Property Form No.

1
DEPARTMENT OF EDUCATION
DepEd Complex Meralco Ave. Pasig City

Report on Deliveries (Txtbook/Desk and Armchairs/Equipment) Received Procured by Central Office/DBM Procurement Service
Note

Name of School:
Address of School:
Division/Region:

SAN JACINTO
SAN JACINTO
PANGASINAN II-I

Date Received

Supplier

Qty.

2/8/2012

DepEd

2/20/2012

DepEd

2/27/2012

DepEd

3/7/2012

DepEd

553
11
266
266
5
347
347
7
248
5
757

English Expressways 1 - Reading & Language TX

English Expressways 1 - Reading & Language TM
English For You and Me 4 - Language TX
English For You and Me 4 - Reading TX
English For You and Me 4 Reading & Language TM
English For You and Me 3 - Language TX
English For You and Me 3 - Reading TX
English For You and Me 3 - Reading and Language TM
English For You and Me 2 - Reading and Language TX
English For You and Me 2 - Reading and Language TM
Pagdiriwang ng Wikang Filipino 2 TX

15
455
9
451
9
493
10
556

Pagdiriwang ng Wikang Filipino 2 TM

Into the Future Science & Health 6 TX
Into the Future Science & Health 6 TM
Makabayang Pilipino 1: Matapat na Pilipino TX
Makabayang Pilipino 1: Matapat na Pilipino TM
Makabayang Pilipino 3: Masipag na Pilipino TX
Makabayang Pilipino 3: Masipag na Pilipino TM
Bagong Pilipino sa Salita at Gawa 3 - Filipino Wika TX

556
11
698
698
14

Bagong Pilipino sa Salita at Gawa 3 - Filipino Pagbasa TX

Bagong Pilipino sa Salita at Gawa 3 - Filipino W-P TM
Hiyas sa Wika at Pagbasa 5 - Filipino Wika TX
Hiyas sa Wika at Pagbasa 5 - Filipino Pagbasa TX
Hiyas sa Wika at Pagbasa 5 - Filipino Wika-Pagbasa TM

3/8/2012

3/9/2012

DepEd

Description

D.R. No.
09186

02637

2012-02-1236
6772

313369

32505

Unit Cost
35.98
29.74
29.17
29.17
37.20
26.94
26.05
31.66
38.56
29.14
33.77
34.16
45.48
35.89
45.33
29.46
44.05
26.83
45.00
43.60
39.23
45.70
44.30
39.55

Property Form No. 1

DEPARTMENT OF EDUCATION
DepEd Complex Meralco Ave. Pasig City

Report on Deliveries (Txtbook/Desk and Armchairs/Equipment) Received Procured by Central Office/DBM Procurement Service
Note

Name of School:
Address of School:
Division/Region:

SAN JACINTO
SAN JACINTO
PANGASINAN II-I

Date Received

Supplier

Qty.

3/15/2012

DepEd

403
403
8
680
14
809
16
685

3/9/2012

DepEd

Description

14
456
9
560
560
11
675
675

English Expressways 5 - English Language TX

English Expressways 5 - English Reading TX
English Expressways 5 - English Reading - Reading TM
Growing with Science and Health 3 - Science TX
Growing with Science and Health 3 - Science TM
Landas sa Wika at Pagbasa 1 - Fil 1 TX
Landas sa Wika at Pagbasa 1 - Fil 1 TM
Mathematics for Everyday Use 2 - Math 2 TX
Mathematics for Everyday Use 2 - Math 2 TM
Mathematics for Everyday Use 2 - Math 6 TX
Mathematics for Everyday Use 2 - Math 6 TM
Landas sa Wika at Pagbasa 6 - Fil 6 Wika TX
Landas sa Wika at Pagbasa 6 - Fil 6 Pagbasa TX
Landas sa Wika at Pagbasa 6 - Fil 6 TM
Hiyas sa Wika 4 TX
Hiyas sa Pagbasa 4 TX

14
512
10
274
6
279
6

Hiyas sa Wika at Pagbasa 4 TM

Makabayan: Katangiang Pilipino 2 TX
Makabayan: Katangiang Pilipino 2 TM
Makabayan: Kapaligirang Pilipino 4 TX
Makabayan: Kapaligirang Pilipino 4 TM
Makabayan: Kasaysayang Pilipino 5 TX
Makabayan: Kasaysayang Pilipino 5 TM

D.R. No.
005263

069933
1414

17122

Unit Cost
34.66
34.66
34.66
41.23
37.59
35.90
30.19
33.10
31.10
44.32
35.12
43.40
43.40
36.27
41.66
43.44
38.96
44.36
27.73
47.67
27.98
47.79
30.64

Property Form No. 1

DEPARTMENT OF EDUCATION
DepEd Complex Meralco Ave. Pasig City

Report on Deliveries (Txtbook/Desk and Armchairs/Equipment) Received Procured by Central Office/DBM Procurement Service
Note

Name of School:
Address of School:
Division/Region:

SAN JACINTO
SAN JACINTO
PANGASINAN II-I

Date Received

Supplier

Qty.

