Liquidation

LIQUIDATION REPORT
DepEd, Division of Pagadian City

Agency PARTICULARS
No.: Date: Responsibility Code:
Amount
For liquidation of cash advance granted per Voucher No: 101-11-07-36 dated March 17, 2011 check No: 0000006482817 the amount of Twenty Thousand Pesos only. x-x-x-x-x-x-x-x-x
20,000.00
TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO: AMOUNT REFUND PER OR. NO: AMOUNT TO BE REIMBURSED None None
P
101-11-03-53
Dated:
3/17/2011
20,145.04 20,000.00
Dated: Certified: Purpose of travel/ cash advance duly accomplished Certified: Supporting documents complete & proper.
Certified: Correctness the above date
ARNOLD C. CABANTUG School Head
DAVID L. LINGUE
Administrative Officer III
MYRIEN GLIE A. TANO

Accountant II
101-11-03-53
JMA/2000
JEV No.:
Republic of the Philippines Department of Education Region IX, Zamboanga Peninsula DIVISION OF PAGADIAN CITY Pagadian City
ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT

No. ________________ Quantity 4 4 4 2 2 Unit pcs. pcs. pcs. pcs. pcs. Bolo long Spade Hoe Saw Hammer x-x-x-x DESCRIPTION
Received by:
Received from:
ROWENA B. BALSAMO
Signature Overprinted Name Designated Supply Officer - Pagadian City NHS
Position and Office
EVELYN GRACE D. ORONG

Signature Overprinted Name Supply Officer II
Position and Office
Date
Date
NORBERTA GUILLAR NATIONAL HIGH SCHOOL

DIVISION OF PAGADIAN CITY
Pagadian City
CASH DISBURSEMENT REGISTER

Type of Working Fund: MOOE Date Reference (OR/RER) Check No.
CASH ADVANCE
Payee Particulars
Amount Received Payments Balance Travel 751 Seminar/ Training 753 Office Supplies 755
BREAKDOWN OF PAYMENTS
Water 766 Electricity 767 Telephone 772 Printing & Binding 781 Security 797 OTHERS Acct. Code Amount
7/22/2011 8/2/2011 8/8/2011 8/8/2011 8/8/2011 8/3/2011 8/9/2011 8/8/2011 8/10/2011 8/11/2011 8/11/2011 xxx
101-11-07-36 101-11-07-81 101-11-07-82 101-11-07-83 101-11-07-84 101-11-07-85 101-11-07-86 101-11-07-87 101-11-07-88 101-11-07-89 101-11-07-90 xxxx
Forwarded Balance JULY MOOE, 2011 RC LIM MARKETING ARNOLD C. CABANTUG ARNOLD C. CABANTUG ARNOLD C. CABANTUG ZAMSURECO I GLYSDI General Merchandise
JOSEPH EATERY & XEROX COPY CENTER
20,000.00 14,355.00 13,035.64 11,981.03 10,991.24 8,358.85 5,836.55 612.05 390.05 19.06 (55.14) xxx 5,645.00 1,319.36 1,054.61 989.79 2,632.39 2,522.30 5,224.50 222.00 412 412 xxx 370.99 74.20 xxx
ADELAIDA J. EDEROSAS LBP- PAG BIR 5% LBP- PAG BIR 1% xxxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx
xxx
TOTAL
20,000.00
20,055.14
8,167.30
5,996.15
5,446.50
445.19
Certified Correct:
Certified Correct:
NOTED:
ARNOLD C. CABANTUG
School Principal
MYRIEN GLIE A. TANO

Accountant II
VICTORINA G. PEREZ, CEO VI

Schools Division Superintendent
#######
DepEd, DIVISION OF PAGADIAN CITY

San Jose Heights, Pagadian City
DISBURSEMENT VOUCHER
Mode Payment Payee Address MDS Check Commercial Check ADA TIN / Employee No. Office/Unit/Project
No.
Others OR/BUR No. Code
X
Responsibility Center
EXPLANATION
Amount
For the payment of Office Supplies use in the Accounting and Finance Section in the total amount of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross Amount Less: 1% EVAT 5% EVAT Net Pay #REF! #REF! #REF!
#REF!
#REF! #REF!
#REF!
Certified Approved for Payment
Cash available Subject to Authority to Debit Account (when application) Supporting documents complete Signature Printed Name Position Date Signature
VICTOR S. MAALAM
Accountant II Head, Accounting Unit/Authorized Representative
July 31, 2009
Printed Name Position Date

Agency Head/Authorized Representative
July 31, 2009
Received Payment
Check/ C ADA No. Signature
Official Receipt/Other Documents
JEV No. Date Bank Name Printed Name Date 0 Date
JMA/2000

San Jose Heights, Pagadian City
DISBURSEMENT VOUCHER
Mode Payment Payee Address MDS Check Commercial Check ADA TIN / Employee No. Office/Unit/Project
No.
Others OR/BUR No. Code
X
Responsibility Center
EXPLANATION
Amount
Certified Approved for Payment

