New Liquidation Form

7/25/2019 New Liquidation Form

1/51

I SEEK REFUGE IN ALLAH FROM ACCUSED SHAITAN

1.1 In the name of Allah, the Enti el! Me "if#l, the E$%e"iall! Me "if#l.1.& 'All( % ai$e i$ ')#e( to Allah, Lo ) of the *o l)$ +

1. The Enti el! Me "if#l, the E$%e"iall! Me "if#l,

1.- So e ei/n of the Da! of Re"om%en$e.

1.0 It i$ o# *e *o $hi% an) o# *e a$2 fo hel%.

1.3 G#i)e #$ to the $t ai/ht %ath +

1.4

5AMEEN5

The %ath of tho$e #%on *hom o# ha e 6e$to*e) fa o , not of tho$e *ho ha ee o2e) ' o# ( an/e o of tho$e *ho a e a$t a!.


2/51

Republic of the PhilippinesDE7ARTMENT OF EDUCATIONRegion IX, Zamboanga Penindula

SCHOOLS DI8ISION OF 9AM:OANGA SI:UGAIpil, Zamboanga Sibugay

Telefax No. 0 !"###"$%&!

C &;1- 7RO 3,000.00 ;**1 0'6!6'% 7 #6#'6'% S 3,

(*;P-T1R SP15 #,$00.00 ;**1 0'6!6'% 7 #6#'6'% S #,$

3 -S *PTI(5+ ;*-S1 ',$00.00 ;**1 0'6!6'% 7 #6#'6'% S ',$

4 )P 0 IN< =(olo? 7 lac@> !$,3$0.00 ;**1 '6'"#', %6'"#0, 36'"#', '06'"#' S

& )P 30% IN< =(olo? 7 lac@> ' ,$00.00 ;**1 '6'"#', %6'"#0, 36'"#', '06'"#' S

'0 1XP5N 1 1N91+*P =+*N/> ',0$0.00 ;**1 0'6!6'% " #6#'6'% S ',

'' 8*+ 1R =+*N/> ',%00.00 ;**1 '6'"#', 36'"#' S

'! 5N P5P1R =5% S- T5N(1 !0> $,000.00 ;**1 '6'"#', %6'"#0, 36'"#', '06'"#' S

'# 5N P5P1R =+*N/ S- T5N(1 !0> $,!00.00 ;**1 '6'"#', %6'"#0, 36'"#', '06'"#' S

'% P1N(I+ =;*N//*+"'> !00.00 ;**1 0'6!6'% " #6#'6'% S

'$ *+P1N =PI+*T> +5(< # 0.00 ;**1 0'6!6'% " #6#'6'% S

1! "#$IT#%I$& #' S()##* +,I*DI$& !00,000.00 "##- '6'"#', %6'"#0, 36'"#', '06'"#'

(#$ST%,(TI#$. "

1 ATT-$D-$(- T# P'( T%AI$I$&0 #% S)#P '00,000.00 "##- '6'"#', %6'"#0, 36'"#', '06'"#'

(#$'-%-$(- "--TI$&. etc. "

(+ (ompetitive +idding

S Shopping

$D( $egotiated/ Direct (ontracting

$ A4A5 $egotiated A to A5

Prepared 6y7 %ecommending Approval7 8alidated 6y7

(odePAP5

-9timated +udgetPhP5

Source of'und9

"ode

Procurem


3/51

)ead of #ffice5


4/51

Department of Budget and anagement Procurement onitoring !eport as of month"day"#$$%

Schedule for Each Procurement ActivityP *"End+ ser ode of

ProcurementSou

F


5/51


6/51

eceipt of )nvitation

emar 9

-


7/51


8/51

ANNUAL PROCUREMENT PLAN

FOR THE YE R 2016

E)#"ation Fa"ilitie$ Di i$ionDe%ED, Di i$ion of 9am6oan/a Si6#/a!

ITEN NO.1ST ?UARTER &ND ?UARTER

BT2. -NIT (*ST T*T5+ (*ST BT2. -NIT (*ST T*T5+ (*ST BT2.

' %4 P(S ', 40.00

$ 8*+ 1R =+*N/> # P(S %4.00

5N P5P1R =5% S- T5N(1 !0> 3 R15;S %,$$0.00 3 R15;S %,$$0.00 3 R15;S

3 5N P5P1R =+*N/ S- T5N(1 !0> # R15;S !,!$0.00 # R15;S !,!$0.00 # R15;S

4 P1N(I+ =;*N//*+"'> ! *X !00.00

& *+P1N =PI+*T> +5(< ! *X # 0.00

'0 5TT1N 5N(1 T* TR5ININ/ :*R


9/51

TOTAL ANNUAL

BT2. -NIT (*ST T*T5+ (*ST

-NIT #,&00.00

!0 P(S '0,000.00

%0 P(S !%, 00.00

%4 P(S ', 40.00

# P(S %4.00

!4 R15;S '4,!00.00

'! R15;S &,000.00

! *X !00.00

! *X # 0.00

"

'#$,000.00

"

40,000.00

!4#,$44.00


10/51

Republic of the PhilippinesDE7ARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

SCHOOLS DI8ISION OF 9AM:OANGA SI:UGAT5+-S5N ISTRI(T

N5;1 *8 S()**+F GGGGGGGGGGGGGGG, Talusan, Zamboanga Sibugay

:AC RESOLUTION

NAME OF SU77LIER AMOUNT1.&..

