Mode of

Payment
Office
Address: Office/Unit/Project








Amount Due
A. Allotment obligated for the purpose as indicated above. B.
Supporting documents complete.
Signature: Signature:
Printed
name:
GALILEO V. CALIZO, JR.
Date: Printed
name:
LUCIANO C. DEL ROSARIO
Municipal Accountant Municipal Treasurer
(Head, Accounting Unit/Authorized Representative) (Treasurer/Authorized Representative)
C. Approved for Payment:
D. Received Payment
Check No.: Bank Name:
Signature:
Date: Signature:
MA. LOURDES M. MIRAFLORES
Printed
Name:
Municipal Mayor
Position: (Agency Head/Authorized Representative)
Republic of the Philippines
Province of Aklan
MUNICIPALITY OF IBAJAY
DISBURSEMENT VOUCHER
Payee:
OR/Other
Documents:
AMOUNT
Position: Position:
Printed
Name:
Check Cash Others

No.
Date:
Payee:
Office
Address:
Responsibility
Center:
PARTICULARS F.P.P.
Account
Code
Amount
TOTAL
A. Certified: B. Certified:
Charges to appropriation/Allotment necessary,
lawful and under my direct supervision. Existence of available appropriation
Supporting documents valid, proper and legal
Signature: Signature:
Printed
name:
Printed
name:
Head, Requesting Office/Authorized Representative Head, Budget Unit/Authorized Representative
Date: Date:
Republic of the Philippines
Province of Aklan
MUNICIPALITY OF IBAJAY
OBLIGATION REQUEST
Position: Position:
Supplier:
Address:
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:
Place of Delivery:
Date of Delivery:
Item No. Unit Quantity Unit Cost Amount
(Total amount in words)
Very truly yours,
(In case of Negotiated Purchase pursuant to Requisitioning Office/Dept. Funds Available:
Section 369 (a) of RA 7160, this portion must Amount:
be accomplished).
Approved to be purchased thru negotiated R.O. No.
purchase per Sanggunian Res. No. _______.
Certified Correct: _________________________
Secretary to the Sanggunian
Date
Requisitioning Officer
_________________________________
___________________________ _______________________
(Signature over printed name)
_____________________________________
____________________________
PURCHASE ORDER
MUNICIPAL GOVERNMENT OF IBAJAY
IBAJAY, AKLAN
Description
Department: Date __________
Section: Date: _________
ALOBS No. _______ Date: _________
Qty. Unit of Stock Estimated Estimated
Issue No. Unit Cost Cost
Requested by:
Signature:
Printed Name: ____________________________
Designation:
Date:
PURCHASE REQUEST
Ibajay
LGU
PR No. _______________
SAI No.: _________
Item Description
_________________________
Approved by:






Item No. Qty. Unit ARTICLES AND DESCRIPTION UNIT COST AMOUNT
Name and Signature of Dealer
You are hereby invited to quote your price of the articles listed below for immediate delivery if available in your
stock. Please submit your quotation in a sealed envelope to the Office of the Municipal Mayor, Ibajay, Aklan or thru the
bearer hereof on or before 10:00 a.m. on __________________.
MAY NORALYN S. LASERNA M.D.
BAC Chairman
Republic of the Philippines
Province of Aklan
Municipality of Ibajay
OFFICE OF THE MUNICIPAL MAYOR
INVITATION FOR PRICE QUOTATION
I HEREBY CERTIFY, that the articles listed above were their corresponding unit price quoted opposite each items
at present in my stock and are available for delivery according to specifications within _________________ after receipt
of the duly approved award and the corresponding PURCHASE ORDER.
(Date)
3
Purchase Request No. ____________ Date:
We, the undersigned representatives of the Committee on Bids and Awards and the Requisitioning
Officer, do hereby certify that in accordance with the NOTICE TO DEALERS dated _____________________
the foregoing abstract is the result of the joint canvass made by us for the purchase of supplies and materials
particularly described above.
Estimated Cost PhP __________ Recommending the approval for award in favor of dealer/dealers.
Total Quoted Price PhP ___________ most advantageous offers indicated in the appropriate column above.
Offers of ______________________ for the items appearing herein above and respectively
checked/initialed is/are hereby accepted and awarded at price recommended.
Mun. Civil Registrar/BAC Vice Chairman
JUN V. MACOGUE
MPDC/BAC Member
Mun. Engineer/BAC Member
Rural Health Physician/BAC Chairman
ABSTRACT OF PRICE QUOTATION AND AWARD
QTY UNIT DESCRIPTION
DEALERS
MAY NORALYN S. LASERNA
LORNA S. SALES
Mun. Budget Officer/BAC Member
ELIEZER L. SEVILLA
HELSON J. SEVILLA


Supplier: AR No. _________
P.O. No. _______Date __________ DATE:
Requisitioning Office/Dept.
Item No. Unit
Date Inspected: ________________________
Inspected, verified and found OK as to
quantity and specifications
INSPECTION & ACCEPTANCE REPORT
IBAJAY
LGU
DESCRIPTION Quantity
Property Officer
INSPECTION ACCEPTANCE
____________________________
Inspection Officer
____________________________
/


Division Responsibility Center R.I.S No. ________ Date ___________
Office Code: S.A.I. No. ________ Date ___________
Stock No. Unit Quantity Remarks
PURPOSE/REMARKS: .

REQUESTED BY: ISSUED BY: RECEIVED BY:
Signature
Name
Designtion
Date

APPROVED BY:
REQUISITION AND ISSUE SLIP
MUNICIPAL GOVERNMENT OF IBAJAY
IBAJAY, AKLAN
REQUISITION
Description



Division Responsibility Center R.I.S No. ________ Date ___________
Office Code: S.A.I. No. ________ Date ___________
Stock No. Unit Quantity Quantity Remarks
PURPOSE/REMARKS:

REQUESTED BY: APPROVED BY: ISSUED BY: RECEIVED BY:
Signature
Name
Designtion
Date



REQUISITION AND ISSUE SLIP
MUNICIPAL GIVERNMENT OF IBAJAY
IBAJAY, AKLAN
REQUISITION
Description
ISSUANCE