New Liquidation Form

I SEEK REFUGE IN ALLAH FROM ACCUSED SHAITAN
1.1 In the name of Allah, the Entirely Merciful, the Especially Merciful.
1.2 [All] praise is [due] to Allah, Lord of the worlds 1.3 The Entirely Merciful, the Especially Merciful,
1.4 Sovereign of the Day of Recompense.
1.5 It is You we worship and You we ask for help.
1.6 Guide us to the straight path 1.7
The path of those upon whom You have bestowed favor, not of those who have
evoked [Your] anger or of those who are astray.
"AMEEN"
Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IX, Zamboanga Penindula
SCHOOLS DIVISION OF ZAMBOANGA SIBUGAY
Ipil, Zamboanga Sibugay
Telefax No. 062-333-5492
CY 2014 PROJECT PROCUREMENT MANAGEMENT PLAN (PPMP)

Section: Physical Facilities
Agency: DepED, Division of Zamboanga Sibugay
Code
(PAP)
Procurement Project / Activity
SCHOOL BUILDING PROJECT - PPP CY 2013
REPAIR OF DIVISION OFFICE
DEEP WELL
REPAIR OF SGOD OFFICE
4
5
Remarks
Estimated Budget
(PhP)
Source of
Funds
Mode of
Target Implementation Date
Procurement
Schedule for each Procurement Activity

Quarter 1
73,768,591.50
GAA
01/2/14 & 6/30/14
CB
51,638,014.05
500,000.00
GAA
01/2/14 & 3/31/14
CB
500,000.00
Quarter 2
Quarter 3
Quarter 4
22,130,577.45
40,000.00
MOOE
3/1/14 & 6/30/2014
175,000.00
MOOE
01/2/14 & 3/31/14
175,000.00
40,000.00
KASPERSKY INTERNET SECURITY 2014
4,500.00
MOOE
01/2/14 & 3/31/14
4,500.00
EXTERNAL HARD DRIVE (1TB)
7,000.00
MOOE
01/2/14 & 3/31/14
7,000.00
COMPUTER SPEAKER (ALTECH)
3,500.00
MOOE
01/2/14 & 3/31/14
3,500.00
USB OPTICAL MOUSE
1,500.00
MOOE
01/2/14 & 3/31/14
1,500.00
HP 60 INK (Color & Black)
25,750.00
MOOE
1/1-31, 4/1-30, 7/1-31, 10/1-31
7,125.00
6,500.00
7,125.00
5,000.00
HP 704 INK (Color & Black)
4,500.00
4,000.00
4,500.00
3,500.00
16,500.00
MOOE
1/1-31, 4/1-30, 7/1-31, 10/1-31
10
EXPANDED ENVELOP (LONG)
1,050.00
MOOE
01/2/14 - 3/31/14
11
FOLDER (LONG)
1,400.00
MOOE
1/1-31, 7/1-31
700.00
12
BAND PAPER (A4 SUBTANCE 20)
5,000.00
MOOE
1/1-31, 4/1-30, 7/1-31, 10/1-31
1,500.00
1,200.00
1,500.00
800.00
13
BAND PAPER (LONG SUBTANCE 20)
5,200.00
MOOE
1/1-31, 4/1-30, 7/1-31, 10/1-31
1,500.00
1,200.00
1,500.00
1,000.00
14
PENCIL (MONGGOL-1)
200.00
MOOE
01/2/14 - 3/31/14
200.00
15
BOLPEN (PILOT) BLACK
360.00
MOOE
01/2/14 - 3/31/14
16
MONITORING OF SCHOOL BUILDING
200,000.00
MOOE
1/1-31, 4/1-30, 7/1-31, 10/1-31
50,000.00
50,000.00
50,000.00
50,000.00
MOOE
1/1-31, 4/1-30, 7/1-31, 10/1-31
15,000.00
20,000.00
25,000.00
40,000.00
CONSTRUCTION.
17
ATTENDENCE TO PFC TRAINING, WORKSHOP

CONFERENCE MEETING. etc.
CB
S
NDC
###
360.00
100,000.00
-
Competitive Bidding
Shopping
Negotiated/ Direct Contracting
N (A-A) Negotiated (A to A)
Prepared by:
1,050.00
Recommending Approval:
Validated by:
(Explaining
changes from the
APP)
____________________________
(Head of Office)
(Budget Division)
(Planning Service)
Department of Budget and Management Procurement Monitoring Report as of month/day/2006

PMO/
End-User
Mode of
Procurement
Schedule for Each Procurement Activity
Source of
Funds
Contract Cost (PhP)
List of Invited
Observers
Date of Receipt of Invita
Remarks
te of Receipt of Invitation
(Explaining
changes from the
APP)
ANNUAL PROCUREMENT PLAN

