Stock No. Unit ltrs diesel fuel xxxxxxxxxxx nothing follows xxxxxxxxxxxx Atty.Isagani D.Cuello R E Q U I S I T I O N ISSUANCE Description Quantity Quantity Remarks REQUISITION AND ISSUE SLIP DEPARTMENT OF AGRARIAN REFORM, NEGROS OCCIDENTAL (Agency) Responsibility Center Code Office of the PARAD DAR Printed Name: For the use of RP service vehicle with plate no.WCN-821 Requested by: Approved by: Purpose: Received by: Issued by: Designation: Date: ISSUANCE Remarks REQUISITION AND ISSUE SLIP DEPARTMENT OF AGRARIAN REFORM, NEGROS OCCIDENTAL (Agency) For the use of RP service vehicle with plate no.WCN-821 Received by: Department of Agrarian Reform Date: Section PARAD SAI No. Date: 12/3/2013 Date: Quantity Unit of Issue Stock No.
25 pax
25 pax
Purpose:
PR No. ______________________ ALOBS NO.: Printed Name: Designation 2 snacks and 3 meals with lodging for 1 day Thursday, December 05, 2013 xxxxxxxxxxxx nothing follows xxxxxxxxx To be served to more or less 25 pax for the Signature
Unit Cost PURCHASE REQUEST DEPARTMENT OF AGRARIAN REFORM, NEGROS OCCIDENTAL (Agency) Remarks 2 snacks and 3 meals with lodging for 1 day No.
ITEM DESCRIPTION Estimated Cost Estimated Requested by: ATTY. SALVACION TAN-VENUS PARAD-South Approved by: LUCRECIA TABERNA PARO II-South Mass-Processing with the Operations Division (Redoc unit) for the issuance of individual CLOAs to FBs and FWBs. Wednesday, December 04, 2013
PURCHASE REQUEST DEPARTMENT OF AGRARIAN REFORM, NEGROS OCCIDENTAL (Agency) Remarks
Date Inspected: 23-Aug-13 Date Received: Inspected, verified and found OK Complete as to quantity and specifications Partial pax pax INSPECTION & ACCEPTANCE REPORT DEPARTMENT OF AGRARIAN REFORM, NEGROS OCCIDENTAL (Agency) AM snacks 100 DESCRIPTION UNIT QUANTITY
To be served to more or less 100 pax for the PARAD on wheels 20 Pm snacks 100 activity PARAD-South RHEA B. HIPONIA Inspection Officer ATTY. SALVACION TAN-VENUS pax
I N S P E C T I O N A C C E P T A N C E
Payee Office Address Responsibility Account Center Code Certified Certified Charges to appropriation/allotment necessary,lawful Supporting documents complete and proper. Allotment available and obligated for the purpose and under my direct supervision as indicated above Supporting documents valid, proper and legal Signature Signature Printed Printed Name Name Date: Date: The FOREST PARK RESORT Bacolod City Particulars P.P.A Republic of the Philippines DEPARTMENT OF AGRARIAN REFORM Provincial Agrarian Reform Office Negros Occidental OBLIGATION REQUEST Total For obligation of services rendered for more or less 25 pax for the mass-processing with the Operations Division-Redoc Unit on December 4-5, 2013 in the total amount of SIXTY THOUSAND PESOS ONLY --------------- EVELYN Q. COLIMBO LEONY M. LAMELA Position: CARPO-ADMIN & FINANCE Position: OIC-Budget Officer Head, Requesting Office/Authorized Representative Head,Budget Unit/Authorized Representative A B No. PhP 60,000.00 Allotment available and obligated for the purpose The FOREST PARK RESORT Bacolod City Amount Republic of the Philippines DEPARTMENT OF AGRARIAN REFORM Provincial Agrarian Reform Office Negros Occidental PhP 60,000.00 LEONY M. LAMELA OIC-Budget Officer Head,Budget Unit/Authorized Representative MODE OF PAYMENT No.: MDS check Commercial Check ADA Others Date: Payee/ Office: TIN/ Employee No.: OS/ BUS No.: Responsibility Center: Date: Address: Title: Code: To payment of food and accommodation rendered on account of Mass-processing with the Operations Division - Redoc Unit on December 4-5, 2013 as per statement of account attached in the Php 60,000.00 amount of ------------------------------------------------------------------------ Amount Due: Php 60,000.00 A. Certified: Supporting documents complete and proper. B. Approved for payment: Cash available Subject to ADA (where applicable) Signature: ___________________________ Signature: Printed Name: ________________________ Printed Name: Position: Position: PARO II (Head, Accounting Unit/ Authorized Representative) Date: Date: C. Received Payment: Check/ ADA No.:___________ D. Journal Entry Voucher Date:____________________ Signature: _____________________ __________________________ Bank Name:_______________ No.: ______________ OR No./ Other relevant document Printed Name: THE FOREST PARK RESORT issued: ____________________ Date: ______________ Accountant II Provincial Agrarian Reform Officer II (Agency Head/ Authorized Representative) THE FOREST PARK RESORT Bacolod City Particulars Amount MERCY C. CABAYAO LUCRECIA S. TABERNA Republic of the Philippines DEPARTMENT OF AGRARIAN REFORM Provincial Agrarian Reform Office Negros Occidental DISBURSEMENT VOUCHER Supplier GONZALES NEWSPAPER AGENCY P.O No. Address: Lanzones St., Capitol Heights, Bacolod City Date : June 1, 2013 Mode of Procurement Gentlemen: Subscription agreement Place of Delivery: PARAD Neg. Occ. Delivery Term: Date of Delivery: Payment Term: Item No. Unit Quantity D E S C R I P T I O N UNIT COST AMOUNT 1. pcs 19 Newspaper Philippine Star June 1-30, 2013 issues national 26.00 494.00 2. pcs 19 Newspaper Philippine Inquirer June -30, 2013 issues national 23.00 437.00 3. pcs 19 Newspaper Visayan Daily Star June 1-30, 2013 issues local 12.00 228.00 1,159.00 x - - - - - - - nothing follows - - - - - - - - - x vvvvvvvvvvvvv For official use of PARAD office Negros Occidental Re: for information on current news, events happenings, gov't. orders/ issuances and other issues on various agrarian related cases. ( Total amount in words) P In case of failure to make the full delivery within the time specified above, a penalty of one tenth (1/10) of one percent to every day of delay shall be imposed. Conforme: Very truly yours, ____________________________ (Signature over printed name) ENRIQUE C. PADERES DR. DEV. _____________________________ (Authorized Official) (Date) Requisitioning Office/Dept. Funds Available: Amount: _____________________ MERCY C. CABAYAO ALOBS NO. ____________________ Chief Accountant Authorized Official ATTY. ISAGANI D. CUELLO Please furnish this office the following articles subject to the terms & conditions contained herein: PURCHASE ORDER Department of Agrarian Reform, Negros Occidental (Agency)
