Republic of the Philippines

Department of Education

Region III – Central Luzon

SCHOOLS DIVISION OFFICE OF PAMPANGA

High School Blvd. Brgy. Lourdes, City of San Fernando

CLUSTER INSPECTORATE TEAM MONITORING FORM

School: TAGULOD HIGH SCHOOL - JUNIOR Date of Inspection: __________________

Candaba North
Purchase Order No./Date:__________________ Actual Deliveries/Purchases
POWERSCAN Descriptions/Specifications Quantities
Remarks (Indicate Remarks (Indicate
Descriptions/Specifications Quantities
☑ Complied non-compliance) ☑ Complied non-compliance)

1. TARPAULIN 1 piece

2.

3.

4.

5.

6.

7.

8.

9.

10.

CERTIFICATION

This is to certify that the above-indicated purchases/deliveries were inspected by the District Inspectorate
Team and based on the physical counts (specifications and quantities), the items were true and correct.

GEMMA A.DUE
Faculty President

RUNILO T. SANGUYO
School Head in Charge of Municipality

MIGUEL R. RIVERA JR.

Cluster Chairman

Conformed: ROSENDA D. SALE

BAC Chairman

LORETA M. VINCULADO
School Property Custodian

INOCENCIA C. MAÑAOL
School Head