FOR THE YEAR 2016
Education Facilities Division
DepED, Division of Zamboanga Sibugay
1ST QUARTER
ITEM
NO.
ITEN NO.
QTY.
UNIT COST
2ND QUARTER
TOTAL COST
QTY.
UNIT COST
3RD QUARTER
TOTAL COST
QTY.
UNIT
COST
TOTAL COST
4RTH QUARTER
QTY.
UNIT
COST
TOTAL COST
KASPERSKY INTERNET SECURITY 2016
UNIT
3,900.00
HP 704 INK (COLORED)
PCS
3,000.00
PCS
2,500.00
PCS
2,000.00
PCS
2,500.00
HP 704 INK (BLACK)
12
PCS
7,800.00
PCS
5,400.00
PCS
5,400.00
10
PCS
6,000.00
EXPANDED ENVELOP (LONG)
48
PCS
1,680.00
FOLDER (LONG)
36
PCS
BAND PAPER (A4 SUBTANCE 20)
REAMS
4,550.00
REAMS
4,550.00
REAMS
4,550.00
REAMS
4,550.00
BAND PAPER (LONG SUBTANCE 20)
REAMS
2,250.00
REAMS
2,250.00
REAMS
2,250.00
REAMS
2,250.00
PENCIL (MONGGOL-1)
BOX
200.00
BOLPEN (PILOT) BLACK
BOX
360.00
10
ATTENDANCE TO TRAINING WORKSHOP

COORDINATION MEETING. etc.
11
648.00
20,000.00
35,000.00
40000
40000
20,000.00
25,000.00
15,000.00
20,000.00
64,388.00
74,700.00
69,200.00
75,300.00
MONITORING OF SCOOL BUILDING

CONSTRUCTION
This is to certify that the above procurement plan is in accordence with the objectives of this office
Prepared by:
ENGR. TOLOMEO T. TESORO, Jr.

Division Engineer III
Approved by:
FELIX ROMY A. TRIAMBULO, CESE

OIC, Schools Division Superintendent
TOTAL ANNUAL
QTY.
UNIT COST
UNIT
TOTAL COST
3,900.00
20
PCS
10,000.00
40
PCS
24,600.00
48
PCS
1,680.00
36
PCS
28
REAMS
18,200.00
12
REAMS
9,000.00
648.00
BOX
200.00
BOX
360.00
135,000.00
80,000.00
283,588.00

Region IX, Zamboanga Peninsula
TALUSAN DISTRICT
NAME OF SCHOOL:
_______________,
Talusan, Zamboanga Sibugay
ADDRESS
BAC RESOLUTION
DATE and TIME
WHEREAS, an opening of bids was conducted on _________________________________.,
NAME OF SCHOOL
_______________________
by the Chair & Members of the School Bids & Awards Committee;
WHEREAS, a careful evaluation of the bids was done as offered by the following bidders with their
corresponding bids:
1.
2.
3.
NAME OF SUPPLIER
AMOUNT
NAME OF SUPPLIER
WHEREAS, the SCHOOL BAC found the _______________________
As the lowest bidder for the
CLASSIFCATION
NAME OF SCHOOL
purchaes of ___________________ to be used by the __________________;
NAME OF SUPPLIER
Wherefore, RSOLVED as it is hereby RESOLVED to declare ________________________.
As
having bid the lowest in all items and mode of procurement is REQUEST FOR QUATATION.
Prepared by:
School BAC Secretariat

I hereby certify to the correctness of the above resolution.
School BAC Chairman

TALUSAN DISTRICT
NAME OF SCHOOL:
_______________,
Talusan, Zamboanga Sibugay
ADDRESS
Minutes of the Meeting During the Opening of Bids
DATE
OF SCHOOL
on
_March 12,2016_at the NAME
Tuburan
E/S_
Present:
AMELIA I.NAME
PARAGAS
FE R. BADDAINAME
School BAC Chairman

School Vice BAC Chairman
NAME
School BAC Member
NAME
School BAC Member
NAME
School BAC Member
NAME OF SCHOOL BAC CHAIRMAN

School BAC Chairman ____________________,
acknowledged the presence of the members of
TIME and called to order of the meeting for the opening of bids submitted by the
the School BAC at ___________
following interested supplies:
1.
2.
3.
NAME OF SUPPLIER
CLASSIFCATION
NAME OF SCHOOL
for the purchase of _____________________
to be used by the __________________
After thorough review and evalution of the bids submitted, the Committee declared _________
NAME OF WINNING BIDDER As the winning bidder.
_____________________.
TIME
The meeting adjourned at _______________
Prepared by:
School BAC Secretariat
School BAC Chairman
Appendix 51
PURCHASE REQUEST
Department of Education
Agency
Department:
Section :
Stock
No.
1
2
3
4
UNITS
boxes
boxes
pcs.
pcs.
TUBURAN ELEMENTARY SCHOOL

ITEM DESCRIPTION
push pin
thumbstacks
flourescent board
tarpaulin
PR. No.: ________________________

SAI No.: ________________________
QUANTITY
UNIT COST
30
36
75
51
30.00
10.00
30.00
135.00
Total:
Purpose:
TOTAL COST
900.00
360.00
2,250.00
6,885.00
10,395.00
Requested by:
PURCHASE OF OFFICE AND SCHOOL SUPPLIES.

