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DepED PS Form-GOODS-62 Project Reference No.

_______
Revised on: May 3, 2005


DEPARTMENT OF EDUCATION
Region III
Division of City Schools
City of San Jose del Monte
Telefax No. 044-6915830
deped_csjdm@yahoo.com

PURCHASE ORDER
SAN MARTIN NATIONAL HIGH SCHOOL
Agency / Procuring Entity
Republic of the Philippines

Supplier : P.O. No. : 2014-01-00
Address : Date :
E-mail Address : Mode of
Telephone No. : Procuremet :SHOPPING
TIN :

Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:

Place of Delivery : Delivery Term : ________________
Date of Delivery :_____________________ Payment Term : _________________


STOCK NO.


UNIT


DESCRIPTION


QTY


UNIT COST


TOTAL COST


































.


























(Total Amount in Words) /100.
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth
(1/10) of one (1) percent for every day of delay shall be imposed.

Very truly yours,


BELEN T. DE JESUS
Authorized Official
Conforme:

____________________________
Signature over printed name of Supplier

_______________________
Date

Funds Available:







ALOBS No. : _____________________

Amount : _______________________
DepED PS Form-GOODS-62 Project Reference No. _______
Revised on: May 3, 2005


DEPARTMENT OF EDUCATION
Region III
DIVISION OF CITY SCHOOLS
City of San Jose del Monte
PURCHASE REQUEST

SAN MARTIN NATIONAL HIGH SCHOOL
Agency / Procuring Entity

Department PR No. 2014-01-00 Date:
Section SAI No. Date:


STOCK
NO.
UNIT ITEM DESCRIPTION QTY. UNIT COST TOTAL COST























































































Purpose / Remarks:


Requested by:

Approved by:

Signature:

Printed Name: BELEN T. DE JESUS

Designation: TEACHER I PRINCIPAL

Date:





DepED PS Form-GOODS-62 Project Reference No. _______
Revised on: May 3, 2005


DEPARTMENT OF EDUCATION
Region III
DIVISION OF CITY SCHOOLS
City of San Jose del Monte

REQUEST FOR QUOTATION

SAN MARTIN NATIONAL HIGH SCHOOL

Date:

Quotation No.


Please quote your lowest price on the item/s listed below, subject to the General Conditions,
stating the shortest time of delivery and submit your quotation duly signed by your representative.



BELEN T. DE JESUS
Principal




NOTE:
- Delivery Period must be within ________ calendar days only.
- Price Validity must be within _________ calendar days.

After having carefully read and accepted your General Conditions, I/We quote you on the
item/s at prices noted above.
_____________________
Company Name

_____________________
Tel. No. / Cellphone No.

_____________________
Printed Name / Signature

______________________
Date

Unit ITEM & DESCRIPTION QTY. UNIT PRICE TOTAL PRICE






















DepED PS Form-GOODS-62 Project Reference No. _______
Revised on: May 3, 2005


DEPARTMENT OF EDUCATION
Region III
DIVISION OF CITY SCHOOLS
City of San Jose del Monte

REQUEST FOR QUOTATION

SAN MARTIN NATIONAL HIGH SCHOOL

Date:

Quotation No.


Please quote your lowest price on the item/s listed below, subject to the General Conditions,
stating the shortest time of delivery and submit your quotation duly signed by your representative.



BELEN T. DE JESUS
Principal




NOTE:
- Delivery Period must be within ________ calendar days only.
- Price Validity must be within _________ calendar days.

After having carefully read and accepted your General Conditions, I/We quote you on the
item/s at prices noted above.
_____________________
Company Name

_____________________
Tel. No. / Cellphone No.

_____________________
Printed Name / Signature

______________________
Date

Unit ITEM & DESCRIPTION QTY. UNIT PRICE TOTAL PRICE






















DepED PS Form-GOODS-62 Project Reference No. _______
Revised on: May 3, 2005


DEPARTMENT OF EDUCATION
Region III
DIVISION OF CITY SCHOOLS
City of San Jose del Monte

REQUEST FOR QUOTATION

SAN MARTIN NATIONAL HIGH SCHOOL

Date:

Quotation No.


Please quote your lowest price on the item/s listed below, subject to the General Conditions,
stating the shortest time of delivery and submit your quotation duly signed by your representative.



BELEN T. DE JESUS
Principal




NOTE:
- Delivery Period must be within ________ calendar days only.
- Price Validity must be within _________ calendar days.

After having carefully read and accepted your General Conditions, I/We quote you on the
item/s at prices noted above.
_____________________
Company Name

_____________________
Tel. No. / Cellphone No.

_____________________
Printed Name / Signature

______________________
Date

Unit ITEM & DESCRIPTION QTY. UNIT PRICE TOTAL PRICE






















DepED PS Form-GOODS-62 Project Reference No. _______
Revised on: May 3, 2005



DEPARTMENT OF EDUCATION
Region III
DIVISION OF CITY SCHOOLS
City of San Jose del Monte


SAN MARTIN NATIONAL HIGH SCHOOL



C O M M I T T E E O N A W A R D


ABSTRACT OF CANVASS











We hereby certify that the Abstract of Canvass was based on the personal canvass made
by the school official canvasser which to the best of our knowledge and belief is true and correct,
who offered the lowest quotation and is hereby awarded to











RENAN T. ORPIADA OSCAR N. GONZALES
BAC CHAIRMAN BAC VICE CHAIRMAN




JOVIELYN DC. RAMOS
BAC MEMBER










DepED PS Form-GOODS-62 Project Reference No. _______
Revised on: May 3, 2005







INSPECTION AND ACCEPTANCE REPORT

SAN MARTIN NATIONAL HIGH SCHOOL
City of San Jose del Monte, Bulacan




Supplier: IAR No.:

PO No.: Date: Invoice No.: Date:

Requisitioning Office/ Department: ____________________________________________________

Stock No. Unit Description Quantity
































ACCEPTANCE

INSPECTION


Date Received:



Complete

Partial (pls. Speficify quantity)




TEACHER I



Date Inspected:


Inspected, verified and found in order
as to quantity and specifications





OSCAR N. GONZALES
InspectionOfficer/Inspection Committee

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