REPUBLIC OF THE PHILIPPINES

PROVINCE OF BULACAN
MUNICIPALITY OF PANDI
BARANGAY MAPULANG LUPA

PUNONG BARANGAY'S CERTIFICATION - PBC

FOR BARANGAY CHECK DISBURSEMENTS

PBC NO. 24-09-040

DATE : 09/26/2024
To : THE BANK MANAGER
LANDBANK OF THE PHILIPPINES
BALAGTAS, BULACAN

Sir/Madam :

This is to certify that the following checks were duly issued by Barangay MAPULANG LUPA
complete with respective Disbursement Vouchers and supporting documents. (Ito ay pagpapatunay na ang
mga checke na nakalista sa ibaba ay na isyu ng Barangay MAPULANG LUPA ang kumpleto ng kanya-kanyang
Disbursement Vouchers at kalakip na mga dokumento)

ACCOUNT
CHECK NO. DATE PAYEE AMOUNT PURPOSE
NAME
LEONIL
OFFICE Payment
1302-1009-14 1123144 9/26/2024 RESTY O. LEONARDO 75,000.00 Aid to AICS SUPPLIES 48,000.00 Purchase of
Office Supplies
TRADING
LEONIL
1302-1009-14 1123145 9/26/2024 RESTY O. LEONARDO 8,000.00
CA Labor for Repair & Maintenance of OFFICE Payment
48,000.00 Purchase of Day
Machinery & Equipment SUPPLIES Care Supplies
TRADING
LEONIL Payment

1302-1009-14 1123146 9/26/2024 FULL OF GRACE GENERAL 48,000.00

Payment Purchase of Goods for OFFICE 48,000.00
Purchase of
Uniforms
MERCHANDISE Representation Expenses SUPPLIES Barangay
TRADING Volunteers
LEONIL Payment

1302-1009-14 1123147 9/26/2024 FULL OF GRACE GENERAL 48,000.00

Payment Purchase of Goods for OFFICE Purchase of
48,000.00 Industrial Fan,
MERCHANDISE Alagang Nutrisiyon SUPPLIES Tents &
TRADING Monoblocks
LEONIL Payment
1302-1009-14 1123148 9/26/2024 JMF SANTOS CONSUMER GOODS 45,888.00 Payment Purchase of Materials Repair & OFFICE 48,000.00 Purchase of
TRADING Maintenance of Transportation Equipment SUPPLIES Office
Equipment
TRADING
FULL OF
GRACE Payment
1302-1009-14 1123149 9/26/2024 CANCELLED CHECK GENERAL 48,000.00 Purchase of
MERCHANDIS Welfare Goos
FULL OF Payment
E
GRACE Purchase of
1302-1009-14 1123150 9/26/2024 ASH BASICS ELECTRICAL SERVICES 150,195.00 Payment Upgrading of Electrical Services GENERAL 48,000.00 Foods for
AND TRADING MERCHANDIS Supplemental
FULL
E OF Feeding
GRACE Payment
1302-1009-14 1123151 9/26/2024 CONSEAN PHARMACY 48,000.00
Payment Purchase of Drugs & Medicine GENERAL 48,000.00 Purchase of
Expenses MERCHANDIS
Stockpilling
Goods
E
1302-1009-14 1123152 9/26/2024 GRU TRADING 48,000.00 Payment Purchase of Materials for
Construction of Kiosk - MENRO Program
Payment
Purchase
GRU TRADING 48,000.00 Materials for
Payment of
Construction
Purchase
Park PR1
TOTAL 471,083.00 GRU TRADING 48,000.00 Materials
Paymentfor
Declogging
Purchase of
Canal
Materials
GRU TRADING 48,000.00 Rehabilitation
Payment
of Public
Purchase
This Certification is issued pursuant to COA Circular 2018 - __________ dated _____________________ GRU TRADING 48,000.00 Building
Materials
Paymentfor
Regravelling
Purchase
as a condition for the encashment of said checks (Itong patunay ay ginawa alinsunod sa COA Circular 2018 GRU TRADING 48,000.00 Materials for
Payment of
Concreting
PurchaseRoad
Barangay of
na may petsang ____________________ bilang kondisyon para ng mga sa pagpapapalit ng nasabing cheke) GRU TRADING 48,000.00 Materials
Paymentfor
Installation
Purchase of
CCTV for
Materials
GRU TRADING 48,000.00 Repair &
Payment
CUSTO-PRINT Maintenance
Purchase of
The undersigned attests to the truthfulness of the foregoing facts, under pain of liability for PH PRINTING 48,000.00 St. Lightsfor
Materials
SERVICES Rehabilitation
of Signages
falsification, pursuant to Article 171 (4) of the Revised Penal Code. (Pinatototohanan ng mga may lagda
ang mga nakasaad sa itaas batid ng pananagutan sa kasong "Falsification" sang-ayon sa Article 171(4)
ng Revised Penal Code.
Very truly yours,

ALEXIS ROQUE CRUZ

Punong Barangay
Delivered by : Received by :

RESTY O. LEONARDO
Barangay Treasurer/Representative BANK REPRESENTATIVE

REPUBLIC OF THE PHILIPPINES

PROVINCE OF BULACAN
MUNICIPALITY OF PANDI
BARANGAY MAPULANG LUPA

ACKNOWLEDGEMENT RECEIPT

CONTRIBUTION
FEDERATION OF SENIOR CITIZEN ASSOCIATION OF THE PHILIPPINES
PANDI, CHAPTER

PHP 5,000.00
FIVE THOUSAND PESOS ONLY

RECEIVED BY :