AMELIA I. PARAGAS
Signature over printed name
Recommending Approval:
Approved by:
Signature:
Printed Name:
Designation:
FE R. BADDAI
Supply Officer Designated
BAINE L. HARUN
School Head

DIVISION OF ZAMBOANGA SIBUGAY
Telefax No. 062-333-5492
REQUEST FOR QUOTATION

NAME OF FIRM
ADDRESS
ADDRESS
Sir/Madam:
Please quate your unit prices for the article decribed below, with the request that the desired condition
and / or requirments herein be be complied with:
Item
No.
Qty.
Unit
1
2
3
4
33
34
69
40
Length
Length
Length
Kls
Articles
Stainless
Stainless
Stainless
Stainless
Brand
Make
Unit Cost
Total
pipe 2"
pipe 1 1/2"
flat bar 1 1/2 x 3/16"
welding rod
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TOTAL
CONDITIONS AND/OR PRE-REQUISITES FOR BIDDERS TO COMPLY WITH:
1.To specify the brand or trademark and other pertinent data of your product or article.
2. To qoute the price for the articles actually verified and found in your store.
3. To deliver the articles to the office within _ days from thr date of receipt of the Purchase Order.
4. To return the Canvass paper to the office on or before the opening of canvass at _______________
on _____________ .
5. To accept the flag law ( foreigner only ).
6. To participate as a bonafide dealer.
7. That this business is duly licensed and with business permit by the government agency concern.
The government reserves the right to accept or reject any bids or depending upon compliance or noncomplience with the above-mentioned requirements and other lawful reasons most advantageous to the
government
NAME
SCHOOL PRINCIPAL/SCHOOL HEAD
To: The Schools Division Superintendent

I accept the conditions and/or requirements in this canvass. Failure on my part to comply
with the requirements in this canvass is enough reason to disqualify me from participating in any
future bidding or canvass.
SIGNATURE
Dealer's Signature
PURCHASE ORDER
Division of Zamboanga Sibugay, Ipil, Zamboanga Sibugay
Supplier:
Address:
P.O. No.:
Date.:
TIN:
Mode of
Procurement.:
Gentlemen:
PLACE OF DELIVERY:
DATE OF DELIVERY:
ITEM NO.
QTY.
UNIT
DESCRIPTION
UNIT COST
AMOUNT
#REF!
300.00
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TOTAL
300.00
300.00
TOTAL AMOUNT IN WORDS:
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth
1/10) percent for everyday of delay shall be imposed.
Very truly yours,
CARMENCITA L. BOOC
Head of Agency
Conforme:
0

Date: ___________________
Requisitioning Office/Dept.
Funds Available:
MOOE
Amount:
Authorized Official
Division Accountant-II
ALOBS No.:
INSPECTION AND ACCEPTANCE REPORT

DIVISION OF ZAMBOANGA SIBUGAY
Municipality of Talusan
Supplier :
AR No.:
P.O. No. :
Date :
Requisitioning Office / Dept.
Talusan CES
STOCK NO.
UNIT
Invoice No. :
QUANTITY
Date
DESCRIPTION
AMOUNT
#REF!
xxxxxxxxxxxxxxxxxxxxxxxxxxx
300.00
300.00
TOTAL:
Inspection:
Acceptance:
Date Inspected:
DATE
Inspected, verified and found in order

as to quantity and specifications
Date Received:
Complete
NAME
NAME
Inspection Officer/ Inspection Committee
Designated Supply Officer
Inspection Officer/ Inspection Committee
Designated Supply Officer
ABSTRACT OF QUOTATION
QUOTATION FOR FURNISHING AND DELIVERING SUPPLIES AND/OR MATERIALS RECEIVED AT THE OFFICE OF THE
SCHOOLS PRINCIPAL/SCHOOL HEAD, ____________________________________.

__________________________
OPENED AT _______________________________.
NAME OF SCHOOL
ADDRESS
ITEM NO.
QTY.
UNIT
NAME OF SUPPLIER
NAME OF SUPPLIER
PRICE
PRICE
NAME OF DESCRIPTION ARTICLES

Unit Cost
Total Cost
Unit Cost
NAME OF SUPPLIER
PRICE
Total Cost
0.00
Unit Cost
Total Cost
THIS IS TO CERTIFY that we have opened tha bids for the above-listed supplies and materials,an abstract of which appears above the time and
date indicated and that the same is correct with all bids submitted/initialed by us.
AWARD APPROVED TO:
NAME OF WINNING BIDDER
Member
School BAC Vice Chairman
School BAC Chairman
0.00
Member
Member
Head of Agency
TERMS AND CONDITIONS

1. All bidders must be duly signed by the Bidders and submitted in a sealed envelope address to the
Schools Division Superintendent, Division of Zamboanga Sibugay, Municipality of Ipil.
2. These bids will be opened at the Bid and Awards Committee, if the amount involved is more that
P10, 000.00. The COA may observe the Opening of Bids.
3. Only bonafide dealers of the articles called for in this bidding accredited by the DepEd are allowed to
participate in bidding. Bidders or their authorized representative may witness the proceedings.
4. Articles called for in this bidding should be delivered within the period of ____ days after the receipt
of the order, subject, however to inspection by the Division Internal Control and Inspection
Committee.
5. All bids in the excess of P5,000.00 must be accompanied by a proposal bond in cash or in surety
equivalent to 5% of the bid
6. Bid shall be specified items and bidders should quote only one price for each items and shall indicate
clearly the BRAND, MAKE and SOURCE of the manufacturer, or articles offered. Prices quoted should
include all government taxes, fees, duties, including the incidental expenses.
7. The DepEd, Region IX, Division of Zamboanga Sibugay, reserves the right to confiscate the bidders
bond if the winning bidder refused to accept the award or fail to comply with the terms and
conditions of this bidding.
8. Failure on the part of the winning bidder to deliver the articles called for in this bidding within the
specified period indicated in the order will make him liable to the Philippine Government for the
differences in prices if the same is purchase in the Open market or from the next lower bidder
together with the cost of expenses incurred in securing the same articles.
9. A bidder is allowed to withdraw his tender or offer before the opening of the bid by furnishing fully
signed written request to the Bid and Award Committee (BAC).His Bid shall be returned to him
unopened.
10. Condition such as subject to prior sales shall not be accepted. The bidder shall be bound by his
offer as if no written condition in tender.
11. Erasures or alternation in the tender must be signed or initialed by the bidder.
12. Any expenses incurred by the DepEd for analysis of samples is charged to the respective bidders.
13. All goods/supplies plainly described in the offer shall be understood to be brand new by the
respective bidders.
14. Quotation must be per net, weight or unit specified or its equivalent exactly educible to the unit.
15. The DepEd. Region IX, Division of Zamboanga Sibugay, reserves the right to reject any of all bids,
to waive any informality thereon and to accept such offer deemed most advantageous to the Govt.
(Enclosure No. 4s)

