Accounting Forms. December 2016 Mooe

No.
LIQUIDATION REPORT
Date: May 10, 2011
LAKE SEBU NATIONAL HIGH SCHOOL Responsibility Center Code
Particulars Amount
Liquidation of cash advance for payment of MA.

AMELFA F. PATRICIO for expenses incurred by Lake
Sebu National High School as per supporting documents
hereto attached in the amount of……………………… 38,079.49
Total Amount Spent 38,079.49

Amount of Cash Advance Per DV No. DTD 38,000.00
Amount Refunded Per OR No.
Amount To Be Reimbursed 79.49
Certified: Correctness of the Certified: Purpose of travel/cash Certified: Supporting documents

above data. advance duly accomplished complete and proper
MA. AMELFA F. PATRICIO LEOLYN A. SIMORA CARLO P. DIVEDOR, C.P.A

Claimant/Disbursing Officer Principal I/School Head Acting Division Accountant
Republic of the Philippines
Department of Education
Region XII
DIVISION OF SOUTH COTABATO
TUPI CENTRAL SCHOOL
( name of school)
TUPI NORTH DISTRICT
( address/ district)
For the Period covered___________
CASH DISBURSEMENT REGISTER
Type of Working Fund: SPED FUND
CASH ADVANCE BREAKDOWN OF PAYMENT
REFERENCE OFFICE REPAIRS AND OTHE ACCOUNTS
DATE (OR/RER/ PAYEE/ PARTICULARS TRAVEL TRAINING
AMOUNT BALANCE SUPPLIES MAINTENANCE
Check #) PAYMENT EXPENSES EXPENSES ACCOUNT
RECEIVE (6=4-5) EXPENSES OF SCH. BLDG ACCOUNT CODE AMOUNT
5020101000 5020201000 NAME
5020201000 50213040022
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]
Resource in Educational and
11/27/2015 7117 Allied Consultancy
12/10/2015 1207 Kampana Publishing House 14,300.00
12/11/2015 Itinerary of Travel 1,920.00
Polmargen Transport Multi
12/11/2015 14771 Purpose Coop. 18,000.00 18,000.00
12/21/2015 5773 Xyrrah's Catering Services 10,000.00
12/28/2015 679 Fiel Collins Gen. Merchandise 2,502.00 2,502.00
12/28/2015 706 Fiel Collins Gen. Merchandise 20,023 20,023
CERIFIED CERTIFED: NOTED:
CORRECT: SUPPORTING DOCUMENTS COMPLETE
RAMON V. GLORIA CARLO P. DIVEDOR , CPA RAMON V. GLORIA

Disbursing Officer/School Head ACCOUNTANT III School Head
DATE DATE DATE
CERTIFICATION
I hereby certify that this Cash Disbursement Register in _____ Sheet/s is full, true and correct statements made by me and that this is in liquidation of the cash advance
granted last ____________ in the amount of Php _____________ per Check No. _________________ dated ___________________
RAMON V. GLORIA
Region XII
TUPI CENTRAL SCHOOL
( name of school)
TUPI NORTH DISTRICT
5020101000 5020201000 NAME
5020201000 50213040022
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]
Disbursing Officer/School Head/District Supervisor
Date: _______________
Region XII
TUPI CENTRAL SCHOOL
( name of school)
TUPI NORTH DISTRICT
5020101000 5020201000 NAME
5020201000 50213040022
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]

Date: _______________
Region XII
TUPI CENTRAL SCHOOL
( name of school)
TUPI NORTH DISTRICT
5020101000 5020201000 NAME
5020201000 50213040022
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]
306,168.18 286,168.18
11/18/2015 2736 Villlagracia Tailoring 20,000.00 266,168.18 Sped Fun Day 20,000.00
11/19/2015 17424 City Art 1,779.00 264,389.18 Tarpaulin 1,779.00
11/19/2015 17425 City Art 120.00 264,269.18 Tarpaulin 120.00
Fiel Collins General
11/19/2015 685 Merchandise 10,000.00 254,269.18 Shoes 10,000.00
11/20/2015 644627 KCC Shopping Center 2,237.00 252,032.18 Trophy 2,237.00
11/21/2015 24321 Hatulan General Merchandise 5,000.00 247,032.18 Towels 5,000.00
11/23/2015 5855 Xyrrah's Catering Services 30,000.00 217,032.18
11/27/2015 Itinerary of Travel 18,252.84 198,779.34 12,252.84 6,000.00
- - - - 39,136.00
CERIFIED CERTIFED: NOTED:
CORRECT: SUPPORTING DOCUMENTS COMPLETE
RAMON V. GLORIA CARLO P. DIVEDOR , CPA RAMON V. GLORIA

Disbursing Officer/School Head ACCOUNTANT III School Head
DATE DATE DATE
CERTIFICATION
I hereby certify that this Cash Disbursement Register in _____ Sheet/s is full, true and correct statements made by me and that this is in liquidation of the cash advance
granted last ____________ in the amount of Php _____________ per Check No. _________________ dated ___________________
RAMON V. GLORIA
Region XII
TUPI CENTRAL SCHOOL
( name of school)
TUPI NORTH DISTRICT
5020101000 5020201000 NAME
5020201000 50213040022
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]
Date: _______________
Region XII
TUPI CENTRAL SCHOOL
( name of school)
TUPI NORTH DISTRICT
5020101000 5020201000 NAME
5020201000 50213040022
[1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]

