Disbursement Voucher: Department of Education
Disbursement Voucher: Department of Education
Disbursement Voucher: Department of Education
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District
Fund Cluster:
101101
101407
104102
DISBURSEMENT VOUCHER DATE:
Others: __________
DV No: __________________
Mode of
MDS Check Commercial Check ADA Others (Please specify) LOCAL CHECK
Payment
TIN/ Employee No. OR/BUR Number
Payee
Address:
Responsibility
PARTICULARS MFO/PAP
Center AMOUNT
To payment for the supplies purchased for SBFP -
per
supporting papers amounting to….............
Gross Amt.
VAT
EWT - -
Net Amt. -
₱ -
A. Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
Cash Available
Subject to ADA (when applicable)
Supporting documents complete
Signature Signature
Printed Name EMMA S. REGONDOLA Printed Name DANTE FLORENCE R. BRIJUEGA
Position Disbursinng Office Position School Head
Date Date
E Receipt of Payment JEV Number
Date: ___________________
Sir/Madam:
I have the honor to request your team to inspect as to quantity and specification the delivered supplies/materials by Lyd
Printing Services and Enterprises on February 9, 2021, purchased under Purchase Order No.2021-02-, dated ______________ are
hereto attached for your perusal evaluation.
MARICHU O. RUBIS
Supply Officer
Received by:
FRANCIA R. REGONDOLA
Team Leader
Date: _________________________
Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
(NAME OF SCHOOL)
Oas North District
Fund Cluster:
101101
101407
104102
DISBURSEMENT VOUCHER DATE:
Others: __________
DV No: __________________
Mode of
MDS Check Commercial Check ADA Others (Please specify) LOCAL CHECK
Payment
TIN/ Employee No. OR/BUR Number
Payee MUELLA TRADING
__________________________________________
School Head
Date: __________________
B. Accounting Entry:
Cash Available
Subject to ADA (when applicable)
Supporting documents complete
Signature Signature
Printed Name Printed Name
Position Disbursinng Office Position School Head
Date Date
E Receipt of Payment JEV Number
Estimated Unit
Quantity Unit of Measure Item Description Stock No. Estimated Cost
Cost
for 23 Days) -
5704 pack Fortified Powdered Milk 33 grams 1 9.00 51,336.00
-
SBFP - MILK FEEDING MARCH 2021 -
for 23 Days) -
6696 pack Fortified Powdered Milk 33 grams 1 9.00 60,264.00
-
-
-
-
-
-
-
TOTAL ₱ 111,600.00
PURPOSE: For March 2021 and April 2021 SBFP - Milk Feeding.
Signature
C E R T I F I C A T I O N
This is to certify that the items procured per Purchase Order Number ___________
________________, dated _________________________ are all included in the school Approved
Work and Financial Plan for calendar year 2021.
Issued this _________ day of ___________ 2021 in support for the payment to be made
for the cost of items/services delivered by the supplier on _________________ per Delivery
Receipt No.____________.
PURCHASE ORDER
Supplier PO No.
Address Date
TIN Mode of Procurement LOCAL SHOPPING
Gentlemen:
Please furnish the Office the following materials subject to the terms and conditions contained herein.
Place of Delivery Delivery Term
11 Days)
TOTAL
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10)
of one percent for every day of delay shall be imposed.
ABSTRACT OF QUOTATION
Project : PR/RIS/JO No. : 2021-
Purpose : For March 2021 and April 2021 SBFP - Milk Feeding. Date :
Based on Abstract of Price Quotations offered by dealers on various materials as quoted above, this COMMITTEE,
considering the lowest reasonable price, hereby make the following awards.
Submit your quotation duly signed by you or your duly representative and copies of the following eligibility requirements not later than February 25, 2021.
OFFER
23 Days)
27 Days)
INSPECTION
Date Inspected: February 9, 2021.
Inspected, verified and found that the above delivered supplies conform with the quality and
specifications indicated in the Purchase Order.
Recommendation:
__________ Partial Payment / Full Payment
ACCEPTANCE
Date Received: February 9, 2021
/ Complete __________ Partial
MARICHU O. RUBIS
Supply Officer
Republic of the Philippines
Department of Education
Region V (Bicol)
SCHOOLS DIVISION OFFICE OF ALBAY
MANGA ELEMENTARY SCHOOL
Oas North District
Signature:
Printed Name
Designation: School Head School Head Supply Officer School Head
Date: