
SANGAY NG LUNGSOD NG DABAW
SUMMARY OF EXPENSES
Date
11/16/2014
OR
NUMBER
35841
11/16/2014
35842
11/23/2014
36723
11/23/2014
NCCC SUPERMARKET
36724
36725
Name of Payee
CHOICE ONION RED

CS FEL REPOLYO
CS FEL REPOLYO
CS FEL REPOLYO
AMW SAYOTE
CHOICE TOMATO
CHOICE TOMATO SAUCE
RAM PREMIUM COOKING OIL
CHOICE BROWN SUGAR 12'S
CS FEL GINGER
SS SOY SAUCE
NCCC SUPERMARKET
CS MAGNOLIA CHICKEN LIVER
CHOICE BF SANK BULALO
NCCC SUPERMARKET
CHOICE SUGAR BROWN
CHOICE BF CAMPTO
CS MAGNOLIA CHICKEN LIVER
CHOICE BRWN SUGAR
CS EONS BLACK PEPPER GRAN
PAPA BNNA CRSP ORIG
CS EONS BLACK PEPPER POWDER
SS SKNG PTI 1/2 GAL
CHOICE GINGER
CHOICE IODZED SLT
NCCC SUPERMARKET
EGG LRGE
SS CNE VNGAR 45% 1/2 GAL
RAM CKING OIL PLASTC2QRT
BAGUIO REND EDBLE OIL PET 1L
DATU PUTI SOY SCE
PAPA BNNA CRSP ORIG
CHOICE TMTO
CHOICE GARLIC IMPORTED
CHOICE ONION RED
CS AMW KARLANG
NCCC SUPERMARKET
CS FEL UPO
CHOICE KENTUCKY BEANS
CS AMW CABBAGE
CHOICE CARROT
CS FEL SITAW
CHOICE POTATO
CHOICE POTATO
CS FEL KALABASA
CHOICE PANCT CNTN
GOODLIFEPREM 1ST CLVRMCLI
CHOICE MONGO GRN
CHOICE AP FLR SPCL
I hereby certify that this statement/Summary of Expenses in 1 -5 sheets is a full, true
correct statement of the disbursement made by me.
CERTIFIED:
Rehiyon XI
SANGAY NG LUNGSOD NG DABAW
Date
OR
NUMBER
11/26/2014
36862
11/26/2014
36863
11/17/2014 RER
11/17/2014 RER
11/21/2014 RER
RER
RER
11/21/2014
RER
11/21/2014
RER
SUMMARY OF EXPENSES
Name of Payee
NCCC
CHOICE CHICKEN FRESH
GOODLIFE PREM VERMECL
CHOICE GARLIC
CHOICE PNCIT CNTN
BAGUIO EDIBLE PLAS
PAPA BANANA CTSP ORIG
CHOICE SOYSAUCE
SS SUKANG PUTI
CHOICE ONION RED
NCCC SUPERMARKET
BELL PEPPER RED
LOCAL TOMATO
CHOICE GINGER
CHOICE IODIZED SALT
CHOICE BRWN SUGAR
RONILO LAMATAN
5KLS MONGO
6BUNDLE
1KL KAMATIS
3KL KALABASA
3KL PATATAS
BOMBAY
MARIAN MANGUBAT
CHICKEN LIVER
BATIKOLON
ONION
CAMATIS
LUY A
SAYOTE
ATSAL
FLOUR
CHARLITO ABARQUEZ
7 KLSMONGO
CATHERINE CARTAGENA
5KILOS BIHON
PANCIT CANTON
PANCIT FRESH
FLOUR
MICHELLE BAGOHIN
BARLIS SLICE 160X8KLS
MICHELLE BAGOHIN
TUNA 8.04KLX 410
CHARLITO ABARQUEZ
BATONG
KAMOTE TOPS
PECHAY
KALABASA
TALONG
RER
11/27/2014
RER
CATHERINE CARTAGENA
CHICKEN FRESH 11.83 KLS
MICHELLE BAGOHIN
TUNA 3.16KLX 410
BARILES 3.2 X 150
TOTAL
I hereby certify that this statement/Summary of Expenses in 1 sheets is a full, true an

