TALAPTAP ELEMENTARY SCHOOL

SIATON WEST II DISTRICT

DIVISION OF NEGROS ORIENTAL
CASH DISBURSEMENT REGISTER
Type of Working Fund: SBM GRANT/MOOE

For the Period: April -June 2014

CASH ADVANCE

DATE

REFERENCE
(OR/RER/Check #)

6/24/2014
3/12/2014
3/15/2014
7/4/2014

8995601
7597738
10371

7/8/2014
9/20/2014

7599348

9/20/2014
10/4/2014

1324

10/15/2014
11/5/2014

PAYEE/
PARTICULARS

LEONIDES G. QUISAY
Leonides. G. Quisay
Leonides G. Quisay
Juram'z Copy Center
BIR 3%
BIR 2%
Leonides G. Quisay
GAD
Leonides G. Quisay
Reg. Fee Div. EXECON

PAYMENTS

BALANCE
(6=4=5)

TRAVEL
EXPENSES

TRAINING
EXPENSES

OFFICE
SUPPLIES
EXPENSES

REPAIRS AND
MAINTENANCE
OF SCH. BLDG.

766

767

751

804

Php 3,600.00
Php 1,154.00
Php 4,341.97
Php 137.12
Php 91.41
Php 4,570.50

Php 13,050.00
Php 11,896.00

ACCOUNT
NAME

OTHER ACCOUNTS
ACCOUNT
AMOUNT
CODE

Php 320.00

Php 7005.50

Php 3,600.00

Php 7,325.50

Php 4,570.50
Php 320.00

Php 6,205.50

Php 280.00

Php 5,925.5

Php 280.00

Dan's Internet Caf

BIR 3%
BIR 1%

Php 371.52
Php 11.61
Php 3.87
Php 387.00
Php 1,098.00

Php 5,538.50
Php 4,440.50

Php 1,098.00

Php 4,369.92
Php 136.56
Php 45.50
Php 4,552.00

Php -111.50

CERTIFIED
CORRECT:

INTERNET
EXPENSES

Php 1,154.00

Php 800.00

ZA Carmen Store
BIR 3%
BIR 1%

BREAKDOWN OF PAYMENTS
UTILITY EXPENSES
TELEPHONE/
WATER
ELECTRICITY
LANDLINE

Php 16,650.00

Leonides G Quisay

Leonides G. Quisay
59551-52

AMOUNT
RECEIVED

Php 387.00

Php 4,552.00

CERTIFIED
SUPPORTING DOCUMENTS COMPLETE:

RECAPITULATION:

NOTED:

LEONIDES G. QUISAY

MA.JENNIFER P. PIODOS

SALUSTIANO T. JIMENEZ,Ll.B.

PRINCIPAL/DISBURSING OFFICER

Accountant II

SCHOOLS DIVISION SUPERINTENDENT

_____________________________________

_____________________________________

_____________________________________

DATE

DATE

DATE

Leonides G. Quisay
Leonides G. Quisay
Juram'z Copy Center
Leonides G. Quisay
Leonides G. Quisay

Php 3,600.00
Php 1,154.00
Php 4,570.50
Php 320.00
Php 800.00

Leonides G. Quisay

Php 280.00

Dan's Internet Caf

Php 387.00

Leonides G. Quisay
ZA Carmen Store

Php 1,098.00
Php 4,552.00
Php 16,761.50

TOTAL:

Php 16, 761.50

A
1
2
3
4
5
6
7

LIQUIDATION REPORT
Dep. Ed, Division of Negros Oriental

8
9

No.
Date:
Responsibility Center

Code:
AMOUNT

PARTICULARS

10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25 TOTAL AMOUNT SPENT
26 AMOUNT OF CASH ADVANCE PER DV NO. _________DTD. ______________
27 AMOUNT REFUNDED PER OR NO. ______________DTD. ________________
28 AMOUNT TO BE REINBURSED
29 A. Certified: Correctness of the
30

above data

B. Certified: purpose of Travel/

cash Advance duly accomplished

C. Certified: Supporting documents

complete and proper

31
32
33
34
35
36
37
38

LEONIDES G. QUISAY
Claimant

HEIDE E. PETRAS,Ed.D.
Immediate Supervisor

MA. JENNIFER P. PIODOS

Accountant II

JEV NO.

PURCHASE ORDER
Department of Education, Division fo Negros Oriental
Supplier: _________________________________________________
Address: _________________________________________________

(Agency)
PO No.
__________________________
Date:
__________________________
Mode of Procurement:
CANVASS

Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:
Place of Delivery:
Date of Delivery:

TALAPTAP ELEM. SCH.

___________________

Delivery Term:
Payment Term:

Item No.

Quantity

Description

Unit

______________________
______________________

Unit Cost

(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 percent
for every day of delay shall be imposed.

Very truly yours,

LEONIDES G. QUISAY
School Heads
Conforme:
__________________________________
Supplier/Dealer
________________________________
(Date)
Funds Available:
Requisition Office /dept.:

DHARISA O. ACSON
School Property Custodian

________________________________________________

Amount: __________
ALOBS No.: ________
ALOBS No.: ________

Amount

Amount: __________
ALOBS No.: ________
ALOBS No.: ________

NGAS- New Government Accounting Section

PURCHASE REQUEST
DEPARTMENT OF EDUCATION, Division of Negros Oriental
(Agency)

PR NO.
SAI NO.
ALOBS NO.

Department : DEPARTMENT OF EDUCATION

Section : TALAPTAP ELEMENTARY SCHOOL
SIATON WEST II DISTRICT

QUANTITY

Unit of Issue

Item Description

_________________
_________________
_________________

Date: ____________________
Date: ____________________
Date: ____________________

Stock
No. :

Estimated
Unit Cost

O. K. AS TO FUNDS:

PURPOSE:

Signature:
Printed Name:
Designation:

Requested by:

Approved by:

DHARISA O. ACSON
School Property Custodian

LEONIDES G. QUISAY
T-I/TIC

Estimated
Cost

Republic of the Philippines

DepEd, DIVISION OF NEGROS ORIENTAL

DISBURSEMENT VOUCHER
MODE OF PAYMENT
MDS Check

Commercial Check

ADA

Payee/Office:

Others
TIN/Employee No.

Address:

Responsibility Center
Title:

Particulars

Amount Due
A. Certified:

Supporting documents complete and proper

Cash Available
Subject to ADA( where applicable

Signature:
_____________________________
Printed Name : LEONIDES G. QUISAY
Position:
T-I/TIC

B. Approved for Payment:

Signature:
_____________________________
Printed Name : HEIDE E. PETRAS,Ed.D.
Position:
District In-Charge

(Head Accounting Unit/Authorized Representative)

Date:

(Head Accounting Unit/Authorized Representative)

____________________________

C. Received Payment:
Signature: _________________________
Printed Name: _______________________

Date:

____________________________

D. Journal Entry Voucher:

Check/ADA No.: ________________
Date:______________________ No.: ______________
Bank Name: _________________
OR No./Other relative document: _________________
Issued: _____________________

No.:
Date:
OS/BUS No.:
Date:
Responsibility Center
Code: 101

Amount

ent:

________________________
E. PETRAS,Ed.D.
trict In-Charge

unting Unit/Authorized Representative)

______________________

____
No.: ______________
_
t: _________________
__

INSPECTION & ACCEPTANCE REPORT

Department of Education, Division fo Negros Oriental
(Agency)
Supplier: _________________________________________________
AR No.: ______________
PO No.: ____________________________ Date: __________________________ Invoice No. ____________________ Date: _________________
Requesting office/Dept.: ___________________________________________________________________________

Item No.:

Quantity

Unit

Description

Amount

TOTAL

INSPECTION

ACCEPTANCE

Date Inspected: _______________________________

Date Received: _______________________

Inspected, verified and found OK

as to quantity and specifications

complete
partial

DHARISA O. ACSON

LEONIDES G. QUISAY

Inspection officer

T-I/TIC

FLORA MAE C. ECHANES

MEMBER

KENNETH R. MACALALA
MEMBER

NIDA R. GAJANO
MEMBER

_________
_______

JANO
MBER

Amount

INVENTORY CUSTODIAN SLIP

Department of Education
DIVISION of NEGROS ORIENTAL
Dumaguete City

ICS No.: ________________________________

QUANTITY

UNIT

Received by:

DESCRIPTION

INVENTORY ITEM NO.

ESTIMATED LIFE YEARS

Received from:
LEONIDES G. QUISAY
Signature Over Printed Name

______________________________________
Signature Over Printed Name

T-I/TIC/TALAPTAP ES/SIATON WESTII

Position/Office

_______________________________________
Position/Office

__________________________________
Date

__________________________________
Date

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF NEGROS ORIENTAL
Dumaguete City

ABSTRACT OF SEALED QUOTATIONS

SCHOOL : TALAPTAP ELEM. SCH.
DISTRICT: SIATON WEST II DISTRICT

Item No.

Quantity

Unit

1
2
3
4
5

65
20
15
106
181

copies
copies
copies
copies
copies

Articles to be purchased
or worked to be done
COMPUTER PRINTING:
A. GESP / FORM 3 / LIS Report
B. Nutrition Month Report
C. Buwan ng Wika Report
D. New School Form Report
E. SIP

Dan's Internet Caf

Unit Cost
Total Cost
1.00
1.00
1.00
1.00
1.00

65.00
20.00
15.00
106.00
181.00

Zharyd Internet Caf

Unit Cost
Total Cost
2.00
2.00
2.00
2.00
2.00

130.00
40.00
30.00
212.00
362.00

DATE: ________________________________________
CANVASS No.: ___________________________________________
SHEET NO.: ____________________
Kids Photocopier & Printing
REMARKS
Unit Cost
Total Cost
1.00
1.00
1.00
1.00
1.00

65.00
20.00
15.00
106.00
181.00

WE HEREBY CERTIFY that the price appearing hereon is true and correct to
the best of our knowledge being the lowest in the locality at the time of purchase.
CANVASS/BID AND AWARD COMMITTEE

APPROVED BY:

FLORA MAEC. ECHANES

DHARISA O. ACSON

MEMBER

MEMBER

LEONIDES G. QUISAY
TIC

Item 1- 5 is awarded to Dan's

Internet caf.

__
____________________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF NEGROS ORIENTAL
Dumaguete City

ABSTRACT OF SEALED QUOTATIONS

SCHOOL : TALAPTAP ELEM. SCH.
DISTRICT: SIATON WEST II DISTRICT

Item No. Quantity

Unit

DATE: ________________________________________
CANVASS No.: _______________________
SHEET NO.: ____________________

Articles to be purchased
or worked to be done

Zharyd Internet Caf

Juram'z Copy Center Kids Photocopier & Printing

Unit Cost Total Cost Unit Cost Total Cost Unit Cost
Total Cost

REMARKS

REPRODUCTION OF PHOTOCOPIES AND

OTHER SCHOOL REPORT:

1
2
3
4
5
6

600
242
200
200
200
140

copies
copies
copies
copies
copies
copies

A. Testpaper in Grade I
B. Testpaper in Grade II
C. Testpaper in Grade III
D. Testpaper in Grade IV
E. Testpaper in Grade V
F. Testpaper in Grade VI

1.00
1.00
1.00
1.00
1.00
1.00

600.00
242.00
200.00
200.00
200.00
140.00

0.75
0.75
0.75
0.75
0.75
0.75

450.00
181.50
150.00
150.00
150.00
105

1.00
1.00
1.00
1.00
1.00
1.00

600.00
242.00
200.00
200.00
200.00
140.00

2214

copies

G. Grade 3 K to 12 Teachers Guide/

Learners Materials/ Curriculum Guide

1.00

2214.00

0.75

1,660.50

1.00

2214.00

8
9

762
1536

copies
copies

H. New School Forms

I. Other Report Accomplished

1.00
1.00

762.00
1536.00

0.75
0.75

571.50
1152.00

1.00
1.00

762.00
1536.00

Item no. 1 to 9 is
awarded to
Juram'z Copy
Center

WE HEREBY CERTIFY that the price appearing hereon is true and correct to
the best of our knowledge being the lowest in the locality at the time of purchase.
CANVASS/BID AND AWARD COMMITTEE
APPROVED BY:

FLORA MAEC. ECHANES

DHARISA O. ACSON

MEMBER

MEMBER

LEONIDES G. QUISAY
TIC

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF NEGROS ORIENTAL
Dumaguete City

ABSTRACT OF SEALED QUOTATIONS

SCHOOL : TALAPTAP ELEM. SCH.
DISTRICT: SIATON WEST II DISTRICT

Item No. Quantity

Unit

DATE: ________________________________________
CANVASS No.: ______________________________
SHEET NO.: ____________________

Articles to be purchased
or worked to be done

ZA Carmen Store
Unit Cost

Total Cost

Elvern's Store
Unit Cost

Total Cost

Edna Store
Unit Cost

Total Cost

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17

100
PCS
plastic envelop (long)
1
RM
folder (long)
50
PCS
folder (short)
50
PCS
assorted ballpen
50
PCS
monggol pencil
1
BOX
CD-RW
4
PCS
masking tape
2
BOX
paper clip (small)
2
BOX
paper clip (big)
8
PCS
correction tape (big)
5
PCS
clear book
8
PCS
Elmer's glue
2
BOX
fastener
2
RM
construction paper
14
METER plastic cover
1
RM
bondpaper (substance 16) short
1
RM
bondpaper (substance 16) long
WE HEREBY CERTIFY that the price appearing hereon is true and correct to
the best of our knowledge being the lowest in the locality at the time of purchase.
CANVASS/BID AND AWARD COMMITTEE

APPROVED BY:

FLORA MAEC. ECHANES

DHARISA O. ACSON

MEMBER

MEMBER

LEONIDES G. QUISAY
TIC

REMARKS

Republic of the Philippines

Department of Education
Regio VII, Central Visayas

DIVISION OF NEGROS ORIENTAL

Dumaguete City
_____________________________________
Date
JOB ORDER NO.
_____________________________________

____________________________________
____________________________________

SIR/MAAM:
Please execute and/or furnish the following job/or service

DESCRIPTION OF JOB OR SERVICE

CHARGE TO:

JOB ORDER FOR:

PURPOSE:
CHARGE:
O.K. AS TO FUNDS:
RECOMMENDING APPROVAL:

JENNIFER P. PIODOS
Accountant II
DHARISA O. ACSON
School Property Custodian

APPROVED:

LEONIDES G. QUISAY
TIC
DATE: ________________________

The job order is necessary for the best interest of public service.Received/Accepted the job and/or
service as shown above the same having been satisfactorily performed.

________________

S G. QUISAY

____________

Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF NEGROS ORIENTAL
Dumaguete City
__________________________________________
Canvass Number

______________________________
Date

___________________________________________
Name of Dealer
___________________________________________
Address

REQUEST FOR SEALED QUOTATION

Gentlemen:

Please quote your government price/taxes,F O B Division Office, Division of Negros Oriental,Dumaguete
City,starting the shortest time of delivery on the items as per specification indicated, furnishing brochures,
NOTE: TO THE OPENED ON TALAPTAP ELEMENTARY SCHOOL AT THE DIVISION OFFICE,
DIVISION OF NEGROS ORIENTAL, DUMAGUETE CITY.
Very truly yours,
LEONIDES G. QUISAY
TIC

ITEM NO.

QUANTITY

UNIT

ARTICLES AND DESCRIPTION

UNIT
PRICE

TOTAL
PRICE

AUDITOR'S
INSPECTION

SIGNATURE OF BIDS AND AWARDS COMMITTEE:

FLORA MAE C. ECHANES

MEMBER

DHARISA O. ACSON
MEMBER

TIME DELIVERY: _____________________

PURPOSE: ____________________________________________________
___________________________________________________
REQUESTED BY:

DHARISA O. ACSON
PROPERTY CUSTODIAN

______________________________________
(Signature of Dealer)

TOR'S
ECTION

______