P?epa?ed byF

School 5( Sec?eta?iat

I he?eby ce?tify to the co??ectness of the aboCe ?esolution.

School 5( (hai?man

HEREAS, an o%enin/ of 6i)$ *a$ "on)#"te) on BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB., BBBBBBBBBBBBBBBBBBBBBBB 6! the Chai Mem6e $ of the S"hool :i)$ A*a )$ Committee

HEREAS, a "a ef#l e al#ation of the 6i)$ *a$ )one a$ offe e) 6! the follo*in/ 6i))e $ *ith thei"o e$%on)in/ 6i)$

HEREAS, the SCHOOL :AC fo#n) the BBBBBBBBBBBBBBBBBBBBBBB A$ the lo*e$t 6i))e fo the%# "hae$ of BBBBBBBBBBBBBBBBBBB to 6e #$e) 6! the BBBBBBBBBBBBBBBBBB

he efo e, RSOL8ED a$ it i$ he e6! RESOL8ED to )e"la e BBBBBBBBBBBBBBBBBBBBBBBB. A$ha in/ 6i) the lo*e$t in all item$ an) mo)e of % o"# ement i$ RE?UEST FOR ?UATATION.

DATE and TIMENAME OF SCHOOL

NAME OF SUPPLIERNAME OF SCHOOLCLASSIFCATION

NAME OF SUPPLIER

ADDRESS


11/51


12/51

Appendix 51

PURCHASE REQUEST Department of Education

Agency

Department: DEPARTMENT OF EDUCATION Section : TUBURAN ELEMENTARY SCHOOL

-NITS IT1; 1S(RIPTI*N B-5NTIT2 -NIT (*ST T*T5+ (*ST

1 oxe! pu!" pin #$ #$%$$ 900.00& oxe! t"um !tac'! #( 1$%$$ 360.00# pc!% f)oure!cent oard *5 #$%$$ 2,250.00+ pc!% tarpau)in 51 1#5%$$ 6,885.00

Tota ! "0,395.00Purpo!e:

Re,ue!ted y: PURCHASE -. -../CE A0D SCH-- SUPP /ES%

AMELIA I. PARA#AS Signature o2er printed name

Recommending Appro2a): Appro2ed y:

FE R. BADDAI Signature:Printed 0ame: BAINE L. HARUN De!ignation:

Supp)y -fficer De!ignated Sc"oo) Head

Signature o2er printed name

PR% 0o%F GGGGGGGGGGGGGGGGGGGGGGGGSA/ 0o% F GGGGGGGGGGGGGGGGGGGGGGGG

Stoc@No.


13/51


14/51


DI8ISION OF 9AM:OANGA SI:UGAIpil, Zamboanga Sibugay

Telefax No. 0 !"###"$%&!

RE$UEST FOR $UOTATION NAME OF FIRM

ADDRESS

ADDRESS

Sir34adam:

Bty. -nit 5?ticles -nit (ost Total

1 ## engt" Stain)e!! pipe & & #+ engt" Stain)e!! pipe 1 13& # (6 engt" Stain)e!! f)at ar 1 13& x #31( + +$ 7)! Stain)e!! 8e)ding rod

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

TOTAL

C-0D/T/-0S A0D3-R PRE9REQU/S/TES .-R /DDERS T- C-4P ; foreigner on)y ?%

(% To participate a! a onafide dea)er%*% T"at t"i! u!ine!! i! du)y )icen!ed and 8it" u!ine!! permit y t"e go2ernment agency concern%T"e go2ernment re!er2e! t"e rig"t to accept or re@ect any id! or depending upon comp)iance or non9

comp)ience 8it" t"e a o2e9mentioned re,uirement! and ot"er )a8fu) rea!on! mo!t ad2antageou! to t"ego2ernment

NAMES()**+ PRIN(IP5+6S()**+ )15

ToF The Schools iCision Supe?intendent/ accept t"e condition! and3or re,uirement! in t"i! can2a!!% .ai)ure on my part to comp)y

8it" t"e re,uirement! in t"i! can2a!! i! enoug" rea!on to di!,ua)ify me from participating in anyfuture idding or can2a!!%

SIGNATURE

eale?Hs Signatu?e

Please uate you? unit p?ices fo? the a?ticle dec?ibed beloD, Dith the ?e uest that the desi?ed conditionand 6 o? ?e ui?ments he?ein be be complied DithF

ItemNo.

