Region X

Gingoog City Division

East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2015-2016

CDV Control No:____

Date:________

CASH/CHECK DISBUSRMENT VOUCHER

Payee:
Office:
Address:
Ref./Receipt No. Particulars Amount

Total:
Purpose:

Amount Received by: Prepared by: Approved by:

LOVELYN H. LUMABAN ELISA B. MANSEGUIAO

Payee/Representatives Cash Custodian School Head
Signature over printed name Signature over printed name Signature over printed name
 Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2016-2017

PURCHASE ORDER
Supplier: D.O. No.__________
Address: Date:____________
E-mail Address: Mode of Procurement:
Telephone No.
TIN No.

Gentlemen: Please furnish this office the following articles subject to the terms
And conditions contained herein.
Place of delivery: Tinabalan Elementary School Delivery Term:
Date of delivery: Payment Term: CHECK
STOCK UNIT DESCRIPTION QTY. UNIT AMOUNT
NO. COST

Total Amount in
words
In case of failure to make the full delivery within time specified above, a penalty of one-tenth (1/10) of one
percent for everyday of delay shall be imposed.

Conform:

ELISA B. MANSEGUIAO
Signature over printed name School Head
Date:

Funds Available:

LOVELYN H. LUMABAN
Cash Custodian Amount:___________
Signature over printed name ALOBS No.___________
 Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2016-2017

Inspection and Acceptance

Supplier: AR No.
Address: Date
P.O. No.
Requesting Office TINABALAN ELEMENTARY SCHOOL
Stock No. Unit Qty. Description Unit Cost Amount

Total Amount:

INSPECTION ACCEPTANCE

Date Inspected:_________________ Date Received:___________________

Inspected, verified and found OK as to Complete

quality and specifications
Partial

ELIZABETH V. HONDANERO LOVELYN H. LUMABAN

Property Custodian Cash Custodian
 Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2015-2016

PURCHASE REQUEST

No. QTY. Unit Description Unit Price Amount

Total Amount:

Purpose:

Signature Over Printed Name ELIZABETH V. HONDANERO ELISA B. MANSEGUIAO

Designation Property Custodian T-III/S.I.C

Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2015-2016
 CASH VOUCHER

Pay to: Reference No.

Address: Date:
Particular Amount

Amount: Total Amount:

Details

Prepared by: Approved by: Received by:

_____________________ ___________________ ________________

Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2015-2016

BIDDING/CANVASS
Date:_____________________
_________________________

_________________________
 Gentlemen:
If available in your stocks, please quote your price opposite each article indicated below
which the Division of Gingoog City Schools, Gingoog City desires to buy.
Please do not quote if you have no stocks of the articles called for.
To be opened at_____________________AM/PM_____________________,2016.

Very truly yours,

LOVELY H. LUMABAN
Tinabalan Elementary School

Office of the____________________________RIV/PR.No_______________

No. QTY. UNIT DESCIPTION OF ARTICLE UNIT PRICE AMOUNT

I hereby certify that the above price each articles is true and correct that I bind myself to pay any loss
equivalent to 1% of the total amount quoted above which the Division of Gingoog City may suffer due to
failure to supply the articles.

Dealers Signature
REPORT OF DISBURSMENT
Department of Education
Agency

Period Covered:_______________________________ Report No._______________________

Sheet:__________________________

Date DV/Payroll Responsible Center Code Payee Nature of Amount

Payment
 Certification

I hereby certify that this report of disbursement in _____ sheet/s is a full, true and correct statement
Of disbursement made by me and that this liquidation of cash advance/cheque guaranteed
last________________________ in the amount of _________________________(P____________)

ELISA B. MANSEGUIAO
Disbursement Officer

Date:____________
 Department of Education
Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D. 128022
S.Y. 2016-2017

ABSTRACT OF PROPOSAL

FOR PURCHASING AND MATERIALS FOR THE DIVISION OF GINGOOG CITY, GINGOOG CITY PURCHASE REQUEST
NUMBER__________ BIDDING/CANVASS NUMBER__________OPENED AT TINABALAN ELEMENTARY SCHOOL.

No. QTY. Unit Description

We hereby certify that we have opened the quotation of bids for the above listed materials
at the time and date. We further certify to the correctness of the foregoing abstract. The winning
bidder indicated hereto.

Approved:

LOVELYN H. LUMABAN ELIZABETH V. HONDANERO FLORIE MAE B. OCHEA

Chairman Member Member
 Region X
Gingoog City Division
East 2 District
TINABALAN ELEMENTARY SCHOOL
Tinabalan, Gingoog City
School I.D 128022
S.Y. 2015-2016

REQUEST OF FUNDS

Date:___________________

ELISA B. MANSEGUIAO
School Head
Tinabalan, Elementary School

Sir/Madame:

I would like to request funds for MOOE downloading For the month of ____________________
in the amount of ___________________________(P_________________) in the payment for the
following:

Date Items Amount

Total Amount:

Very truly yours,

 LOVELY H. LUMABAN
T-III/ Cash Custodian
Approved:

ELISA B. MANSEGUIAO
School Head