Cash available Subject to Authority to Debit Account (when application) Supporting documents complete Signature Printed Name Position Date Signature
VICTOR S. MAALAM
Accountant II Head, Accounting Unit/Authorized Representative
July 31, 2009
Printed Name Position Date

Schools Division Superintendent - OIC
Agency Head/Authorized Representative
July 31, 2009
Received Payment
Check/ C ADA No. Signature
Official Receipt/Other Documents
JEV No. Date Bank Name Printed Name Date 0 Date
JMA/2000
Annex G-6
PURCHASE REQUEST
DEPARTMENT OF EDUCATION Division of Pagadian City Department: Section: Stock No:
1 2 3 4 5 6
Department of Education PR No.: SAI No.: Tomas Sagun E/S ALOBS No.: Unit of Issue
rms. pcs. pcs. pcs. pcs. bottles
101-10-11-05
Date: 11/10/10 Date: Date: Estimated Cost
Item Description
Book paper Folder long Ballpen Pencil Cartolina Pilot ink Black
Quantity
2 10 10 20 25 3
Estimated Unit Cost
TOTAL Purpose :
Requested by: Signature: Printed Name: Designation: Date:
Approved by:
MARIETTA R. ANHAW
Principal - I 11/10/10
MARIETTA R. ANHAW
Principal - I 11/10/10
JMA/2000
Republic of the Philippines Department of Education DIVISION OF PAGADIAN CITY DEBOROK ELEMENTARY SCHOOL Deborok, Pagadian City
REQUEST FOR QUOTATION

Date: Quotation #: JABINES PHOTOCOPY CENTER Pagadian City
Pleasse quote your lowest price on the item/s listed below, subject to the General Conditions on the last page,stating the shortest time of delivery time and submit your quotation duly signed by your representative not later than _______________ in the return envelop attached herewith.
RENANTE R. MALIAO Designated Supply Officer NOTE: 1. ALL ENTRIES MUST BE TYPERWITTEN 2. DELIVERY PERIOD WITHIN 15 CALENDAR DAYS 3. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE (1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCUREMENT ENTITY. 4. PRICE VALIDITY SHALL BE FOR A PERIOD OF ______ CALENDAR DAYS 5. G-PES REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE QUOTATION. 6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCTS BEING OFFERED. Item No.
1.) 2.) Photo copy Photo copy
ITEM AND DESCRIPTION
QTY.
112 371
UNIT PRICE
x-x-x-x-x
Brand and Model Delivery Period Warranty Price Validity
: : : :
Afeter having read and accepted your General Conditions, I/We quote you on the item at the prices noted above.
Signature over printed Name
Tel. No./Cell phone No.
Date
ed Name
ne No.
Republic of the Philippines Department of Education Region IX, Zamboanga Peninsula Pagadian City
ABSTRACT OF BIDS
Date/Time:___________________________ PLACE : Division Office, DepEd Pagadian City
ITEM No. #REF! #REF!
Item Description
#REF! #REF! #REF!
QTY.
#REF! #REF!
UNIT
#REF! #REF!
Computer Softrade
UNIT PRICE 930.00 2,950.00
EMCOR Rodrin
UNIT PRICE 1,010.00 3,300.00
Sonjay Microsystem
UNIT PRICE 970.00 3,050.00
We hereby certify that we had verified this abstract of Bids against the Price Quotation submitted by the suppliers.
Certified Correct:
SONIA A. FLORES
BAC Member
TERESITA T. ALCANTARA
BAC Member
FLORITA G. PIMENTEL BAC Chairman
Prepared by:
RENANTE R. MALIAO
Designated Supply Officer
Republic of the Philippines Department of Education Region IX, Zamboanga Peninsula Pagadian City
ABSTRACT OF BIDS
Date/Time:___________________________ PLACE : Division Office, DepEd Pagadian City
ITEM No.
Item Description
QTY.
UNIT
Computer Softrade
UNIT PRICE
EMCOR Rodrin
UNIT PRICE
Sonjay Microsystem
UNIT PRICE
We hereby certify that we had verified this abstract of Bids against the Price Quotation submitted by the suppliers.
Certified Correct:
DAVID L. LINGUE
BAC Vice-Chairman
ERLINO M. LITIGIO
BAC Chairman
MA. VEMALIN M. PENALES