?and

;a@e


15/51

PURCHASE ORDERDepartment of Education

Di2i!ion of Bam oanga Si ugay /pi) Bam oanga Si ugay

Supplie?F P.*. No.F5dd?essF ate.F

TINF

Gentlemen:P+5(1 *8 1+I91R2F

ITEM NO. ?T . UNIT DESCRI7TION UNIT COST AMOUNT

RE. #$$%$$ #$$%$$ xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

T-TA #$$%$$T*T5+ 5;*-NT IN :*R SF

/n ca!e of fai)ure to ma'e t"e fu)) de)i2ery 8it"in t"e time !pecified a o2e a pena)ty of one9tent" 131$? percent for e2eryday of de)ay !"a)) e impo!ed%

Fery tru)y your!

CARMENCITA L. BOOCSCHOOL PRINCIPAL/SCHOOL HEAD

Head of Agency

Conforme:

0

Signature o2er printed nameDate: ===================

Re,ui!itioning -ffice3Dept% .und! A2ai)a )e: MOOE

Amount:

;ode ofP?ocu?ement.F

5T1 *8 1+I91R2F


16/51

Aut"oriGed -fficia) Di2i!ion Accountant9// A - S 0o%:


17/51


18/51


19/51

INSPECTION AND ACCEPTANCE REPORTepa?tment of 1ducation

I9ISI*N *8 Z5; *5N/5 SI -/52;unicipality of Talusan

Supplier 7 A% $o.7

P.#. $o. 7 Date 7 Invoice $o. 7 Date 7

%e>ui9itioning #ffice / Dept. Tal !an CES

ST*(< N*. -NIT B-5NTIT2 1S(RIPTI*N 5;*-NT

RE. #00.00 xxxxxxxxxxxxxxxxxxxxxxxxxxx

T*T5+F #00.00)nspection: Acceptance:

Date %eceived7

In9pected0 verified and found in order (omplete

a9 to >uantity and 9pecification9

NAME NAME

Date In9pected7 DATE


20/51


21/51

ABSTRACT OF QUOTATION QUOTATION FOR FURNISHING AND DELIVERING SUPPLIES AND/OR MATERIALS RECEIVED AT THE OFFICE OSCHOOLS PRINCIPAL/SCHOOL HEAD, ____________________________________. __________________________ OPENED AT _______________________________.

IT1; N*. BT2. -NIT N5;1 *8 1S(RIPTI*N 5RTI(+1SNAME OF SUPPLIER NAME OF SUPPLIE

PR/CE PR/CEUnit Co!t Tota) Co!t Unit Co!t Tota) Co!t

$%$$

date indicated and that the same is correct with all bids submitted/initialed by us.

AWARD APPROVED TO:

Member School BAC V ce Ch! rm!" School BAC Ch! rm!"

SCHOOL

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

NAME OF SCHOOL ADDRESS

N


22/51

Member Member He!# o$ A%e"c&


23/51

TERMS AND CONDITIONS

1. All 6i))e $ m#$t 6e )#l! $i/ne) 6! the :i))e $ an) $#6mitte) in a $eale) en elo%e a)) e$$ to theS"hool$ Di i$ion S#%e inten)ent, Di i$ion of 9am6oan/a Si6#/a!, M#ni"i%alit! of I%il.

&. The$e 6i)$ *ill 6e o%ene) at the :i) an) A*a )$ Committee, if the amo#nt in ol e) i$ mo e that 71;, ;;;.;;. The COA ma! o6$e e the O%enin/ of :i)$.

. Onl! 6onafi)e )eale $ of the a ti"le$ "alle) fo in thi$ 6i))in/ a"" e)ite) 6! the De%E) a e allo*e) to %a ti"i%ate in 6i))in/. :i))e $ o thei a#tho i e) e% e$entati e ma! *itne$$ the % o"ee)in/$.

-. A ti"le$ "alle) fo in thi$ 6i))in/ $ho#l) 6e )eli e e) *ithin the %e io) of BBBB )a!$ afte the e"ei%t of the o )e , $#6 e"t, ho*e e to in$%e"tion 6! the Di i$ion Inte nal Cont ol an) In$%e"tion

Committee.

0. All 6i)$ in the e "e$$ of 70,;;;.;; m#$t 6e a""om%anie) 6! a % o%o$al 6on) in "a$h o in $# et! e #i alent to 0J of the 6i)

3. :i) $hall 6e $%e"ifie) item$ an) 6i))e $ $ho#l) #ote onl! one % i"e fo ea"h item$ an) $hall in)i"ate "lea l! the :RAND, MAKE an) SOURCE of the man#fa"t# e , o a ti"le$ offe e). 7 i"e$ #ote) $ho#l) in"l#)e all /o e nment ta e$, fee$, )#tie$, in"l#)in/ the in"i)ental e %en$e$.

4. The De%E), Re/ion I@, Di i$ion of 9am6oan/a Si6#/a!, e$e e$ the i/ht to "onfi$"ate the 6i))e $6on) if the *innin/ 6i))e ef#$e) to a""e%t the a*a ) o fail to "om%l! *ith the te m$ an)

"on)ition$ of thi$ 6i))in/.

. Fail# e on the %a t of the *innin/ 6i))e to )eli e the a ti"le$ "alle) fo in thi$ 6i))in/ *ithin the$%e"ifie) %e io) in)i"ate) in the o )e *ill ma2e him lia6le to the 7hili%%ine Go e nment fo the)iffe en"e$ in % i"e$ if the $ame i$ %# "ha$e in the O%en ma 2et o f om the ne t lo*e 6i))e

to/ethe *ith the "o$t of e %en$e$ in"# e) in $e"# in/ the $ame a ti"le$.

. A 6i))e i$ allo*e) to *ith) a* hi$ ten)e o offe 6efo e the o%enin/ of the 6i) 6! f# ni$hin/ f#ll!$i/ne) * itten e #e$t to the :i) an) A*a ) Committee =:AC>.Hi$ :i) $hall 6e et# ne) to him

#no%ene).

1;. Con)ition $#"h a$ $#6 e"t to % io $ale$ $hall not 6e a""e%te). The 6i))e $hall 6e 6o#n) 6! hi$ offe a$ if no * itten "on)ition in ten)e .

11. E a$# e$ o alte nation in the ten)e m#$t 6e $i/ne) o initiale) 6! the 6i))e .

1&. An! e %en$e$ in"# e) 6! the De%E) fo anal!$i$ of $am%le$ i$ "ha /e) to the e$%e"ti e 6i))e $.

1 . All /oo)$ $#%%lie$ %lainl! )e$" i6e) in the offe $hall 6e #n)e $too) to 6e 6 an) ne* 6! thee$%e"ti e 6i))e $.

1-. ?#otation m#$t 6e %e net, *ei/ht o #nit $%e"ifie) o it$ e #i alent e a"tl! e)#"i6le to the #nit.

10. The De%E). Re/ion I@, Di i$ion of 9am6oan/a Si6#/a!, e$e e$ the i/ht to e e"t an! of all 6i)$, to *ai e an! info malit! the eon an) to a""e%t $#"h offe )eeme) mo$t a) anta/eo#$ to the Go t.


24/51

o


25/51

-nclo9ure $o. 95 Date7 "ay 2?0 2@12

) P-E E./A/)*. A0!EE E./

/he Schools Division SuperintendentDivi9ion of am6oanga Si6ugay

"adamme7

to our 9chool a9 part of the School +a9ed "anagement S+"5 &rant.of the Dep-D. The fund9 9hall 6e u9ed for the implementation of the project propo9alof the 9chool 9u6ject to the folloBing condition97

A. The under9igned 9hall u9ed the S+" &rant only for Bor;9 alloBed in theDep-D #rder/"emo on S+". +. The under9igned 9hall euidate S+" &rant in accordance Bith the &uidance for the *i>uidation of S+" &rant. D. The under9igned 9hall 9u6mit to the Divi9ion #ffice the accompli9hed School *i>uidation 'orm 'orm I5 Bithin five C5 day9 from the completion of the S+" implementation.

Thi9 letter Bill 9erve a9 the implementation agreement for the S+" &rant.

8ery Truly our90

A-E1 B2 BAS)S/*P41

(oncurred 6y7

A E-)A P2 /*!!A-BA,Ed2D2#I(/School9 Divi9ion Superintendent

An amount of 'ifty Thou9and Pe9o9 #nly P C@0@@@.@@5 Ba9 relea9ed 6y the D+" %#


26/51

Re" % & t e P "" ne!e"a) men & %a &n

e* &n , am &an*a en n! a! &n & am &an*a *a

DATU TUMANGGONG ELEMENTARY SCHOOL

SCHOOL OPERATING BUDGET&. Particulares Unit y n s a s

Pu ils Assessment e! a"e) )e")& % &n ) an ) e ! . , .

7 a!!a*e e ! . , .e e ! . .

ncen ves 7e a ! %! . , .

R &n! P%! 000 2.00 2,000.00& e && ea e! %! . , .) n* a ! ea e! a ! . , .

e) %a e! %! . .oo s 7

S"a e P%! 800.00 800.00& e %! . .

