Download - LIQUIDATION FORMS.xls

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    REQUEST FOR QUOTATION P. DOT TRADINGSolar,Olutanga

    Zamboanga S buga!

    Sir/Madam:

    &ty. 'nit ()ticles 'nit *ost Total

    1 6 pcs Form 12 6 pcs Lesson Plan3 6 pcs Grading Sheet 4 36 pcs Standard board 5 4 do en Manila Paper 6 6 pcs P ot Pen! 6 bottle Pilot "n# $ 6 pcs Pilot %allpen Friction& 6 pcs 'ed %allpen

    1( 3 reams %ond Paper )*4+11 ! pcs ,lass 'ecord 12 6 pcs ,orrection Fl-id 13 12 pcs P ast c .ape14 1 pcs P-ncher

    15 16( pcs Form 13$16 !$ pcs Form 13! 0

    TOTAL

    , "." S * / ' P'0 '0 "S".0S F ' %" 0'S . , MPL 7".8:

    19.o speci ; the brand or trademar# and other pertinent data o ;o-r prod-ct or article929 .o ithin ? da;s rom thr date o receipt o the P-rchase rder9

    49 .o ret-rn the ,an=ass paper to the o ice on or be ore the opening o can=ass at ???????????????

    on ????????????? 9

    59 .o accept the lag la> ) oreigner onl; +9

    69 .o participate as a bona ide dealer9

    !9 .hat this b-siness is d-l; licensed and >ith b-siness permit b; the go=ernment agenc; concern9

    .he go=ernment reser=es the right to accept or re@ect an; bids or depending -pon compliance or non

    complience >ith the abo=e mentioned re -l reasons most ad=antageo-s to the

    go=ernmentA

    istrict S-per=isor/Principal

    To+ The Schools i-ision Supe)inten ent" accept the conditions and/or reith the re

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    ealerBs Signat-re

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    REQUEST FOR QUOTATION LOZADA'S STORESolar,Olutanga

    Zamboanga S buga!

    Sir/Madam:

    &ty. 'nit ()ticles 'nit *ost Total

    1 6 pcs Form 12 6 pcs Lesson Plan3 6 pcs Grading Sheet 4 36 pcs Standard board 5 4 do en Manila Paper 6 6 pcs P ot Pen! 6 bottle Pilot "n# $ 6 pcs Pilot %allpen Friction& 6 pcs 'ed %allpen

    1( 3 reams %ond Paper )*4+11 ! pcs ,lass 'ecord 12 6 pcs ,orrection Fl-id 13 12 pcs P ast c .ape14 1 pcs P-ncher

    15 16( pcs Form 13$16 !$ pcs Form 13! 0

    TOTAL

    , "." S * / ' P'0 '0 "S".0S F ' %" 0'S . , MPL 7".8:19.o speci ; the brand or trademar# and other pertinent data o ;o-r prod-ct or article9

    29 .o ithin ? da;s rom thr date o receipt o the P-rchase rder9

    49 .o ret-rn the ,an=ass paper to the o ice on or be ore the opening o can=ass at ???????????????

    on ????????????? 9

    59 .o accept the lag la> ) oreigner onl; +9

    69 .o participate as a bona ide dealer9

    !9 .hat this b-siness is d-l; licensed and >ith b-siness permit b; the go=ernment agenc; concern9

    .he go=ernment reser=es the right to accept or re@ect an; bids or depending -pon compliance or non

    complience >ith the abo=e mentioned re -l reasons most ad=antageo-s to the

    go=ernmentA

    istrict S-per=isor/Principal

    To+ The Schools i-ision Supe)inten ent" accept the conditions and/or reith the re

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    ealerBs Signat-re

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    SC"OO#S DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    3inutes of the 3eeting Ta4en u)ing the 5pening of 2i s at .

    P)esent+

    AURE#IA #$ BI#AR % C&a rman#AI#A '$ "ARA'I % M(mb(r#O#ITA C$ ABE##ANA % M(mb(r

    )$*$+$

    or t&( -ur.&a/( o 00000000000000000000000000000000000000000$

    T&( m((t ng a12ourn(1 at 000000000000000

    P)epa)e by+

    #AI#A #$ "ARA'I2(* Sec)eta)iat

    I he)eby ce)tify to the co))ectness of the abo-e )esolution.