Date: _______________
Republika ng Pilipinas
Kagawaran ng Edukasyon
Rehiyon XII
SANGAY NG SOUTH COTABATO
TUPI CENTRAL SCHOOL
Tupi, South Cotabato
AUTHORITY TO TRAVEL
Travel Authority #
Name : CRISTIE LOU M. CARILLO
Position/Designation: TEACHER - I
Official Station : Tupi Central School
Destination : Division Office, Division of South Cotabato
Purpose : To make audience to the Schools Division Superintendent regarding
the funding for participation in the NSPC 2015.
Inclusive Dates : 9-Mar-15
Chargeable Against : Local Funds
Requested by :
CRISTIE LOU M. CARILLO
Approved:
AMRAH M. AGUSTIN, Ph.D

Principal - ll/Principal In Charge
Approved:
by:
ESTRELLA ABID BABANO, CESO III
SUSAN Y. DIDELES Regional Director
ES-I Home Economics
In-Charge of the Division
by:
ELLA ABID BABANO, CESO III
Regional Director
Approved:
Rehiyon XII
TUPI CENTRAL SCHOOL
AUTHORITY TO TRAVEL
Travel Authority #
Name : EMILYN P. PABLEO
Position/Designation: TEACHER - II
Destination : Division Office, Division of South Cotabato
Purpose : To make audience to the Schools Division Superintendent regarding
the funding for participation in the NSPC 2015.
Inclusive Dates : 9-Mar-15
Requested by :
EMILYN P. PABLEO
Approved:

Approved:
by:
ES-I Home Economics
by:
Regional Director
Approved:
Rehiyon XII
TUPI CENTRAL SCHOOL
AUTHORITY TO TRAVEL
Travel Authority #
Name : SUZETTE L. BASAN
Position/Designation: MASTER TEACHER - II
Destination : LakeSebu National High School, Lake Sebu, South Cotabato
Purpose : To attend training on Learning Effectively through Enhanced Pedagogy
Inclusive Dates : January 6 - 8, 2015
Requested by :
SUZETTE L. BASAN
Approved:

Approved:
by:
ES-I Home Economics
by:
Regional Director
Approved:
APPENDIX : A
Kagawaran ng Edukasyon, Kultura at Isports
Rehiyon XII
Koronadal
ITINERARY OF TRAVEL
NAME : RUBY D. MANLABAO
POSITION; MASTER TEACHER - I
OFFICIAL STATION: TUPI CENTRAL SCHOOL, TUPI NORTH DISTRICT, TUPI,SOUTH COTABATO
PURPOSE OF TRAVEL : ATTEND TRAINING OF LEARNING EFFECTIVELY THROUGH ENHANCED PEDAGOGIES,

LAKE SEBU NATIONAL HIGH SCHOOL, LAKE SEBU,SOUTH COTABATO
TIME
Places to be Visited Means of Allowable Expenses Total
DATE Departure ArrivalTranspor - Tanspor - Per Amount
tation tation Diems Claimed
1/6/2015 Station terminal 6:00 Tricycle 10.00 10.00
Terminal Koronadal Van 30.00 30.00
Koronadal Lake Sebu Van 60.00 60.00
Lake Sebu Koronadal Van 60.00 60.00
Koronadal Tupi 6:00: PM Van 30.00 30.00
1/7/15 Tupi Koronadal 5:30 AM Van 30.00 30.00
Koronadal Tupi 6.15 PM Van 30.00 30.00
1/8/15 Tupi Koronadal 6:00 AM Van 30.00 30.00
Koronadal Tupi 6.00 PM Van 30.00 30.00
Total 540.00 - 540.00
Prepared by:
I HEREBY CERTIFY THAT : (1) I have
reviewed the foregoing Itinerary (2) That the RUBY D. MANLABAO
travel is necessary to the service (3) That the Master Teacher
expenses claimed are proper.
APPROVED:
WILFREDO S. NOBLEZA
Principal AMRAH M. AGUSTIN
Principal - II/ Principal In Charge
DEPARTMENT OF EDUCATION Control #
Date:
Quotation Number:
__________________________________
(name of company)
___________________________________
(address)
Please quote your lowest price on the item/s listed below, subject to the General Condition on the last page,
stating the shortest time of delivery and submit your quotation duly signed by your representative not later than
JANE B. CABARLO
Principal
Note: 1. ALL ENTRIES MUST BE TYPWIRTTEN OR WRITTEN LEGIBLY.
2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.
Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 LTC HANZA YELLOW LTS 1
2 LTC GLOSS VIOLET LTS 1
3 LTC THALO BLUE LTS 1
4 LTC THALO GREEN LTS 1
5 MASKING TAPE #3/4 ROLL 2
6 MASKING TAPE #1/2 ROLL 2
7 MEYER GLOSS WHITE GAL 1

8 LTC RAW SIENNA PNT 2
9 ROLLER #4 PCS 3
10 BRUSH#1 PCS 3
11 LAC THINNER BOTTLE 2
12 GLOSS LATEX RAW SIENNA GAL 1
13
14
15
16
17
18
Brand & Model:
Delivery Period:
Warranty:
Price Validity:
(Agency)
(Address)
After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted.
________________________________
Printed Name/Signature of Supplier
Tel. Number/Cellphone Number/E-mail ad

Date
DEPARTMENT OF EDUCATION Control #
Date:
Quotation Number:
__________________________________
(name of company)
___________________________________
(address)
Please quote your lowest price on the item/s listed below, subject to the General Condition on the last page,
stating the shortest time of delivery and submit your quotation duly signed by your representative not later than
JANE B. CABARLO
Principal
Note: 1. ALL ENTRIES MUST BE TYPWIRTTEN OR WRITTEN LEGIBLY.
2. DELIVERY PERIOD WITHIN 5 WORKING DAYS
3. WARANTY SHALL BE FOR THE PERIOD OF SIX (6) MONTHS FOR SUPPLIES AND MATERIALS, ONE
(1) YEAR FOR EQUIPMENT, FROM DATE OF ACCEPTANCE BY THE PROCURING ENTITY
4. PRICE VALIDITY SHALL BE FOR THE PERIOD OF 1 CALENDAR YEAR
5. G-EPS REGISTRATION OF CERTIFICATE SHALL BE ATTACHED UPON SUBMISSION OF THE
QUOTATION.
6. BIDDERS SHALL SUBMIT ORIGINAL BROCHURES SHOWING CERTIFICATIONS OF THE PRODUCT
BEING OFFERED, IF AVAILABLE.
Item Unit of
ITEM AND DESCRIPTION Quantity Unit Price
Number Issue
1 SAND PAPER PCS 3
2 FLATWALL ENAMEL WHITE GAL 1
3 GLOSS ENAMEL WHITE GAL 1
4 QTC RAW SIENNA PNT 2
5 LTE RAW SIENNA PNT 2
6 GLOSS LATEX GAL 2
7 PALMERA GREEN LATEX GAL 2

8 SUNNY YELLOW LATEX GAL 3
9 POWER ROOF GREEN GAL 1
10 GLOSS LATEX GAL 1
11 POPULAR QDE WHITE GAL 1
12 PAINT BRUSH #2 PCS 5
13 Paint brush#1 PCS 1
14 MEYER PAINT (LATEX WHITE) GAL 2
15 QDE PALMERA GREEN GAL 1
16
17
18
Brand & Model:
Delivery Period:
Warranty:
Price Validity:
(Agency)
(Address)
After having carefully read and accepted your General Conditions, I/We quote you on the item at
prices noted.
________________________________
Printed Name/Signature of Supplier
Tel. Number/Cellphone Number/E-mail ad

Date
ABSTRACT OF BID / CANVASS
TUPI CENTRAL SCHOOL
(Name of School)
Date of Advertisement Date of Openning
Item MELS PAINT CENTER NJC HARDWARE M-SAVER HARDWARE

Quantity Unit of Issue Name of Articles
No.
Unit Cost Total Unit Cost Total Unit Cost Total
1 1 LTS LTC HANZA YELLOW 160.00 160.00 161.00 161.00 165.00 165.00
2 1 LTS LTC GLOSS VIOLET 160.00 160.00 161.00 161.00 165.00 165.00
3 1 LTS LTC THALO BLUE 160.00 160.00 161.00 161.00 165.00 165.00
4 1 LTS LTC THALO GREEN 160.00 160.00 161.00 161.00 165.00 165.00
5 2 ROLL MASKING TAPE #3/4 15.00 30.00 16.00 32.00 17.00 34.00
6 2 ROLL MASKING TAPE #1/2 20.00 40.00 21.00 42.00 22.00 44.00
7 1 GAL MEYER GLOSS WHITE 440.00 440.00 445.00 445.00 450.00 450.00
8 2 PNT LTC RAW SIENNA 50.00 100.00 51.00 102.00 53.00 106.00
9 3 PCS ROLLER #4 45.00 135.00 46.00 138.00 47.00 141.00
10 3 PCS BRUSH#1 30.00 90.00 31.00 93.00 35.00 105.00
11 2 BOTTLE LAC THINNER 45.00 90.00 46.00 92.00 50.00 100.00
12 1 GAL GLOSS LATEX RAW SIENNA 580.00 580.00 590.00 590.00 600.00 600.00
13 - - -
14 - - -
15 - - -
16 -
17
18 - - -
19 - - -
Total 1,865.00 2,145.00 1,890.00 2,178.00 1,934.00 2,240.00
Recommendation of the Items number 1-12 are awarded to MELS PAINT as the lowest bidder.
requisitioner:
ACTION OF THE COMMITTEE: AWARDED AS RECOMMENDED .

Requisitioner:
JANE B. CABARLO
DAISY M. ORENCIO JANE D. SOLON SHIRLEY B. DELMONTE Requesting Officer
(BAC Committee Member) (BAC Committee Member) (BAC Committee Member)
TUPI CENTRAL SCHOOL
(Name of School)
Item MELS PAINT CENTER NJC HARDWARE M-SAVER HARDWARE

No.
1 3 PCS SAND PAPER 14.00 42.00 15.00 45.00 14.75 44.25
2 1 GAL FLATWALL ENAMEL WHITE 460.00 460.00 465.00 465.00 466.00 466.00
3 1 GAL GLOSS ENAMEL WHITE 520.00 520.00 521.00 521.00 523.00 523.00
4 2 PNT QTC RAW SIENNA 50.00 100.00 51.00 102.00 55.00 110.00
5 2 PNT LTE RAW SIENNA 50.00 100.00 51.00 102.00 55.00 110.00
6 2 GAL GLOSS LATEX 270.00 540.00 272.00 544.00 275.00 550.00
7 2 GAL PALMERA GREEN LATEX 620.00 1,240.00 621.00 1,242.00 623.00 1,246.00
8 3 GAL SUNNY YELLOW LATEX 640.00 1,920.00 640.50 1,921.50 645.00 1,935.00
9 1 GAL POWER ROOF GREEN 620.00 620.00 625.00 625.00 626.00 626.00
10 1 GAL GLOSS LATEX 440.00 440.00 445.00 445.00 447.00 447.00
11 1 GAL POPULAR QDE WHITE 450.00 450.00 500.00 500.00 501.00 501.00
12 5 PCS PAINT BRUSH #2 45.00 225.00 46.00 230.00 46.00 230.00
13 1 PCS Paint brush#1 30.00 30.00 35.00 35.00 33.00 33.00
14 2 GAL MEYER PAINT (LATEX WHITE) 330.00 660.00 332.00 664.00 335.00 670.00
15 1 GAL QDE PALMERA GREEN 640.00 640.00 645.00 645.00 650.00 650.00
16 -
17
18 - - -
19 - - -
Total 5,179.00 7,987.00 5,264.50 8,086.50 5,294.75 8,141.25
Recommendation of the Items number 1-15 are awarded to MELS PAINT as the lowest bidder.
requisitioner:

Requisitioner:
JANE B. CABARLO
PURCHASE REQUEST
Agency DEPED - TUPI CENTRAL P.R. No. Date:
Address TUPI SOUTH COT. SAI No. Date:

Item No. Unit Description Quantity Unit Cost Amount
1 LTS
LTC HANZA YELLOW 1 160.00 160.00
2 LTS LTC GLOSS VIOLET 1 160.00 160.00
3 LTS LTC THALO BLUE 1 160.00 160.00
4 LTS
LTC THALO GREEN 1 160.00 160.00
5 ROLL
MASKING TAPE #3/4 2
15.00 30.00
6 ROLL
MASKING TAPE #1/2 2
20.00 40.00
7 GAL
MEYER GLOSS WHITE 1
440.00 440.00
8 PNT
LTC RAW SIENNA 2
50.00 100.00
9 PCS
ROLLER #4 3
45.00 135.00
10 PCS
BRUSH#1 3
30.00 90.00
11 BOTTLE
LAC THINNER 2
45.00 90.00
12 GAL
GLOSS LATEX RAW SIENNA 1
580.00 580.00
13 -
14 -
15 -
16 -
17
Total Php 2,145.00

Purpose: For repainting of fower boxes, perimeter fence and BLSB building
Requested by: Approved by:
Signature
Printed Name: CRISTIE LOU M. CARILLO JANE B. CABARLO
Designation TEACHER-I PRINCIPAL - I
*Prepare in 2 copies
PURCHASE REQUEST
Agency DEPED - TUPI CENTRAL P.R. No. Date:

1 PCS
SAND PAPER 3 14.00 42.00
2 GAL FLATWALL ENAMEL WHITE 1 460.00 460.00
3 GAL GLOSS ENAMEL WHITE 1 520.00 520.00
4 PNT
QTC RAW SIENNA 2
50.00 100.00
5 PNT
LTE RAW SIENNA 2
50.00 100.00
6 GAL
GLOSS LATEX 2
270.00 540.00
7 GAL
PALMERA GREEN LATEX 2
620.00 1,240.00
8 GAL
SUNNY YELLOW LATEX 3
640.00 1,920.00
9 GAL
POWER ROOF GREEN 1
620.00 620.00
10 GAL
GLOSS LATEX 1
440.00 440.00
11 GAL
POPULAR QDE WHITE 1
450.00 450.00
12 PCS
PAINT BRUSH #2 5
45.00 225.00
13 PCS
Paint brush#1 1
30.00 30.00
14 GAL
MEYER PAINT (LATEX WHITE) 2
330.00 660.00
15 GAL
QDE PALMERA GREEN 1
640.00 640.00
16 -
17
Total Php 7,987.00

Purpose: For repainting of fower boxes, perimeter fence and BLSB building
Signature
TUPI CENTRAL SCHOOL
(Name of School)

MARBEL COMPUTER
Item ORO COMPUTER CENTER JAMS INFO TECH
Quantity Unit of Issue Name of Articles CENTER
No.
1 1 PC 500GB HHD 2,500.00 2,500.00 2,600.00 2,600.00 2,650.00 2,650.00
2
3
4
5
6
7
8
9
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
- - -
Total 2,500.00 2,500.00 2,600.00 2,600.00 2,650.00 2,650.00
Recommendation of the Item number 1 is awarded to Marbel Computer Center as the lowest bidder.
requisitioner:

Requisitioner:
JANE B. CABARLO
TUPI CENTRAL SCHOOL
(Name of School)
Item EEH HARDWARE NJC HARDWARE M-SAVER HARDWARE

No.
1 2 BOTTLE PAINT THINNER 40.00 80.00 41.00 82.00 40.50 81.00
2 2 Q LATEX RAW SIENNA 65.00 130.00 66.00 132.00 66.75 133.50
3 1 GAL ROSCO RAW SIENNA 365.00 365.00 367.00 367.00 366.00 366.00
4 1 GAL ROSCO QRE 525.00 525.00 526.00 526.00 526.75 526.75
5 1 GAL ROSCO R-WALL 495.00 495.00 500.00 500.00 498.00 498.00
6 1 PC ROLLER 85.00 85.00 90.00 90.00 91.00 91.00
7
8
9
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
- - -
Total 1,575.00 1,680.00 1,590.00 1,697.00 1,589.00 1,696.25
Recommendation of the Items number 1-6 are awarded to EEH HARDWARE as the lowest bidder.
requisitioner:

Requisitioner:
JANE B. CABARLO
TUPI CENTRAL SCHOOL
(Name of School)
Item NJC GENERAL MERCH. EEH HARDWARE M-SAVER HARDWARE

No.
1 3 PC Junction Box 30.00 90.00 31.00 93.00 30.50 91.50
2 1 PC Breaker 300.00 300.00 305.00 305.00 303.00 303.00
3 7 L Elec. Molding 45.00 315.00 46.00 322.00 47.00 329.00
4 1 PC E-tape 30.00 30.00 31.00 31.00 33.00 33.00
5 1 BOX THHN 3,100.00 3,100.00 3,200.00 3,200.00 3,150.00 3,150.00
6 20 PC TW#10 45.00 900.00 46.00 920.00 45.50 910.00
7 1 PC FLUSH TYPE 90.00 90.00 91.00 91.00 92.00 92.00
8 1 PC OUTLET 85.00 85.00 86.00 86.00 87.00 87.00
9 - - -
10 - - -
11 - - -
12 - - -
13 - - -
14 - - -
15 - - -
- - -
Total 3,725.00 4,910.00 3,836.00 5,048.00 3,788.00 4,995.50
Recommendation of the Items number 1-8 are awarded to NJC Gen. Merch as the lowest bidder.
requisitioner:

Requisitioner:
JANE B. CABARLO
5 BOX THHN 1 3,100.00 3,100.00
6 PC TW#10 20 45.00 900.00
7 PC FLUSH TYPE 1 90.00 90.00
8 PC OUTET 1 85.00 85.00
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17
Total Php 4,910.00

Purpose: For installation of Electrical Wirings in the ICT Room 2.
Signature
Appendix 64
INSPECTION AND ACCEPTANCE REPORT

Koronadal City
Supplier: MELS PAINT

Address: TUPI SOUTH COT. IAR No.:
P.O. No.: Invoice No.:
Date: Date:
Requisitioning Office/Dept: Deped- Tupi Central School
Stock No. Unit Description Quantity

1 LTS LTC HANZA YELLOW 1
2 LTS LTC GLOSS VIOLET 1
3 LTS LTC THALO BLUE 1
4 LTS LTC THALO GREEN 1
5 ROLL MASKING TAPE #3/4 2
6 ROLL MASKING TAPE #1/2 2
7 GAL MEYER GLOSS WHITE 1
8 PNT LTC RAW SIENNA 2
9 PCS ROLLER #4 3
10 PCS BRUSH#1 3
11 BOTTLE LAC THINNER 2
12 GAL GLOSS LATEX RAW SIENNA 1
13
14
15
INSPECTION ACCEPTANCE
Date Inspected: Date Received: ________________
/ Inspected, verified and found in order as to /

Complete
quantity and specification. Partial (Pls. specify quantity)
JOHN G. LORENO JANE B. CABARLO

School Property Custodian PRINCIPAL-I
Appendix 64

Koronadal City
Supplier: MELS PAINT

Address: TUPI SOUTH COT. IAR No.:
P.O. No.: Invoice No.:
Date: DECEMBER 15,2016 Date:
Requisitioning Office/Dept: Deped- Tupi Central School

1 PCS SAND PAPER 3
2 GAL FLATWALL ENAMEL WHITE 1
3 GAL GLOSS ENAMEL WHITE 1
4 PNT QTC RAW SIENNA 2
5 PNT LTE RAW SIENNA 2
6 GAL GLOSS LATEX 2
7 GAL PALMERA GREEN LATEX 2
8 GAL SUNNY YELLOW LATEX 3
9 GAL POWER ROOF GREEN 1
10 GAL GLOSS LATEX 1
11 GAL POPULAR QDE WHITE 1
12 PCS PAINT BRUSH #2 5
13 PCS Paint brush#1 1
14 GAL MEYER PAINT (LATEX WHITE) 2
15 GAL QDE PALMERA GREEN 1

Complete

School Property Custodian PRINCIPAL-I
PURCHASE REQUEST
Agency DEPED- TUPI CENTRAL P.R. No. Date:

1 REPAIR AND INSTALLATION 2 400.00 800.00

2
3
4
5
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17
Total Php 800.00

Purpose: REPAIR AND INSTALLATION OF DCP PACKAGE BATCH 26
Signature
PURCHASE ORDER
Koronadal City
Supplier: Watsons P.O. No.
Address: Veranza Mall Date:
TIN: Mode of Procurement:

Gentlemen:
Please furnish this office the following articles subject to the terms and contained therein:
Place of Delivery: Delivery Term:
Date of Delivery: Payment Term:
Stock No. Unit Description Quantity Unit Cost Amount
1 1 N2IT Silver Make Up Set 3 14,459.75 43,379.25

2 1 Watson Bubble Foot Spa 3 1,599 4,797.00
3 1 Watsons Hair Dryer 3 999 2,997.00
4 1 Super Dry Ultra Slim Hair Straightener 3 999 2,997.00
5
10
TOTAL 54,170.25
Total amount in words: FIFTY FOUR THOUSAND ONE HUNDRED SEVENTY AND TWENTY FIVE CENTAVOS ONLY
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 everyday of delay
shall be imposed.
Conforme: Very truly yours,

SHIRLYN T. MONDOÑEDO
Signature over Printed Name
(Supplier) CRISPIN A. SOLIVEN , JR

Schools Division Superintendent
28-Dec-14
Date:
Funds AvaIlable ALOBS No.
CARLO P. DIVEDOR, CPA

Accountant II Amount:
PURCHASE ORDER
Koronadal City
Supplier: HBC Inc. P.O. No.
Address: Third Floor KCC Mall of Gensan Date:

Gentlemen:
1 3 units WAHL H/Cutting Kit Pro 3 3.875.00 11,625.00

2 3 units Hortaleza Prof.Hair Iron 3 1500 4,500.00
3 6 units Hortaleza Cuticle Nipper HP 6 199 1,194.00
4 6 units Hortaleza Parlor scissor#5 6 195 1,170.00
5 1 unit Hortaleza Hair Dryer (made in 1 2,000.00 2,000.00
Hongkong)
6 6 units Pusher 6 16 96.00
7 6 units Nail file 6 22 132.00
8 6 units Royal Nail cutter (big) 6 33 198.00
9 6 units Stick Wooden 6 15 90.00
10 24units Hair Clip (plastic) 30 21 630.00
TOTAL 21,635.00
Total amount in words: TWENTY ONE THOUSAND SIX HUNDRED THIRTY-FIVE PESOS ONLY
shall be imposed.
MARY ALUNETTE BASIYA
(Supplier) CRISPIN A. SOLIVEN , JR