MILAGROS ORDOÑEZ FLORITO SANTOS

SENIOR CITIZEN - TREASURER SENIOR CITIZEN - PRESIDENT

DATE

NOTED BY :

ARNEL S. DE JESUS
Chairman Committee on Appropriations

ALEXIS ROQUE CRUZ

Punong Barangay
 DV No. : 24-08-201
DISBURSEMENT VOUCHER
Date : 08/20/2024
Barangay : MAPULANG LUPA City/Municipality : PANDI Fund :
Province : BULACAN GF
.
Payee/Office : CONSEAN PHARMACY Employee No. :

Address : Poblacion, Sta. Maria, Bulacan TIN No. : 198-029-334-000 NV

PARTICULARS AMOUNT

PAYMENT 50,000.00
PURCHASE OF DRUGS & MEDICINE EXPENSES

LESS EVAT 2,000.00

In the amount of 48,000.00

FORTY-EIGHT THOUSAND PESOS ONLY

A. Certified as to existence B. Certified as to availability C. Certified as to validity,

of appropriation for obligation of funds for the purpose, and propriety and legality of claim
completeness and propriety of and approved for payment
supporting documents
DIANNE ELPIE C. TOLEDO
SK Chairperson
__________________________ __________________________ __________________________
ARNEL S. DE JESUS RESTY O. LEONARDO ALEXIS ROQUE CRUZ
Chairman Committee on Appropriations Barangay Treasurer Punong Barangay
Date : 08/20/2024 Date : 08/20/2024 Date : 08/20/2024
D. RECEIVED PAYMENT

Check No : 1123117 Date : 08/20/2024

CONSEAN PHARMACY Bank Name : LBP - Balagtas Branch
Signature Over Printed Name OR Name : ____________
Date : 08/20/2024
E. ACCOUNTING ENTRIES
ACCOUNT Account Code Debit Credit
DRUGS & MEDICINE EXPENSES 5-02-03-070 50,000.00
CASH IN BANK - LCCA 1-01-02-010 48,000.00
DUE TO BIR 2-02-01-010 2,000.00

Prepared By :

MARK KENNETH M. DONESA 8/20/2024

Barangay Book Keeper Date

Approved By :

KRISTINA A. DOMINGO 8/20/2024

City/Municipal Accountant Date
REPAIRS AND MAINTENANCE -INFRASTRUCTURE ASSETS 5-02-13-030 31,425.00
CASH IN BANK - LCCA 1-01-02-010 30,168.00
DUE TO BIR 2-02-01-010 1,257.00
Repairs & Maintenance - Transportation Equipment 5-02-13-060 46,000.00
CASH IN BANK - LCCA 1-01-02-010 45,080.00
DUE TO BIR 2-02-01-010 920.00
DUE TO BIR 2-02-01-010 61.23
CASH IN BANK - LCCA 1-01-02-010 61.23

FUEL, OIL AND LUBRICANTS EXPENSES 5-02-03-090 5,458.48

CASH IN BANK - LCCA 1-01-02-010 5,166.06
DUE TO BIR 2-02-01-010 292.42

ELECTRICITY EXPENSES 5-02-04-020 31,296.17

CASH IN BANK - LCCA 1-01-02-010 31,296.17

ADVANCES FOR PAYROLL 1-03-05-020 187,500.00

ADVANCES FOR SDO 1-03-05-030 707,100.00
CASH IN BANK - LCCA 1-01-02-010 894,600.00

OTHER GENERAL SERVICES 5-02-12-990 10,000.00

CASH IN BANK - LCCA 1-01-02-010 9,600.00
DUE TO BIR 2-02-01-010 400.00

REPAIRS AND MAINTENANCE -INFRASTRUCTURE ASSETS 5-02-13-030 31,600.00

CASH IN BANK - LCCA 1-01-02-010 30,336.00
DUE TO BIR 2-02-01-010 1,264.00

FIDELITY BOND PREMIUMS 5-02-16-020

CASH IN BANK - LCCA 1-01-02-010

INTERNET SUBSCRIPTION EXPENSES 5-02-05-030 2,199.00

CASH IN BANK - LCCA 1-01-02-010 2,199.00

OTHER MAINTENANCE AND OPERATING EXPENSES 5-02-99-990 25,000.00

CASH IN BANK - LCCA 1-01-02-010 24,000.00
DUE TO BIR 2-02-01-010 10,000.00

WELFARE GOODS EXPENSES 5-02-03-060 25,000.00

CASH IN BANK - LCCA 1-01-02-010 24,000.00
DUE TO BIR 2-02-01-010 1,000.00
TRAINING EXPENSES 5-02-02-010 7,000.00
TRAVELLING EXPENSES 5-02-01-010 4,800.00
CASH IN BANK - LCCA 1-01-02-010 11,800.00

OTHER BONUSES AND ALLOWANCES 5-01-02-990 63,500.00

CASH IN BANK - LCCA 1-01-02-010 63,500.00

OTHER PERSONAL BENEFITS 5-01-04-990

CASH IN BANK - LCCA 1-01-02-010

OTHER INFRASTRUCTURE ASSETS 1-07-03-990 25,000.00

CASH IN BANK - LCCA 1-01-02-010 24,000.00
DUE TO BIR 2-02-01-010 10,000.00

DRUGS & MEDICINE EXPENSES 5-02-03-070 40,000.00

CASH IN BANK - LCCA 1-01-02-010 39,200.00
DUE TO BIR 2-02-01-010 800.00

DONATIONS 5-02-99-080 10,000.00

CASH IN BANK - LCCA 1-01-02-010 10,000.00

OTHER SUPPLIES & MATERIALS EXPENSES 5-02-03-990 5,000.00

CASH IN BANK - LCCA 1-01-02-010 5,000.00

MEMBERSHIP DUES & CONTRIBUTION TO ORGANIZATIONS 5-02-99-060 50,000.00

 CASH IN BANK - LCCA 1-01-02-010 50,000.00

REPRESENTATION EXPENSES 5-02-099-030 10,000.00

CASH IN BANK - LCCA 1-01-02-010 9,800.00
DUE TO BIR 2-02-01-010 200.00
 PAYMENT
ELECTRIC BILL OF BRGY. HALL , ST. LIGHTS, DAYCARE CENTER,