BAC Member Prepared by:
REYNALDO LORENZO C. NODADO

BAC Provisional Member
EVELYN GRACE D. ORONG

Supply Officer II
Department of Education Region IX, Zamboanga Peninsula DIVISION OF PAGADIAN CITY DEBOROK ELEMENTARY SCHOOL Deborok, Pagadian City Standard Form Number: SF-Good-58 Revised on: May 24, 2004 Standard Form Title: Purchase Order
PURCHASE ORDER
DepEd, Division of Pagadian City Agency/Procuring Entity Supplier Address E-mail Address Telephone No: TIN
Gentlement : Please furnish this office the following articles subject to the terms and conditions contained herein.
: : : :
P.O No. Date Mode of Procurement
: : : :
Place of Delivery: Date of Delivery: Item No. UNIT DESCRIPTION QTY.
Delivery Term: Payment Term: UNIT COST AMOUNT
( 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 one percent for every day of delay shall be imposed.
Very truly yours,
Conforme:
MARIETTA R. ANHAW
Principal
(Authorized Official) ( Signature over printed name ) Date
Funds Available:
ERILYN A. AMBAN
Designated Bookkeeper
JMA/2000
ALOBS No.: Amount :
INSPECTION AND ACCEPTANCE REPORT

Agency Supplier: P .O No.: #REF! Invoice No.: VICTOR S. MAALAM
Accountant II
Date:
PR. No.: Date:
Requisitioning Officer: Item No.

#REF! #REF!
Unit
#REF! #REF!
Description
#REF! #REF! #REF!
Quantity
#REF! #REF!
INSPECTION Date Inspected: Date Received:
ACCEPTANCE
Complete Partial By: The Inspection Team Received by:
VICTOR S. MAALAM
Accountant II
MILAGROS B. ESPINOZA
Record Officer II
MA. VEMALIN M. PENALES

Cashier II
ISAGANI CABAHUG
Chairman
JMA/2000

TOMAS SAGUN ELEMENTARY SCHOOL

Agency Supplier: P .O No.: Pablito C. Dacalos Date: Invoice No.: MARIETTA R. ANHAW Requisitioning Officer:
Principal
PR. No.: Date:
101-10-10-03
10/08/10
Item No.
1.)
Unit
Description
Repair of Ceiling (4) units & installation of water system
Quantity
ACCEPTANCE
JENNIFER ESCALANTE
Member
MERCEDITA A. ORDENIZA
Member
RENANTE R. MALIAO
YOLANDA R. CHATTO
Chairman
JMA/2000


Agency Supplier: P .O No.: Pablito C. Dacalos Date: Invoice No.: MARIETTA R. ANHAW Requisitioning Officer:
Principal
PR. No.: Date:
101-10-10-02
10/08/10
Item No.
1.)
Unit
Description
Repair and installation of the three classroom, library Science H.S
Quantity
ACCEPTANCE
JENNIFER ESCALANTE
Member
Member
RENANTE R. MALIAO
YOLANDA R. CHATTO
Chairman
JMA/2000


Agency Supplier: P .O No.: Romel Nacario Date: Invoice No.: MARIETTA R. ANHAW Requisitioning Officer:
Principal
PR. No.: Date:
101-10-10-01
10/14/10
Item No.
1.)
Unit
Description
Painting of Tomas Elementary School
Quantity
ACCEPTANCE
JENNIFER ESCALANTE
Member
Member
RENANTE R. MALIAO
YOLANDA R. CHATTO
Chairman
JMA/2000


Agency Supplier: P .O No.: Morillo Jamisola Date: Invoice No.: MARIETTA R. ANHAW Requisitioning Officer:
Principal
PR. No.: Date:
101-10-10-04
10/21/10
Item No.
1.)
Unit
Repair of Arm Chair
Description
Quantity
ACCEPTANCE
JENNIFER ESCALANTE
Member
Member
RENANTE R. MALIAO
YOLANDA R. CHATTO
Chairman
JMA/2000
Republic of the Philippines Department of Education Region IX, Zamboanga Peninsula

Pagadian City
BIDS AND AWARDS COMMITTEE

EXCERPTS THE MINUTES OF THE MEETINGS OF THE BIDS AND AWARDS COMMITTEE (BAC) HELD ON 10/08/10 AT THE LAPEDIAN ELEMENTARY SCHOOL. PRESENT: FLORITA G. PIMENTEL SONIA A. FLORES TERESITA T. ALCANTARA CHAIRMAN MEMBER MEMBER
A RESOLUTION RECOMMENDING TO THE HEAD OF THE PROCURING ENTITY THE USE OF ALTERNATIVE MODE OF PROCUREMENT FOR THE PAYMENT OF DULY APPROVED PURCHASE REQUEST NO. 101-10-01 DATED 10/14/10 WITH THE TOTAL AMOUNT OF Four Thousand Pesos Only ( 4,000.00 ) . RESOLUTION NO.:
101-10-01
WHEREAS, Shopping is an alternative method of procurement of ordinary or regular office supplies and equipment not available in the procurement service involving an amount not exceeding TWO HUNDRED FIFTY THOUSAND PESOS (P250,000.00). Provided, however, that the procurement does not result in splitting of contracts as stipulated in Section 52 (b) of RA 9184; WHEREAS, after evaluation of the documents, the Bids & Awards Committee unanimously recommends to the Head of the Procuring Entity, the use of Shopping as an Alternative Mode of Procurement to be used for the for the TOMAS SAGUN ELEMENTARY SCHOOL, this School , payment of PAINTING under PURCHASE REQUEST NO. 101-10-01 dated 10/14/10 , provided that at least 3 prices quotations be obtained from duly pre-qualified bidders/suppliers of Pagadian City. WHEREAS, the subject requested above is for the immediate use of _____________________ _________________ NOW, THEREFORE, the Bids and Awards Committee do hereby resolved to recommend/approve to the Head of the Procuring Entity, this School, that Shopping will be the Aternative Mode of Procurement to be used for the payment/acquisition of the aforementioned subject. RESOLVED FURTHER, to furnish copies of this Resolution to all BAC members & the DepEd Auditor, this School.
BAC-Member
SONIA A. FLORES
BAC-Member
FLORITA G. PIMENTEL
BAC-CHAIRMAN
APPROVED: MARIETTA R. ANHAW

School Head

Pagadian City

EXCERPTS THE MINUTES OF THE MEETINGS OF THE BIDS AND AWARDS COMMITTEE (BAC) HELD ON 10/08/10 AT THE LAPEDIAN ELEMENTARY SCHOOL. PRESENT: FLORITA G. PIMENTEL SONIA A. FLORES ANNALIZA P. MAGHINAY CHAIRMAN MEMBER MEMBER
A RESOLUTION RECOMMENDING TO THE HEAD OF THE PROCURING ENTITY THE USE OF ALTERNATIVE MODE OF PROCUREMENT FOR THE PAYMENT OF DULY APPROVED PURCHASE REQUEST NO. 101-10-02 DATED 10/11/10 WITH THE TOTAL AMOUNT OF One Thousand Six Hundred Pesos Only ( 1,600.00 ) . RESOLUTION NO.:
101-10-02
WHEREAS, Shopping is an alternative method of procurement of ordinary or regular office supplies and equipment not available in the procurement service involving an amount not exceeding TWO HUNDRED FIFTY THOUSAND PESOS (P250,000.00). Provided, however, that the procurement does not result in splitting of contracts as stipulated in Section 52 (b) of RA 9184; WHEREAS, after evaluation of the documents, the Bids & Awards Committee unanimously recommends to the Head of the Procuring Entity, the use of Shopping as an Alternative Mode of Procurement to be used for the for the TOMAS SAGUN ELEMENTARY SCHOOL, this School , payment of REPAIR & INSTALLATION under PURCHASE REQUEST NO. 101-10-02 dated 10/11/10 , provided that at least 3 prices quotations be obtained from duly pre-qualified bidders/suppliers of Pagadian City. WHEREAS, the subject requested above is for the immediate use of _____________________ _________________ NOW, THEREFORE, the Bids and Awards Committee do hereby resolved to recommend/approve to the Head of the Procuring Entity, this School, that Shopping will be the Aternative Mode of Procurement to be used for the payment/acquisition of the aforementioned subject. RESOLVED FURTHER, to furnish copies of this Resolution to all BAC members & the DepEd Auditor, this School.
BAC-Member
SONIA A. FLORES
BAC-Member
FLORITA G. PIMENTEL
BAC-CHAIRMAN

School Head

Pagadian City

A RESOLUTION RECOMMENDING TO THE HEAD OF THE PROCURING ENTITY THE USE OF ALTERNATIVE MODE OF PROCUREMENT FOR THE PAYMENT OF DULY APPROVED PURCHASE REQUEST NO. 101-10-03 DATED 10/08/10 WITH THE TOTAL AMOUNT OF One Thousand Pesos Only ( 1,000.00 ) . RESOLUTION NO.:
101-10-03
WHEREAS, Shopping is an alternative method of procurement of ordinary or regular office supplies and equipment not available in the procurement service involving an amount not exceeding TWO HUNDRED FIFTY THOUSAND PESOS (P250,000.00). Provided, however, that the procurement does not result in splitting of contracts as stipulated in Section 52 (b) of RA 9184; WHEREAS, after evaluation of the documents, the Bids & Awards Committee unanimously recommends to the Head of the Procuring Entity, the use of Shopping as an Alternative Mode of Procurement to be used for the for the TOMAS SAGUN ELEMENTARY SCHOOL, this School , payment of REPAIR & INSTALLATION under PURCHASE REQUEST NO. 101-10-03 dated 10/08/10 , provided that at least 3 prices quotations be obtained from duly pre-qualified bidders/suppliers of Pagadian City. WHEREAS, the subject requested above is for the immediate use of _____________________ _________________ NOW, THEREFORE, the Bids and Awards Committee do hereby resolved to recommend/approve to the Head of the Procuring Entity, this School, that Shopping will be the Aternative Mode of Procurement to be used for the payment/acquisition of the aforementioned subject. RESOLVED FURTHER, to furnish copies of this Resolution to all BAC members & the DepEd Auditor, this School.
BAC-Member
SONIA A. FLORES
BAC-Member
FLORITA G. PIMENTEL
BAC-CHAIRMAN

School Head

Pagadian City

A RESOLUTION RECOMMENDING TO THE HEAD OF THE PROCURING ENTITY THE USE OF ALTERNATIVE MODE OF PROCUREMENT FOR THE PAYMENT OF DULY APPROVED PURCHASE REQUEST NO. 101-10-04 DATED 10/21/10 WITH THE TOTAL AMOUNT OF Six Hundred Pesos only ( 600.00 ) . RESOLUTION NO.:
101-10-04
WHEREAS, Shopping is an alternative method of procurement of ordinary or regular office supplies and equipment not available in the procurement service involving an amount not exceeding TWO HUNDRED FIFTY THOUSAND PESOS (P250,000.00). Provided, however, that the procurement does not result in splitting of contracts as stipulated in Section 52 (b) of RA 9184; WHEREAS, after evaluation of the documents, the Bids & Awards Committee unanimously recommends to the Head of the Procuring Entity, the use of Shopping as an Alternative Mode of Procurement to be used for the for the TOMAS SAGUN ELEMENTARY SCHOOL, this School , payment of REPAIR OF ARM CHAIRS under PURCHASE REQUEST NO. 101-10-04 dated 10/21/10 , provided that at least 3 prices quotations be obtained from duly pre-qualified bidders/suppliers of Pagadian City. WHEREAS, the subject requested above is for the immediate use of _____________________ _________________ NOW, THEREFORE, the Bids and Awards Committee do hereby resolved to recommend/approve to the Head of the Procuring Entity, this School, that Shopping will be the Aternative Mode of Procurement to be used for the payment/acquisition of the aforementioned subject. RESOLVED FURTHER, to furnish copies of this Resolution to all BAC members & the DepEd Auditor, this School.
BAC-Member
SONIA A. FLORES
BAC-Member
FLORITA G. PIMENTEL
BAC-CHAIRMAN

School Head
DIVISION OF PAGADIAN CITY
SCHOOL OPERATING BUDGET

for the month of NOVEMBER, 2010
Division: DepEd, Division of Pagadian City School: Campo Islam Elementary School Component/Sub-Component Government Division SEF 1 Physical Plant and Facilities School Building 1.1 New Construction 1.2 Repairs Procurement 1.3 Classroom Kits 1.4 School Furniture 1.5 Other Goods 2 Textbooks & Instructional Materials 3 Student Assessment 4 INSET (Teacher Training) 5 School Innovation 6 Administration and Supervision Travel Expenses Training Expenses Office Supplies Expenses School Supplies Expenses Drugs and Medicine Expenses Other Supplies Expenses Water Expenses Electricity Expenses Repair & Maint.-Office Supplies Fidelity Bond Premiums Other Maintenance & Operating Exp. Total Prepared by: ALELEN ZINNIA A. PANCHO Principal DIVISION OF PAGADIAN CITY APPROPRIATIONS Other Sources PTCA NGO Others
Total
SCHOOL OPERATING BUDGET

for the month of July, 2011
Division: DepEd, Division of Pagadian City School: Norberta Guillar National High School Component/Sub-Component Government Division SEF 1 Physical Plant and Facilities School Building 1.1 New Construction 1.2 Repairs Procurement 1.3 Classroom Kits 1.4 School Furniture 1.5 Other Goods 2 Textbooks & Instructional Materials 3 Student Assessment 4 INSET (Teacher Training) 5 School Innovation 6 Administration and Supervision Travel Expenses Training Expenses Office Supplies Expenses School Supplies Expenses Accountable Forms Expenses Drugs and Medicine Expenses Other Supplies Expenses Water Expenses Electricity Expenses Postage and Deliveries Exp. Telephone-Landline Internate Expenses Security Expenses Repair & Maint.-Office Supplies Repair & Maint.-IT Equipment Fidelity Bond Premiums Other Maintenance & Operating Exp. Total Prepared by: ARNOLD C. CABANTUG Principal I APPROPRIATIONS Other Sources PTCA NGO Others
Total
3,000.00 12,000.00
3,000.00 12,000.00 5,000.00 20,000.00
5,000.00
Republic of the Philippines Department of Education Regin IX, Zamboanga Peninsula PAGADIAN CITY DIVISION LOWER SIBATANG NHS Pagadian City
Date
VICTORINA G. PEREZ, CEO VI Schools Division Superintendent Pagadian City Madam: of Herewith is a Working Fund of NOVEMBER, 2009 . LOWER SIBATANG NHS for the month
In this regard, I would like to request for a Cash Advance in the amount stated as FIFTEEN THOUSAND PESOS (P 20,000.00 ) duly recommended by the Division Accountant. For your approval. -----------------------------------------------------------------------------------------------------------------------------RE-WORKING FUND FOR THE MONTH OF NOVEMBER, 2009
1 Physical Plant and Facilities

a. b. a. b. P
2,000.00
5,000.00
2 Textbooks & Instructional Materials

3,000.00
3 Student Assessment 4 Administration and Supervision

a. b. c. d. e. f. g.
Travel Expenses Training Expenses Office, School and Other Supplies Water Expenses Electricity Expenses Repair & Maint-Office Supplies Other Maintenance & Operating Exp.
15,000.00
15,000.00
TOTAL Prepared by:
20,000.00
MARIETTA R. ANHAW Recommending Approval: VICTOR S. MAALAM

Division Accountant School Head
APPROVED: VICTORINA G. PEREZ, CEO VI

Republic of the Philippines Department of Education Region IX, Zamboanga Peninsula DIVISION OF PAGADIAN CITY

Pagadian City
JOB ORDER
NAME 1.) Gabriel Wayco x-x-x-x-x DESIGNATION Electrician x-x-x RATE/DAY 340.00 x-x-x PERIOD OF EMPLOYMENT 18-Jun-11 19-Jun-11 x-x-x FUNDING/ MOOE OFFICE Norberta Guillar National High School x-x-x ACKNOWLEDGMENT
The said job order shall automatically cease upon its expiration as stipulated above, unless renewed. However, services of any o all of the above-named can be terminated prior to the expiration of this Job Order for lack of funds or when their services are no longer needed. The above-named hereby attest that he/she is not related within the third degree (fourth degree in case of LGUs) of consanguinity or affinity to the 1.) hiring authority, and or 2.) representatives of the hiring agency; that he/she has not been dismessed from government service by reason of an administrative offense; that he/she has not already reached the compulsory retirement age of sixty-five (65). Furthermore, the service rendered hereunder is not considered or will never be accredited as government service.
Certified as to the existence of Appropriation/Obligation:
Approved:
ROMIE C. BAYLEN
ARNOLD C. CABANTUG
School Principal I

San Jose, Pagadian City
JOB ORDER
NAME DESIGNATION RATE/DAY PERIOD OF EMPLOYMENT FROM TO October 16, 2010 October 27, 2010 FUNDING/ CHARGES MOOE OFFICE/ ASSIGNMENT Tomas Elementary School ACKNOWLEDGMENT
1.) Romel Nacario x-x-x-x-x
Paintor
333.34
painting
Certified as to the existence of Appropriation/Obligation: Charge to MOOE
Approved:
MARIETTA R. ANHAW
Designated Bookkeeper School Principal I

JOB ORDER
NAME DESIGNATION RATE/DAY PERIOD OF EMPLOYMENT FROM TO October 12, 2010 October 13, 2010 FUNDING/ CHARGES MOOE OFFICE/ ASSIGNMENT Tomas ES & Science HS ACKNOWLEDGMENT
1.) Pablito C. Dacalos x-x-x-x-x
Electrician
800
Approved:
MARIETTA R. ANHAW

JOB ORDER
NAME DESIGNATION RATE/DAY PERIOD OF EMPLOYMENT FROM TO October 10, 2010 October 10, 2010 FUNDING/ CHARGES MOOE OFFICE/ ASSIGNMENT Tomas ES & Science HS ACKNOWLEDGMENT
Electrician/Plummer
1000
Installation of Ceiling (4) units and installation of water system.
Approved:
MARIETTA R. ANHAW

JOB ORDER
NAME DESIGNATION RATE/DAY PERIOD OF EMPLOYMENT FROM TO October 23, 2010 October 23, 2010 FUNDING/ CHARGES MOOE OFFICE/ ASSIGNMENT Pagadian City Science H.S ACKNOWLEDGMENT
1.) Morillo Jamisola x-x-x-x-x
Carpenter
600
Repair of arm chair
Approved:
MARIETTA R. ANHAW
GENERAL PAYROLL
Division of Pagadian City

Buenavista Pagadian City For the Period June 18 - 19, 2011
Name of Employees 1.) Gabriel Wayco x-x-x-x-x
Designation Status Electrician
SERVICES RENDERED From To 6/ 18 -19/2011
Total No. of Days of Sercice 2
Daily Wages/Salary 340.00
Daily PERA -
Daily ADCOM -
TOTAL SALARY 680.00
TOTAL PERA -
TOTAL ADCOM -
ADD. OTHER BENEFITS
TOTAL 680.00
SIGNATURE
CERTIFIED: Supporting documents complete and Proper, and cash available in the amount of __________________
APPROVED:
CERTIFIED: Each employee whose name appears above has been paid the amount incidated opposite on his/her name.
ARCHIE C. INAO
ARNOLD C. CABANTUG
School Principal I
ROMIE C. BAYLEN
GENERAL PAYROLL
DEpEd, Division of Pagadian City

San Jose, Pagadian City For the Period October 1 - 31, 2010
Name of Employees
Designation Status Electrician
SERVICES RENDERED From To 10-12-10/10-16-10
Daily Wages/Salary 320
Daily PERA -
Daily ADCOM -
TOTAL SALARY 1,600.00
TOTAL PERA -
TOTAL ADCOM -
ADD. OTHER BENEFITS
TOTAL
SIGNATURE
1,600.00
APPROVED:
FLORITA G. PIMENTEL
MARIETTA R. ANHAW
Principal - I Designated Disbursing Officer
GENERAL PAYROLL

Name of Employees 1.) Pablito C. Dacalos x-x-x-x-x
Designation Status Plummmer
Daily PERA -
Daily ADCOM -
TOTAL SALARY 1,000.00
TOTAL PERA -
TOTAL ADCOM -
ADD. OTHER BENEFITS
TOTAL 1,000.00
SIGNATURE
APPROVED:
FLORITA G. PIMENTEL
MARIETTA R. ANHAW
GENERAL PAYROLL

Name of Employees 1.) Morillo Jamisola x-x-x-x-x
Designation Status Carpenter
Daily PERA -
Daily ADCOM -
TOTAL SALARY 600.00
TOTAL PERA -
TOTAL ADCOM -
ADD. OTHER BENEFITS
TOTAL 600.00
SIGNATURE
APPROVED:
FLORITA G. PIMENTEL
MARIETTA R. ANHAW
GENERAL PAYROLL
DepEd, Division of Pagadian City For the month of January 18 - 21, 2011
Name of Employees
Desig nation/ Status
SERVICES RENDERED From To
Total No. of Days of Service
Daily Wage/Salary
Daily Daily PERA ADCOM
TOTAL SALARY
TOTAL TOTAL LESS: UNDERTIME PERA ADCOM Hrs./min. Rate/ hr.
Amount
TOTAL
SIGNATURE
1.) Edwardo A. Revilla x-x-x-x
Plumber
01/18-21/11
250
- 1,000.00
31.25
250
1,000.00
CERTIFIED: Services duly rendered as stated.
CERTIFIED: Supporting documents complete and proper, and cash available in the amount of 1,000.00
APPROVED: Each employee whose name appears above has been paid amount indicated oposite on his/her name.
DAVID L. LINGUE
Administrative Officer III
VICTOR S. MAALAM
Accountant II

AMIE Q. TOMON Designate Cashier
CIVIL SERVICE FORM NO: 48
DAILY TIME RECORD ROMIE C. BAYLEN

(Name) For the month of Officials hours for arrival and departure

(Name)

(Name)

(Name)
December 1 - 31
,2012
{Saturdays__________
For the month of Officials hours for arrival and departure
December 1 - 31
,2012
{Regular Days _______ {Saturdays__________
December 1 - 31
,2012
December 1 - 31
,2012
A.M.
Day Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes Day
A.M.
Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes Day
A.M.
Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes Day
A.M.
Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
SAT SUN 6:53 7:05 7:07 7:27 7:25 SAT SUN 7:25 7:18 7:10 7:18 7:22 SAT SUN 7:21 7:20 7:21 7:25 7:25 SAT SUN 12:00 12:00 12:00 12:00 12:00 12:55 12:55 12:55 12:55 12:55 5:00 5:00 5:00 5:00 5:00 12:00 12:00 12:00 12:00 12:00 12:55 12:55 12:55 12:55 12:55 5:00 5:00 5:00 5:00 5:00 12:00 12:00 12:00 12:00 12:00 12:55 12:55 12:55 12:55 12:55 5:00 5:00 5:00 5:00 5:00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
SAT SUN 6:53 7:05 7:07 7:27 7:25 SAT SUN 7:25 7:18 7:10 7:18 7:22 SAT SUN 7:21 7:20 7:21 7:25 7:25 SAT SUN 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
TOTAL I CERTIFY on my honors that the above is a true correct

report of the hours of work performed, record of which was made daily at the time of arrival and departure from office. Verified as to the prescribe office hours
0:00 0:00 0:00 0:00 TOTAL I CERTIFY on my honors that the above is a true correct
ARNOLD C. CABANTUG In-charge

JMA/2000 JMA/2000

JMA/2000

JMA/2000
DAILY TIME RECORD ALGEN F. OLITRES

(Name) For the month of Officials hours for arrival and departure

(Name)

(Name)

(Name)
December 1 - 31
,2012
{Saturdays__________
December 1 - 31
,2012
December 1 - 31
,2012
December 1 - 31
,2012
A.M.
Day Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes Day
A.M.
Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes Day
A.M.
Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes Day
A.M.
Arrival Departure
P.M.
Arrival Depar ture
UNDERTIME
Hours Minutes
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
SAT SUN 7:20 7:25 7:25 7:25 7:25 SAT SUN 7:25 7:22 7:25 7:25 7:25 SAT SUN 7:25 7:25 7:21 7:25 7:25 SAT SUN 12:00 12:00 12:00 12:00 12:00 12:55 12:55 12:55 12:55 12:55 5:00 5:00 5:00 5:00 5:00 12:00 12:00 12:00 12:00 12:00 12:55 12:55 12:55 12:55 12:55 5:00 5:00 5:00 5:00 5:00 12:00 12:00 12:00 12:00 12:00 12:55 12:55 12:55 12:55 12:55 5:00 5:00 5:00 5:00 5:00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 12:00 12:00 12:00 12:00 12:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 12:55 12:55 12:55 12:55 12:55 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 5:00 5:00 5:00 5:00 5:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00 0:00
TOTAL I CERTIFY on my honors that the above is a true correct


JMA/2000 JMA/2000

JMA/2000

JMA/2000
Received: CSC FORM NO. 6

REVISED 1984
APPLICATION FOR LEAVE

NAME (last) (First) (Middle)
1. OFFICE/AGENCY DepEd, Division of Pagadian City 3. DATE OF FILING 4. POSITION
5. SALARY (Monthly) P
DETAILS OF APPLICATION
6. a.) TYPE OF LEAVE ( ) VACATION - Forced leave
( ) To seek employment
6. b.) WHERE WILL LEAVE BE SPENT ( 1 ) IN CASE OF VACATION LEAVE

( ( ) Within the Philippines ) Abroad (specify)
( ) others (specify)
( ) SICK ( ( ) MATERNITY ) OTHERS (specify)
( 2 ) IN CASE OF SICK LEAVE

( ) In hospital (specify)
) Out - Patient (specify)
6. c.) NUMBER OF WORKING DAYS

APPLIED FOR: INCLUSIVE DATES
6. d.) COMMUTATION
( ) Requested ( ) Not requested
(Employee's Signature)
7. a.) CERTIFICATION OF LEAVE CREDITS 7. b.) RECOMMENDATION

as of ( ( Vacation Sick Total ) Approval ) Disapproval due to
DAVID L. LINGUE
Days Days Days Administrative Officer III (Authorized Official)
(Personnel Officer) 7. c.) APPROVED FOR:

days with pay days with out pay others (specify)
7. d.) DISAPPROVED:
(Signature) VICTORINA G. PEREZ, CEO VI Schools Division Superintendent

(Authorized Official)
(Date)

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LIQUIDATION REPORT

DepEd, Division of Pagadian City

No.: Date: Responsibility Code:

TOTAL AMOUNT SPENT

Certified: Correctness the above date

ARNOLD C. CABANTUG School Head

MYRIEN GLIE A. TANO

ACKNOWLEDGEMENT RECEIPT FOR EQUIPMENT

EVELYN GRACE D. ORONG

NORBERTA GUILLAR NATIONAL HIGH SCHOOL

CASH DISBURSEMENT REGISTER

ADELAIDA J. EDEROSAS LBP- PAG BIR 5% LBP- PAG BIR 1% xxxx

MYRIEN GLIE A. TANO

VICTORINA G. PEREZ, CEO VI

DepEd, DIVISION OF PAGADIAN CITY

Printed Name Position Date

VICTORINA G. PEREZ, CEO VI

JEV No. Date Bank Name Printed Name Date 0 Date

DepEd, DIVISION OF PAGADIAN CITY

Certified Approved for Payment

Printed Name Position Date

VICTORINA G. PEREZ, CEO VI

JEV No. Date Bank Name Printed Name Date 0 Date

Date: 11/10/10 Date: Date: Estimated Cost

Estimated Unit Cost

Requested by: Signature: Printed Name: Designation: Date:

REQUEST FOR QUOTATION

ITEM AND DESCRIPTION

Brand and Model Delivery Period Warranty Price Validity

Signature over printed Name

Tel. No./Cell phone No.

FLORITA G. PIMENTEL BAC Chairman

MA. VEMALIN M. PENALES

REYNALDO LORENZO C. NODADO

EVELYN GRACE D. ORONG

P.O No. Date Mode of Procurement

Place of Delivery: Date of Delivery: Item No. UNIT DESCRIPTION QTY.

Delivery Term: Payment Term: UNIT COST AMOUNT

( Total Amount in Words)

Very truly yours,

ALOBS No.: Amount :

INSPECTION AND ACCEPTANCE REPORT

PR. No.: Date:

Requisitioning Officer: Item No.

INSPECTION Date Inspected: Date Received:

Complete Partial By: The Inspection Team Received by:

MA. VEMALIN M. PENALES

INSPECTION AND ACCEPTANCE REPORT

TOMAS SAGUN ELEMENTARY SCHOOL

PR. No.: Date:

INSPECTION Date Inspected: Date Received:

Complete Partial By: The Inspection Team Received by:

INSPECTION AND ACCEPTANCE REPORT

TOMAS SAGUN ELEMENTARY SCHOOL

PR. No.: Date:

INSPECTION Date Inspected: Date Received:

Complete Partial By: The Inspection Team Received by:

INSPECTION AND ACCEPTANCE REPORT

TOMAS SAGUN ELEMENTARY SCHOOL

PR. No.: Date:

INSPECTION Date Inspected: Date Received:

Complete Partial By: The Inspection Team Received by:

INSPECTION AND ACCEPTANCE REPORT