PURCHASE ORDER

CITY GOVERNMENT OF SANTIAGO

Local Government Unit

Supplier: NET ENTERPRISES P.O. No.__________________________

Address: Rizal, Santiago City, Isabela Date: ___________________________
Mode of Procurement: Public Bidding

Gentlemen:
Please furnish this office the following articles subject to the terms and condition contained herein.
Place of Delivery: LGU-Santiago City Delivery Term: Full Delivery
Date of Delivery: within 30 days Payment Term:Upon completion of delivery and
Acceptance
Item
Qty. Unit DESCRIPTION Unit Cost Amount
No.
1 10000 pcs. Compostion Notebook, 80lvs. 12.80 128,000.00
2 3000 pcs. Writing Notebook 12.80 38,400.00
3 10000 pcs. Pad Paper, Spring, 80lvs. 12.80 128,000.00
4 5000 pad Pad Paper, Grade I 11.80 59,000.00
5 5000 pad Pad Paper, Grade II 11.80 59,000.00
6 5000 pad Pad Paper, Grade III 11.80 59,000.00
7 10000 pad Pad Paper, Grade V and VI 22.70 227,000.00
8 10000 pcs. School Bag, For Grade I to III 264.50 2,645,000.00
9 20000 pcs. Ballpen, Black 6.70 134,000.00
10 20000 pcs. Pencil, #2 6.70 134,000.00
**** NOTHING FOLLOWS**** 0.00

THREE MILLION SIX HUNDRED ELEVEN THOUSAND FOUR HUNDRED PESOS GRAND 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 everyday of delay shall be imposed.
Very truly yours,
Conforme:

ADONISR. YAMBOT ENGR. JOSEPH S. TAN

NET ENTERPRISES City Mayor
Authorized Representative

(Date)
(In case of Negotiated Purchase pursuant to Sec. 369 Requisitioning Funds Available:
(a) of RA 7160, this portion must be accomplished) Officer/Department:
Approved to be purchased thru negotiated purchase
per BAC Res No.______________________________.
Certified Correct: ______________________________ SHEILA MARIE P. GUMPAL FE I. MELEGRITO
BAC Secretariat Assistant City Administrator Chief Accountant
 INSPECTION & ACCEPTANCE REPORT
CITY GOVERNMENT OF SANTIAGO
Local Government Unit

Supplier : NET ENTERPRISES AR No___________________

P.O. No.___________________ Date_________________Invoice No. ________________ Date___________
Requisitioning Office/Department City Administrator's Office

Item
Qty. Unit DESCRIPTION
No.
1 ### pcs. Compostion Notebook, 80lvs.
2 3,000.00 pcs. Writing Notebook
3 ### pcs. Pad Paper, Spring, 80lvs.
4 5,000.00 pad Pad Paper, Grade I
5 5,000.00 pad Pad Paper, Grade II
6 5,000.00 pad Pad Paper, Grade III
7 ### pad Pad Paper, Grade V and VI
8 ### pcs. School Bag, For Grade I to III
9 ### pcs. Ballpen, Black
10 ### pcs. Pencil, #2
**** NOTHING FOLLOWS****

INSPECTION ACCEPTANCE

Date Inspected__________________________ Date Received:_____________________________

( ) Inspected, verified and found OK as to ( ) COMPLETE ( ) PARTIAL

quantity and specification
SHEILA MARIE P. GUMPAL
Requisitioner
 Noted by:
E. TRANQUILINO/JP. CORTES/ G. VALLEJOS
Inspection Officer ROLANDO F. VALENCIA
OIC - City General Services Office
 CITY GOVERNMENT OF SANTIAGO
GENERAL SERVICES OFFICE

REQUISITION AND ISSUE SLIP

Division : Responsibility Center RIS No.: Date :

Office : City Administrator's Office Code : SAI No.: Date :

REQUISITION ISSUANCE
Stock No. Unit Description Quantity Quantity Remarks
1 pcs. Compostion Notebook, 80lvs. ### 10,000
2 pcs. Writing Notebook 3,000.00 3,000
3 pcs. Pad Paper, Spring, 80lvs. ### 10,000
4 pad Pad Paper, Grade I 5,000.00 5,000
5 pad Pad Paper, Grade II 5,000.00 5,000
6 pad Pad Paper, Grade III 5,000.00 5,000
7 pad Pad Paper, Grade V and VI ### 10,000
8 pcs. School Bag, For Grade I to III ### 10,000
9 pcs. Ballpen, Black ### 20,000
10 pcs. Pencil, #2 ### 20,000
**** NOTHING FOLLOWS****

Requested by: Approved by: Issued by: Received by:

Signature :

Printed Name : SHEILA MARIE P. GUMPAL

Designation : Assistant City Administrator ROLANDO F.VALENCIA GERALDINE GOMBIO
Date : OIC - City General Services Office Name/Designation Name/Designation
 Republic of the Philippines
CITY GOVERNMENT OF SANTIAGO
Santiago City

NO.
DISBURSEMENT VOUCHER
Mode of
Check Cash Others
Payment
71st PICPA Annual National Convention - TIN/Employee No. Obligation Request No.
Payee
Registration Fee Fund
Davao City Responsibility Center
Office/Unit Project Code
Address

EXPLANATION AMOUNT

To payment for the

PHP 60,000.00
Registration Fee of 71st PICPA Annual National Convention participants
as per supporting documents hereto attached in the amount

SIXTY THOUSAND PESOS

Certified Certified
allotment obligation for purpose as indicated above Funds Available
Supporting documents complete
Signature Signature
Date Date
Printed
Printed Name
Name FE IIGO MELEGRITO ELIZABETH A. CASABAR
City Accountant City Treasurer
Position Position
Head Accounting Unit/ Authorized Representative Treasurer/ Authorized Representative
Approved for Payment Received Payment
Signature Check No. Bank Name Date
Date Signature
Printed
71st PICPA Annual National Convention - Date
Name Printed Name
ENGR. JOSEPH S. TAN Registration Fee Fund
Date
City Mayor
Position OR/Other Documents
Agency Head / Authorized Representative
1 Portland Cement 5,550 bags
2 Sand (S-1) 240 cu.m
3 Gravel (G-1) 406 cu.m
4 Base Materials (Gravel) 346 cu.m
5 16mmx6m RSB 200 pcs.
6 Form Lumber (2"x8"x12' Lumber) 385 bd.ft.
7 Assorted CW Nail 38 kgs.
8 #16 G.I Tie Wire 20 kgs.
9 Curing Compound (Additive, Plasticizer) 4,000 liters