% ma &% %! . .a e) n* an %! . .

assroom an ce up es 7a) & na &?en . , .

Man a Pa"e) D&?en 0 80.00 800.00a "en & )an %! . .&m" e) n !!&) e & &) & e . .&m" e) n a) ) *e !!&) e & &) %! . , .&n a"e) eam 2 . .

F& e) Ream 800.00 800.00em nar , .rave , .

ers 7n e)ne &nne% &n ! @@@ , .e e ! &n *na !%) " &n &n ! . .

TOTAL 26,000.00

)e"a)e :

C&ntent N&te : ALE! B" BASISTO S% && Hea

"


27/51

Re" #l$% &' t(e P($l$""$ne!De"a)tment &' Ed %at$&n

Re*$&n I+, -am#&an*a Pen$n! laD$ $!$&n &' -am#&an*aS$# *a

TUNGAWAN DISTRICTLOOC LABUAN ELEMENTARY SCHOOL

SCHOOL OPERATING BUDGET

N " Particulares Unit Qty Unit C s Ttal C st

) + S&3**- 4 *FF)&E S PP-)ES

packing tapi pcs 20 35.00 700.00

bond paper (long) ream 4 260.00 1,040.00

bond paper (short) ream 2 260.00 520.00

plastic celophaine mtr 10 35.00 350.00

computer ink black (704) caltridge 2 620.00 1,240.00

computer ink colored (704) caltridge 1 620.00 620.00

)) + S&3**- A)./E.A.&E

paint late (!hite) gal 5 620 3,100.00

paint enamel(!hite) gal 4 620 2,4"0.00

tinting color (blue) #uart 4 75 300.00

tinting color (red) #uart 4 75 300.00

tinting color ($ello!) #uart 4 75 300.00

tinting color (black) #uart 4 75 300.00

roler brush pcs 1 65 65.00

paint brush pcs 4 45 1"0.00

lettering brush set 1 115 115.00

pl$!ood ordinar$ 1%4 pcs 10 475.00 4,750.00

cements sack 10 2"5.00 2,"50.00

nails kl 2 66.50 133.00red tile gal 1 7&0.25 7&0.25

paint late !hite gal 2 620.00 1,240.00


28/51

rain or shine blue gal 3 620.00 1,"60.00

rain or shine green gal 3 620.00 1,"60.00

))) + /!A).).0

' 3,000.00

*+ 4,400.00

)5 + E-E&/!)&)/6 E1PE.SES

-+ /+ , 2015 47&.16

/+ , 2015 371.17MARCH, 2015 326.02

+ ', 2015 1&3.21

+ , 2015 1&3.20

-/ , 2015 362.20

-/' , 2015 331.7&

5 + -AB*! !C@.@@

0!A.D /*/A- 78,9$$2$$

Prepared 6y7

$ACOB G" ESPEDESS%(&&l Head

%epu6lic of the Philippine9Department of -ducation

%egion IE0 am6oanga Penin9ula

Divi9ion of am6oangaSi6ugayTA*,SA DIST%I(T DIST%I(T*A-B*A- E-E E./A!6 S&3**-


29/51

S&3**- *PE!A/).0 B D0E/

N " Particulares Unit Qty Unit C s Ttal C st

) + S&3**- 4 *FF)&E S PP-)ES

+ 4 bond paper pream 3 1&1.00 573.00

illustration board pcs 63 30.00 1,"&0.00

scatch tape p 70 45.00 3,150.00

charol rolls 6 &25.00 5,550.00

charol !hite rolls 2 1,100.00 2,200.00

short bond paper ream 7 1"5.00 1,2&5.00

long bonda paper ream 7 1&0.00 1,330.00

assorted cartolina pcs 200 ".00 1,600.00

8lourescent board pcs 200 16.00 3,200.00

pilot pen black pcs 60 40.00 2,400.00

pilot ink blue bottle " &0.00 720.00

pilot ink black bottle " &0.00 720.00

scisoors pcs 14 40.00 560.00

* 9ech 0.3 pcs 7 63.00 441.00

manila paper pcs 200 4.00 "00.00

pastener bo es 5 54.00 270.00

8older long pcs 200 ".00 1,600.00

cra$ons bo es 30 41.00 1,230.00

long en:elope !% handle !hite pcs 35 7".00 2,730.00 pencil bo es 5 60.00 300.00

ruler pcs 35 7.00 245.00

construction paper packs 35 3".00 1,330.00

