Annex B

Republic of the Philippines

MUNICIPAL GOVERNMENT OF LUTAYAN
Lutayan, Sultan Kudarat
No.

DISBURSEMENT VOUCHER
Mode of
Payment ( ) Check ( ) Cash ( ) Others

TIN/Employee No. Obligation Request No.

Payee PEOPLE'S GENERAL MERCHANDISE

Responsibility Center
Address Lutayan,Sultan Kudarat Office/Unit/Project Code

EXPLANATION AMOUNT

To payment of the total actual amount for the office supplies of the Municipal
Planning and Dvelopment Office (MPDO) of this municipality of Lutayan, Sultan Kudarat
hereto attached in the amount of.... 15,932.75

Less: 6% VAT 853.54

TOTAL AMOUNT DUE THIS VOUCHER . . . 15,079.21

A. Certified B. Certified
( ) Allotment obligated for the purpose as indicated above Funds Available
( ) Supporting documents complete
Signature Signature
Printed Date Printed Date
Name FATIMA M. HUSSAIN,CPA Name LEONORA G. MORTERA
Position Municipal Accountant Position Municipal Treasurer
Head, Accounting Unit/Authorized Representative Treasurer/Authorized Representative
C. Approved for Payment D. Received Payment
Check No. Bank Name Date
Signature
Printed Date Signature
Name PRINCE RADEN M. SAKALURAN Printed PEOPLE'S GENERAL Date
Name MERCHANDISE
OR/Other Documents JEV No.Date
Position Municipal Mayor
Agency Head/Authorized Represenative
JOURNAL ENTRY VOUCHER
( ) Collection ( ) Cash Disbursement ( ) Check Disbursement ( ) Others
ACCOUNTING ENTRIES
Responsibility Amount
Accounts and Explaination Account Code
Center Debit Credit

Prepared by: Approved by:

MARY ANN TEAÑO FATIMA M. HUSSAIN,CPA
Administrative Aide IV Municipal Accountant
 PURCHASE REQUEST

Municipality of Lutayan

PR NO:
Department MPDO Date
Section SAI No
Date
ALOBS No.
Date

Unit of Stock Estimated Estimated

Quantity ITEM DESCRIPTION
Issue Number Unit Cost Cost
15 rim Bond Paper Sub-20 (Long Size) 230.75 3,461.25
15 rim Bond Paper Sub-20 (A4 Size) 208.00 3,120.00
10 rim Bond Paper Sub-20 ( Short Size) 195.50 1,955.00
5 btl Epson Ink (Black) 375.00 1,875.00
3 btl Epson Ink (Magenta) 375.00 1,125.00
3 btl Epson Ink (Cyan) 375.00 1,125.00
3 btl Epson Ink (Yellow) 375.00 1,125.00
100 pcs Brown Folder (Long) 5.00 500.00
30 pcs Brown Folder (short) 4.25 127.50
50 pcs Expanding Envelope (Long) 14.75 737.50
2 Box Ballpen (Test Good) 107.00 214.00
50 pcs Brown Envelope (Long) 2.75 137.50
2 Box Paper Clip 23.75 47.50
1 pcs Mouse 392.00 392.00

TOTAL 15,942.25

Requested By: Cash Availability Approved By:

Signature
Printed Name ABRAM REY O. ALID LEONORA G. MORTERA PRINCE RADEN M. SAKALURAN
Designation MCR Municipal Treasurer Municipal Mayor
 PURCHASE ORDER
Lutayan, Sultan Kudarat
LGU
Supplier: PEOPLE'S GENERAL MERCHANDISE PO No.
Address: Korondal City Date:
Mode of Procurement
Gentlemen:

Place of Delivery: Delivery Term:

Date of Delivery: Payment Term:

Item No. Quantity Unit Description Unit Cost Amount

1 15 rim Bond Paper Sub-20 (Long Size) 230.75 3,461.25
2 15 rim Bond Paper Sub-20 (A4 Size) 208.00 3,120.00
3 10 rim Bond Paper Sub-20 ( Short Size) 195.50 1,955.00
4 5 btl Epson Ink (Black) 375.00 1,875.00
5 3 btl Epson Ink (Magenta) 375.00 1,125.00
6 3 btl Epson Ink (Cyan) 375.00 1,125.00
7 3 btl Epson Ink (Yellow) 375.00 1,125.00
8 100 pcs Brown Folder (Long) 5.00 500.00
9 30 pcs Brown Folder (short) 4.25 127.50
10 50 pcs Expanding Envelope (Long) 14.75 737.50
11 2 Box Ballpen (Test Good) 107.00 214.00
12 50 pcs Brown Envelope (Long) 2.75 137.50
13 2 Box Paper Clip 23.75 47.50
14 1 pcs Mouse 392.00 392.00

TOTAL
15,942.25
In 24 case of failure to make the full delivery within the time specified above, a penalty of one-tenth
(1/10) of one percent for every day of delay shall be imposed.

