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2023 Air SK 003

The document includes a purchase order for various items such as drawers, jugs, and fans, totaling 19,980.00 PHP, to be delivered to Barangay San Fermin, Cauayan City. It outlines the supplier details, terms of delivery, and penalties for late delivery. Additionally, it contains sections for acceptance and inspection reports, a disbursement voucher for a fiesta share payment, and a request for quotation of prices for materials.
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0% found this document useful (0 votes)
13 views7 pages

2023 Air SK 003

The document includes a purchase order for various items such as drawers, jugs, and fans, totaling 19,980.00 PHP, to be delivered to Barangay San Fermin, Cauayan City. It outlines the supplier details, terms of delivery, and penalties for late delivery. Additionally, it contains sections for acceptance and inspection reports, a disbursement voucher for a fiesta share payment, and a request for quotation of prices for materials.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Chart Title

8000

7000

6000

5000

4000

3000

2000

1000

0
UNIT COST AMOUNT

4 pcs Drawer
PURCHASE ORDER
Barangay: SAN FERMIN City: CAUAYAN CITY
Tel. No.: 0915-380-9235 / 0929-795-1359 Province: ISABELA PROVINCE
ISABELA HOUSEWARE CENTER
Supplier: P.O. No.: 2023-08-
COMPANY
Address: Cauayan City, Isabela Date: 10/8/2023
TIN: 006-287-499-00000 Mode of Procurement:

Bidding √ Negotiated Over the Counter/Shoppi


Gentlemen:
Please deliver to this office the following articles subject the terms and conditions contained
herein:√√√
Place of Delivery: San Fermin, Cauayan City, Isabela
Date of Delivery: ______________________________________
QUANTITY UNIT PARTICULARS UNIT COST AMOUNT

4 pcs Drawer 1,800.00 7,200.00


5 pcs Jug 450.00 2,250.00
2 pcs Wall fan 1,300.00 2,600.00
1 pc Desk fan 1,200.00 1,200.00
4 pcs storage box 495.00 1,980.00
2 pcs table 950.00 1,900.00
5 packs pillow 570.00 2,850.00

subtotal: 19,980.00
grand total: 19,980.00
In case of failure to make full delivery within the time specified above, a penalty of one- tenth (1/1
one percent for every day of delay shall be imposed.
Very Truly yours,
Conforme:

ISABELA HOUSEWARE CENTER COMPANY SHEILA D. VILLA


Signature Over Printed Name SK Chairperson
Supplier: ___________________________
Date
Date: ______________________ Existence of Available Appropriations
of ____________________________________
MICHAEL C. GUILLERMO WINNIE ROSE C. GAMMAD
Budget Monitoring Officer SK Treasurer
Republic of the Philippines
Province of Isabela
BARANGAY SAN FERMIN, CAUAYAN CITY, ISABELA

ACCEPTANCE & INSPECTION REPORT

SUPPLIER : SIAPNO'S PRINTINGAN AIR No.


PO No.___2023-08-____ DATE: Agusut 17, 202Invoice No. Date: 8-17-2023

REQUISITIONING OFFICE/DEPARTMENT SANGGUNIANG KABATAAN

REQUISITION

Item No. Unit Item Description Quantity

1 PCS 4mmx6"x6" Tubular Pipe 0.5


PCS 2mmx4x8" MS Plate 1
PCS 4mm x 2x2" Tubular Pipe 2
PCS Baskletball Rim 1
PCS 6" O wheel caster heavy duty 4
PCS 4" O grinding stone 2
PCS 4" O Cutting disc 10
PCS 4" O Cup brush 1
kls. 12mm thick MS plate 20
kgs welding rod 10
pcs 1/4 x 2"x2"x2" AnglE Bar 7
pcs 5/8" O x1/2" bolt with lnot & washer 16
gals Acrylic paint-white 0.05
gals epoxy primer gray 0.5
pcs masking tape 2
pcs 3" paint brush 2
ft #80 sand paper 2

ACCEPTANCE INSPECTION

Date Received:_______________________ Date Inspected: _____________________________

Complete
inspected, veriefied and found
in order as to quantity and specifications.
partial

WINNIE ROSE GAMMAD MICHAEL GUILLERMO


PROPERTY OFFICER INSPECTION OFFICER/COMMITTEE
Republic of the Philippines
Province of Isabela
CITY OF CAUAYAN
No.: 2023-

DISBURSEMENT VOUCHER Date: 6-21-2023

Barangay :SAN FERMIN City/Municipality :CAUAYAN CITY


Telephone No. : Province :ISABELA

Payee/Office BARANGAY DISTRICT-1


TIN 463-784-773-0000 VAT Reg :
Address : Cauayan City, Isabela Fund : Barangay Fund

PARTICULARS AMOUNT

To payment of Fiesta Share of the Barangay to Barangay District- P 2,000.00


1, Cauayan City, Isabela

Attached herewith the supporting document

P 2,000.00
A Certified: B Certified: C Certified:
Existence of available appropriation for Availability, property & legality of claim:
the charges/expenses indicated above Funds (Cash Available) Approved:
For Payment:

__________________________ __________________________ __________________________


JAKE JOAQUIN C. ASIRIT MARITES T. FARIÑAS VICTOR H. DY,JR.
Chairman, Committee on Appropriation Barangay Treasurer Punong Barangay

Date:___________________ Date:___________________ Date:___________________

D Received Payment:
BARANGAY DISTRICT-1 Check No.:_______________ Date:___________
Signature Over Prined Name Bank Name: Land Bank of the Philippines
OR No.:_________________ Date:___________
Republic of the Philippines
Province of Isabela
City of Cauayan
BARANGAY SAN FERMIN

REQUEST FOR QUOTATION OF PRICES


______________________ ______________________
Date
______________________

Sir/Ma'am;

Please quote your price from the government of the following materials to be del
the site of work by indication under the property coloumn below the unit of each kind and
return the same in a sealed envelope after signing on the blank space your signature.

The SK Treasurer Respectfully yours;


San Fermin, Cauayan City, Isabela
WINNIE ROSE C. GAMMAD
SK Treasurer
Sir/ Ma'am;
I have the honor to submit my qiotation of prices on the following materials or artic
QUANTITY UNIT DESCRIPTION OF MATERIALS UNIT PRICE TOTAL

Subtotal: -
Grand Total:
I have certify that the foregoing articles or which prices are indicated
above are bonafide which are available for inspection at any time and which I
Can deliver immediately to the above-named articles are produces or
manufactured in the Philippines or the United States.
Respectfully your,
_____________________
Bidder
_____________________
Address

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