Date:
May 28, 2012
IMPLEMENTATION AGREEMENT
The Schools Division Superintendent

Division of Zamboanga Sibugay
Madamme:
An amount of Fifty Thousand Pesos Only (P 50,000.00) was released by the DBM RO
to our school as part of the School Based Management (SBM) Grant.
of the DepED. The funds shall be used for the implementation of the project proposal
of the school subject to the following conditions:
A. The undersigned shall used the SBM Grant only for works allowed in the
DepED Order/Memo on SBM.
B. The undersigned shall execute theproposal according to the procedures set
forth in DepED Order/Memo on SBM.
C. The undersigned shall disburse and liquidate SBM Grant in accordance
with the Guidance for the Liquidation of SBM Grant.
D. The undersigned shall submit to the Division Office the accomplished
School Liquidation Form (Form I) within five (5) days from the
completion of the SBM implementation.
This letter will serve as the implementation agreement for the SBM Grant.
Very Truly Yours,
ALEX B. BASISTO
P-1
Concurred by:
AMELIA P. TORRALBA,Ed.D.
OIC/Schools Division Superintendent

Division of ZamboangaSibugay
TUNGAWAN DISTRICT
DATU TUMANGGONG ELEMENTARY SCHOOL
SCHOOL OPERATING BUDGET
No.
Particulares
1 Pupils Assessment
Test Paper reproduction (3rd and 4th Gr
Phil-IRI/EGRA Passage
SReYA
2 Incentives
Medals
Ribbons
Notebook (50 Leaves)
Writing Pads (100 Leaves)
Certificates
3 Tools
Spade
Shovel
Pick mattock
Watering Can
4 Classroom and Office Suplies
Cartolina
Manila Paper
Ballpen (Pilot Brand)
Computer Ink (Assorted Color)
Computer Ink Cartridge (Assorted Color)
Bond Paper
Folder
5 Seminar
6 Travel
7 Others
Internet Connectivity
Television Signal Subscription
TOTAL
Unit
Qty Unit Cost Total Cost
Sets
Sets
Sets
720
360
60
11.00
5.00
2.00
Pcs
Pcs
Pcs
Pads
Pcs
40
1000
100
100
50
25.00
3.00
10.00
12.00
15.00
Pcs
Pcs
Pcs
Pcs
1
1
2
2
600.00
500.00
250.00
150.00
Dozen
Dozen
Pcs
Bottle
Pcs
Ream
Ream
10
10
20
4
4
3
1
144.00
60.00
30.00
200.00
400.00
230.00
600.00
Months
Months
3
1
300.00
###
7,920.00
1,800.00
120.00
1,000.00
3,000.00
1,000.00
1,200.00
750.00
600.00
500.00
500.00
300.00
1,440.00
600.00
600.00
800.00
1,600.00
690.00
600.00
4,000.00
6,680.00
3,000.00
300.00
39,000.00
Prepared by:
Content Noted by:
ROSANA A. WOOTON
PSDS
ALEX B. BASISTO
School Head

TUNGAWAN DISTRICT
LOOC LABUAN ELEMENTARY SCHOOL

Particulares
No.
Unit
I - SCHOOL & OFFICE SUPPLIES

packing tapi
pcs
20
35.00
700.00
bond paper (long)
ream
260.00
1,040.00
bond paper (short)
ream
260.00
520.00
plastic celophaine
mtr
10
35.00
350.00
computer ink black (704)
caltridge
620.00
1,240.00
computer ink colored (704)
caltridge
620.00
620.00
paint latex (white)
gal
620
3,100.00
paint enamel(white)
gal
620
2,480.00
tinting color (blue)
quart
75
300.00
tinting color (red)
quart
75
300.00
tinting color (yellow)
quart
75
300.00
tinting color (black)
quart
75
300.00
roler brush
pcs
65
65.00
paint brush
pcs
45
180.00
lettering brush
set
115
115.00
plywood ordinary 1/4
pcs
10
475.00
4,750.00
cements
sack
10
285.00
2,850.00
kl
66.50
133.00
red tile
gal
790.25
790.25
paint latex white
gal
620.00
1,240.00
II - SCHOOL MAINTENANCE
nails
rain or shine blue
gal
620.00
1,860.00
rain or shine green
gal
620.00
1,860.00
III - TRAINING
LIS
3,000.00
GAD
4,400.00
IV - ELECTRICITY EXPENSES
JANUARY, 2015
479.16
FEBRUARY, 2015
371.17
MARCH, 2015
326.02
APRIL, 2015
193.21
MAY, 2015
193.20
JUNE, 2015
362.20
JULY, 2015
331.79
650.00
V - LABOR
35,400.00
GRAND TOTAL
Prepared by:
JACOB G. ESPEDES
School Head