correct statement of the disbursement made by me.
CERTIFIED:
AW
OOL
ES
Nature of Payment
Amount
CASH
30.51
36.86
40.90
29.38
36.43
30.09
51.00
188.20
57.00
23.46
33.45
140.96
108.02
449.24
400.00
38.50
800.00
883.08
363.60
679.25
28.50
42.50
42.40
42.50
62.50
17.37
6.75
17.40
17.40
550.80
62.55
183.70
118.55
70.75
42.40
56.74
51.11
69.37
51.60
117.36
93.40
108.95
130.00
63.31
420.82
414.10
183.38
98.50
316.50
257.50
48.50
TOTAL
ts is a full, true and
Principal
8,207.14
ABAW
HOOL
S
Nature of Payment
Amount
570.25
316.50
44.40
147.75
419.90
84.80
51.00
66.25
64.12
26.92
65.70
19.00
6.75
57.00
375.00
60.00
42.00
51.00
270.00
55.00
700.00
390.00
40.00
22.00
15.00
30.00
23.00
30.00
560.00
350.00
325.00
350.00
75.00
1280.00
3,296.00
941.36
50.00
45.00
120.00
25.00
35.00
1,538.00
1,296.00
480.00
13,868.34
is a full, true and
Principal
REPORT OF DISBURSEMENTS
DEPED - DIVISION OF DAVAO CITY SCHOOLS, DAVAO CITY
Date
OR Number
11/16/2014
35841-35842
11/23/2014
36723-36724-25
11/26/2014
36862-36863
11/17/2014
RER
RER
11/21/2014
RER
RER
RER
RER
RER
RER
RER
I hereby certify that this Report of Disbursement in 1 sheet(s) is a full, true and correct statement
disbursement made by me and that this is in liquidation of the cash advance granted last OCTOBER 30,2014 in
the amount of P22,000.00 per check no.
dated OCOTBER 30,2014
Principal
0000029143
REPORT OF DISBURSEMENTS
DEPED - DIVISION OF DAVAO CITY SCHOOLS, DAVAO CITY
Report No.
Sheet No.
Payee
Account Code
NCCC SUPERMARKET
NCCC SUPERMARKET
Account Code
RONILO LAMATAN
MARIAN MANGOBAT
CATHERINE CARTAGENA
MICHELLE BAGOHIN
MICHELLE BAGOHIN
CHARLITO ABARQUEZ
CHARLITO ABARQUEZ
CATHERINE CARTAGENA
MICHELLE BAGOHIN
TOTAL
hat this Report of Disbursement in 1 sheet(s) is a full, true and correct statement of the
is in liquidation of the cash advance granted last OCTOBER 30,2014 in
no. 0000029143
NOVEMBER 27,2014
Date
BER 27,2014
Amount
1,655.50
6,551.64
1,940.34
853.00
1,250.00
1,100.00
1,280.00
3,296.00
275.00
560.00
1,538.00
1,776.00
22,075.48
Annex 3. Section 6.1

PURCHASE ORDER
Region XI
Division of DAVAO CITY
Supplier:
Address
T.I.N
Gentlemen,
NCCC SUPERMARKET
RAMON MAGSAYSAY AVENUE DAVAO CITY
006-171-689-002
P.O No.
Date:
Mode of Procurement
Please furnish this office the following articles subject to the terms and condtions contrained herein
Place of Delivery:
Date of Delivery:
Stock No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
24
Unit
Kg.
Kg.
Kg.
Kg.
gal
tray
Kg.
Kg.
Kg.
Kg.
pcs
Kg.
pcs
Kg.
L
L
Kg.
Kg.
Kg.
Kg.
Kg.
Kg.
Kg.
Item Description
Tuna
Chicken
Beef
brown sugar
Oil
Eggs
Mongo
Potatoes
Carrots
squash
string beans
Eggplants
Sayote
Tomatoes
Vinegar
Soysauce
tomato catsup
Onion Bulb
Flour
Bihon
Canton
Chicken Liver
salt
Delivery Term:
Payment Term:
Qty.
25
20
14
4
2
3
5
6
4
4
5
3
3
6
2
2
3
1
5.12
7.5
14.5
2
1.91
Total
Twenty-two thousand pesos