28-Dec-14
Date:

PURCHASE ORDER
Koronadal City
Supplier: P.O. No.
Address: Date:

Gentlemen:
TOTAL -
Total amount in words: NINETY ONE THOUSAND EIGHT HUNDRED SEVENTY FIVE PESOS ONLY
shall be imposed.
(Supplier)
__________________
Date:

Appendix 64

Koronadal City
Supplier: JAMS INFORMATION SERVICES

Address: TUPI SOUTH COTABATO IAR No.:
P.O. No.: 3360 Invoice No.:
Date: December 15, 2016 Date:
Requisitioning Office/Dept: DEPED -TUPI CENTRAL

REPAIR AND INSTALLATION OF
1 7
COMPUTERS

Complete

SCHOOL PROPERTY CUSTODIAN PRINCIPAL-I
REPORT OF DISBURSEMENT
__________________________________________________________
Agency
Report No.: ________________

Period Covered: _________________________________ Sheet No.: ________________
Responsibility
Date DV/Payroll No. Center Code Payee Nature of Payment Amount
CERTIFICATION
I hereby that this Report of Disbursement in ____ sheets is a full, true and correct statement of the
disbursements made by me and that this liquidation of the cash advance granted last ____________ in
the amount of Php ______________ per Check No. _______________ dated _________________.
________________________________ ___________________
Disbursing Officer Date
JOB ORDER
LAKE SEBU NATIONAL HIGH SCHOOL
(Name of School)
Laborer: P.O. No.
Address: Date:

Gentlemen:
Stock No. Unit Job Specification Quantity Unit Cost Amount
-
-
-
-
-
-
-
-
-
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) of one percent for everyday of
delay shall be imposed.

0
(Laborer) ___________________
Principal I
__________________
Date:
ALOBs No.
Funds Available:
Amount:
______________________________
Administrative Assistant III
REIMBURSEMENT EXPENSE RECEIPT
Date No.
RECEIVED from ____________________________________

(Name)
_________________________________________________ the amount

(Official Designation)
of _______________________________________ (Php _____________)

(In Words) (In Figures)
in payment for ________________________________________________

(Payment for subsistence, service,
____________________________________________________________
rental or transportation should show inclusive dates,
____________________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature ________________________________________________________
Address ______________________________________________________________
Residence Cert. No. ____________________________________________________
Date of Issue __________________________________________________________
Place of Issue _________________________________________________________
WITNESS
Name/Signature ________________________________________________________
Address ______________________________________________________________
Residence Cert. No. ____________________________________________________
Date of Issue __________________________________________________________
Place of Issue _________________________________________________________
Region XII
TUPI CENTRAL SCHOOL
Name of School
LABOR PAYROLL
Date :______________________
No. Name Rate No. of days Total Amount Signature Remarks

INSTALLATION AND REPAIR
FRANCISCO SARAO 400.00 2 800.00
COMPLETED
Total 800.00
INSTALLATION AND REPAIR OF DCP PACKAGES BATCH 26

hereby certify that the worker/s above have rendered service
Noted:
JANE B. CABARLO
Principal I
Region XII
Division of South Cotabato
TUPI CENTRAL SCHOOL
SCHOOL BASED FEEDING PROGRAM

Activity
Nov-14
Date
Name Designation/School Signature
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
Tupi Central School
ANNEX 33
REQUISITION AND ISSUE SLIP

Name of School
Division Responsibility Center RIS No. Date: 6/13/2011
Office/Dept. Accounting & Personnel Code: ____________ SAI No. Date:
Requisition Issuance
Stock No. Unit Description Quantity Quantity Remarks
1 pcs File Box Organizer 10 10 All issued
2 pcs Morocco Green Folder 25 10 All issued
Purpose:
Requested/Received by: Issued by: Returned by: Received by:
Signature
Printed Name DANNY D. PEREZ ROSALYN E. MONTES DANNY D. PEREZ
Designation Admin. Asst II Supply Officer Admin. Asst III
Date 6/13/2011 6/13/2011 6/13/2011
ACKNOWLEDGEMENT RECEIPT OF EQUIPMENT
Agency: TUPI CENTRAL SCHOOL SPED CENTER
Tupi North District, Division of South Cotabato
QTY UNIT DESCRIPTION (Serial No., if any) Property No.

1 unit Konica Minolta Photo Copier S# 21416828 1
Received by: Received from:
MARY ANN B. ESTRADA SAMUEL M. ESPECTATO

Signature Over Printed Name Signature Over Printed Name
SPED Coordinator School Property Custodian

Position/Designation Supply Officer/Property Custodian
Date Date
*ddp
Station Code - Secondary
502 BENTUNG SULIT 225-6142