TALUSA DISTRICT DISTRICT
MOALBOAL ELEMENTARY SCHOOL

Particulares
No.
Unit
I - SCHOOL & OFFICE SUPPLIES

A-4 bond paper
pream
191.00
573.00
illustration board
pcs
63
30.00
1,890.00
70
45.00
3,150.00
charol
rolls
925.00
5,550.00
charol white
rolls
1,100.00
2,200.00
short bond paper
ream
185.00
1,295.00
long bonda paper
ream
190.00
1,330.00
assorted cartolina
pcs
200
8.00
1,600.00
flourescent board
pcs
200
16.00
3,200.00
scatch tape
pilot pen black
pcs
60
40.00
2,400.00
pilot ink blue
bottle
90.00
720.00
pilot ink black
bottle
90.00
720.00
scisoors
pcs
14
40.00
560.00
G-Tech 0.3
pcs
63.00
441.00
manila paper
pcs
200
4.00
800.00
boxes
54.00
270.00
pcs
200
8.00
1,600.00
boxes
30
41.00
1,230.00
pcs
35
78.00
2,730.00
boxes
60.00
300.00
pcs
35
7.00
245.00
packs
35
38.00
1,330.00
transparent envelop
pcs
150
9.00
1,350.00
correction fluid
pcs
60.00
420.00
dozen
96.00
96.00
cements
sacks
38
300
11,400.00
sand
sacks
125
30
3,750.00
gravel
sacks
151
30
4,530.00
steel bar 10 mm
pcs
49
170
8,330.00
cyclone wire
pcs
10
650
6,500.00
burb wire
rolls
1200
3,600.00
GI sheet
pcs
10
380
3,800.00
bd.feet
400
18
7,200.00
sheet
405
3,240.00
nails
kls.
10
65
650.00
plywood
pcs
12
500.00
pastener
folder long
crayons
long envelope w/ handle white
pencil
ruler
construction paper
red ballpen
II - CONSTRUCTION AND REPAIR MATERIALS
lumber assorted
plain sheet
GRAND TOTAL
6,000.00
95,000.00
Prepared by:
ISNAIRA J. MUKSAN
School Head
Noted by:
EUSEBIO O. MOMO,ED.D
District Supervisor
Appendix 4
PETTY CASH VOUCHER
Number:
DepED, Division of Zamboanga Sibugay

Agency
Date:
Payee/Office
: JERRY C. BOKINGKITO
Address
: DepED, Division of Zamboanga Sibugay
Responsibility center code:
I. TO BE FILLED UP UPON REQUEST

Particulars
II. TO BE FILLED UP UPON LIQUEDATION

Amount
1.Pc, 1/2 Ordinary flywood
Total Amount Granted
360.00
Total Amount Paid per
OR Number:
2993
Amount Refunded and

(Reinbursed)
TOTAL:
Requested by:
360.00
C
Received refund
JERRY C. BOKINGKITO
Reinbursement paid
Name of Requested
Approved by:
OIC-Schools Division Superintendent
Petty Cash Custodian
Immediate Supervisor
Paid by:
Liquidation submitted:
Petty Cash Custodian
Reinbursement received by:
Cash received by:

JERRY C. BOKINGKITO
Signature over printed name of payee
Date :
Signature of Payee
Date: _____________

Telefax No. 062-333-5492
ITINERARY OF TRAVEL
Name
:
Position
:
Official Station
:
Purpose of Travel :
DATE
9/18/2015
CARMENCITA L. BOOC
ELEM. SCHOOL PRINCIPAL ii
DepED-TALUSAN CES
TO ATTEND THE DILMANCON @ IMELDA
PLACE TO BE VISITED
RODERICS RESURT - IPIL BUS TERMINAL

IPIL BUS TERMIANAL - IMELDA
IMELDA - GUICAM
GUICAM - HULA HULA
HULA HULA RESIDENCE
TIME OF
DEPARTURE
ARRIVAL
6:30 AM
7:00 AM
6:45 AM
8:15 AM
REGISTRATION FEE
I CERTIFY THAT: (a) I have received the foregoing

itinerary: (b) the travel is necessary to the service;
( c ) the period covered is reasonable; (d) the
expenses claimed are proper.
1. Prepared by:
2. Approved by:
ppines
UCATION
Peninsula
BOANGA SIBUGAY
bugay
3-5492
TRAVEL
ALLOWABLE EXPENSES
MEANS OF
TRANS
TRANS
MOTORCYCLE
BUS
HABAL-HABAL
BOAT
HABAL-HABAL
PER DIEM
TOTAL
25.00
75.00
25.00
75.00
300.00
40.00
150.00
40.00
150.00
300.00
TOTAL:
590.00
Prepared by:
CARMENCITA L. BOOC
(Official / Employee)
Approved by:
AMELIA P. TORRALBA, Ed. D.
Schools Division Superintendent

