NORTHWEST SAMAR STATE

UNIVERSITY
Main Campus, Calbayog City

ABC:
Source of funds
GAA (MOOE or CA)
Income (MOOE or C/A)
Mode of Procurement
APPROVED BUDGET FOR THE CONTRACT
Office equipment, Supplies & Consumables
For the 3rd quarter of 2016

Activities:
Ite
m
No.
(1)
1
2
3
4
5
6
7
8
9
10
11
12
13
14

Item Description
(2)
Bond Paper (L) Substance 24
Bond Paper (S) Substance 24
Pencil
Paper clip
Pentel pen
Water color (Class A)
Color pencil
Oil Pastel (Class A)
Sign Pen
Charcoal Pencil
Paintbrush (1 for all sizes)
Polo Shirt
Ink (Bk 664)
Tarpaulin (plywood size)

Quanti
ty
(3)
4
4
1
1
1
1
1
1
1
1
1
25
3
1

Current
Market

VAT Other
taxes

Freight &

Other
Indirect

Unit

Price

and/or duties

Insuranc
e

Costs

(4)
ream
ream
set
set.
set
Pcs.
set
Pcs.
set
set
set
Pcs.
bottle
unit

(5)

(6)

(7)

(8)

OTHER COSTS
FACTORS

(9)

(10)

Total Cost
(11)
1200.00
1200.00
200.00
100.00
500.00
500.00
200.00
500.00
200.00
300.00
300.00
10000.00
3780.00
1000.00

Total:19,980.0
0

Unit Cost
(12)
300.00
300.00
200.00
100.00
500.00
500.00
200.00
500.00
200.00
300.00
300.00
400.00
420.00
1000.00

Prepared/Submitted by:

Recommending Approval:

MARIA LUCIL H. DOLLADO

N. BERGADO, Ed.D.
End-user

REYNALDO A. UY

Supplier

Approved:

FE C. MONTECALVO, Ed.D. ARTEMIO R. MANCOL

VP-Academic Affairs

Budget Officer

AVELINA
University President