503 EDWARDS 238-8057
505 GUINSANG-AN 238-7186
506 KATIPUNAN 235-2801
507 NED
508 LAKE SEBU
510 LAPUZ
511 CENTRALA 238-6024
512 MALTANA 227-1208
514 NORALA 234-1007
515 PANAY 238-7206
517 POLONULING 226-1064
518 SAN MIGUEL
520 POB. POLOMOLOK 225-2101
521 TANTANGAN 228-7578
522 TBOLI 237-1066
524 UPPER KLINAN
526 TANTANGAN NATIONAL TRADE 229-1028
527 CEBUANO
528 SURALLAH 238-3534
529 TAMPAKAN 227-2901
530 SILWAY 8 225-2714
531 LAMBUNTONG
532 SAN JOSE
IMPLEMENTING UNIT
501 BANGA
519 STO. NIÑO
*ddp
Station Code - Elementary
095 INSULAR
001 BANGA SOUTH 239-1148
008 BANGA NORTH 239-1145
014 BANGA EAST
017 NORALA 234-1128
018 STO. NIÑO 235-1107
019 LAKE SEBU EAST
020 LAKE SEBU WEST 0921-2887682 - REYNITA MARCELINO
023 TUPI NORTH 226-2829
024 TAMPAKAN 234-1007
025 TUPI SOUTH 238-7206
029 SURALLAH NORTH 238-3991
030 SURALLAH SOUTH 238-6177
031 SURALLAH CENTRAL 238-6154
032 TBOLI WEST 238-8047
033 TBOLI EAST
037 TANTANGAN 229-2711
038 POLOMOLOK WEST 225-2658
039 POLOMOLOK EAST 225-3016
*ddp
Republic of the Philippines Republic of the Philippines
Department of Education Department of Education
Region XII Region XII
DIVISION OF SOUTH COTABATO DIVISION OF SOUTH COTABATO
LAKE SEBU NATIONAL HIGH SCHOOL LAKE SEBU NATIONAL HIGH SCHOOL
Lake Sebu, South Cotabato Lake Sebu, South Cotabato
LIQUIDATION REPORT LIQUIDATION REPORT

OF OF
MOOE MOOE
For the Month of For the Month of

JUNE, 2010 JUNE, 2010
Submitted by: Submitted by:
LEOLYN A. SIMORA LEOLYN A. SIMORA

Principal I Principal I
School File Copy

Region XII
MALTANA NATIONAL HIGH SCHOOL
Maltana, Tampakan, South Cotabato
ITINERARY OF TRAVEL
Name: JOY M. LIM
Positio Senior Bookkeeper
Official Station: Maltana National High School
Purpose of TraveReport to Division Office-Accounting Section
Time Expenses
Mode of
Date Place to be Visited Transportation Registration
Departure Arrival Fare Per Diem Total
Fee
TOTAL - - - -
I certify that: (1) I have reviewed the forgoing itinerary, (2) Prepared by:
the travel is necessary to the service, (3) the covered period is
reasonabe and (4) the exoenses claimed are proper JOY M. LIM
CARLO P. DIVEDOR, CPA Senior Bookkeeper
Accountant II Approved by:
CRISPIN A. SOLIVEN, JR.

Assistant Schools Division Superintendent
Officer-In-Charge
Region XII
APPENDIX - B
DATE
I certify that I have completed the travel authorized in itrenary No. ______________________
dated , under my conditions indicated below.
Strictly in accordance with the approved itirenary.

Cut short as explained below. Excess payment in the amount of P________
was refunded in O.R._________ dated _______________________________
Extended as explained below. Additional Itirenary was submitted.
Other Deviation as explained below.
Evidence of travel attached hereto:

Certificate of Apperance
Official Receipt
Authority to Travel
Respectfully submitted by:
On evidence and information of which I have knowledge the travel was actually undertaken.
Principal/TIC
Region XII
Lake Sebu, South Cotabato
January 3, 2012
Date
TRAVEL ORDER
No. ______ S. 2010
Mr./Mrs./Ms. DANNY D. PEREZ

is hereby directed to go to: KORONADAL
Division office.
CITY
Koronadal City
On the period of JULY 03-Jan-12
28, 2008 (purpose of travel) TO SUBMIT UPDATED PLANTILLA
FOR 2012, CORRECTION OF PAYROLL FOR THE MONTH OF
JANUARY, 2012, PAPERS FOR INTEGRATION TO PSU PAYROLL OF
NEWLY HIRED TEACHERS
This travel order being necessary for the interest of public service is hereby declared
official , confirmed and made of record.
MRS. LEOLYN A. SIMORA

Principal

Region XII
Lake Sebu, South Cotabato
January 3, 2012
Date
TRAVEL ORDER
No. ______ S. 2010
Mr./Mrs./Ms. DANNY D. PEREZ

is hereby directed to go to: KORONADAL
Division office.
CITY
Koronadal City
On the period of JULY 03-Jan-12
28, 2008 (purpose of travel) TO SUBMIT UPDATED PLANTILLA
FOR 2012, CORRECTION OF PAYROLL FOR THE MONTH OF
JANUARY, 2012, PAPERS FOR INTEGRATION TO PSU PAYROLL OF
NEWLY HIRED TEACHERS
This travel order being necessary for the interest of public service is hereby declared
official , confirmed and made of record.
MRS. LEOLYN A. SIMORA

Principal
Rehiyon XII
Lungsod ng Koronadal
AUTHORITY TO TRAVEL
Name :
Position/Designation:
Official Station :
Destination :
Purpose :
Inclusive Dates :
Chargeable Against :
Requested by : Noted by:
0
0 School Principal I
Recommending Approval:
APPROVED:
OIC - Regional Director

Rehiyon XII
Lungsod ng Koronadal
AUTHORITY TO TRAVEL
Travel Authority #
Name : CARLO P. DIVEDOR, CPA
Position/Designation: Accountant ll
Official Station : Accounting Department, Division Office-South Cotabato
Destination : Banga, Surallah & Norala District, South Cotabato
Purpose : To monitor the SPED Fund of BANGA SPED CENTER,SURALLAH

SPED CENTER and NORALA SPED CENTER
Inclusive Dates : November 19, 2013
Chargeable Against : Division MOOE
Funds Available: Requested by :
CARLO P. DIVEDOR, CPA CARLO P. DIVEDOR, CPA

Accountant II Accountant ll
APPROVED:
RAPHAEL C. FONTANILLA PhD., CEO VI

INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY
As of ___________________________________
DepEd, Division of South Cotabato

(Agency) (Name of Accountable Officer) (Designation) (Station)
INVENTORY INSPECTION REPORT

