Appendix 47

PURCHASE REQUEST

LGU: PLARIDEL Fund: _______________________

Department: Tourism Office PR No.: ______________ Date:
Section: __________________ FPP: ___________________

Item No. Unit Item Description Quantity Unit Cost Total Cost
1 Pcs
Shells sigay 50 32.00 1,600.00

1,600.00
Purpose:

Requested by: Cash Availability: Approved by:

Signature:
HON. GADWIN E. HANDUMON
Printed Name: MARIA M. UBA Mayor GADWIN E. HANDUMON
Designation: Municipal Mayor Municipal Treasurer Municipal Mayor
 Republic of the Philippines
PROVINCE OF MISAMIS OCCIDENTAL
Municipality of Plaridel
Date: __________________
Abstract of Open/Sealed Canvass for furnishing and delivering of Materials/Equipment/Supplies
for the Municipality.

ITEM JAPH'S ALBES

QTY UNIT DESCRIPTION ADAN EATERY YTK MARKETING
NO. EATERY
1 10 Pax Dinner 2,000.00 2,100.00 2,200.00
Rice
Fried chicken
Mineral water

T o t a l ₱ 2,000.00 ₱ 2,100.00 ₱ 2,200.00

Awards given to : JAPH'S ALBES EATERY

GADWIN E. HANDUMON ENGR. HARVEY C. JUMAWAN ENGR. AURELIO A. PULANGAS

Municipal Mayor BAC - Chairman BAC - Vice Chairman

LIEZEL A. RACHO DAISY P. MASALIG VIRGINIA C. NAMOCATCAT

MSWDO MBO MAO
BAC Member BAC Member BAC Member
 ADAN EATERY YTK MARKETING

1 4,575.00 45,750.00 1 4,610.00 46,100.00

 Appendix 49

PURCHASE ORDER
Plaridel, Misamis Occidental
LGU

Supplier: JAPH'S ALBES EATERY P.O. No.:

Address: SOUTHERN POB. PLARIDEL MIS. OCC Date:
Mode of Procurement: Shopping
TIN: PR No./s:
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:

Place of Delivery: ______________________________________ Delivery Term: ________________________

Date of Delivery: Payment Term:
Stock/
Unit Description Quantity Unit Cost Amount
Property No.
1 PAX Dinner 10 200.00 2,000.00
Rice
Fried chicken
Mineral water

Total Amount in Words: Two Thousand Pesos Only. ₱ 2,000.00

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
every day of delay shall be imposed on the undelivered item/s.

Conforme: Very truly yours,

GADWIN E. HANDUMON
JAPH'S ALBES EATERY Municipal Mayor
___________________________
Date

(In case of Negotiated Purchase pursuant to Section 369 (a) of RA 7160, this portion must be accomplished.)

Approved per Sanggunian Resolution No.: _____________________________________________________

Certified Correct:
_____________________________
Secretary to the Sanggunian Date
 Appendix 50

ACCEPTANCE AND INSPECTION REPORT

LGU: Plaridel Fund: ___________

Supplier: JAPH'S ALBES EATERY AIR No.: _______________

P.O. No./Date: Date: _________________
Requisitioning Office/Dept.:
Office/Dept: Mayor's
Tourism Office Invoice No.: ____________
Date: _________________

Stock/ Property
Description Unit Quantity
No.
1 Dinner PAX 10
Rice
Fried chicken
Mineral water

ACCEPTANCE INSPECTION
Date Received : ________________________ Date Inspected : _____________________

Complete Inspected, verified and found in order as to

quantity and specifications
Partial (pls. specify)

IVIE H. JUTBA ENGR. NELDA T. ALMIROL

Supply and/or Property Custodian Inspection Officer/Inspection Committee
 Appendix 48

REQUISITION AND ISSUE SLIP

LGU: Plaridel Fund: ______________________

Division: FPP Code: __________________

Office: Mayor's Office RIS No.: ___________________ Date: __________

Requisition Issuance
Stock
Unit Description Quantity Quantity Remarks
No.
1 1 Dinner 10 10 Received

Rice
Fried Chicken
Mineral water

Purpose: Dinner for digespec crew and sound system crew during christmasd lights opening.

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

Signature:
Printed Name: GADWIN E. HANDUMON IVIE H. JUTBA FERLITA DELA V EGA NOVEM CARABAL

Designation: Municipal Mayor GSO GSO Staff

Date:
AO 6/15/02
 Appendix 31
Fund:
DISBURSEMENT VOUCHER
PLARIDEL DV No.:
Date:

ID No./TIN:
Payee: BUZZCO SOLUTIONS
CAFOA No.:
Responsibility Center:
Address: OZAMIS CITY

Particulars Amount

Payment of the Internet Bill for the month of January - March 2023 for the office of the
TOURISM ,in this municipality, as per supporting papers hereto attached in the amount of…………
₱ 9,030.00

Gross: ₱ 9,474.00
less: 1% Business Tax ₱ 94.74
2% Income Tax ₱ 189.48
2% Municipal Tax ₱ 189.48 473.70
₱ 9,030.00

Amount Due ₱ 9,030.00

A Certified: B Certified: C Certified:
Expenses/Cash Advances necessary, Funds available for the purpose.
valid, proper, lawful and incurred Completeness and propriety of supporting
under my direct supervision. documents/previous cash advance
liquidated/existence of funds held in trust.

GADWIN E. HANDUMON JULIE ANN D. COTALES, CPA MARIA M. UBA

Municipal Mayor Municipal Accountant Municipal Treasurer
Head of the Department or Office Head of Accounting Department/Office Head of Treasury Department/Office

D Approved For Payment: ₱ _________________ E Received Payment:

Payment:
Check No.: ____________
Bank Name: ____________
GADWIN E. HANDUMON Date: _________________ BUZZCO SOLUTIONS
Municipal Mayor Signature Over Printed Name/Position
Date: ______________

F Accounting Entries
Particulars Account Code Debit Credit

Prepared by: Certified Correct:

CHARLITA A. ALBOLERAS JULIE ANN D. COTALES, CPA
Accounting Personnel Municipal Accountant
 Republic of the Philippines
Province of Misamis Occidental
MUNICIPALITY OF PLARIDEL
Office of the Bids and Awards Committee

REQUEST FOR QUOTATION

Shopping No. Date:

Sir/Madam:

Please quote your lowest price on the item/s listed below, subject to the General Conditions on the last page, stating the
shortest time of delivery and submit your quotation duly signed by your representative not later than
____________________________________ in the return envelope attached herewith.

PURPOSE:

HARVEY C. JUMAWAN
Municipal Planning & Dev't. Coordinator
BAC Chairman
ITEM QTY. UNIT Name of Supplies/Materials/Services Etc. UNIT PRICE TOTAL
NO.
1 10 PAX Dinner
Rice
Fried chicken
Mineral water

Brand and Model Warranty

Price
Delivery Period Validity

After having carefully read and accepted your General Conditions, I/We quote you on the item at prices noted above.

Printed Name / Signature

Tel. No./Cellphone No./E-mail Address

Date
 Appendix 33

PETTY CASH VOUCHER No.: __________________

LGU: Plaridel Date: _________________

Fund: _____________________________
FPP:
Payee/Office: JAPH'S ALBES EATERY ______________________
Address: SOUTHERN POB. PLARIDEL MIS. OCC

I. To be filled out upon request II. To be filled out upon liquidation

Particulars Amount
Total Amount Granted 2,000.00
Payment of the Internet Bill for the month of
January - March 2023 for the office of the TOURISM
,in this municipality, as per supporting papers hereto
₱ 1,900.00 Total Amount Paid per
attached in the amount of………… OR/Invoice No. 1,900.00

Gross: ₱ 2,000.00
less: 2% Business Tax 40.00
1% Income Tax 20.00 Amount Refunded/
2% Municipal Tax 40.00 100.00 (Reimbursed)
1,900.00
A Requested by: C
Received Refund

GADWIN E. HANDUMON
Municipal Mayor Reimbursement Paid
Requestor

Approved by:

GADWIN E. HANDUMON ELEUTERIO I. CLARET, JR.

Municipal Mayor Signature over Printed Name
Immediate Supervisor Petty Cash Custodian

B Paid by: D
Liquidation Submitted
ELEUTERIO I. CLARET, JR.
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian

Cash Received by:

JAPH'S ALBES EATERY ______________________________

Signature over Printed Name Signature over Printed Name
Payee Payee
Date: _______________ Date: _______________
 Appendix 28
Municipality of Plaridel
CERTIFICATION ON APPROPRIATIONS, FUNDS AND OBLIGATION OF ALLOTMENT

Obligation No.:
Request Approved Amount:

Payee: BUZZCO SOLUTIONS Certification:

I hereby certify as to the existence of appropriations for

Allotment the expenditures in the amount specified herein:
Function Expense Code Amount
Class

DAISY P. MASALIG
Municipal Budget Officer Date:

Certification:

I hereby certify as to the availability of funds for the

expenditures in the amount specified herein:

Total amount requested: ₱ 9,474.00

Amount in words: Nine Thousand Four Hundred Seventy MARIA M. UBA
Four Pesos Only. Municipal Treasurer Date:

Certification:
Requesting Official:
I hereby certify that the allotments are available for
obligation in the amount specified herein:

GADWIN E. HANDUMON
Municipal Mayor Date JULIE ANN D. COTALES
Municipal Accountant Date:

Subsidiary Ledger

Obligation Increase
Date Particulars/Reference Liquidations Balance
(Decrease)
 Appendix 51

PROPERTY ACKNOWLEDGMENT RECEIPT

LGU: Plaridel
Fund: ______________________________________ PAR No.: ____________________

Property Date
Quantity Unit Description Amount
Number Acquired
10 unit Dinner 2,000.00

Received by: Issued by:

DAISY P. MASALIG ALMA LISA A. BOLOTAOLO
Municipal Budget Officer Property Custodian
Position/Office Position/Office

_________________________ _________________________
Date Date
 Appendix 68

WASTE MATERIALS REPORT

LGU: ____________________________________ Fund: _____________________

Place of Storage: Date: ________________________________

ITEMS FOR DISPOSAL
Record of Sales
Item Quantity Unit Description Official Receipt
No. Date Amount
1
2
3
4
5
6
7
8
9
10
TOTAL
Certified Correct : Disposal Approved :
IVIE H. JUTBA ALICIA R. TY
Signature over Printed Name of Signature over Printed Name of Head of the
Supply and/or Property Custodian Agency/Entity or his/her Authorized Representative
CERTIFICATE OF INSPECTION

I hereby certify that the property enumerated above was disposed of as follows:

Item ________ Destroyed

Item ________ Sold at private sale
Item ________ Sold at public auction
Item ________ Transferred without cost to __(Name of the Agency/Entity)__

Certified Correct: Witness to Disposal:

ENGR. NELDA A. ALMIROL
Signature over Printed Name of Inspection Officer Signature over Printed Name of Witness