transparent en:elop pcs 150 &.00 1,350.00

correction 8luid pcs 7 60.00 420.00

red ballpen do;en 1 &6.00 &6.00

)) + &*.S/! &/)*. A.D !EPA)! A/E!)A-S

cements sacks 3" 300 11,400.00

sand sacks 125 30 3,750.00gra:el sacks 151 30 4,530.00

steel bar 10 mm pcs 4& 170 ",330.00

c$clone !ire pcs 10 650 6,500.00

burb !ire rolls 3 1200 3,600.00

* sheet pcs 10 3"0 3,"00.00

lumber assorted bd.8eet 400 1" 7,200.00

plain sheet sheet " 405 3,240.00

nails kls. 10 65 650.00

pl$!ood pcs 12 500.00 6,000.00

0!A.D /*/A- 8,$$$2$$


30/51

Prepared 6y7

ISNAIRA $" MU%SANS%(&&l Head

$oted 6y7

E SEB)* *2 * *,ED2DDi9trict Supervi9or


31/51

Appendix +

7ETT CASH 8OUCHER Numbe?F

ep1 , iCision of Zamboanga Sibugay5gency ateF

Payee6*ffice F 1RR2 (. *


32/51

Republic of the PhilippinesDE7ARTMENT OF EDUCATIORegion IX, Zamboanga Peninsul

SCHOOLS DI8ISION OF 9AM:OANGAIpil, Zamboanga Sibugay

Telefax No. 0 !"###"$%&!

ITINERAR OF TRA8E

$ame 7 (A%"-$(ITA *. +##(Po9ition 7 -*-". S()##* P%I$(IPA* ii#fficial Station 7 Dep-D4TA*,SA$ (-SPurpo9e of Travel 7 T# ATT-$D T)- DI*"A$(#$ F I"-*DA

DAT- P*A(- T# +- 8ISIT-DTI"- #'

D-PA%T,%- A%%I8A*

&6'46!0'$ R* 1RI(S R1S-RT " IPI+ -S T1R;IN5+ F#0 5; F%$ 5;IPI+ -S T1R;I5N5+ " I;1+ 5 3F00 5; 4F'$ 5;I;1+ 5 " /-I(5;/-I(5; " )-+5 )-+5)-+5 )-+5 R1SI 1N(1

R1/ISTR5TI*N 811

'. P?epa?editine?a?yF =b> the t?aCel is necessa?y to the se?CiceJ= c > the pe?iod coCe?ed is ?easonableJ =d> theexpenses claimed a?e p?ope?.

!. 5pp?oCed

I CERTIF THAT F =a> I haCe ?eceiCed the fo?egoing


33/51

I:UGA

A**# A+*- -EP-$S-ST#TA*

T%A$S P-% DI-"

;*T*R(2(+1 !$.00 !$.00

-S 3$.00 3$.00)5 5+")5 5+ #00.00

*5T %0.00 %0.00)5 5+")5 5+ '$0.00 '$0.00

"#00.00

"""

TOTAL: 8 $2$$

yF

CARMENCITA L. :OOC=*fficial 6 1mployee>

yF

AMELIA 7. TORRAL:A, E). D.Schools iCision Supe?intendent

"-A$S #'T%A$S


34/51


SCHOOLS DI8ISION OF 9AM:OANGA SI:UGA8ield *ffice of Talusan

=

7ROGRAM OF ORKS

7RO


35/51

Noted byF

8ield *ffice )ead ist?ict *ffice of Talusan


36/51

PT5"5ssistant (apitan #,$00


37/51


38/51

LI?UIDATION RE7ORT

DE7ARTMENT OF EDUCATIONiCision of Zamboanga Sibugay

5gencyP5RTI(-+5RS

T*T5+ 5;*-NT SP1NT5;*-NT *8 (5S) 5 95N(1 P1R 9 N*. GGGG T GGGGGGGGGGGG5;*-NT R18-N 1 P1R *R N*.GGGGGGGGGG T GGGGGGGGGGGGGG5;*-NT T* 1 R1I; -RS1

5 (e?tifiedF (o??ectness of the (e?tifiedF Pu?pose t?aCel (

aboCe data (ash adCance duly accomplished

&&$ERRY C" BO%ING%ITO&& &AMELIA P" TORRALBA' E(" D"& CHA(laimant 5sst. Schools iCision Supe?intendent

*ffice?"In"(ha?ge

(laimant )ead of 5ccounting -

(hec@ No. GGGGGGGGGGGGG

T*F +i uidation of (ash 5dCance fo? t?aCeling expenses of 1RR2 *


39/51

NoFateF

Responsibility(ente?F(odeF

5;*-NT 5,9 0.00

'0,$!'.00'!,$40.00

!,0$&.00!,0$&.00

(e?tifiedFSuppo?ting documents

ITY MAY BALASUELA' CPAiCision 5ccountant II

it6 19 No.


40/51


SCHOOLS DI8ISION OF 9AM:OANGA SI:UGAIpil, Zamboanga Sibugay

Telefax No. 0 !"###"$%&!