MAY 22-JUNE 21, 2024

TO REMITE MONEY PAYMENT FOR WITHHOLDING TAX

FORM 1600 CONSEAN PHARMACY
FOR THE MONTH OF JANUARY, 2022 Poblacion, Sta. Maria, Bu
198-029-334-000 Non V
SILING BATA PETRON GA
Siling Bata, Pandi, Bulaca
612-553-473-000 Vat
PAYMENT
PURCHASE OF GASOLINE USED BY BARANGAY TRANSFORTATION EQUIPMENT MERALCO
(3) BARANGAY PATROL, (2)BARANGAY TRIKE & (1) GARBAGE TRUCK Balagtas, Bulacan
FOR THE MONTH OF JANUARY, 2023
BUREAU OF INTERNAL RE
Pandi, Bulacan
CASH ADVANCE
BULACAN ACCOUNTANT'S LEAGUE (BALI) 3 DAY SEMINAR ON BARANGAY
GOVERNANCE AND ADMINISTRATION

APRIL 23-25, 2024 @ NEWTOWN PLAZA HOTEL, BAGUIO CITY

REGISTRATION FEE 10,000.00

PER DIEM 1,800.00
VAN HIRED 2,500.00

CASH ADVANCE
HONORARIA OF BARANGAY COUNCIL &
ALLOWANCES OF VOLUNTEERS
FOR THE MONTH OF APRIL, 2024

BARANGAY COUNCIL 187,500.00

BARANGAY VOLUNTEERS 707,100.00

EIGHT HUNDRED NINETY-FOUR THOUSAND SIX HUNDRED PESOS ONLY

CASH ADVANCE
SKILLS ENHANCEMENT TRAINING ON KATARUNGANG PAMBARANGAY
OF DILG BULACAN IN PARTNERSHIP WITH LIGA NG MGA BARANGAY
IN THE PHILIPPINES (LnB) - BULACAN CHAPTER
AUGUST 16-17, 2024 AT SUBIC PENINSULAR HOTEL, SUBIC BAY FREEPORT ZONE

REGISTRATION FEE 5,800.00

PER DIEM 2 DAYS 900.00
TRANSPORTATION 1,500.00
CONSEAN PHARMACY
Poblacion, Sta. Maria, Bulacan
198-029-334-000 Non Vat
SILING BATA PETRON GAS STATION
Siling Bata, Pandi, Bulacan
612-553-473-000 Vat

MERALCO
Balagtas, Bulacan 000-101-528-000 Vat

BUREAU OF INTERNAL REVENUE

Pandi, Bulacan
 PAYROLL
Period Covered :
Barangay : MAPULANG LUPA City/Municipality : PANDI Payroll No. :
Barangay Treasurer : RESTY O. LEONARDO Province : BULACAN
Compensation Deductions
No. Name Position Other BIR Withholding Net Amount Signature of Recipient
MID YEAR Total Total
Benefits Tax Due
1 ALEXIS R. CRUZ Punong Barangay 22,500.00 22,500.00 22,500.00 1
2 VICTOR V. ALEGRIA Kagawad 16,500.00 16,500.00 16,500.00 2
3 ARNEL S. DE JESUS Kagawad 16,500.00 16,500.00 16,500.00 3
4 HANS O. JACINTO Kagawad 16,500.00 16,500.00 16,500.00 4
5 RODOLFO S. ANTONIO Kagawad 16,500.00 16,500.00 16,500.00 5
6 MICHAEL M. GARAY Kagawad 16,500.00 16,500.00 16,500.00 6
7 NOEL L. CRUZ Kagawad 16,500.00 16,500.00 16,500.00 7
8 CRISTINA C. BALEÑA Kagawad 16,500.00 16,500.00 16,500.00 8
9 GERALD LEAN M. GREGORIO SK Chairman 16,500.00 16,500.00 16,500.00 9
10 KENJI E. MENDOZA Secretary 16,500.00 16,500.00 16,500.00 10
11 RESTY O. LEONARDO Treasurer 16,500.00 16,500.00 16,500.00 11

GRANDTOTAL 187,500.00 - 187,500.00 - 187,500.00

A. Certified as to availability of B. Certified as to availability of funds, and C. Certified as to validity, propriety and D. Certified that each official/employee
appropriation for obligation in the completeness and propriety of supporting legality of claim nd approved for payment. whose name appears on the above payroll
amount of _________________. documents. has been paid the amount stated opposite
his name.

____________________________ ____________________________ ____________________________ ____________________________

ARNEL S. DE JESUS RESTY O. LEONARDO ALEXIS ROQUE CRUZ RESTY O. LEONARDO
Chairman, Com on Appropriations Barangay Treasurer Punong Barangay Barangay Treasurer
Date : 05/16/2024 Date : 05/16/2024 Date : 05/16/2024 Date : 05/31/2024

E. ACCOUNTING ENTRIES
ACCOUNT Account Code Debit Credit Prepared By :
MID YEAR BONUS 5-01-02-160 187,500.00 _________________ 5/16/2024
CASH IN BANK - LCCA 1-01-02-010 187,500.00 MARK KENNETH M. DONESA Date
Brgy. Book Keeper
Approved By :
_________________ 5/16/2024
 KRISTINA A. DOMINGO Date
City/Municipal Accountant
 LIQUIDATION REPORT No. 24-09-066

Mapulang Lupa, Pandi, Bulacan

Date : 09/30/2024
Barangay, City/Municipality, Province
PARTICULARS AMOUNT

CASH ADVANCE 35,740.00

BARANGAY GOVERNANCE & DISASTER RESPONSE : STRENGTHENING
CAPACITIES IN THE CONTEXT OF BAGONG PILIPINAS -LIGA NG MGA BRGY.
CONGRESS, SEPTEMBER 23-25, 2024 @ WATER FRONT HOTEL, CEBU CITY

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. DTD.
AMOUNT REFUNDED PER O.R. NO. DTD.
AMOUNT TO BE REIMBURSED
Submitted by : Received By :

RESTY O. LEONARDO ALEXIS R. CRUZ

Treasurer Punong Barangay

9/30/2024 9/30/2024
Date Date

ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit
DRUGS & MEDICINE EXPENSES 5-02-03-070 20,800.00
0 1-01-02-010 14,940.00
CASH IN BANK - LCCA 1-01-02-010 35,740.00

Prepared by : Approved By :

MARK KENNETH M. DONESA KRISTINA A. DOMINGO

Barangay Book Keeper City/Municipal Accountant

9/30/2024 9/30/2024
Date Date
 LIQUIDATION REPORT No. 24-08-060

Mapulang Lupa, Pandi, Bulacan

Date : 08/31/2024
Barangay, City/Municipality, Province
PARTICULARS AMOUNT

PAYMENT 8,200.00
PURCHASE OF DRUGS & MEDICINE EXPENSES
0
0
0

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO. DTD.
AMOUNT REFUNDED PER O.R. NO. DTD.
AMOUNT TO BE REIMBURSED
Submitted by : Received By :

RESTY O. LEONARDO ALEXIS R. CRUZ DIANNE ELPIE C. TOLEDO

Treasurer Punong Barangay SK Chairperson

8/31/2024 8/31/2024 10/31/2019

Date Date Date

ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit
DRUGS & MEDICINE EXPENSES 5-02-03-070 5,800.00
0 1-01-02-010 2,400.00
CASH IN BANK - LCCA 1-01-02-010 8,200.00

Prepared by : Approved By :

MARK KENNETH M. DONESA KRISTINA A. DOMINGO

Barangay Book Keeper City/Municipal Accountant

8/31/2024 8/31/2024
Date Date
ADVANCES1-03-05-020
ADVANCES1-03-05-030
1-01-02-010
357 285.6

585
 REPUBLIC OF THE PHILIPPINES
PROVINCE OF BULACAN
MUNICIPALITY OF PANDI
BARANGAY MAPULANG LUPA

PROJECT : INSTALLATION/REHABILITATION OF ST. LIGHTS

LOCATION : MAPULANG LUPA, PANDI, BULACAN
APPROPRIATION :Php 690,500.00
SOURCE OF FUND 20 % DEVELOPMENT FUND
DATE START : UPON APPROVAL

Labor Cost
Required Manpower Designation Rate per Day No. of Days Amount
1 Electrician 800.00 8 6,400.00
2 Laborer 500.00 8 8,000.00

Total Labor 14,400.00

Materials
Quantity Unit Description Unit Cost Total
3 rolls G. Gutter 150.00 450.00
5 pcs Receptacle 65.00 325.00
5 pcs LED 13w 220.00 1,100.00
5 pcs Electrical Tape 50.00 250.00
3 boxes Wire #14 2,500.00 7,500.00
4 boxes Wire #12 3,500.00 14,000.00
4 pcs Moulding 100.00 400.00
4 pcs Pad Lock 100.00 400.00
1 pc R. Breaker 650.00 650.00
2 pcs Nema 3R B-O 380.00 760.00
1 pc R. G Outlet 250.00 250.00
100 pcs PVC Clamp 1.00 100.00
60 pcs C. Tie 1.50 90.00
1 elf White Sand 3,000.00
1/4 elf Gravel 3/4 850.00
3 pcs Cement 200.00 600.00
1 bag Skimcoat 850.00
10 pcs 10mm 190.00 1,900.00
2 kgs GI Wire 170.00 340.00
20 pcs Tub 1x1 300.00 6,000.00
5 pcs Linso 4x8 Green 750.00 3,750.00
5 pcs A. Door Knob 550.00 2,750.00
8 pcs B. Bolt #8 150.00 1,200.00
2 pcs F. Bar 1/4 x1 280.00 560.00
1 liter E. Primer Gray 250.00
5 pcs Drill Bit 5/32 75.00 375.00
10 pcs C. Disc 80.00 800.00
2 boxes B. Rivet 5/32x1/2 250.00 500.00
50,000.00

GRANDTOTAL 64,400.00
Unappropriated 626,100.00
PREPARED BY :

KENJI E. MENDOZA RESTY O. LEONARDO

Barangay Secretary Barangay Treasurer

Approved By:

IGG. ALEXIS R. CRUZ

Punong Barangay
 PURCHASE REQUEST

Barangay : MAPULANG LUPA PR No. 24-08-201

City/Municipality : PANDI, BULACAN Date : 8/13/2024

REQUISITION
ITEM NO. QUANTITY UNIT PARTICULARS UNIT PRICE AMOUNT
1 2 boxes Ibupropen 400mg 450.00 900.00
2 3 boxes Citicoline 500mg 490.00 1,470.00
3 5 boxes Telmisartan 40mg 450.00 2,250.00
4 10 boxes Cetirizine Tab 300.00 3,000.00
5 10 boxes Losartan 100mg 375.00 3,750.00
6 10 boxes Losartan 50mg 305.00 3,050.00
7 10 boxes Amlodipine 10mg 299.00 2,990.00
8 10 boxes Amlodipine 5mg 300.00 3,000.00
9 10 boxes Ferrous Sulfate w/ Folic 350.00 3,500.00
10 10 boxes Metformin 390.00 3,900.00
11 10 boxes Clopidogrel 410.00 4,100.00
12 5 boxes Omeprazole 20 350.00 1,750.00
13 10 boxes Amoxicillin Cap 500mg 370.00 3,700.00
14 10 boxes Amoxicillin Cap 250mg 400.00 4,000.00
15 10 boxes Mefenamic 500mg 450.00 4,500.00
16 4 boxes Mefenamic 250mg 385.00 1,540.00
17 3 boxes Sambong 535.00 1,605.00
18 2 boxes Betahistine 16mg 497.50 995.00

TOTAL 50,000.00
TOTAL ESTIMATED : FIFTY THOUSAND PESOS ONLY
Purpose :
For use by the Barangay Treasurer
Requested By : Approved By :

RESTY O. LEONARDO DIANNE ELPIE C. TOLEDO ALEXIS R. CRUZ

Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name
Requistioner SK Chairman Punong Barangay
8/13/2024 8/13/2024 8/13/2024
Date Date Date
 PURCHASE REQUEST

Barangay : MAPULANG LUPA PR No. 24-08-105

City/Municipality : PANDI, BULACAN Date : 8/2/2024

REQUISITION
ITEM NO. QUANTITY UNIT PARTICULARS UNIT PRICE AMOUNT
47 34.513 liters Diesel 57.95 2,000.00
48 8.404 liters Premium 59.50 500.00
49 33.899 liters Unleaded 59.00 2,000.00
50 43.141 liters Diesel 57.95 2,500.00
51 34.513 liters Diesel 57.95 2,000.00
52 9.787 liters Premium 59.50 582.33
53 34.513 liters Diesel 57.95 2,000.00
54 8.475 liters Unleaded 59.00 500.00
55 6.065 liters Unleaded 59.00 357.84
56 43.141 liters Diesel 57.95 2,500.00
57 38.08 liters Premium 59.50 2,265.76
58 34.513 liters Diesel 57.95 2,000.00
59 5.085 liters Unleaded 59.00 300.00
60 15.255 liters Unleaded 59.00 900.00
61 5.085 liters Unleaded 59.00 300.00
62 34.513 liters Diesel 57.95 2,000.00
63 34.783 liters Diesel 57.50 2,000.00
64 34.783 liters Diesel 57.50 2,000.00
65 8.475 liters Unleaded 59.00 500.00
66 43.141 liters Diesel 57.50 2,500.00
67 30.267 liters Unleaded 59.00 1,785.75
68 34.783 liters Diesel 57.50 2,000.00
69 8.404 liters Premium 59.50 500.00
70 34.783 liters Diesel 57.50 2,000.00
71 43.478 liters Diesel 57.50 2,500.00
72 33.899 liters Unleaded 59.00 2,000.00
73 34.783 liters Diesel 57.50 2,000.00
74 8.475 liters Unleaded 59.00 500.00
75 33.234 liters Premium 59.50 1,977.42
76 17.391 liters Diesel 57.50 1,000.00
77 34.783 liters Diesel 57.50 2,000.00
78 16.95 liters Unleaded 59.00 1,000.00
79 34.783 liters Diesel 57.50 2,000.00
80 8.475 liters Unleaded 59.00 500.00
81 10 liters Premium 59.50 595.00
82 5.085 liters Unleaded 59.00 300.00
83 35.305 liters Diesel 56.65 2,000.00
84 4.425 liters Premium 58.75 259.97
85 35.305 liters Diesel 56.65 2,000.00
86 5.511 liters Premium 58.75 300.00
87 8.511 liters Premium 58.75 500.00
88 34.338 liters Unleaded 58.25 2,000.00
89 35.305 liters Diesel 56.65 2,000.00
GRANDTOTAL 111,424.05
TOTAL ESTIMATED : ONE HUNDRED TWENTY-EIGHT THOUSAND FOUR HUNDRED SEVENTY-TWO PESOS & 02/100 ONLY
Purpose :
For use by the Barangay Treasurer
Requested By : Approved By :

RESTY O. LEONARDO DIANNE ELPIE C. TOLEDO ALEXIS R. CRUZ

Signature Over Printed Name Signature Over Printed Name Signature Over Printed Name
Requistioner SK Chairman Punong Barangay
8/2/2024 8/2/2024 8/2/2024
Date Date Date
Paracetamol 125 mg/60 ml Syrup
Cetirizine Syrup
Cetirizine Drops
Symdex Syrup
Symdex Drops
Amoxicillin 125mg/60 ml
Amlodipine 5mg
Amlodipine 10mg
Losartan 50mg
Losartan 100mg
Cetirizine Tablet
Vitamin B Complex
Glimeperide
Trimetazidine 35mg
Atorvastatin 20mg
Ascorbic 500mg
Ferrous Sulfate Tab
Cotton 80g
Paracetamol 125 mg/60 ml Syrup
Cetirizine Syrup
Cetirizine Drops
Symdex Syrup
Symdex Drops
Amoxicillin 125mg/60 ml
Amlodipine 5mg
Amlodipine 10mg
Losartan 50mg
Losartan 100mg
Cetirizine Tablet
Vitamin B Complex
Glimeperide
Trimetazidine 35mg
Atorvastatin 20mg
Ascorbic 500mg
Ferrous Sulfate Tab
Cotton 80g
 PURCHASE ORDER
Barangay : MAPULANG LUPA PR No. 24-08-201
City/Municipality : PANDI, BULACAN Date : 8/20/2024