Field Office of Talusan
(Kawilan Elementary School)
PROGRAM OF WORKS
PROJECT
: Repair of 1-Classroom
:
NO
DESCRIPTION
UNIT
QTY.
UNIT COST
TOTAL COST
CHB 4" thk
Pcs
850
14.00
11,900.00
Cement
Bag
35
290.00
10,150.00
Mixed sand
C.u.m.
1,050.00
3,150.00
Fine sand
C.u.m.
950.00
1,900.00
Deformed Bar 12mm
Pcs
16
156.00
2,496.00
Deformed Bar 10mm
Pcs
30
130.00
3,900.00
Tiewire #35
Kls
90.00
360.00
Wood lumber 2x6x10
Pcs
14
210.00
2,940.00
Wood lumber 2x6x6
Pcs
30
126.00
3,780.00
Nail #4
Kls
70.00
210.00
Nail #3
Kls
70.00
280.00
Ordinary Flywood 1/2
Pcs
15
375.00
5,625.00
Latex, Semi gloss
Gal
725.00
3,625.00
Latex, flat
Gal
635.00
1,905.00
-
MATERIAL COST - - - - - - - - - -
52,221.00
HOULING COST - - - - - - - -
2,500.00
LABOR COST - - - - - - - -
6,500.00
PTA Assistant - - - - - -
10,579.00
TOTAL - - - - - - - -
71,800.00
Prepared by:
Approved by:
School BAC
School Principal / School Head
Noted by:
Field Office Head

District Office of Talusan
PTA-Assistant
Capitan
3,500
Konsehal
1,000
Konsehal
500
Konsehal
500
Konsehal
370
Konsehal
500
Konsehal
500
Konsehal
300
PTA
500
PTA
800
PTA
200
PTA
150
teacher
100
teacher
100
teacher
100
teacher
150
School Head
1,309
10,579
LIQUIDATION REPORT
Agency
PARTICULARS
TO: Liquidation of Cash Advance for traveling expenses of JERRY BOKINGKITO
while on travel To attend the the Orientation for the Regional and Division Pos
& PFCs on National Inventory of DepED Public School Building for SY 2014-2015
TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. ____ DTD ____________
AMOUNT REFUNDED PER OR NO.__________ DTD ______________
AMOUNT TO BE REIMBURSED
A
Certified: Correctness of the
above data
Certified: Purpose travel
Cash advance duly accomplished
__JERRY C. BOKINGKITO__ ___AMELIA P. TORRALBA, Ed. D.___

__CHARITY MAY BALASUELA
Claimant
Asst. Schools Division Superintendent
Division Accountant II
Officer-In-Charge
Claimant
Head of Accounting Unit/JEV No.

Check No. _____________
No:
Date:
ResponsibilityCenter:
Code:
AMOUNT
12,580.00
10,521.00
12,580.00
2,059.00
2,059.00
Certified:Supporting documents
__CHARITY MAY BALASUELA, CPA__

Division Accountant II
ounting Unit/JEV No.

Telefax No. 062-333-5492
No: 03-2016-002
DISBURSEMENT VOUCHER
MODE OF
PAYMENT
PAYEE
MDS Check
Commercial Check
ADA
Others
OR/BUR No.
TIN / Employee No.:
NYKAR ENTERPRISES
ADDRESS
Date: 03-15-2016
126-660-952-001
Responsibility Center
SOLAR, OLUTANGA,
Office / Unit / Project:
ZAMBOANGA SIBUGAY
Code:
SOLAR, OLUTANGA, ZSP
EXPLANATION
AMOUNT
To: PURCHSE OF HARDWARE MATERIALS FOR THE IMPROVEMENTS

OF SCHOOL BUILDING PAINTING AND OTHERS.
EIGHT THOUSAND TWO HUNDRED FIFTY FIVE PESOS ONLY..
8,255.00
8,255.00
A.
B.
Approved for Payment
Cash Available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete
Signature
Printed Name
Signature
BAINE L. HARUN
DISBURSING OFFICER
Position:
Date:
C.
Printed Name
Position:
BAINE L. HARUN
Date:
Received of Payment
JEV No.
Check/
ADA No.
Date:
Signature
Date:
Official Receipt / Other Documents
Bank Name:
3/25/2016
No.:
Date:
SOCIAL EXPENDITURE MANAGEMENT PROJECT

FORM - 1
SCHOOL LIQUIDATION FORM

PERIOD COVERED:
SCHOOL
ADDRESS
REGION
DIVISION
DISTRICT
DATE
SBRMS CASH ADVANCE
CHECK NO
DATED OF CHECK
:
:
:
:
:
ACTUAL SCHEDULE
ITEN NO.
DESCRIPTION OF WORK
ESTIMETED
COST
(1)
(2)
REPAIR OF DIVISION OFFICE
231,012.00
ACTUAL COST (PESOS
DATED
STARTED
DATED
COMPLETED
NO. OF DAYS
(4+3=5) (5)
MATERIAL
CONTRACT
(3)
(4)
(5)
(6)
(7)
10/10/2014
11/10/2014
:
:
:
:
30
LABOR
TOTAL
(6+7+8=9)
REMARKS
SUPPORTING
DOCUMENT
ATTACHED
(8)
(9)
(10)
(11)
231,012.00
231,012.00
Based on plans reviewed by SBMC

Attached principals School Memorandum on the creation of the school repair and maintenance Committee and Designation of Chairman
Prepared by:
Certify True and Correct:

Name & Position
TO BE FILLED UP PFSED,SEMP-PMO
FINDING:
Principal
Chairman
INSPECTED BY:
OK.