Conforme: Very truly yours,

PRINCE RADEN M. SAKALURAN

(Signature over printed name) Municipal Mayor

Date

(In case of Negotiated Purchase Requisitioning Office/ Dept:

Pursuant to Section 369 (a) of RA
7160, this portion must be accomplished)
Approved to be purchsed thru negotiated
Purchase per Sangguniang Res. No._____

Certified Correct: JERRY L. LARIDO, EnP FATIMA M. HUSSAIN,CPA

MPDC Municipal Accountant
Secretary to the Sanggunian
 15 15
15 15
10 10
5 5
3 3
3 3
3 3
100 100

15 15 50
15 15 50
10 10 50
5 5 50
3 3
3 3
3 3
100 100

15 15 15 15 15
15 15 15 15 15
10 10 10 10 10
5 5 5 5 5
3 3 3 3 3
3 3 3 3 3
3 3 3 3 3
100 100 100 100 100
 ABSTRACT OF CANVASS

Dadiangas People's New

Item Description of the Article per Purchase of Crown General Marbel Top
No. Qty. Unit Request AWARDED TO
BookStore
INC. Merchandise Commercial
1 15 rim Bond Paper Sub-20 (Long Size) 295.00 230.75 310.00 PEOPLE'S GENERAL MERCHANDISE
2 12 rim Bond Paper Sub-20 (A4 Size) 285.00 208.00 300.00 PEOPLE'S GENERAL MERCHANDISE
3 8 rim Bond Paper Sub-20 ( Short Size) 285.00 195.50 300.00 PEOPLE'S GENERAL MERCHANDISE
4 5 btl Epson Ink (Black) 30.00 375.00 36.00 PEOPLE'S GENERAL MERCHANDISE
5 3 btl Epson Ink (Magenta) 45.00 375.00 47.00 PEOPLE'S GENERAL MERCHANDISE
6 3 btl Epson Ink (Cyan) 235.00 375.00 250.00 PEOPLE'S GENERAL MERCHANDISE
7 3 btl Epson Ink (Yellow) 48.50 375.00 55.00 PEOPLE'S GENERAL MERCHANDISE
8 70 pcs Brown Folder (Long) 120.00 5.00 140.00 PEOPLE'S GENERAL MERCHANDISE
9 30 pcs Brown Folder (short) 38.50 4.25 42.00 PEOPLE'S GENERAL MERCHANDISE
10 50 pcs Expanding Envelope (Long) 115.00 14.75 120.00 PEOPLE'S GENERAL MERCHANDISE
11 2 Box Ballpen (Test Good) 40.00 107.00 43.00 PEOPLE'S GENERAL MERCHANDISE
12 30 pcs Brown Envelope (Long) 35.00 2.75 38.00 PEOPLE'S GENERAL MERCHANDISE
13 2 Box Paper Clip 75.00 23.75 77.00 PEOPLE'S GENERAL MERCHANDISE
14 1 pcs Mouse 8.00 392.00 10.00 PEOPLE'S GENERAL MERCHANDISE
appearing in the canvass are genuine signature of the bonafide dealers or their authorized representative.

CANVASS BY:

LOTIS E. ANTOPINA
BAC Secretary

RECOMMENDATION:

Recommending award to PEOPLE'S GENERAL MERCHANDISE being the lowest and complying bidder.

APPROVED AS RECOMMENDED:

EDUARD L. LUAY AL SYDNEY L. ALAM

MEO Municipal Budget Officer
BAC Member BAC Member

AIDA M. DEVELOS AL RYAN N. LIMBO

Municipal Tourism Officer MDRRMO IV
BAC Member BAC Member

Approved:

JERRY L. LARIDO, EnP

BAC Chairman
 Republic of the Philippines
Province of Sultan Kudarat
Municipality of Lutayan

Date
CANVASS NO._________

Sir:
Please quote your price for the articles described below to the delivered to the working days upon receipt of
the award and return Lutayan, Sultan Kudarat, within __________working days upon receipt of the award and return
this on /or before ___________ of ______________, 2024. In offer specify the brand/make and other pertinent data of
your product for proper guidance and information. Please do not quote for any price for articles which may debar you
from further participation In future canvass on the space provided for your signature below before submitting your
quotation otherwise it will be considered invalid.

Brand Estimated
Item No. Qty. Unit ITEM DESCRIPTION AMOUNT
Make Unit Cost
1 4 BOX BLACK SIGNING PEN
2 4 BOX RED BALLPEN (SIGNING PEN)
3 20 RIMS LONG BOND PAPER
4 10 RIMS SHORT BOND PAPER
5 1 BOX Epson Ink (Magenta)
6 10 PCS (BLACK, YELLOW, BLUE, PINK) INK
7 1 BOX PENCIL (MONGGOL)
8 5 BOX CORRECTION TAPE
9 5 ROLL TRASH BAG
10 100 PCS LONG FOLDER (COLORED)
11 10 BOX PAPER FASTENER
12 100 PCS LONG EXPANDED FOLDER
14 2 BOX PAPER CLIP
15 100 PCS BROWN LONG FOLDER
16 4 PCS SCOTCH TAPE
17 5 BOX BLACK BALL PEN (HBW)
18 3 PCS ALCOHOL
19 1 GALLON XONROX
20 3 PCS SAFEGUARD SOAP
21 2 PCS SCISSOR
22 1 PCS CALCULATOR
23 5 PCS FILE HOLDER (MAGAZINE BOX)
24 5 PCS STICKY NOTES
25 2 PCS AXION (DISWASHING)
CERTIFIED CORRECT:

(Signature of Dealer)

The contract will be awarded only to t he bonafide dealer whose proposal approved the most
advantageous to the government but right is reserved subject of to accept any or all items and bids to
waive, any formality thereof to committee of awards determine.

Very truly yours,

JERRY L. LARIDO,EnP
BAC Chairman
 ABSTRACT OF CANVASS

Dadiangas People's New Marbel

Item Description of the Article per Crown General Top
Qty. Unit AWARDED TO
No. Purchase of Request
BookStore Inc. Merchandise Commercial
Bond Paper Sub-20 (Long PEOPLE'S GENERAL
1 15 rim Size) 233.00 230.75 243.00 MERCHANDISE
PEOPLE'S GENERAL
2 15 rim Bond Paper Sub-20 (A4 Size) 210.00 208.00 210.00 MERCHANDISE
Bond Paper Sub-20 ( Short PEOPLE'S GENERAL
3 10 rim Size) 201.00 195.50 198.00 MERCHANDISE
PEOPLE'S GENERAL
4 5 btl Epson Ink (Black) 380.00 375.00 380.00 MERCHANDISE
PEOPLE'S GENERAL
5 3 btl Epson Ink (Magenta) 380.00 375.00 380.00 MERCHANDISE
PEOPLE'S GENERAL
6 3 btl Epson Ink (Cyan) 380.00 375.00 380.00 MERCHANDISE
PEOPLE'S GENERAL
7 3 btl Epson Ink (Yellow) 380.00 375.00 380.00 MERCHANDISE
PEOPLE'S GENERAL
8 100 pcs Brown Folder (Long) 6.35 5.00 6.35 MERCHANDISE
PEOPLE'S GENERAL
9 30 pcs Brown Folder (short) 5.30 4.25 4.35 MERCHANDISE
PEOPLE'S GENERAL
10 50 pcs Expanding Envelope (Long) 15.25 14.75 15.25 MERCHANDISE
PEOPLE'S GENERAL
11 2 Box Ballpen (Test Good) 108.00 107.00 108.00 MERCHANDISE
PEOPLE'S GENERAL
12 50 pcs Brown Envelope (Long) 3.25 2.75 3.00 MERCHANDISE
PEOPLE'S GENERAL
13 2 Box Paper Clip 24.90 23.75 24.00 MERCHANDISE
PEOPLE'S GENERAL
14 1 pcs Mouse 399.00 392.00 393.00 MERCHANDISE

appearing in the canvass are genuine signature of the bonafide dealers or their authorized representative.

CANVASS BY:

LOTIS E. ANTOPINA
BAC Secretary

RECOMMENDATION:

Recommending award to PEOPLE'S GENERAL MERCHANDISE being the lowest and complying bidder.

APPROVED AS RECOMMENDED:

EDUARD L. LUAY AL SYDNEY L. ALAM

MEO Municipal Budget Officer
BAC Member BAC Member

AIDA M. DEVELOS AL RYAN N. LIMBO

Municipal Tourism Officer MDRRMO IV
BAC Member BAC Member

Approved:

JERRY L. LARIDO, EnP

BAC Chairman