Supplier : CONSEAN PHARMACY

Address : Poblacion, Sta. Maria, Bulacan
TIN : 198-029-334-000 Non Vat Mode of Procurement :
___ Bidding ____Negotiated ____ Over The Counter
Gentlemen :
Please deliver to this office the following articles subject to the terms & conditions contained herein.
Place of Delivery : Delivery Term :
Date of Delivery : Payment Term :
ITEM NO. QUANTITY UNIT PARTICULARS UNIT PRICE AMOUNT
1 2 boxes Ibupropen 400mg 450.00 900.00
2 3 boxes Citicoline 500mg 490.00 1,470.00
3 5 boxes Telmisartan 40mg 450.00 2,250.00
4 10 boxes Cetirizine Tab 300.00 3,000.00
5 10 boxes Losartan 100mg 375.00 3,750.00
6 10 boxes Losartan 50mg 305.00 3,050.00
7 10 boxes Amlodipine 10mg 299.00 2,990.00
8 10 boxes Amlodipine 5mg 300.00 3,000.00
9 10 boxes Ferrous Sulfate w/ Folic 350.00 3,500.00
10 10 boxes Metformin 390.00 3,900.00
11 10 boxes Clopidogrel 410.00 4,100.00
12 5 boxes Omeprazole 20 350.00 1,750.00
13 10 boxes Amoxicillin Cap 500mg 370.00 3,700.00
14 10 boxes Amoxicillin Cap 250mg 400.00 4,000.00
15 10 boxes Mefenamic 500mg 450.00 4,500.00
16 4 boxes Mefenamic 250mg 385.00 1,540.00
17 3 boxes Sambong 535.00 1,605.00
18 2 boxes Betahistine 16mg 497.50 995.00

TOTAL 50,000.00
TOTAL ESTIMATED : FIFTY THOUSAND PESOS ONLY
In case of failure to make 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,

DIANNE ELPIE C. TOLEDO ALEXIS R. CRUZ

Signature Over Printed Name Signature Over Printed Name
SK Chairman Punong Barangay
8/20/2024 8/20/2024
Date Date
Conforme : Approved By :

CONSEAN PHARMACY ARNEL S. DE JESUS

Signature Over Printed Name Signature Over Printed Name
Requistioner Chairman Committee of Budget & Appropriations
8/20/2024 8/20/2024
Date Date
 PURCHASE ORDER
Barangay : MAPULANG LUPA PR No. 24-08-201
City/Municipality : PANDI, BULACAN Date : 8/9/2024

Supplier : RDR FUEL STATION

Address : Bunsuran 1st, Pandi, Bulacan
TIN : 232-225-360-002 Vat Mode of Procurement :
___ Bidding ____Negotiated ____ Over The Counter
Gentlemen :
Please deliver to this office the following articles subject to the terms & conditions contained herein.
Place of Delivery : Delivery Term :
Date of Delivery : Payment Term :
ITEM NO. QUANTITY UNIT PARTICULARS UNIT PRICE AMOUNT
47 34.513 liters Diesel 57.95 2,000.00
48 8.404 liters Premium 59.50 500.00
49 33.899 liters Unleaded 59.00 2,000.00
50 43.141 liters Diesel 57.95 2,500.00
51 34.513 liters Diesel 57.95 2,000.00
52 9.787 liters Premium 59.50 582.33
53 34.513 liters Diesel 57.95 2,000.00
54 8.475 liters Unleaded 59.00 500.00
55 6.065 liters Unleaded 59.00 357.84
56 43.141 liters Diesel 57.95 2,500.00
57 38.08 liters Premium 59.50 2,265.76
58 34.513 liters Diesel 57.95 2,000.00
59 5.085 liters Unleaded 59.00 300.00
60 15.255 liters Unleaded 59.00 900.00
61 5.085 liters Unleaded 59.00 300.00
62 34.513 liters Diesel 57.95 2,000.00
63 34.783 liters Diesel 57.50 2,000.00
64 34.783 liters Diesel 57.50 2,000.00
65 8.475 liters Unleaded 59.00 500.00
66 43.141 liters Diesel 57.50 2,500.00
67 30.267 liters Unleaded 59.00 1,785.75
68 34.783 liters Diesel 57.50 2,000.00
69 8.404 liters Premium 59.50 500.00
70 34.783 liters Diesel 57.50 2,000.00
71 43.478 liters Diesel 57.50 2,500.00
72 33.899 liters Unleaded 59.00 2,000.00
73 34.783 liters Diesel 57.50 2,000.00
74 8.475 liters Unleaded 59.00 500.00
75 33.234 liters Premium 59.50 1,977.42
76 17.391 liters Diesel 57.50 1,000.00
77 34.783 liters Diesel 57.50 2,000.00
78 16.95 liters Unleaded 59.00 1,000.00
79 34.783 liters Diesel 57.50 2,000.00
80 8.475 liters Unleaded 59.00 500.00
81 10 liters Premium 59.50 595.00
82 5.085 liters Unleaded 59.00 300.00
83 35.305 liters Diesel 56.65 2,000.00
84 4.425 liters Premium 58.75 259.97
85 35.305 liters Diesel 56.65 2,000.00
86 5.511 liters Premium 58.75 300.00
87 8.511 liters Premium 58.75 500.00
88 34.338 liters Unleaded 58.25 2,000.00
89 35.305 liters Diesel 56.65 2,000.00

