Rod Ngas New

GAAM Vol.
II
Revised January 1992
Appendex 18
REIMBURSEMENT EXPENSES RECEIPT

Date __________________
No. _____________________
Received from ______________________________________________
GAAM Vol. II
Revised January 1992
Appendex 18
REIMBURSEMENT EXPENSES RECEIPT

Date __________________
No. _____________________
Received from ______________________________________________
(Name)
(Name)
_____________________________________________________ the amount
_____________________________________________________ the amount
of _____________________________________________ (Php____________)
of _____________________________________________ (Php____________)
in payment for ___________________________________________________
in payment for ___________________________________________________
(Payment for subsistence, services,
(Payment for subsistence, services,
rental or transportation should show inclusive dates,
rental or transportation should show inclusive dates,
purpose, distance, inclusive points or travel, etc.)
purpose, distance, inclusive points or travel, etc.)
PAYEE
PAYEE
Name/Signature: _________________________________________________
Name/Signature: _________________________________________________
Address: ________________________________________________________
Address: ________________________________________________________
Residence Cert. No.: ______________________________________________
Date of Issue: ____________________________________________________
Date of Issue: ____________________________________________________
Place of Issue: ________________
Place of Issue: ___________________________________________________
WITNESS
WITNESS
Name/Signature: _________________________________________________
Name/Signature: _________________________________________________
Address: ________________________________________________________
Address: ________________________________________________________
Date of Issue: ____________________________________________________
Date of Issue: ____________________________________________________
Place of Issue: ___________________________________________________
Place of Issue: ___________________________________________________
______)
135
Summary of Expenses
Program / Activity
ROD MYPA
Description
Payee
GRAND TOTAL
Prepared by:
WENA C.TINIO
TESDS II
Date
10225
07/03/15
1,001.00
Amount
Meals (Snacks)
Greenwich
Meals (Lunch)
Penongs Lanang
01010343
07/03/15
1,326.00
Taxi Fare
Davtransco Taxi
011390
07/03/15
50.50
RER
07/03/15
62.00
Fare & Softdrinks

Conduct of Compliance Audit
(Assessment)
Receipt
No./Docketed
No.
Taxi Fare
Voiture Taxi
17689
06/25/15
82.00
Taxi Fare
Arlyn Mea Taxi
2318
06/25/15
92.50
Taxi Fare
Lago Grande
164
06/25/15
103.00
Taxi Fare
RGSM Taxi
25405
06/26/15
92.50
Taxi Fare
Mabuhay Taxi
2201
06/08/15
61.00
Taxi Fare
Maro Taxi
14107
06/26/15
131.00
Taxi Fare
Datts Taxi
6658
06/22/15
274.50
Taxi Fare
Visa Cab
11135
06/22/15
274.50
3,550.50
Summary of Expenses
Program / Activity
RE-ECHO ON ENHANCE
CURRICULUM
GRAND TOTAL
Prepared by:
JEAN C. GONZALES
SR. TESDS
Description
Payee
Receipt No.
Date
Amount
Meals
Uloy's Ihaw-ihaw
31444
08/28/15
600.00
Pinakbet
Edong's Lechon Manok
017193
08/28/15
280.00
Meals
Freemont Foods
Corporation
11003
08/28/15
360.00
Meals
Freemont Foods
Corporation
11006
08/28/15
643.00
Softdrinks & Rice
RER
08/28/15
99.00
Jeepney Fare
RER
08/28/15
32.00
2,014.00
TESDA
Standard Form Number: SF-GOODE-59
Revised On: May 24, 2004
Standard Form Title: Purchase Request
Project Reference Number:

Name of Project:
Location of the Project:
N/A
N/A
N/A
PURCHASE REQUEST
Technical Education and Skills Development Authority, Davao City
616 Interior 2, Rimas St., Aquino Subd., JP Laurel Avenue, Davao City
Regional Office XI
(Agency)
Department:
Section
ROD
Stock No.
Unit
unit
PR No :
SAI N o :
Item Description
Computer Monitor 19"
Date :
Date :
Quantity
Unit Cost
6,000.00
06-Aug-15
Total Cost
12,000.00
12,000.00
Purpose:
For MoNet and Scholarship use

REQUESTED BY :
Signature
Printed Name
Designation
APPROVED BY :
ARLYN S. BANDONG
Chief, ROD
GASPAR S. GAYONA, Ph.D., CESO III

Regional Director
Project Reference Number: N/A

Name of the Project: N/A
Location of the Project: N/A
TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Telephone Nos. 221-8778/222-2294

Standard Form Number: SF-GOOD-60
Revise on: May 24, 2004
Standard Form Title : Request for Quotation
Date: Aug. 6, 2015

Quotation No.:
Company Name: ______________________________________________________________________________

Address: ____________________________________________________________________________________
Please 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 and submit your quotation duly signed
by your representative not later than _________________ in the return envelop attached herewith.
WILMA G. UDALVE
Procurement Officer
NOTE:
1. ALL ENTRIES MUST BE TYPEWRITTEN.

2. DELIVERY PERIOD WITHIIN __________ CALENDAR DAYS
3. WARRANTY SHALL BE FOR A PERIOD OF SIX (6) MONTHS FOR SUPPLIES &
MATERIALS, ONE YEAR FOR EQUIPMENT, FROM THE DATE OF
ACCEPTANCE OF THE PROCURING ENTITY.
4. PRICE VALIDITY SHALL BE FOR A PERIOD OF ___________ CALENDAR DAYS.
5. G-EPS REGISTRATION CERTIFICATE SHALL BE ATTACHED UPON
SUBMISSION OF THE QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS
OF THE PRODUCT BEING OFFERED.
ITEM
NO.
1
ITEM & DESCRIPTION

QTY
UNIT PRICE
units
For MoNet and Scholarship use
Brand & Model: __________________________

Delivery Period: __________________________
Warranty: __________________________
Price Validity: __________________________
After having carefully read and accepted your General Conditions, I/ We quote you on the item at prices
noted above.
Printed Name & Signature
_____________________
Tel. No./ Cellphone #
e-mail address
_______________________
Date
Republic of the Philippines

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY XI
Regional Office, 616 Interior 2, Rimas St., Aquino Subd., JP Laurel Avenue, Davao City
Telephone Nos. 221-8778, 222-2294,
Date: 6-Aug-15
NOTICE TO BIDDERS:
Sealed bids subject to the conditions consigned herein will be received at the Technical Education
and Skills Development Authority Office XI, Davao City on or before 10:00 Am dated on , ________2014
publicly opened for the furnishing POB, TESDA Office XI of the following:
TO BE DELIVERED WITHIN_________ WORKING DAYS AFTER RECEIPTS OF AWARD
No.
Qty.
Unit
NAMES AND DESCRIPTION OF ARTICLES
1
unit
Router
Unit Price
P_____________
TERESITA Y. RODA
Canvasser
Regional Director
The above are our quoted for items called for and I/We hereby certify that the above articles are our bonafide
stock. In case of failure on our part to furnish the above materials and or equipment within____working
days from the date of receipt of the order we agree to pay the penalty imposed one tenth (1/10) of the
percent per day of delay the diferent in price should there be any other expenses that the government
may incure in securing articles from the dealers and therefore authorizing the TESDA Disbursing Officer
to deduct the value of the penalty imposed from any money due or which may become due us.
Name of Establishment________________________________________
Business/Trade Name_________________________________________
Principal Place of Business____________________________________
Vat No. or Non Vat Taxpayer Reg. No___________________________
TIN _________________________________________________________
Total Price
P____________
TESDA
Standard Form Number: SF-GOODE-58
Revised On: May 24, 2004
Standard Form Title: Purchase Order
Project Reference Number:

Name of Project:
Location of the Project:
PURCHASE ORDER
Name of Procuring Entity
Supplier
JEAN C. GONZALES
P. O.
Address
Date
Email Address
Mode of
Procurement
Telephone No.
TIN
Gentlement
Please furnish this office the following articles subject to the terms and conditions contained herein :
Place of Delivery
Date of Delivery
Stock No.
Delivery Term:
Payment Term:
Unit
Description
Quantity
Unit Cost
units
5,590.00
11,180.00
unit
Optical Mini Mouse
680.00
680.00
(Total Amount in Words)
Eleven thousand eight hundred sixty pesos only
2,014.00
In case of failure to make the full delivery the time specified above, a penalty
of one-tenth (1/10) of one percent for every day of delay shall be imposed.
JEAN C. GONZALES
(Signature Over Printed Name)
Regional Director
(Authorized Officials)
(Date)
Date
Funds Available:
OR No.:
Amount:
Source of Fund:
MIREY LOVE C. CAGUIAT
Accountant IV
Name of End User
Check No.:
2,014.00
Appendix 64
INSPECTION & ACCEPTANCE REPORT

(Agency)
Supplier: JEAN C. GONZALES
IAR No :
PO No.
Requisitioning Office/Dept.
Stock No.
Unit
page
Invoice No.0140
Description
Publication of 2014 Compendium of
Qty.
2
Unit
Date : 12/31/14
Total
10,000.00
20,000.00
Registered Programs and Accredited

Assessment Centers
Inspected, verified and found OK

as to quantity and specifications
JOEL A. ATABLANCO
Inspection Officer
For Property Officer Use
20,000.00
Partial (pls. specify quantity)
WILMA G. UDALVE
Supply Officer

Technical Education and Skills Development Authority XI
ABSTRACT OF BIDS
Tel. Nos. 221-8778 and 222-2294
July 18, 2014
NO.
QTY.
Unit
pax
Description
Meals - Dinner
Nanay Bebeng Culinary

Enterprises, Inc.
2,111.20
Chippens
Yellow Fin Seafood Restaurant
2,200.00
2,325.00
Item no. 1 is Nanay Bebeng Culinary Enterprises, Inc. due to lower costs
MELBA A. RAON
Provisional Member
ADONIS F. CULAS
Provisional Member
JEAN C. GONZALES
Reg. Member
DORLITA B. LAUREL
Vice-Chair
ARLYN S. BANDONG
Chairman
Appendix 50
TESDA
Standard Form Number SF-GOOD-61
Revised on: May 24, 2004
Standard Form Title: Requisition and Issuance Slip
REQUISITION AND ISSUANCE SLIP
Technical Education and Skills Development Authority, XI
616 Interior 2, Rimas Street, Aquino Subdivision, JP Laurel Avenue, Davao City
Regional Office XI, Tel. No. 221-8778
DIVISION: ROD
OFFICE: TESDA XI - Regional Office
RIS No.
SAI No.
RequIsItIon
Stock No.
Unit
page
Description
Publication of 2014 Compendium of
Quantity
2
Unit
Remarks
10,000.00
20,000.00
Registered Programs and Accredited

Assessment Centers
Purpose:
Requested By :
JEAN C. GONZALES
Sr. TESDS
20,000.00
Approved By :
WILMA G. UDALVE
Supply Officer V
Issued By :
Received By :
MALANGKA S. JUMDANA
JEAN C. GONZALES
Adm. Asst. III
Sr. TESDS
Annex A1
Regional Office XI
No.
OBLIGATION REQUEST
Payee
JEAN C. GONZALES
Office
Address
Davao City
Responsibility
Center
P.P.A
Account
Code
Amount
To reimbursement of expenses spent during re-echo on

enhanced curriculum as per supporting papers hereto
attached in the amount of
A.
A Certified
.
Charges to appropriation/allotment necessary, lawful

and under my direct supervision
2,014.00
2,014.00
Total
Certified
B
.
Allotment available and obligated for the Purpose
as indicated above
Supporting documents valid, proper and legal
Signature
Printed
Name
A
.
Position
Signature
ARLYN S. BANDONG
Chief, ROD
Printed
Name
B
.
Position
Head, Requesting Officer/Authorized Representative
Date
YOLANDA S. VILLAFLOR
Administrative Officer V
Head, Budget Unit/Authorized Representative
Date
Annex B
Regional Office XI
DISBURSEMENT VOUCHER
MODE OF
PAYMENT
MDS Check
No.
Commercial Check
ADA
TIN/Employee No.
Payee
Others
OR/BUR No.
JEAN C. GONZALES
Office/Unit/Project
Address
Code
Davao City
EXPLANATION
AMOUNT
To reimbursement of expenses spent during re-echo on

enhanced curriculum as per supporting papers hereto
attached in the amount of
0
2,014.00
2,014.00
A Certified:
B Approved for Payment:
Cash Available
Supporting documents complete and proper
Subject to ADA (where available)
Signature
Signature
Printed
Name
Position
Accountant IV
Printed
Name
Position
Head, Accounting Unit/Authorized Representative
Date
C Received Payment:
Check/
Regional Director
Agency Head/Authorized Representative
Date
Date
Bank Name
Date
Printed Name
D JEV NO.
ADA No.
Signature
Official Receipt/Other Documents
Date:

Region XI, Davao City
TRAVEL ORDER
No. _________
Name :
ADONIS F. CULAS
Station :
TESDA XI - RO, Davao City
You are hereby directed to travel on official business via Cebu Pacific, land transport,
and/or sea transport.
Place :
Duration:
Purpose:
Davao del Sur

Dcember 10, 2014
Attendance to the Local Poverty Reduction Action Team Orientation
It is understood that a report shall be submitted upon completion of this travel.

Regional Director
Authorized Representative

Region XI, Davao City
TRAVEL ORDER
No. _________
Name :
ADONIS F. CULAS
Station :
TESDA XI - RO, Davao City
You are hereby directed to travel on official business via Cebu Pacific, land transport,
and/or sea transport.
Place :
Duration:
Purpose:
Davao del Sur

Dcember 10, 2014
Attendance to the Local Poverty Reduction Action Team Orientation
It is understood that a report shall be submitted upon completion of this travel.

Regional Director
Authorized Representative
Appendix 46
ITINERARY OF TRAVEL
Region XI
No.
Name:
Purpose of Travel:
ADONIS F. CULAS
Attendance to the LPRAT Orientation
TIME
Date
Expenses
Places to be Visited
Means of
Depart.
Arrival
Transpo.
10-Dec-14
Davao City - Davao del Sur
6:30 AM
9:00 AM
RP Vehicle
10-Dec-14
Davao del Sur - Davao City
6:30 PM
9:00 AM
RP Vehicle
TOTAL
FARE
ALLOW
0.00
320.00
320.00
Prepared by:
I certify that : (1) I have reviewed the
foregoing itinerary , (2) the travel is
necessary to the service, (3) the period
foregoing itinerary , (2) the travel is
covered is reasonable and (4) the
expenses claimed are proper.
ARLYN S. BANDONG
Supervisor
ADONIS F. CULAS
Official/Employee
Approved by:

Regional Director
Total
320.00
320.00

Agency
CERTIFICATE OF TRAVEL COMPLETED

Agency Head
Regional Director
Position
TESDA Regl. Office XI

Station
10-Dec-14
DATE
I CERTIFY THAT I have completed the travel authorized in Itinerary of Travel No.
dated December 26, 2012 under conditions indicated below:
x
Strictly in accordance in the approved itinerary.

Cut short as explained below; payment in the amount of P ________, was refunded
under O. R. No. _________, dated ______________.
Extended as explained below; additional itinerary was submitted.
Other deviations as explained below:
Explanation or justification:
Evidence of Travel:
x
Appendix B
Plane Ticket/Bus
x
Certificate of Appearance
Others:
Respectfully Submitted:
ADONIS F. CULAS
Sr. TESDS
On evidence and information of which I have knowledge, the travel was actually undertaken.
ARLYN S. BANDONG
Supervisor
Appendix 58
LIQUIDATION REPORT
(Agency)
No.
Date: 8-Oct-12
Responsibility Center
Code:
ALBERT N. MANINGO
PARTICULARS
AMOUNT
Liquidation of cash advance granted for traveling expenses during the ROD Team B
at Surigao del Sur on October 4-6, 2012
###
2,400.00
2,400.00
TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. 12-08-900 Dtd.
AMOUNT REFUNDED PER OR NO. _____________DTD_________
AMOUNT TO BE REIMBURSE
A Certified: Correctness of the
A above date
ALBERT N. MANINGO
B Certified: Purpose of travel/cash
advance duly accomplished
ARLYN S. BANDONG
Immediate Supervisor
Claimant
C Certified: Supporting documents
complete and proper

Accountant IV
JEV. No.

Rimas St., Aquino Village, J.P. Laurel Avenue, Davao City
PAYMENT OF SALARY
December 2013
NAME OF
PERSONNEL
JESSIELO C.
GUBALANI
Rate per
Day
No. of
Working
days
Gross
Minutes
Late
350
1400.00
Rate per Undertime

hour
hours
43.75
Total
Number
of Hours
Total
32
1,400.00
Each Official whose name appears above has been paid

the amount indicated opposite his/her name.
Certified by:
EVANGELINE C. PEDARIOS
Cashier

Accountant IV
Noted by:
ARLYN S. BANDONG
Chief TESD Specialist, ROD

616 Int. 2, Rimas St., Aquino Village, J.P. Laurel Avenue, Davao City
PAYMENT OF SALARY
December 16-31, 2014
NAME OF
PERSONNEL
ALBERT N.
MANINGO
Rate per
Day
No. of
Working
days
Gross
Minutes
Late
620
13
8060.00
Rate per Undertim Overtime

hour
e
(in hours)
77.50
Total
8,680.00

Certified by:
KRISTI DONNA N. PAREDES

HRMO

Accountant IV
Noted by:
ARLYN S. BANDONG
Chief TESD Specialist, ROD

PAYROLL
NAME OF PERSONNEL
DESIGNATION
AMOUNT
ARLYN S. BANDONG
CHIEF ROD
1,840.00
THELMA M. REQUILLO
TESDS II
1,040.00
ARNULFO L. PELAYO
DRIVER
1,040.00
ALBERT N. MANINGO
JOB ORDER
1,040.00
TOTAL
Prepared by:
EVANGELINE C. PEDARIOS
Cashier
4,960.00
SIGNATURE
PANTAWID PAMILYA
BENEFICIARIES
AS OF MAY 20, 2014
PANTAWID PAMILYA
BENEFICIARIES
AS OF MAY 20, 2014
PANTAWID PAMILYA
BENEFICIARIES
AS OF MAY 20, 2014
PANTAWID PAMILYA
BENEFICIARIES
AS OF MAY 20, 2014

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GAAM Vol.

REIMBURSEMENT EXPENSES RECEIPT

Received from ______________________________________________

REIMBURSEMENT EXPENSES RECEIPT

Received from ______________________________________________

_____________________________________________________ the amount

_____________________________________________________ the amount

in payment for ___________________________________________________

in payment for ___________________________________________________

(Payment for subsistence, services,

(Payment for subsistence, services,

rental or transportation should show inclusive dates,

rental or transportation should show inclusive dates,

purpose, distance, inclusive points or travel, etc.)

purpose, distance, inclusive points or travel, etc.)

Residence Cert. No.: ______________________________________________

Residence Cert. No.: ______________________________________________

Date of Issue: ____________________________________________________

Date of Issue: ____________________________________________________

Place of Issue: ________________

Place of Issue: ___________________________________________________

Residence Cert. No.: ______________________________________________

Residence Cert. No.: ______________________________________________

Date of Issue: ____________________________________________________

Date of Issue: ____________________________________________________

Place of Issue: ___________________________________________________

Place of Issue: ___________________________________________________

Fare & Softdrinks

Arlyn Mea Taxi

Edong's Lechon Manok

Softdrinks & Rice

Project Reference Number:

Computer Monitor 19"

For MoNet and Scholarship use

GASPAR S. GAYONA, Ph.D., CESO III

Project Reference Number: N/A

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Telephone Nos. 221-8778/222-2294

Date: Aug. 6, 2015

Company Name: ______________________________________________________________________________

1. ALL ENTRIES MUST BE TYPEWRITTEN.

ITEM & DESCRIPTION

For MoNet and Scholarship use

Brand & Model: __________________________

Republic of the Philippines

Project Reference Number:

Computer Monitor 19"

Optical Mini Mouse

(Total Amount in Words)

Eleven thousand eight hundred sixty pesos only

GASPAR S. GAYONA, Ph.D., CESO III

(Signature Over Printed Name)

Name of End User

Technical Education and Skills Development Authority, Davao City

Supplier: JEAN C. GONZALES

Registered Programs and Accredited

Inspected, verified and found OK

Republic of the Philippines

Nanay Bebeng Culinary

Yellow Fin Seafood Restaurant

Registered Programs and Accredited

Adm. Asst. III

To reimbursement of expenses spent during re-echo on

Charges to appropriation/allotment necessary, lawful