Moalboal Elementary School
SUMMARY OF DISBURSEMENT
NO.
DATE
1
3
2/19/2016
2/19/2016
2/19/2016
2/19/2016
INVOICE NO.
PARTICULARS
AMOUNT
PHE ENETERPRISES AND FARM SUPPLY
28173
School and Office Supply
23,908.00
28174
10,226.00
28176
1,866.00
28175

Construction and Repair
materials
ESTABLISHMENT
59,000.00
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TOTAL:
95,000.00
Approved by:
ISNAIRA J. MUKSAN
School Head
Date
MOALBOAL ELEMENTARY SCHOOL

Moalboal , Talusan, Zamboanga Sibugay
FOR THE PERIOD:
____________________________
CASH DISBURSEMENTS REGISTER

Type of working funds: SBM FUND
CASH ADVANCE
DATE
REFERENCE
ORDER NO.
CHECK NO.
2/16/2016
PAYEE PARTICULARS
ISNAIRA J. MUKSAN
BREAKDOWN OF PAYMENTS
AMOUNT
RECEIVED
PAYMENTS
BALANCE
(2-1=3)
TRAVEL
EXPENSES
TRAINING
EXPENSES
OFFICE
SUPPLIES
EXPENSES
LOAD
ELEC.
WATER
REPAIR &
FEDILITY
MAINTENANCE
BOND
OF SCHOOL
PREMIUM
BLDG.
LABOR &
WAGES
10
JANITORIAL
OTHER
SERVISES
OPERATING REFUND
SECURITY
EXPENSES
SERVISES
11
12
13
95,000
2/19/2016
PHE ENTERPRISES AND FARM SUPPLY
36,000.00
2/19/2016
PHE ENTERPRISES AND FARM SUPPLY
59,000.00
59,000.00
95,000.00
CERTIFIED CORRECT:
UTILITIES &
COMMUNICATION
EXPENSES
36,000.00
59,000.00
36,000.00
59,000.00
CERTIFIED:
NOTED:
NOTED:
Supporting documents
completed number. ________________
Date:
ISNAIRA J. MUKSAN
EUSEBIO O. MOMO, Ed. D.
MARY BENETH G. LAGROMA, CPA
SCHOOL HEAD
DISTRICT SUPERVISOR
DIVISION ACCOUNTANT III
OIC-SCHOOLS DIVISION SUPERINTENDENT
Date:
Date:
Date:
OAL ELEMENTARY SCHOOL

ISION OF ZAMBOANGA SIBUGAY
, Talusan, Zamboanga Sibugay
D:
____________________________
BURSEMENTS REGISTER
BREAKDOWN OF PAYMENTS
TOTAL
AMOUNT
14
36,000.00
59,000.00
95,000.00

OIC-SCHOOLS DIVISION SUPERINTENDENT
REPORT OF DISBURSEMENTS
Department of Education, Division of Zamboanga Sibugay
Agency
PERIOD COVERED
DATE
SBM FUND
DV NUMBER
ADA NUMBER
PAYEE
NATURE OF PAYMENT
AMOUNT
ISNAIRA J. MUKSAN
95,000.00
SBM DOWNLOADING TALUSAN
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I hereby certify that this Report of Disbursement in
sheets is a full, true and correct statement of the
disbursements made by me and that is liquidation of the cash advance granted last
in the amount of 95,000.00 as per ADA No.
dated ______________________.
ISNAIRA J. MUKSAN
School Head
Moalboal Elementary School
DATE
Agency
PERIOD COVERED
MOOE FUND
DATE
ADA NUMBER
DV NUMBER
PAYEE
NATURE OF PAYMENT
10/1/2015
2015100077
15-10-0222
HELEN BRONOLA
OCTOBER-NOVEMBER 2015 MOOE

DOWNLOADING TALUSAN
AMOUNT
11,400.00
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
I hereby certify that this Report of Disbursement in __1__ sheets is a full, true and correct statement of the disbursements made by me
and that is liquidation of the cash advance granted last _10-1-2015_ , in the amount of __11,400.00__ as per ADA No. _2015100077
dated _10-1-2015 .
HELEN BRONOLA
School Head
Aurora Primary School
DATE
Agency
PERIOD COVERED
DATE
MOOE FUND
ADA NUMBER
DV NUMBER
10/1/2015
PAYEE
NATURE OF PAYMENT
HELEN BRONOLA
OCTOBER-NOVEMBER 2015 MOOE

DOWNLOADING TALUSAN
AMOUNT
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
I hereby certify that this Report of Disbursement in __1__ sheets is a full, true and correct statement of the disbursements made by me
and that is liquidation of the cash advance granted last _10-1-2015_ , in the amount of __11,400.00__ as per ADA No. _2015100077
dated _10-1-2015 .
HELEN BRONOLA
School Head
Aurora Primary School
DATE
LABOR PAYROL
We acknowledge receipt of the sum shown opposite our names

as full componsation for services rendered for the period stated.
NAME
AMOUNT DUE
SIGNATURE
TOTAL:
Certified:Services have duly rendered
Certified: Each employee whose name appears
above has been paid the amount

indicated opposite his/her name.
FUNDS AVAILABLE:
Approved by:
(m)
Republic of Philippines
District of Talusan
Name of School: Laparay National High School
Date:
JOB ORDER
This to inform that your quatation on the rate of charges for labor on the repair of
one room school building of
being district the lowest are accepted with the following terms of condition.
1. That the repair of the room school building of the be finished within days from
the start of work.
2. That the payment of the job will be the shoulder from the SBMRS funds allotted
for the purpose.
3. That when the job is completed the some shall be turned over to the school
though the school head.
Very truly yours,
School Head
LIQUIDATION CHECKLIST
CASH DISBURSEMENT REGISTER
REPORT OF DISBURSEMENT
SUMMARY OF DISBURSEMENT
PHOTOCOPY
Withdrawal Slip from the BANK
Passbook Account
Bank Statement from the BANK
(SOB) SCHOOL OPERATING BUDGET
Signed by: (School BAC & School HEAD)
A. TRAVEL EXPENSES
Disbursement Voucher
Itininary of Travel
Certificate of Travel Completed
Travel Order
Memorandum
Certificate of Appearance
RER
Receipt
B. TRAINING EXPENSES
Travel Order
Official Receipt
Memorandum
Certificate of Appearance
E. REPAIR & MAINTENANCE OF SCHOOL BUILDING
BAC Resolution
BAC Minutes
Program of Works (New)
Picture of Accomplisment
(Before, During and After)
Purchase Request
Request for Quotation or CANVASS
Purchase Order
Inspection and Acceptance Report
Abstract of Quotation
DR & OR
F. OTHER OPERATING EXPENSES

SECURITY GUARD (monthly)
LABOR (per day)
C. OFFICE SUPPLIES
BAC Resolution
BAC Minutes
Purchase Request
Purchase Order
DR & OR
Picture of Office Supplies
D. UTILITIES & COMMUNICATION EXPENSES
MOOE below 50,000 elementary school Principal
& School Head (300.00)
LOAD
WATER BILL
ZAMSURECO BILL
Purchase Request
Purchase Order
OR
GASOLINE (same attachment to office supplies)
BAC Resolution
BAC Minutes
Purchase Request
Purchase Order
DR & OR
Job Order contract signed by:
School BAC & School Head
Payroll
DTR of the Month

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I SEEK REFUGE IN ALLAH FROM ACCUSED SHAITAN

Republic of the Philippines

CY 2014 PROJECT PROCUREMENT MANAGEMENT PLAN (PPMP)

Procurement Project / Activity

SCHOOL BUILDING PROJECT - PPP CY 2013

REPAIR OF DIVISION OFFICE

REPAIR OF SGOD OFFICE

Schedule for each Procurement Activity

01/2/14 & 6/30/14

01/2/14 & 3/31/14

3/1/14 & 6/30/2014

01/2/14 & 3/31/14

KASPERSKY INTERNET SECURITY 2014

01/2/14 & 3/31/14

EXTERNAL HARD DRIVE (1TB)

01/2/14 & 3/31/14

COMPUTER SPEAKER (ALTECH)

01/2/14 & 3/31/14

USB OPTICAL MOUSE

01/2/14 & 3/31/14

HP 60 INK (Color & Black)

1/1-31, 4/1-30, 7/1-31, 10/1-31

HP 704 INK (Color & Black)

1/1-31, 4/1-30, 7/1-31, 10/1-31

EXPANDED ENVELOP (LONG)

BAND PAPER (A4 SUBTANCE 20)

1/1-31, 4/1-30, 7/1-31, 10/1-31

BAND PAPER (LONG SUBTANCE 20)

1/1-31, 4/1-30, 7/1-31, 10/1-31

BOLPEN (PILOT) BLACK

MONITORING OF SCHOOL BUILDING

1/1-31, 4/1-30, 7/1-31, 10/1-31

1/1-31, 4/1-30, 7/1-31, 10/1-31

ATTENDENCE TO PFC TRAINING, WORKSHOP

Department of Budget and Management Procurement Monitoring Report as of month/day/2006

Schedule for Each Procurement Activity

Contract Cost (PhP)

Date of Receipt of Invita

ANNUAL PROCUREMENT PLAN

KASPERSKY INTERNET SECURITY 2016

HP 704 INK (COLORED)

HP 704 INK (BLACK)

EXPANDED ENVELOP (LONG)

BAND PAPER (A4 SUBTANCE 20)

BAND PAPER (LONG SUBTANCE 20)

BOLPEN (PILOT) BLACK

ATTENDANCE TO TRAINING WORKSHOP

MONITORING OF SCOOL BUILDING

ENGR. TOLOMEO T. TESORO, Jr.

FELIX ROMY A. TRIAMBULO, CESE

Republic of the Philippines

School BAC Secretariat

School BAC Chairman

Republic of the Philippines

School BAC Chairman

School BAC Member

School BAC Member

School BAC Member

NAME OF SCHOOL BAC CHAIRMAN

School BAC Secretariat

School BAC Chairman

TUBURAN ELEMENTARY SCHOOL

PR. No.: ________________________