    AURE#IA #$ BI#AR 2(* *hai)man

    BAC C&a r Aur(l a #$ B lar, a.3no4l(1g(1 t&( -r(/(n.( o t&( m(mb(r/ o t&( BAC at 0000000an1 .all(1 to or1(r o t&( m((t ng or t&( o-(n ng o b 1/ /ubm tt(1 b! t&( ollo4 ng nt(r(/t(1/u--l (r/5

    A t(r t&oroug& r(6 (4 an1 (6alut on o t&( b 1/ /ubm tt(1, t&( Comm tt(( 1(.lar(1 00000000

    000000000000000000000 a/ t&( 4 nn ng b 11(r$

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    I SEE7 REFUGE IN A##A" FROM ACCUSED S"AITAN

    )$) In t&( nam( o Alla&, t&( Ent r(l! M(r. ul, t&( E/-(. all! M(r. ul$)$* 8All9 -ra /( / 81u(9 to Alla&, #or1 o t&( 4orl1/ %

    )$+ T&( Ent r(l! M(r. ul, t&( E/-(. all! M(r. ul,

    )$: So6(r( gn o t&( Da! o R(.om-(n/($

    )$; It / You 4( 4or/& - an1 You 4( a/3 or &(l-$

    )$< Gu 1( u/ to t&( /tra g&t -at& %

    )$=

    >AMEEN>

    T&( -at& o t&o/( u-on 4&om You &a6( b(/to4(1 a6or, not o t&o/( 4&o &a6((6o3(1 8Your9 ang(r or o t&o/( 4&o ar( a/tra!$

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIORegion IX, Zamboanga Penin ula

    SC"OO#S DIVISION OF ZAMBOANGA SIBIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    CY *?): PRO'ECT PROCUREMENT MANAGEMENTSection: Physical FacilitiesA ency: De!ED" Di#ision o$ Za%&oan a Si& ay

    Procurement Project / Activity Target Implementation Date

    7 S*8559 2'I9 IN: PR5;6?,#%7.#0 :(( 071 17$ @ 61"017$ *2 #7,6

    R 'S2 5PTI*(9 35'S< 7,#00.00 355< 071 17$ @ "1"717$ S

    ? 8P 60 IND E*olo) @ 2lac4F #,>#0.00 355< 717!"7, $17!"0, >17!"7, 7017!"7

    % 8P >0$ IND E*olo) @ 2lac4F 76,#00.00 355< 717!"7, $17!"0, >17!"7, 7017!"7

    70 17!"7, 7017!"7

    7$ P

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    )ead of #ffice5

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    De!a(t%ent o$ ) * et an* +ana e%ent P(oc (e%ent +onito(in Re!o(t as o$ %onth,*ay,- /

    Sche* le $o( Each P(oc (e%ent Acti#ityP+O,En*34se( +o*e o$

    P(oc (e%ent

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    ecei!t o$ In#itation

    emar 9

    -

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    ANNUAL PROCUREMENT

    FOR THE YE R 20

    P&!/ .al Fa. l t (/ Un tD(-ED,D 6 / on o Zamboanga S buga!

    ITEN NO$)ST UARTER *ND UARTER

    &T=. 'NIT *5ST T5T(9 *5ST &T=. 'NIT *5ST T5T(9 *5ST

    7 S*8559 2'I9 IN: PR5; 35NIT5RIN: 5A S*8559 2'I9 IN:

    *5NSTR'*TI5N. #0,000.00 #0,000.

    7? (TT

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    TOTA# ANNUA#

    &T=. 'NIT *5ST T5T(9 *5ST

    29 :!(**. >",>6?,#%7.#0

    R,000.00

    ",#00.00

    7,#00.00

    #> P*S #,7 #.00

    ## P*S 76,#00.00#" P*S 7,0#0.00

    %$ P*S 7,$00.00

    7> R R

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    SC"OO#S DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    BAC RESO#UTION

    )$ 0000000000000 *$ 0000000000000

    +$ 00000000000000

    P)epa)e by+

    #AI#A '$ "ARA'I2(* Sec)eta)iat

    I he)eby ce)tify to the co))ectness of the abo-e )esolution.

    AURE#IA #$ BI#AR 2(* *hai)man

    "EREAS, an o-(n ng o b 1/ 4a/ .on1u.t(1 on000000000000000000000000000000at 000000000000000000 b! t&( C&a r M(mb(r/ o t&( S.&ool B 1/ A4ar1/ Comm tt((

    "EREAS, a .ar( ul (6aluat on o t&( b 1/ 4a/ 1on( a/ o (r(1 b! t&( ollo4 ng b 11(r/ 4 t& t&( r.orr(/-on1 ng b 1/5

    "EREAS, t&( BAC oun1 t&( 00000000000000000000 a/ t&( lo4(/t b 11(r or t&( -ur.&a/( o 000000000000000000000000000000000000000000000000000000$

    &(r( or(, RESO#VED a/ t / &(r(b! RESO#VED to 1(.lar( 00000000000000000000000000 a/&a6 ng b 1 t&( lo4(/t n all t(m/ an1 mo1( o -ro.ur(m(nt / .an6a//$

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    SC"OO#S DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    3inutes of the 3eeting Ta4en u)ing the 5pening of 2i s at .

    P)esent+

    AURE#IA #$ BI#AR % C&a rman#AI#A '$ "ARA'I % M(mb(r#O#ITA C$ ABE##ANA % M(mb(r

    )$*$+$

    or t&( -ur.&a/( o 00000000000000000000000000000000000000000$

    T&( m((t ng a12ourn(1 at 000000000000000

    P)epa)e by+

    #AI#A #$ "ARA'I2(* Sec)eta)iat

    I he)eby ce)tify to the co))ectness of the abo-e )esolution.

    AURE#IA #$ BI#AR 2(* *hai)man

    BAC C&a r Aur(l a #$ B lar, a.3no4l(1g(1 t&( -r(/(n.( o t&( m(mb(r/ o t&( BAC at 0000000an1 .all(1 to or1(r o t&( m((t ng or t&( o-(n ng o b 1/ /ubm tt(1 b! t&( ollo4 ng nt(r(/t(1/u--l (r/5

    A t(r t&oroug& r(6 (4 an1 (6alut on o t&( b 1/ /ubm tt(1, t&( Comm tt(( 1(.lar(1 00000000

    000000000000000000000 a/ t&( 4 nn ng b 11(r$

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    *ppendiD 51

    P ',8*S0 '0 0S. epartment o 0d-cation

    *genc;

    epartment: Division of Zamboanga Sibugay Section : Physical Facili i!s Uni

    'NITS IT

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    %-dget *ppropriation: 'ecommending *ppro=al: *ppro=ed b;:

    Signat-re:

    Printed ame: "ERR# $% &O'IN('ITO EDISON )% DEL )AR A)ELIA P% TORRAL&A* ED% D%esignation:

    %-dget icer esignated *ssistant Schools i=ision S-perintendent

    icer "n ,hargei=ision *dministrati=e icer "

    )S-ppl;+

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    *ppendiD 51

    P ',8*S0 '0 0S. epartment o 0d-cation

    *genc;

    rtment:

    on :

    'NITS IT

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    REQUEST FOR QUOTATION

    Sir/Madam:

    &ty. 'nit ()ticles 'nit *ost Total

    TOTAL

    , "." S * / ' P'0 '0 "S".0S F ' %" 0'S . , MPL 7".8:19.o speci ; the brand or trademar# and other pertinent data o ;o-r prod-ct or article9

    29 .o ithin ? da;s rom thr date o receipt o the P-rchase rder9

    49 .o ret-rn the ,an=ass paper to the o ice on or be ore the opening o can=ass at ???????????????

    on ????????????? 9

    59 .o accept the lag la> ) oreigner onl; +9

    69 .o participate as a bona ide dealer9

    !9 .hat this b-siness is d-l; licensed and >ith b-siness permit b; the go=ernment agenc; concern9

    .he go=ernment reser=es the right to accept or re@ect an; bids or depending -pon compliance or non

    complience >ith the abo=e mentioned re -l reasons most ad=antageo-s to the

    go=ernmentA

    istrict S-per=isor/Principal

    To+ The Schools i ision Supe)inten ent

    Please /uate you) unit p)ices fo) the a)ticle ec)ibe belo , ith the )e/uest that the esi)e con itionan 1 o) )e/ui)ments he)ein be be complie ith+

    ItemNo.

    2)an3a4e

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    ealerBs Signat-re

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    PUR$+ASE ORDERepartment o 0d-cation

    i=ision o Hamboanga Sib-ga;C "pilC Hamboanga Sib-ga;

    Supplie)+ P.5. No.+( )ess+ Pang , I- l, ate.+

    Zamboanga S buga! Pro6 n.(TIN+

    Gentlemen:P9(*< 5A

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    INSPECTION AND ACCEPTANCE REPORTepa)tment of < ucation

    IBISI5N 5A Z(325(N:( SI2':(=3unicipality of Ipil

    Supplier 7 STONE T+RO2 $ONSTRU$TION an- ENTERPRISES A% $o.7

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

    %e>ui9itioning #ffice / Dept. Physical Facilities Unit

    ST5*D N5. 'NIT &'(NTIT= elding rod

    DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD T5T(9+

    Ins!ection: Acce!tance:

    Date In9pected7 Date %eceived7

    In9pected0 verified and found in order (omplete

    a9 to >uantity and 9pecification9

    EDISON M$ DE#

    In9pection #fficer/ In9pection (ommittee( minist)ati-e 5

    Divi9ion Sup

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    (35'NT

    ?0,6?#.0066,7"0.006?,#7>.007#,6?0.00

    DDDDDDDDDD "7,07 .00

    AR, MPA ffice) IB

    ply5

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    ABSTRACT OF QUOTATION QUOTATION FOR FURNISHING AND DELIVERING SUPPLIES AND/OR MATERIALS RECEIVEDCHOOLS DIVISION SUPERINTENDENT DIVISION OF ZAMBOANGA SIBUGAY. IPIL, ZAMBOANGA SIBUGAY OPENED AT _________________________________________.

    T

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    Member Member He" +/ A0e$'1

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    TERMS AND CONDITIONS

    )$ All b 11(r/ mu/t b( 1ul! / gn(1 b! t&( B 11(r/ an1 /ubm tt(1 n a /(al(1 (n6(lo-( a11r(// to t&(S.&ool/ D 6 / on Su-(r nt(n1(nt, D 6 / on o Zamboanga S buga!, Mun . -al t! o I- l$

    *$ T&(/( b 1/ 4 ll b( o-(n(1 at t&( B 1 an1 A4ar1/ Comm tt((, t&( amount n6ol6(1 / mor( t&at P)?, ???$??$ T&( COA ma! ob/(r6( t&( O-(n ng o B 1/$

    +$ Onl! bona 1( 1(al(r/ o t&( art .l(/ .all(1 or n t& / b 11 ng a..r(1 t(1 b! t&( D(-E1 ar( allo4(1 to -art . -at( n b 11 ng$ B 11(r/ or t&( r aut&or (1 r(-r(/(ntat 6( ma! 4 tn(// t&( -ro.((1 ng/$

    :$ Art .l(/ .all(1 or n t& / b 11 ng /&oul1 b( 1(l 6(r(1 4 t& n t&( -(r o1 o 0000 1a!/ a t(r t&( r(.( -t o t&( or1(r, /ub2(.t, &o4(6(r to n/-(.t on b! t&( D 6 / on Int(rnal Control an1 In/-(.t on

    Comm tt(($

    ;$ All b 1/ n t&( (H.(// o P;,???$?? mu/t b( a..om-an (1 b! a -ro-o/al bon1 n .a/& or n /ur(t! ( u 6al(nt to ;J o t&( b 1

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    o

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    #I UIDATION REPORT

    DEPARTMENT OF EDUCATIONi-ision of Zamboanga Sibugay

    (gencyP(RTI*'9(RS

    T5T(9 (35'NT SP

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    SC"OO#S DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    DISBURSEMENT VOUC"ER No+ate+ 3 S *hec4 *omme)cial *hec4 ( ( 5the)s

    P(=

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    Republic of the PhilippinesDEPARTMENT OF EDUCATION

    S5*I(9

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    Republic of the PhilippinesDEPARTMENT OF EDUCATIONRegion IX, Zamboanga Peninsula

    SC"OO#S DIVISION OF ZAMBOANGA SIBUGAYIpil, Zamboanga Sibugay

    Telefax No. 06 !"""!#$%

    SU))AR# OF DIS&URSE)ENT

    NO% DATE ESTA&LIS+)ENT IN1OI$E NO% PARTI$ULARS A)OUNT

    TOTA#5

    (pp)o-e by+ P)epa)e by+

    School 8ead 'e

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    MOALBOAL ELEMENTARY SCHOOList)ict of Talusan

    SC"OO#S DIVISION OF ZAMBOANGA SIBUGAYTalusan, Zamboanga Sibugay

    A5R T8< P

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    (ccounting Section

    REPORT OF DISBURSEMENTSD(-artm(nt o E1u.at on, D 6 / on o Zamboanga S buga!

    (gency

    Pe)io *o-e)e +

    (T<B1P(=R599 R

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    9(25R P(=R59

    i=ision o Hamboanga Sib-ga;

    as -ll componsation or ser=ices rendered or the period stated9

    NA)E A)OUNT DUE SI(NATURE

    TOTAL4

    abo=e has been paid the amo-nt

    indicated opposite his/her name9

    A'N S (B(I9(29

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    EmF

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    MOOE-LIQUIDATI

    (422 $A"- #' S()##* A"#,$T2?1 2?

    THIRD FOURTH FIRST SECOND

    -*-"-$TA% S()##*1 AURORA PS

    2 BAGANIPAY ES OK OGP

    3 BOLINGAN ES 3Q-19,200.00-L OK

    4 BUALAN ES

    5 FLORIDA ES OK OGP

    KASIGPITAN ES

    ! KA"ILAN ES

    # LAPARAY ES

    9 $AHAYAHAY ES OGP

    10 $OALBOAL ES NL$

    11 SAGAY ES NL$

    12 SA$ONTE ES

    13 TALUSAN CES OK OGP

    14 TUBURAN ES NL$

    SECONDARY SCHOOL

    15 LAPARAY NHS OK ND$

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    N1@ 2?1! LEGEND:

    THIRD FOURTH FIRST SECOND THIRD FOURTH YESOK

    OG ON-GOING PROCURE$ENT

    ND$ NOT DO"NLOADED $OOENL$ NOT LIQUIDATED $OOE

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    ATTACHMENT

    CASH DISBURSE$EN REGISTER

    REPORT OF DISBURSE$ENT

    SU$$ARY OF DISBURSE$NET

    MATERIAL and OFFICE SUPPLY

    DISBURSE$ENT %OUCHER

    BAC-RESOLUTION

    BAC-$INUTES

    PURCHASE REQUEST

    REQUEST FOR QUOTATION &' CAN%ASS

    PURCHASE ORDER

    INSPECTION ( ACCEPTANCE REPORT

    ABSTRACT OF QUOTATION

    OR )*+ DR

    EXPENSES FOR UTILITIES & COMMUNICATION

    PURCHASE REQUEST

    INSPECTION ( ACCEPTANCE REPORT

    A$SURECO BILL )*+ O.R.

    "ATER DISTRICT BILL )*+ O.R.

    TRAVEL EXPENSES

    ITININARY OF TRA%EL

    CERTIFICATE OF TRA%EL CO$PLETED

    TRA%EL ORDER

    $E$ORANDU$ &' OUT OF TO"N/

    CERTIFICATE OF APPEARANCE

    RER

    RECEIPT

    TRAINING EXPENSES

    TRA%EL OREDER

    OFFICIAL RECEIPT

    $E$ORANDUN

    CERTIFICATE OF PARTICIPATION

    CERTIFICATE OF APPEARANCE

    JANITORIAL and SECURITY SERVICES

    OB ORDER S * '& 6 AGENCY/

    PAYROLL

    DTR OF $ONTH