GRANDTOTAL 111,424.05
TOTAL ESTIMATED : ONE HUNDRED TWENTY-EIGHT THOUSAND FOUR HUNDRED SEVENTY-TWO PESOS & 02/100 ONLY
In case of failure to make 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,

DIANNE ELPIE C. TOLEDO ALEXIS R. CRUZ

Signature Over Printed Name Signature Over Printed Name
SK Chairman Punong Barangay
8/9/2024 8/9/2024
Date Date
Conforme : Approved By :

RDR FUEL STATION ARNEL S. DE JESUS

Signature Over Printed Name Signature Over Printed Name
Requistioner Chairman Committee of Budget & Appropriations
8/9/2024 8/9/2024
Date Date
CONSEAN PHARMACY
Poblacion, Sta. Maria, Bulacan
198-029-334-000 Non Vat

KEVIN 88 HARDWARE
Mapulang Lupa, Pandi, Bulacan
331-318-388-000

RDR FUEL STATION

Bunsuran 1st, Pandi, Bulacan
232-225-360-002 Vat
CONSEAN PHARMACY
Poblacion, Sta. Maria, Bulacan
198-029-334-000 Non Vat

KEVIN 88 HARDWARE
Mapulang Lupa, Pandi, Bulacan
331-318-388-000

RDR FUEL STATION

Bunsuran 1st, Pandi, Bulacan
232-225-360-002 Vat
 REPUBLIC OF THE PHILIPPINES
PROVINCE OF BULACAN
MUNICIPALITY OF PANDI
BARANGAY MAPULANG LUPA

CANVASS
8/13/2024
Date
LEOWILIN ACTA PHARMACY & GENERAL MERCHANDISE
104 Morales St. Lolomboy, Bocaue, Bulacan

Gentlemen :
Please quote your lowest price you can offer for the following item listed below
to be purchased by this office.
ITEM NO. QUANTITY UNIT PARTICULARS UNIT PRICE AMOUNT
1 2 boxes Ibupropen 400mg 470.00 940.00
2 3 boxes Citicoline 500mg 510.00 1,530.00
3 5 boxes Telmisartan 40mg 470.00 2,350.00
4 10 boxes Cetirizine Tab 320.00 3,200.00
5 10 boxes Losartan 100mg 395.00 3,950.00
6 10 boxes Losartan 50mg 320.00 3,200.00
7 10 boxes Amlodipine 10mg 319.00 3,190.00
8 10 boxes Amlodipine 5mg 320.00 3,200.00
9 10 boxes Ferrous Sulfate w/ Folic 370.00 3,700.00
10 10 boxes Metformin 410.00 4,100.00
11 10 boxes Clopidogrel 430.00 4,300.00
12 5 boxes Omeprazole 20 370.00 1,850.00
13 10 boxes Amoxicillin Cap 500mg 390.00 3,900.00
14 10 boxes Amoxicillin Cap 250mg 420.00 4,200.00
15 10 boxes Mefenamic 500mg 470.00 4,700.00
16 4 boxes Mefenamic 250mg 405.00 1,620.00
17 3 boxes Sambong 560.00 1,680.00
18 2 boxes Betahistine 16mg 510.00 1,020.00
52,630.00

CONDUCTED BY : ARNEL S. DE JESUS

BAC CHAIRMAN

RESTY O. LEONARDO
BARANGAY TREASURER

APPROVED BY :
LEOWILIN ACTA PHARMACY &
IGG. ALEXIS R. CRUZ DIANNE ELPIE C. TOLEDO GENERAL MERCHANDISE
PUNONG BARANGAY SK Chairman DEALER
CONSEAN PHARMACY
Poblacion, Sta. Maria, Bulacan

PHARMACARE PRODUCTS CORP.

P. dela Cruz St. San Bartolome,
Novaliches, Quezon City
LEOWILIN ACTA PHARMACY & GENERAL MERCHANDISE
104 Morales St. Lolomboy, Bocaue, Bulacan

KEVIN 88 HARDWARE
Mapulang Lupa, Pandi, Bulacan

SERGIO ENTERPRISE
Bunsuran 1st, Pandi, Bulacan

GRU TRADING
Mapulang Lupa, Pandi, Bulacan
 REPUBLIC OF THE PHILIPPINES
PROVINCE OF BULACAN
MUNICIPALITY OF PANDI
BARANGAY MAPULANG LUPA
OFFICE OF THE PUNONG BARANGAY

ABSTRACT OF CANVASS

8/20/2024
Date

FOR : PURCHASE OF DRUGS & MEDICINE EXPENSES

PHARMACARE LEOWILIN ACTA PHARMACY &

ITEMS CONSEAN PHARMACY
PRODUCTS CORP. GENERAL MERCHANDISE

50,000.00 51,290.00 52,630.00

WE HEREBY CERTIFY that the above Abstract of Canvass is true and correct, and that the
AWARD is given to CONSEAN PHARMACY