In case of failure to make full delivery within the time specidied above, a penalty of one-tenth (1/10) of one percent for every day of
Total Amount in Words
Conforme:
Very truly yours,

RODEL C. PIERO
Signature over printed name
Date:
Annex 1, Section 3.1

PURCHASE REQUEST
DEPARTMENT OF EDUCATION
Region XI.
Division of Davao Central
Dep't./Division:Dep.Ed/ Davao City

Section/Unit:
PR No: 1
FEEDING
SAI No.: _____
Stock No.
Unit
Item nDescription
Qty.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
24
Kg.
Kg.
Kg.
Kg.
gal
tray
Kg.
Kg.
Kg.
Kg.
pcs
Kg.
pcs
Kg.
L
L
Kg.
Kg.
Kg.
Kg.
Kg.
Kg.
Kg.
Tuna/Bariles
Chicken
Beef
brown sugar
Oil
Eggs
Mongo
Potatoes
Carrots
squash
string beans
Eggplants
Sayote
Tomatoes/fruits
Vinegar
Soysauce
tomato catsup
Onion Bulb
Flour/Spaghetti
Bihon/macaroni
Canton
Chicken Liver
salt
25
20
14
4
2
3
5
6
4
4
5
3
3
6
2
2
3
1
5.12
7.5
14.5
2
1.91
Purpose:
Total
To feed 100 beneficiaries in the period of 22 days
Requested by:
Signature:
Printed Name
Designation
Approved by:
MELANIE M. CABRERA
Feeding Coordinator
11/14/2014/2014
rocurement
erm:
Term:
SHOPPING
5 DAYS
CASH
Unit Cost
410
180
250
40
150
155
80
75
85
17
50
30
6
25
25
45
15
80
42
70
45
145
6
Amount
10,250.00
3,600.00
3,500.00
160.00
300.00
465.00
400.00
450.00
340.00
68.00
250.00
90.00
18.00
150.00
50.00
90.00
45.00
80.00
215.04
525.00
652.50
290.00
11.46
22,000.00
nt for every day of delay shall be imposed
yours,
H.O.P.E
Date: november, 2014

Date: _________________
Estimated
Unit Cost
410
180
250
40
150
155
80
75
85
17
50
30
6
25
25
45
15
80
42
70
45
145
6
Estimated
Cost (Php)
10,250.00
3,600.00
3,500.00
160.00
300.00
465.00
400.00
450.00
340.00
68.00
250.00
90.00
18.00
150.00
50.00
90.00
45.00
80.00
215.04
525.00
652.50
290.00
11.46
22,000.00
RODEL C. PIERO
School Property Custodian
PURCHASE REQUEST
Department:
Office:
Quantity
Unit of
Issue
PR No.:
SAI No.:
Item Description
Purpose:
REQUESTED BY:
End User
APPROVED BY:
Head of Procuring E
QUEST
tion
Date:
Date:
Stock No.
Estimated
Unit Cost
Estimated
Cost
-
PPROVED BY:
Head of Procuring Entity
Republic of the Philippines

DIVISION OF DAVAO CITY
Davao City
ABSTRACT OF BIDS/CANVASS
No.
Qty
GAISANO GRAND CITIMALL
Description
FELCRIS
ILUSTRE
UNIT PRICE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
25
20
14
4
2
3
5
6
4
4
5
3
3
6
2
2
3
1
5.12
7.5
14.5
2
Tuna/Bariles
UNIT PRICE
NONE
Chicken
Beef
brown sugar
Oil
Eggs
Mongo
Potatoes
Carrots
squash
string beans
Eggplants
Sayote
Tomatoes/fruits
Vinegar
Soysauce
tomato catsup
Onion Bulb
Flour/Spaghetti
Bihon/macaroni
Canton
Chicken Liver
NONE
139.00
230.00
18.00
363.00
5.50
71.00
95.70
71.00
22.00
59.40
59.40
6.00
59.40
39.60
45.8
20.6
59.4
49
70.6
59.4
139
2,780.00
3,220.00
72.00
726.00
16.50
355.00
574.20
284.00
88.00
297.00
178.20
18.00
356.40
79.20
91.60
61.80
59.40
250.88
529.50
861.30
278.00
NONE
129
260
18
300
72.5
104
80
61
17
38
58
5.5
70
26.9
33.5
25.9
87
51
54
69
120
1.91
salt
TOTAL
We hereby certify to the correctness of the quotation of prices.
23
11.46
11,188.44
TRINIDAD DAYOS
Chairman
LORADEL LACSON
Member
CHYTCHY DALDE
Member
APPROVED
ESP-2
Date Open: 11-22-14

Bid/Canvass No.: 0513
Date of Canvass:
October 20,2014
FELCRIS
ILUSTRE
NCC SUPERMARKET
UNIT PRICE
NONE
2580
3640
72
600
217.5
520
480
244
68
190
174
16.5
420
53.8
67
77.7
87
261.12
405
1000.5
240
480
123
225
17.65
256
5.4
51.5
73
59
17
65
39
22
53
28.6
34.3
6.75
77
47.75
20.65
51.1
120
2460
3150
70.6
512
16.2
257.5
438
236
68
325
117
66
318
57.2
68.6
20.25
77
244.48
154.875
740.95
240
11.46
11,425.58
11.46
9,649.12
VISMINDA BALOLOT
Member
LILIA JUYO
Member
Wireless Elem. School

Name of the Procuring Entry
Project Reference Number
Locationg of the Project

Standard Form Number: SF-GOOD-60
Revised
Standard Form Title: Request
for Quotaiton
Quotation No.
Company Name
Address
Please quote your lowest price on the item/s listed below, subject to the General Conditions on the
page, stating the shortest time of delivery and submit your quotation duly signed by your representative not later
than SEPT 19,2014 in the return envelope attached herewith.
ROEL MALAB
School Canva
NOTE:
1 ALL ENTRIES MUST BE TYPEWRITTEN

2 DELIVERY PERIOD WIHTIN _____________CALENDAR DAYS
3 WARRANTY SHALL BE FOR A PERIOD OF SIX 960 MONTHS FOR SUPPLIES &
MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE
BY THE PROCURING ENTITY
4 PRICE VALIDITY SHALL BE FOR A PERIOD OF ______________CALENDAR DAYS
5 G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION
OF THE QUOTATION
6 BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS
OF THE PRODUCT BEING OFFERED.
ITEM
NO.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
ITEM & DESCRIPTION
Bariles Fish
Chicken
Beef
brown sugar
Oil
Eggs
Mongo
Potatoes
Carrots
squash
string beans
Eggplants
Sayote
Tomatoes
Vinegar
Soysauce
tomato catsup
Onion Bulb
Flour
Bihon
Canton
Chicken Liver
sugar brown
BRAND AND MODEL
Delivery Period
Warranty
Price Validity
:
:
:
:
After having carefully read and accepted your General Conditions, I / We quote you on the item
at prices noted above.
Printed Name / Signature
Tel. No. / Cellphone No.

e-mail address
Project Reference Number

Name of the Project
Locationg of the Project
Date:
Quotation No.
ROEL MALABUTE
School Canvasser
QTY
kg
kg
kg
bot
gal
tray
kg
kg
kg
kg
kg
kg
kg
kg
L
L
kg
kg
kg
kg
kg
kg
kg
uote you on the item
UNIT PRICE
Revised January, 1992
REIMBURSEMENT OF EXPENSES RECEIPTS

Date
Received from
Name
the amount
(Official Designation)
In Words
(P
( In Figure )
( In Figure )
In payment for
( payment for substance, services, rental or transportation should show )
( Inclusive dates, purpose, distance, inclusive points of travel, etc. )
PAYEE
WITNESS
( Signature)
( Signature)
(Printed Name)
(Printed Name)
Address:
Residence Cert. No.
Date of Issue:
Place of Issue:
Address:
Residence Cert. No.
Date of Issue:
Place of Issue:
(Signed by inspector)
In Words
)
( In Figure )
hould show )
WITNESS
( Signature)
Printed Name)

Attendance Sheet
School Feeding Program
For the Period Dec.08-12,2014
Day 51
Grade Level
Name of Beneficiary
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Aliyon, Johary
Aliyon, Jomary
Camayog, Jabbar
Lahay -lahay , Michael
Fernando , Leonor
Tolosa, Khelliah
Estaco, Chelsea
Bacang , Nicole
Ababa, Karen
Priete,Catherine
Adolfo,Rica Joy
Daitic ReyJohn
Ongcal , Kyle Quiroben
Forores, Lord Anthony
Moreno , James
Sido Jan Rahnell
Budsal, Janna Mae
Cabrera, Arrianne Mei
Daitic Ruelie Ann
Leonar, Lei
Divino , Wilfredo
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Kinder
Dec.08
,2014
Day 52
(1)
Dec.09,2014
Day 53
(2)
Dec.10,2014
(3)
22
23
24
25
Gamboa,jemschea Breat
Mahusay, Gab Vincent
Arances, Snow White
Luna, Loreto Jr.
Kinder
Kinder
Kinder
Kinder

Attendance Sheet
Day 51
Grade Level
Name of Beneficiary
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
Gonzales, Adrian Paul

Salminang, Jholic
Sehin Benz Vidal
Cabrera, Arven
Salondro, Andrea
Rollan, Sam
Arriba, Aires
Bojo,Merlinda
Monterona, Vince Ashley
Cahoy Culex Hanex
Balaod, Saidy
Tanudra, Mary Ann
Ybanez, Andrey
Nazareno, Dennis
Jayme,John Renz
Corpuz, Prince Ivan
Hermoso, John Paul
Emabahador, Angela
Dayao, Ani Kavea
Palcoete, Kathleen
Reuyan, Gerald
Jamaca, Ann Mae
Gabone, Ashley
Castanares, Alyzza
Kinder
Grade I
Grade I
Grade I
Grade I
Grade I
Grade I
Grade I
Grade I
Grade I
Grade I
Grade I
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Dec.08
,2014
Day 52
(1)
Dec.09,2014
Day 53
(2)
Dec.10,2014
(3)
50
Pamilgan, Jenny Mae
Grade II

Attendance Sheet
Day 51
Grade Level
Name of Beneficiary
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
Asan Allie
Javid, Francies Mae
Opada, Francene
Gheramil, Danielle Monique
Salminang, Laura Mae
Gamilla, Jorene
Alcachopas, Erica
Singson, Jade
Malaca, Saidamen
Jamaca,Ann Mae
Insao, Shairah
Barrosa ,Franz Joseph
Canonigo, Robert
Cortel, Brent Andrew
Rollan,Sam
Lutay, Carlito
Mumar, Kent Ruzzle
Reuyan, Jeremy
Reuyan JR
Neri
Corrales, Fe
Castro Jeremy
Pagalan ,Rico Ian
Daquis, John Berry
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade II
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Grade III
Dec.08
,2014
Day 52
(1)
Dec.09,2014
Day 53
(2)
Dec.10,2014
(3)
75
Cambagay, Samric
Grade III

Attendance Sheet
Day 51
Grade Level
Name of Beneficiary
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
Batingal,Sandara
Barles, Princess Izra
Gimal , Florence
Alcachopas,Jaysar
Bernadette R. Ho
Camarillo, Shanice May
Cambagay, Samantha
Bernal, Juan Miguel
Palconete,Krissel Camile
Salondro,Redmond
Embahador,Jonah
Bacang , Sheilo
Moreno,Pamela G.
Sadic, Agustin C.
Paco ,Mischael D.
Apuya, Daniela
Patalinhog Honrey
Simbayon,Jennelyn
Macarato, Joanna Marie
Caboncy, Recy
Comayog, Ainah
Gallo, Angelika
Juanitas, Chrysza Lyrra
Languidab, Samira
Grade III
Grade III
Grade III
Grade IV
Grade IV
Grade IV
Grade IV
Grade IV
Grade IV
Grade IV
Grade IV
Grade IV
Grade V
Grade V
Grade V
Grade V
Grade V
Grade V
Grade VI
Grade VI
Grade VI
Grade VI
Grade VI
Grade VI
Dec.08
,2014
Day 52
(1)
Dec.09,2014
Day 53
(2)
Dec.10,2014
(3)
100 Anabesa ,Charist Mae

101 Patongan,Gillian Nicole
Grade VI
Grade IV
Day 54
Dec.11,2014
(4)
Day 55
Dec.12,2014
(5)
Day 54
Dec.11,2014
(4)
Day 55
Dec.12,2014
(5)
Day 54
Dec.11,2014
(4)
Day 55
Dec.12,2014
(5)
Day 54
Dec.11,2014
(4)
Day 55
Dec.12,2014
LIST OF DOCUMENTS ATTACHED TO LIQUIDATION REPORTS

1. Purchase Request
2. BAC Resolution (Mode of Procurement)
3. Canvass
4. Abstract of Bids
5. BAC Resolution (Award of Contract/PO)
6. Purchase Order
7. Liquidation Report
8. Report of Disbursment
9. Cash Disbursement Register
10. Summary of Expenses
11. Inspection and Acceptance Report
12. Attendance Sheet
13. Menu on the Scheduled Date
14. Official Receipts/RER
ATION REPORTS
1655.5
6551.64
1538
1250
853
560
275
3296
1280
1100
18,359.14
3,640.86

DepEd Liquidation Report Summary

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DepEd Liquidation Report Summary

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LIQUIDATION REPORT

DepEd, Division Office, Davao City

To liquidate cash advance granted last

TOTAL AMOUNT SPENT

AMOUNT REFUNDED PER OR NO.

B. Certified: Purpose of travel/

cash advance duly accomplished

HELEN D. PAGUICAN, CESO V

Schools Division Superintendent

C. Certified: Supporting documents

CASH DISBURSEMENTS REGISTER

11/16/2014 35841-35842 NCCC SUPERMARKET

CERTIFIED: Supporting Documents and Complete

CASH DISBURSEMENTS REGISTER

OTHER SUPPLY EXPENSES

HELEN D. PAGUICAN, Ph.D.

ce - Furniture and Fixture

INSPECTION & ACCEPTANCE REPORT

CHOICE ONION RED

CHOICE TOMATO SAUCE

CHOICE BROWN SUGAR 12'S

CHOICE CHICKEN WHOLE FRESH

G MAGNOLIA CHICKEN LIVER

CHOICE BF SANK BULALO

CHOICE BF GRAND SPCL

CHOICE SUGAR BRWN

CHOICE BF GRAND SPCL

CHOICE CHICKEN WHOLE FRESH

CHOICE BRWN SUGAR

CS EONS BLACK PEPPER GRAN

PAPA PONNA CRSP ORIG 1KG

CS EONS BLACKPEPPER POWDER

SS SKNG PTI 1/2 GAL

CHOICE IODZED SLT

Invoice No: 35841-42,36723-

RAM PREMIUM COOKING OIL

Date Inspected: 11-17-14/11-24-14

Inspected, verify & found in order

As to quantity & specifications.

INSPECTION & ACCEPTANCE REPORT

36724-36725 Date 11-26-14

CS AMW ATSAL (SWEET PEPPER)

SS CNE VNGAR 45% 1/2 GAL

RAM CKING OIL PLASTIC2QRT

BAGUIOREND EDBLE OIL PET 1L

DATU PTI SOY SCE 2L

PAPA BNNA CRISP ORIG 1KG

CHOICE GARLIC IMPORTED

CJOICE ONION RED

CHOICE KENTUCKY BEANS

CHOICE PNCT CNTON

GOODLIFE PREM 1ST CLS URMCLI

Date Inspected: 11-26-14

Date Received: 11-26-14

Inspected, verify & found in order

As to quantity & specifications.

INSPECTION & ACCEPTANCE REPORT

CHOICE CHICKEN FRESH

GOODLIFE PREM VERMECL

CHOICE PNCIT CNTN

BAGUIO EDIBLE PLAS

PAPA BANANA CTSP ORIG