Item
ARTICLES Accumulated DISPOSITON
No. Quantity Unit Cost Total Cost Property No. Date Acquired Appraisal
Depreciation Destroyed
{1} [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14]
I HEREBY request inspection, and disposition I CERTIFY that I have inspected each and every article I CERTIFY that I hav
pursuant to Section 79 of PD 1445, of the property enumerated in this report and that the dispositon made thereof articles enumerated on th
enumerated above. was, in my judgement the best for public interest.
DAVID C. GALLARDO
Requested by: Request for Inspection Approved By: ES I - Pilipino ABRAHA
St
RAPHAEL C. FONTANILLA, CEO VI ABRAHAM S. ITIL MA. IRENE

(Sinature of Accountable Officer) (Name and Signature) Administrative Officer III (Supply) A
Schools Division Superintendent (Name and Signature of Inspector) (Name and
(Designation of Accountable Officer) (Designation)
(Station)
Official REMARS
Amount
Receipt No.
[15] [16]
FY that I have witness the disposition of the

merated on this report this
ABRAHAM G. CASTAÑEROS
State Auditor IV
MA. IRENE S. BATERBONIA, CPA

Accountant II
(Name and Signature of Witness)
Rehiyon XII
City of Koronadal
Date
DRIVER'S TRIP TICKET
A. To be filled by the Administrative Official, authorized official to travel.
1. Name of driver of the vehicle:

2. Government vehicle to be used:
3. Name of Authorized Passenger:
4. Place or places to be visited/inspected:
Purpose:
APPROVED:
Principal
B. To be filled by the driver:
1. Time of departure from office/garage: AM/PM

2. Time of arrival at (per no. 4 above): AM/PM
3. Time of departure (per no. 4 above): AM/PM
4. Time of arrival back to office/garage: AM/PM
5. Approximate to distance travelled (to and from): kms.
6. Gasoline issued, purchased and used: Liters
a. Balance in tank: Liters

b. Issued by office from stock: Liters
c. Added purchase during trip: Liters
TOTAL Liters
d. Deduct: Used during trip (to and from): Liters

e. Balance in tank at the end of the trip: Liters
7. Gear Oil issued quarts

8. Lub. Oil issued quarts
9. Grease issued quarts
10. Remarks
I hereby certify to the correctness of the above-mentioned of records of travel.
0
Driver

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No.

Liquidation of cash advance for payment of MA.

Total Amount Spent 38,079.49

Certified: Correctness of the Certified: Purpose of travel/cash Certified: Supporting documents

MA. AMELFA F. PATRICIO LEOLYN A. SIMORA CARLO P. DIVEDOR, C.P.A

RAMON V. GLORIA CARLO P. DIVEDOR , CPA RAMON V. GLORIA

DATE DATE DATE

Disbursing Officer/School Head/District Supervisor

RAMON V. GLORIA CARLO P. DIVEDOR , CPA RAMON V. GLORIA

DATE DATE DATE

Disbursing Officer/School Head/District Supervisor

Name : CRISTIE LOU M. CARILLO

Official Station : Tupi Central School

Destination : Division Office, Division of South Cotabato

Purpose : To make audience to the Schools Division Superintendent regarding

the funding for participation in the NSPC 2015.

Inclusive Dates : 9-Mar-15

Chargeable Against : Local Funds

CRISTIE LOU M. CARILLO

AMRAH M. AGUSTIN, Ph.D

Name : EMILYN P. PABLEO

Official Station : Tupi Central School

Destination : Division Office, Division of South Cotabato

Purpose : To make audience to the Schools Division Superintendent regarding

the funding for participation in the NSPC 2015.

Inclusive Dates : 9-Mar-15

Chargeable Against : Local Funds

AMRAH M. AGUSTIN, Ph.D

Name : SUZETTE L. BASAN

Position/Designation: MASTER TEACHER - II

Official Station : Tupi Central School

Destination : LakeSebu National High School, Lake Sebu, South Cotabato

Purpose : To attend training on Learning Effectively through Enhanced Pedagogy

Inclusive Dates : January 6 - 8, 2015

Chargeable Against : Local Funds

AMRAH M. AGUSTIN, Ph.D

PURPOSE OF TRAVEL : ATTEND TRAINING OF LEARNING EFFECTIVELY THROUGH ENHANCED PEDAGOGIES,

Total 540.00 - 540.00

2 LTC GLOSS VIOLET LTS 1

3 LTC THALO BLUE LTS 1

4 LTC THALO GREEN LTS 1

5 MASKING TAPE #3/4 ROLL 2

6 MASKING TAPE #1/2 ROLL 2

7 MEYER GLOSS WHITE GAL 1

Tel. Number/Cellphone Number/E-mail ad

2 FLATWALL ENAMEL WHITE GAL 1

3 GLOSS ENAMEL WHITE GAL 1

4 QTC RAW SIENNA PNT 2

5 LTE RAW SIENNA PNT 2

6 GLOSS LATEX GAL 2

7 PALMERA GREEN LATEX GAL 2

Tel. Number/Cellphone Number/E-mail ad

Date of Advertisement Date of Openning

Item MELS PAINT CENTER NJC HARDWARE M-SAVER HARDWARE

ACTION OF THE COMMITTEE: AWARDED AS RECOMMENDED .

Date of Advertisement Date of Openning

Item MELS PAINT CENTER NJC HARDWARE M-SAVER HARDWARE

ACTION OF THE COMMITTEE: AWARDED AS RECOMMENDED .

Agency DEPED - TUPI CENTRAL P.R. No. Date:

Address TUPI SOUTH COT. SAI No. Date:

Total Php 2,145.00

Requested by: Approved by:

Agency DEPED - TUPI CENTRAL P.R. No. Date:

Address TUPI SOUTH COT. SAI No. Date: