Department of Education: Republic of The Philippines Deped Complex, Meralco Avenue, Pasig City
Department of Education: Republic of The Philippines Deped Complex, Meralco Avenue, Pasig City
Department of Education
DepEd Complex, Meralco Avenue, Pasig City
Name of Project
Source of Fund
Prepared by:
Recommended by:
Approved by:
Mode of Payment
C O M M O D I T Y - ( ) SUPPLIES / ( ) EQUIPMENT
C.N.
Unit
Unit Price
Total Amount
Total Qty.
1st Quarter
Qty
Amount
2nd Quarter
Qty
NOTE:
1. The above procurement program is in accordance with the procurement objectives of the program
2. The total amount covered by this procurement program does not exceed the appropriate amount
of supplies
SUBMITTED BY:
Amount
2. The total amount covered by this procurement program does not exceed the appropriate amount
of supplies
get
Date Submitted
TION BY QUARTERS
3rd Quarter
Qty
Amount
APPROVED:
4th Quarter
Qty
Amount
ITEM
No.
Department of Education
Division of Malaybalay City
DIVISION OFFICE
A G E N C Y P R O C U R E M E N T R E QU E S T
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TOTAL
Purpose:
Department of Education
Division of Malaybalay City
DIVISION OFFICE
A G E N C Y P R O C U R E M E N T R E QU E S T
(Date Prepared)
nd DESCRIPTION/SPECIFICATIONS/STOCK No.
QUANTITY
UNIT
TOTAL
APPROVED:
EDILBERTO L. OPLEN
Schools Division Superinte
AGENCY
ACCOUNT CODE
AGENCY CONTROL No.
PS APR No.
(Date Prepared)
200______
200 ______
COPY.
UNIT PRICE
AMOUNT
EDILBERTO L. OPLENARIA
Schools Division Superintendent
DEPARTMENT OF EDUCATION
Region X
DIVISION OF MALAYBALAY CITY
Date
PR :
Dated :
Requisitioner: ______________________
REQUEST FOR PRICE QUOTATION
Please quote your price(s) for the article(s) as specified in the list below for the Schools Division of Malaybalay City which are available
in your store/establishment/company. If available, please furnish catalogue, descriptive brochures or literature about the articles. If you are
the manufacturer or exclusive dealer/distributor of these articles in Region X, please state in your quotation.
In case the items so specifically described is not available in your store/establishment/company, please feel free to offer such
product/item which you have in stock which is equivalent of what is desired.
State how long your quotation will stand and the shortest time of delivery from receipt of purchase order. Failure or refusal to
make the delivery on the part of the successful bidder will bind him to pay any loss equivalent to 1% of the total amount quoted in the canvass
from which the DepEd Division of Malaybalay City may suffer.
DEPOSIT YOUR PRICE QUOTATION, PROPERLY SEALED IN AN ENVELOPE.
Name
Position / Designation
Procurement Officer
Qty
Unit
Unit Cost
Total Amount
Purpose :
I HEREBY CERTIFY that the supplies quoted on the face of the quotation are available in my store and that the price quoted are good
until
Proprietor/Authorized Representative
WE HEREBY CERTIFY under our official oath that the price quoted are not shown or revealed to any of the participating dealer
or merchant.
PSDS/ESP/ESHT/SST SSHT/SSTIC
Canvasser
Department of Education
Region X
DIVISION OF MALAYBALAY CITY
ABSTRACT OF SEALED CANVASS
Office/End-user :
Date / Place
:
Package
:
QTY
UNIT
PARTICULARS
BIDDER 1
BIDDER 2
AWARDED TO:
___________________________
BAC Member
BAC Member
BAC Member
___________________________
Supply Officer II
BAC Member
BAC Member
BIDDER 3
Department of Education
Region X
DIVISION OF MALAYBALAY CITY
ABSTRACT OF SEALED CANVASS
Office/End-user :
Date / Place
:
Package
:
QTY
UNIT
PARTICULARS
BIDDER 2
BIDDER 3
AWARDED TO:
___________________________
BAC Member
BAC Member
BAC Member
___________________________
Supply Officer II
BAC Member
BAC Member
BAC Chairman
Stock No.
REQUISITION
Description
Unit
Quantity
Purpose:
Requested by:
Signature:
Printed Name:
Designation:
Date:
Approved by:
Issued by:
EDILBERTO L. OPLENARIA
Schools Division Superintendent
Stock No.
REQUISITION
Description
Unit
Quantity
Purpose:
Requested by:
Signature:
Printed Name:
Designation:
Date:
Approved by:
EDILBERTO L. OPLENARIA
Schools Division Superintendent
Issued by:
RCC:
Quantity
y:
y:
RIS No.
ISSUANCE
Remarks
Received by:
RCC:
Quantity
RIS No.
ISSUANCE
Remarks
Received by:
PURCHASE REQUEST
Department of Education
DIVISION OF MALAYBALAY CITY
Office:
P.R. No.:
Section:
SAI No.
Stock No.
Unit
Items
DATE:
ALOBS No.
Quantity
Unit Cost
Total cost
0.00
Total
Purpose :
Signature :
Printed Name :
Designation:
Requested by:
Approved by:
_____________________________
STOCK CARD
_____________________________________________
Agency
Description:
Item:
Date
DELIVERY
Reference
Rcpt. Qty.
Date
ISSUANCE
Qty
Region / Division
__
Stock No.:
Balance
Qty
Amount
Unit Price
Total
PROPERTY CARD
Agency
Property Number:
Description:
Date
Reference
Receipt
Qty.
Qty.
Transfers/Disposal
Office/Officer
rty Number:
Balance
Qty
QUANTITY
UNIT
DESCRIPTION
RECEIVED BY:
RECEIVED FROM:
POSITION / OFFICE
POSITION / OFFICE
DATE
DATE
ER PRINTED NAME
ON / OFFICE
DATE
Unit
Description
RECEIVED BY:
RECEIVED FROM:
POSITION / OFFICE
POSITION / OFFICE
DATE
DATE
Property No.
ER PRINTED NAME
N / OFFICE
ATE
Department of Education
Division of Malaybalay City
INVOICE RECEIPT FOR PROPERTY
Unit/s
INVOICE
I CERTIFY that this _____________________ day
of ____________________________, invoiced to
(name and designation)
the above listed articles, property of ___________
(name of bureau or office)
__________________________________________
(Signature of Invoicing Accountable Officer)
(Title)
DATE of
PURCHASED
PROPERTY
NUMBER
CLASSIFICATION
NUMBER
RECEIPT
I CERTIFY that this __________
(month)
(name)
__
(name of bureau or office)
______________________________________
(Signature of Receiving Accountable Office
(Title)
________________
_________________
UNIT VALUE
TOTAL VALUE
EIPT
at this _____________________ day
received from
(designation)
________________
au or office)
____________________
Accountable Officer)
e)
RIS No.
Responsibility
Center Code
Stock No.
Recapitulation
Stock No.
Quantity
Supply Officer
Item
Unit
Recapitulation
Unit Cost
UED
No.:
Qty. Issued
Unit Cost
Amount
Recapitulation
Total Cost
Account Code
Posted by date:
Accounting Clerk
Department of Education
DIVISION OF MALAYBALAY CITY
Complaints/Defects :
Parts /components to be Repaired / Replaced:
FINDINGS / OBSERVATIONS:
Property Inspe
Date :
Amount :
Invoice No.
Property Inspe
Date :
ity Receipt
Property Inspector
Amount :
Property Inspector
Unit
Description
ACC
INSPECTION
Inspected, verified and found OK
as to quantity and specifications
__________________________
Inspection Officer
___________________________
Complete
Partial
_____________
Pro
Inspection Officer
NCE REPORT
on
AY CITY
IAR:
Date:
Quantity
ACCEPTANCE
________________________________
Property Officer