voucher attachments
TRANSCRIPT
-
8/11/2019 VOUCHER Attachments
1/25
Mode of
Payment
Office
Address: Office/Unit/Project
Amount Due
A. Allotment obligated for the purpose as indicated abov B.Supporting documents complete.
Signature: Signature:
Printed
name: GALILEO V. CALIZO, JR.Date: Printed
name: LUCIANO C. DEL ROSARIO
Municipal Accountant Municipal Treasurer
(Head, Accounting Unit /Authorized Representat ive) (Treasurer/Authorized Representative)
C. Approved for Payment:D. Received Payment
Check No.: Bank Name:
Signature:
Date: Signature:
MA. LOURDES M. MIRAFLORESPrinted
Name:
Municipal Mayor
Position: (Agency Head/Authorized Representative)
Republic of the Philippines
Province of Aklan
MUNICIPALITY OF IBAJAY
DISBURSEMENT VOUCHER
Payee:
OR/Other
Documents:
AMOUNT
Position: Position:
Printed
Name:
Check Cash Others
-
8/11/2019 VOUCHER Attachments
2/25
-
8/11/2019 VOUCHER Attachments
3/25
-
8/11/2019 VOUCHER Attachments
4/25
-
8/11/2019 VOUCHER Attachments
5/25
-
8/11/2019 VOUCHER Attachments
6/25
-
8/11/2019 VOUCHER Attachments
7/25
No.Date:
Payee:
Office
Address:
Responsibility
Center: PARTICULARS F.P.P.Account
CodeAmount
TOTAL
A. Certified: B. Certified:
Charges to appropriation/Allotment necessary,
lawful and under my direct supervision. Existence of available appropriation
Supporting documents valid, proper and legal
Signature: Signature:Printed
name:
Printed
name:
Head, Requesting Office/Authorized Representative Head, Budget Unit/Authorized Representative
Date: Date:
Republic of the Philippines
Province of Aklan
MUNICIPALITY OF IBAJAY
OBLIGATION REQUEST
Position: Position:
-
8/11/2019 VOUCHER Attachments
8/25
Supplier:
Address:
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:
Place of Delivery:
Date of Delivery:
Item No. Unit Quantity Unit Cost Amount
(Total amount in words)
Very truly yours,
(In case of Negotiated Purchase pursuant to Requisitioning Office/Dept. Funds Available:
Section 369 (a) of RA 7160, this portion must Amount:
be accomplished).
Approved to be purchased thru negotiated R.O. No.
purchase per Sanggunian Res. No. _______.
Certified Correct: _________________________
Secretary to the Sanggunian
Date
Requisitioning Officer
_________________________________
__________________________________________________
(Signature over printed name)
_____________________________________
____________________________
PURCHASE ORDERMUNICIPAL GOVERNMENT OF IBAJAY
IBAJAY, AKLAN
Description
-
8/11/2019 VOUCHER Attachments
9/25
-
8/11/2019 VOUCHER Attachments
10/25
Department: Date __________
Section: Date: _________ALOBS No. _ Date: _________
Qty. Unit of Stock Estimated Estimated
Issue No. Unit Cost Cost
Requested by:
Signature:
Printed Name: ____________________________
Designation:
Date:
PURCHASE REQUESTIbajay
LGU
PR No. _____
SAI No.: _____
Item Description
_________________________
Approved by:
-
8/11/2019 VOUCHER Attachments
11/25
-
8/11/2019 VOUCHER Attachments
12/25
-
8/11/2019 VOUCHER Attachments
13/25
-
8/11/2019 VOUCHER Attachments
14/25
Item No. Qty. Unit ARTICLES AND DESCRIPTION UNIT COST AMOUNT
Name and Signature of Dealer
You are hereby invited to quote your price of the articles listed below for immediate delivery if available in your
stock. Please submit your quotation in a sealed envelope to the Office of the Municipal Mayor, Ibajay, Aklan or thru the
bearer hereof on or before 10:00 a.m. on __________________.
MAY NORALYN S. LASERNA M.D.
BAC Chairman
Republic of the Philippines
Province of Aklan
Municipality of Ibajay
OFFICE OF THE MUNICIPAL MAYOR
INVITATION FOR PRICE QUOTATION
I HEREBY CERTIFY, that the articles listed above were their corresponding unit price quoted opposite each items
at present in my stock and are available for delivery according to specifications within _________________ after receipt
of the duly approved award and the corresponding PURCHASE ORDER.
(Date)
-
8/11/2019 VOUCHER Attachments
15/25
3
-
8/11/2019 VOUCHER Attachments
16/25
Purchase Request No. ____________ Date:
We, the undersigned representatives of the Committee on Bids and Awards and the Requisitioning
Officer, do hereby certify that in accordance with the NOTICE TO DEALERS dated _____________________
the foregoing abstract is the result of the joint canvass made by us for the purchase of supplies and materials
particularly described above.
Estimated Cost PhP __________ Recommending the approval for award in favor of dealer/dealers.
Total Quoted Price PhP ___________ most advantageous offers indicated in the appropriate column above.
Offers of ______________________ for the items appearing herein above and respectively
checked/initialed is/are hereby accepted and awarded at price recommended.
Mun. Civil Registrar/BAC Vice Chairman
JUN V. MACOGUE
MPDC/BAC Member
Mun. Engineer/BAC Member
Rural Health Physician/BAC Chairman
ABSTRACT OF PRICE QUOTATION AND AWARD
QTY UNIT DESCRIPTION
DEALERS
MAY NORALYN S. LASERNA
LORNA S. SALESMun. Budget Officer/BAC Member
ELIEZER L. SEVILLA
HELSON J. SEVILLA
-
8/11/2019 VOUCHER Attachments
17/25
-
8/11/2019 VOUCHER Attachments
18/25
Supplier: AR No. _________
P.O. No. ______ Date __________ DATE:
Requisitioning Office/Dept.
Item No. Unit
Date Inspected: ________________________
Inspected, verified and found OK as to
quantity and specifications
INSPECTION & ACCEPTANCE REPORTIBAJAY
LGU
DESCRIPTION Quantity
Property Officer
INSPECTION ACCEPTANCE
____________________________
Inspection Officer
____________________________
/
-
8/11/2019 VOUCHER Attachments
19/25
-
8/11/2019 VOUCHER Attachments
20/25
-
8/11/2019 VOUCHER Attachments
21/25
-
8/11/2019 VOUCHER Attachments
22/25
Division Responsibility Center R.I.S No. ________ Date ___________
Office Code: S.A.I. No. ________ Date ___________
Stock No. Unit Quantity Remarks
PURPOSE/REMARKS: .
REQUESTED BY: ISSUED BY: RECEIVED BY:
Signature
Name
Designtion
Date
APPROVED BY:
REQUISITION AND ISSUE SLIP
MUNICIPAL GOVERNMENT OF IBAJAY
IBAJAY, AKLAN
REQUISITION
Description
-
8/11/2019 VOUCHER Attachments
23/25
-
8/11/2019 VOUCHER Attachments
24/25
Division Responsibility Center R.I.S No. ________ Date ___________
Office Code: S.A.I. No. ________ Date ___________
Stock No. Unit Quantity Quantity Remarks
PURPOSE/REMARKS:
REQUESTED BY: APPROVED BY: ISSUED BY: RECEIVED BY:
Signature
Name
Designtion
Date
REQUISITION AND ISSUE SLIP
MUNICIPAL GIVERNMENT OF IBAJAY
IBAJAY, AKLAN
REQUISITION
Description
ISSUANCE
-
8/11/2019 VOUCHER Attachments
25/25