DIS:URSEMENT 8OUCHER NoF 0#"!0' "00!

ateF 0#"'$"!0'

; S (hec@ (omme?cial (hec@ 5 5 *the?s

P5211 N KAR ENTER7RISESTIN 6 1mployee No.F OR :UR No.

'! " 0"&$!"00'

5 R1SSS*+5R, *+-T5N/5,

Responsibility (ente?

*ffice 6 -nit 6 P?oEectF (odeF

Z5; *5N/5 SI -/52 S*+5R, *+-T5N/5, ZSP

E@7LANATION AMOUNT

ToF P-R()S1 *8 )5R :5R1 ;5T1RI5+S 8*R T)1 I;PR*91;1NTS*8 S()**+ -I+ IN/ P5INTIN/ 5N *T)1RSL.

EIGHT THOUSAND T O HUNDRED FIFT FI8E 7ESOS ONL PPPPPPPP. . 4,!$$.00

,&00.;;

A. :. A%% o e) fo 7a!ment

(ash 5Cailable

SubEect to 5utho?ity to ebit 5ccount =Dhen applicable>

Suppo?ting documents complete

Signatu?e Signatu?e

P?inted Name :AINE L. HARUN P?inted Name :AINE L. HARUN

PositionF DIS:URSING OFFICER PositionF SCHOOL 7RINCI7AL SCHOOL HEAD

ateF ateF

C. Re"ei e) of 7a!ment


41/51

Republic of the PhilippinesDE7ARTMENT OF EDUCATION

S*(I5+ 1XP1N IT-R1 ;5N5/1;1NT PR* 1(T

8*R; " '

S()**+ +IB-I 5TI*N 8*R;P1RI* (*91R1 F

S()**+ F 5T15 R1SS F S R;S (5S) 5 95N(1 FR1/I*N F ()1(< N* FI9ISI*N F 5T1 *8 ()1(< FISTRI(T F

/TE0 0-% DESCR/PT/-0 -. 1? >&? >#? >+? >5? >(? >*? > ?

' R1P5IR *8 I9ISI*N *88I(1 !#',0'!.00 '06'06!0'% ''6'06!0'% #0 !#',0'!.00 !#',0'!.00

ase on p ans ?eC eDe y S ;(5ttac e p? nc pa s Sc oo ;emo?an um on t e c?eat on o t e sc oo ?epa ? an ma ntenance (omm ttee an es gnat on o ( a ?man

P?epa?e yF (e?t y T?ue an (o??ectF

Name 7 Pos t on P? nc pa ( a ?ma

T* 1 8I++1 -P P8S1 ,S1;P"P;* INSP1(T1 2F8IN IN/F

EST/4ETEDC-ST DATED

STARTEDDATED

C-4P ETEDN*. *8 52S=%M# $> =$>


42/51


SCHOOLS DI8ISION OF 9AM:OANGA SI:UGA8ield *ffice of Talusan

;oalboal 1lementa?y School

SUMMARY OF DISBURSEMENT

NO. DATE ESTABLISHMENT IN&OICE NO. PARTICULARS AMOUNT

' !6'&6!0' P)1 1N1T1RPRIS1S 5N 85R; S-PP+2 !4'3# School and *ffice Supply !#,&04.00! !6'&6!0' P)1 1N1T1RPRIS1S 5N 85R; S-PP+2 !4'3% School and *ffice Supply 0,558.00# !6'&6!0' P)1 1N1T1RPRIS1S 5N 85R; S-PP+2 !4'3 School and *ffice Supply , 88.00

% !6'&6!0' P)1 1N1T1RPRIS1S 5N 85R; S-PP+2 !4'3$ 96,000.00

OTAL &$,000.00

5pp?oCed byF

ISN5IR5 . ;-


43/51

MOAL:OAL ELEMENTAR SCHOOL8ield *ffice of Talusan

SCHOOLS DI8ISION OF 9AM:OANGA SI:UGA

;oalboal , Talusan, Zamboanga Sibugay8*R T)1 P1RI* F GGGGGGGGGGGGGGGGGGG

CASH DIS:URSEMENTS REGISTE

5T1 P5211 P5RTI(-+5RS

CASH AD8ANCE

P52;1NTS

' ! # % $

!6' 6!0' ISN5IR5 . ;-


44/51

'%

28,000.00

96,000.00

7

7

7

7

77

7

7

77

&$,000.00

DENT

T*T5+5;*-NT


45/51

RE7ORT OF DIS:URSEMENTSDe%a tment of E)#"ation, Di i$ion of 9am6oan/a Si6#/a!

5gency

7ERIOD CO8ERED F S ; 8-N

5T1 9 N-; 1R 5 5 N-; 1R P5211 N5T-R1 *8 P52;1NT 5;*-NT

ISNAIRA


46/51


5gency

7ERIOD CO8ERED F MOOE FUND

5T1 5 5 N-; 1R 9 N-; 1R P5211 N5T-R1 *8 P52;1NT 5;*

1; 1 &;10 &;101;;;44 10+1;+;&&& HELEN :RONOLA

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

HELEN :RONOLA

School )ead 5T15u?o?a P?ima?y School

*(T* 1R"N*91; 1R !0'$ ;**1*:N+*5 IN/ T5+-S5N

I he?eby ce?tify that this Repo?t of isbu?sement in GG 1BB sheets is a full, t?ue and co??ect statement of the disbu?sements m and that is li uidation of the cash adCance g?anted last G 1;+1+&;10B , in the amount of GG 11,-;;.;;B

G as pe? 5 5 No. G

dated G 1;+1+&;10 .


47/51


5gency

7ERIOD CO8ERED F MOOE FUND

5T1 5 5 N-; 1R 9 N-; 1R P5211 N5T-R1 *8 P52;1NT 5;*-N

1; 1 &;10 HELEN :RONOLA

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

HELEN :RONOLASchool )ead 5T1

5u?o?a P?ima?y School

*(T* 1R"N*91; 1R !0'$ ;**1*:N+*5 IN/ T5+-S5N

I he?eby ce?tify that this Repo?t of isbu?sement in GG 1BB sheets is a full, t?ue and co??ect statement of the disbu?sements ma and that is li uidation of the cash adCance g?anted last G 1;+1+&;10B , in the amount of GG 11,-;;.;;B

G as pe? 5 5 No. Gdated G 1;+1+&;10 .


48/51

+5 *R P52R*+

Di2i!ion of Bam oanga Si ugay

a! fu)) compon!ation for !er2ice! rendered for t"e period !tated%

NAME AMOUNT DUE SI#NATURE

TOTAL!

a o2e "a! een paid t"e amount

indicated oppo!ite "i!3"er name%

8-N S 595I+5 +1F

5pp?oCed byF

'( a)*+o (- ( receipt of t"e !um !"o8n oppo!ite our name!

C(/t 1 (- : Ser2ice! "a2e du)y rendered C(/t 1 (-! Eac" emp)oyee 8"o!e name appear!


49/51

=m>


50/51

Repu ic o P i ippinesDE7ARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

SCHOOLS DI8ISION OF 9AM:OANGA SI:UGAist?ict of Talusan

Name of SchoolF +apa?ay National )igh School

ateF


51/51

+IB-I 5TI*N ()1( S()**+ *P1R5TIN/ - /1T Signed byF =School 5( 7 School )15 >

5. TR591+ 1XP1NS1S 1. R1P5IR 7 ;5INT1N5N(1 *8 S()**+ -I+ IN/isbu?sement 9ouche? isbu?sement 9ouche?Itinina?y of T?aCel 5( Resolution(e?tificate of T?aCel (ompleted 5( ;inutesT?aCel *?de?;emo?andum Pictu?e of 5ccomplisment(e?tificate of 5ppea?ance = efo?e, u?ing and 5fte?>R1R Pu?chase Re uestReceipt Re uest fo? Buotation o? (5N95SS

Pu?chase *?de? . TR5ININ/ 1XP1NS1S Inspection and 5cceptance Repo?tisbu?sement 9ouche? 5bst?act of BuotationT?aCel *?de? R 7 *R*fficial Receipt;emo?andum 8. *T)1R *P1R5TIN/ 1XP1NS1S(e?tificate of 5ppea?ance S1(-RIT2 /-5R =monthly>

+5 *R =pe? day> (. *88I(1 S-PP+I1S

isbu?sement 9ouche? isbu?sement 9ouche?5( Resolution ob *?de? cont?act signed byF5( ;inutes School 5( 7 School )ead

Pu?chase Re uest Pay?ollRe uest fo? Buotation o? (5N95SS TR of the ;onthPu?chase *?de?Inspection and 5cceptance Repo?t5bst?act of BuotationR 7 *RPictu?e of *ffice Supplies

. -TI+ITI1S 7 (*;;-NI(5TI*N 1XP1NS1S;**1 beloD $0,000 elementa?y school P?incipal7 School )ead =#00.00>

+*5:5T1R I++Z5;S-R1(* I++

Pu?chase Re uestPu?chase *?de?Inspection and 5cceptance Repo?t*R

isbu?sement 9ouche?5( Resolution5( ;inutesPu?chase Re uest

Re uest fo? Buotation o? (5N95SSPu?chase *?de?Inspection and 5cceptance Repo?t5bst?act of BuotationR 7 *R

P?og?am of :o?@s =NeD>

/5S*+IN1 =same attachment to office supplies>

New Liquidation Form

Documents

Transcript of New Liquidation Form