VICTOR ALEGRIA MICHAEL GARAY

MEMBER MEMBER

HANS JACINTO RODOLFO ANTONIO

MEMBER MEMBER

NOEL CRUZ CRISTINA BALEÑA

MEMBER MEMBER

ARNEL S. DE JESUS
BAC CHAIRMAN
 INSPECTION AND ACCEPTANCE REPORT

Barangay :MAPULANG LUPA City/Municipality : PANDI

Province : BULACAN

Invoice No. : IAR No. : 24-08-101 RIS No. : 24-08-101

Supplier : CONSEAN PHARMACY
P.O. No. : 24-08-201 Date : 08/20/24 Date : 08/20/24 Date : 08/20/24
Date : 8/20/2024

UNIT DESCRIPTION QUANTITY

boxes Ibupropen 400mg 2
boxes Citicoline 500mg 3
boxes Telmisartan 40mg 5
boxes Cetirizine Tab 10
boxes Losartan 100mg 10
boxes Losartan 50mg 10
boxes Amlodipine 10mg 10
boxes Amlodipine 5mg 10
boxes Ferrous Sulfate w/ Folic 10
boxes Metformin 10
boxes Clopidogrel 10
boxes Omeprazole 20 5
boxes Amoxicillin Cap 500mg 10
boxes Amoxicillin Cap 250mg 10
boxes Mefenamic 500mg 10
boxes Mefenamic 250mg 4
boxes Sambong 3
boxes Betahistine 16mg 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

INSPECTION ACCEPTANCE
Date Inspected : 8/20/2024 Date Received : 8/20/2024

Inspected verified as to quantity & specifications Complete

Partial
(Pls. specify quantity received)

ARNEL S. DE JESUS RESTY O. LEONARDO

Signature Over Printed Name Signature Over Printed Name
Authorized Inspector Barangay Treasurer

DIANNE ELPIE C. TOLEDO ALEXIS R. CRUZ

SK Chairman Punong Barangay
 PROPERTY ACKNOWLEDGEMENT RECEIPT

Barangay : MAPULANG LUPA PAR No. : 24-07-069

City/Municipality : PANDI, BULACAN

PROPERTY DATE
QUANTITY UNIT DESCRIPTION AMOUNT
NUMBER ACQUIRED
2 boxes Ibupropen 400mg 7/10/2024 900.00
3 boxes Citicoline 500mg 7/10/2024 1,470.00
5 boxes Telmisartan 40mg 7/10/2024 2,250.00
10 boxes Cetirizine Tab 7/10/2024 3,000.00
10 boxes Losartan 100mg 7/10/2024 3,750.00
10 boxes Losartan 50mg 7/10/2024 3,050.00
10 boxes Amlodipine 10mg 7/10/2024 2,990.00
10 boxes Amlodipine 5mg 5/2/2024 3,000.00
10 boxes Ferrous Sulfate w/ Folic 5/2/2024 3,500.00
10 boxes Metformin 5/2/2024 3,900.00
10 boxes Clopidogrel 5/2/2024 4,100.00
5 boxes Omeprazole 20 5/2/2024 1,750.00
10 boxes Amoxicillin Cap 500mg 5/2/2024 3,700.00
0 0 0 5/2/2024 -
0 0 0 5/2/2024 -
0 0 0 5/2/2024 -
0 0 0 5/2/2024 -
0 0 0 5/2/2024 -

TOTAL 37,360.00

Received By : Issued By :

ARNEL S. DE JESUS RESTY O. LEONARDO

Signature Over Printed Name Signature over Printed Name
Kagawad Chairman Budget & Appropriations Supply and/or Property Custodian
Barangay Treasurer

7/10/2024 7/10/2024
Date Date
 REQUISITION & ISSUE SLIP
Barangay :MAPULANG LUPA City/Municipality :PANDI RIS No. : 24-08-101
Tel. No. : Province : BULACAN Date : 8/20/2024
REQUISITION Stock Available Issue
Stock No. Unit DESCRIPTION Quantity YES NO Quantity REMARKS
1 boxes Ibupropen 400mg 2 / 2
2 boxes Citicoline 500mg 3 / 3
3 boxes Telmisartan 40mg 5 / 5
4 boxes Cetirizine Tab 10 / 10
5 boxes Losartan 100mg 10 / 10
6 boxes Losartan 50mg 10 / 10
7 boxes Amlodipine 10mg 10 / 10
8 boxes Amlodipine 5mg 10 / 10
9 boxes Ferrous Sulfate w/ Folic 10 / 10
10 boxes Metformin 10 / 10
11 boxes Clopidogrel 10 / 10
12 boxes Omeprazole 20 5 / 5
13 boxes Amoxicillin Cap 500mg 10 / 10
14 boxes Amoxicillin Cap 250mg 10 / 10
15 boxes Mefenamic 500mg 10 / 10
16 boxes Mefenamic 250mg 4 / 4
17 boxes Sambong 3 / 3
18 boxes Betahistine 16mg 2 / 2
19 0 0 0 / 0
20 0 0 0 / 0
21 0 0 0 / 0
22 0 0 0 / 0
23 0 0 0 / 0
24 0 0 0 / 0
25 0 0 0 / 0
26 0 0 0 / 0
27 0 0 0 / 0
28 0 0 0 / 0

Purpose : To be used by the Barangay Mapulang Lupa, Pandi, Bulacan

A. Requested By: B. Approved By: D. Received By :

Signature :
Printed Name : ARNEL S. DE JESUS ALEXIS R. CRUZ RESTY O. LEONARDO
Designation : KAGAWAD Punong Barangay Treasurer
Date : 8/20/2024 8/20/2024 8/20/2024