5/15/2012

DepEd

8/30/2012

DepEd

9/6/2012

DepEd

10/17/2012

DepEd

339
7
845
19
722
15
600
12
866
26
912
26
774
24

Description
Yaman ng Pilipinas 6 - TX
Yaman ng Pilipinas 6 - TM
Science for Daily Use 4 - TX
Science for Daily Use 4 - TM
Science for Daily Use 5 - TX
Science for Daily Use 5 - TM
Elementary Mathematics 1 - TX
Elementary Mathematics 1 - TM
Math 3 TX
Math 3 TM
Math 4 TX
Math 4 TM
Math 5 TX
Math 5 TM

D.R. No.
71595
2621

334942
00799

Unit Cost
36.19
34.10
48.45
34.50
53.20
34.50
29.91
26.41
27.91
29.18
32.98
34.67
33.36
47.35

Prepared by:
NORVEL R. BUCAO

District Property Custodian

Nov. 14, 2012

Certified Correct:
TERESITA P. DEL CAMPO
District Supervisor

Date

Nov. 14, 2012

Date

t Service
This Form shall be used by the
recipient school in preparing the
report on deliveries.

Total Cost
19,896.94
327.14
7,759.22
7,759.22
186.00
9,348.18
9,039.35
221.62
9,562.88
145.70
25,563.89
512.40
20,693.40
323.01
20,443.83
265.14
21,716.65
268.30
25,020.00
24,241.60
431.53
31,898.60
30,921.40
553.70

Remarks

t Service

This Cost
Form shall be usedRemarks
by the
Total
recipient school in preparing the
report13,967.98
on deliveries.
13,967.98
277.28
28,036.40
526.26
29,043.10
483.04
22,673.50
435.40
20,209.92
316.08
24,304.00
24,304.00
398.97
28,120.50
29,322.00
545.44
22,712.32
277.30
13,061.58
167.88
13,333.41
183.84

t Service

Total
This Cost
Form shall be usedRemarks
by the
recipient school in preparing the
report12,268.41
on deliveries.
238.70
40,940.25
655.50
38,410.40
517.50
17,946.00
316.92
24,170.06
758.68
30,077.76
901.42
25,820.64
1,136.40

TERESITA P. DEL CAMPO

District Supervisor

Nov. 14, 2012

Date

Property Form No. 1

DEPARTMENT OF EDUCAT

DepEd Complex Meralco Ave. Pasig

Report on Deliveries (Txtbook/Desk and Armchairs/Equipment) Received Pro

Name of School:
Address of School:
Division/Region:
Date Received

Supplier

Qty.

9/14/2011

Procurement Service-DBM Thru Columbia

Technologies Inc.

1
6
6
6
1
1
1
1
10
1
1

Prepared by:
NORVEL R. BUCAO

District Property Custodian

Date

DEPARTMENT OF EDUCATION
DepEd Complex Meralco Ave. Pasig City

veries (Txtbook/Desk and Armchairs/Equipment) Received Procured by Central Office/DBM Procurement Service
Note

Description

D.R. No.

HOST PC, ACER VERITON M49OG, brand new: -Microprocessor: Intel Core
i5, 2.67GHz, 8MB smart cable cache, number of core: 4

Unit Cost
31,127.20

11-09466s
LCD MONITOR, ACER V193W 18", brand new

5,042.96

KEYBOARD & MOUSE, ACER PR1101U - keyboard, ACER MS 1200.085

Mouse, brand new

585.56

ACCESS TERMINAL, NCOMPUTING U170 (Config. 2)

2,426.32

UNINTERRUPTIBLE POWER SUPPLY (UPS) , EMERSON LIEBERT

P5500-PH, brand new

173,160.00

INTERACTIVE WHITEBOARD, PROMETHEAN ACTIVEBOARD ABV 587

PRO
3-IN-1 INKJET PRINTER, BROTHER DCP-J125
PROJECTOR, ACER X1261P, brand new
MOUSE, ACER brand new; Interface: USB for mouse (same brand as host PC)

56,631.12
3,529.76
23,233.60
193.44

10-PORT FOR USB HUB, Hi Speed, Brand new;

FACE TO FACE LECTURE & HANDS ON TRAINING

608.40
1,659.84

Certified Correct:

TERESITA P. DE
District Supe
Date

ment Service
This Form shall be used by the
recipient school in preparing the
report on deliveries.

Total Cost

Remarks

31,127.20
30,257.76
3,513.36
14,557.92
173,160.00
56,631.12
3,529.76
23,233.60
1,934.40
608.40
1,659.84

TERESITA P. DEL CAMPO

District Supervisor
Date