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INSPECTION & ACCEPTANCE REPORT

Provincial Government of Sultan Kudarat


LGU
Supplier: E & L TECH & GENERAL MERCHANDISE
PO No. : 2020-07 Invoice No. : 107 I.A.R. No. :
Date : May 26 , 2020 Date : May 28, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Unit Laptop 1 75,000.00 75,000.00
Specification:
15.6 Inches Screen 1920 x 1080
Ryzen 5 3550 H Processor
Nvidia GeForce GTX 1650 4GB
512 SSD Hard Drive Storage
8GB DDR4 Memory

TOTAL: 75,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 5-28-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: JEMER MOTOR PARTS & GENERAL MERCHANDISE
PO No. : 2020-010 Invoice No. : 2430 I.A.R. No. :
Date : May 26 , 2020 Date : May 28, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


JOB ORDER:
To supply labor and Materials:
1 set Oil Seal Front Shock 2 1,200.00 2,400.00
2 JO Pull-out & Replace Oil Seal 1 350.00 350.00
3 JO Labor Cost for Tune Up and Change Oil 1 350.00 350.00

TOTAL: 3,100.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 5-28-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: JEMER MOTOR PARTS & GENERAL MERCHANDISE
PO No. : Invoice No. : 5255 I.A.R. No. :
Date : Date : June 1, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Unit Abaca Stripping Machine w/ Complete Engine Accessories , 6 172,800.00 1,036,800.00
Brand New

TOTAL: 1,036,800.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-1-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-011 Invoice No. : O125 I.A.R. No. :
Date : May 6, 2020 Date : June 8, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 box Copper Hydroxide 3 1,180.00 3,540.00
2 gal Isoprpylamine Salt 3 1,120.00 3,360.00
3 gal Glyphosate 3 1,600.00 4,800.00
4 bags Potash 3 1,100.00 3,300.00
5 liter Ditenconazole 3 850.00 2,550.00
6 liter Cartap 4 840.00 3,360.00
7 liter Bentraton 4 850.00 3,400.00
8 liter Diazinon 4 700.00 2,800.00

TOTAL: 27,110.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-8-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-011 Invoice No. : 2300 I.A.R. No. :
Date : May 6, 2020 Date : June 8, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Bags Tilapia Adult Pellets 21 1,000.00 21,000.00
2 Bags Fry Mash 18 750.00 13,500.00

TOTAL: 34,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-8-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: MEGAMIGHT ENTERPRISES
PO No. : Invoice No. : 5261/5263 I.A.R. No. :
Date : Date : June 17, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Mobile Rice Mill w/ Hauler, Brand new 24 649,600.00 15,590,400.00

TOTAL: 15,590,400.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-17-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-018 Invoice No. : 0126/0127 I.A.R. No. :
Date : June 23, 2020 Date : June 29, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 liter 2-4D Amine 4 610.00 2,440.00
2 bags Ammonium Sulfate 5 1,170.00 5,850.00
3 box Cartap Hydrochloride 5 1,100.00 5,500.00
4 bags Complete (14-14-14) 5 1,100.00 5,500.00
5 gal Glyphosate 3 600.00 1,800.00
6 gal Isoprpylamine Salt 3 400.00 1,200.00
7 liter Lambda Cyalothrin 5 1,120.00 5,600.00
8 liter Organic Foliar 5 1,600.00 8,000.00
9 bags Potash 5 980.00 4,900.00
10 bags Urea (46-0-0) 4 990.00 3,960.00

TOTAL: 44,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: D.B POULTRY SUPPLY
PO No. : 2020-016 Invoice No. : 2389 I.A.R. No. :
Date : 06/19/2020 Date : June 29, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Bags Tilapia Adult Pellets 33 1,000.00 33,000.00

TOTAL: 33,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-29-2020
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR
PO No. : 2020-017 Invoice No. : 2389 I.A.R. No. :
Date : 06/23/2020 Date : June 29, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Potash 4 1,100.00 4,400.00
2 liter 2-4D Amine 6 400.00 2,400.00
3 box Cartap Hydrochloride 5 990.00 4,950.00
4 bags Complete(14-14-14) 5 1,100.00 5,500.00
5 bags Urea (46-0-0) 5 1,170.00 5,850.00
6 gal Isoprpylamine salt 6 1120.00 6,720.00
7 liter Lambda Cyalothrin 6 980.00 5,880.00
8 liter Organic Foliar 6 600.00 3,600.00
9 bags Ammonium Sulfate 4 610.00 2,440.00
10 gal Glyphosate 5 1600.00 8,000.00

TOTAL: 49,740.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AGRI COMPONENT CORPORATION
PO No. : Invoice No. : O615 I.A.R. No. :
Date : Date : JuLY 1, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Units RICE COMBINE HARVESTER 25 1,580,000.00 39,500,000.00
-
-
-
-
-
-
-
-
-
TOTAL: 39,500,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 1 - 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-020 Invoice No. : 37260 I.A.R. No. :
Date : July 9, 2020 Date : July 17 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 3500 37.32 130,620.00
2 Liters Gasoline 1538 44.23 68,025.74
TOTAL: 198,645.74
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 17- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2020-019 Invoice No. : 0044/0045/0046 I.A.R. No. :
Date : July 9, 2020 Date : July 17 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 reams Book Paper A4 50 287.50 14,375.00
2 reams Book Paper Long 50 316.25 15,812.50
3 pcs Correction Tape 27 33.35 900.45
4 pcs Envelope L 55 1.15 63.25
5 pcs Envelope S 54 1.15 62.10
6 pcs Folder L 50 4.27 213.50
7 pcs Folder S 50 5.75 287.50
8 pcs Glue 18 75.52 1,359.36
9 pc Mouse 1 528.00 528.00
10 box Pencil 1 95.00 95.00
11 pcs Pentel Pen Pilot (Black Broad) 25 46.32 1,158.00
12 pcs Pentel Pen Pilot (Black FINE) 25 46.32 1,158.00
13 pads Photo Paper 15 80.00 1,200.00
14 btls Printer ink( Black) 25 385.00 9,625.00
15 btls Printer ink( Color)Assorted 33 385.00 12,705.00
16 books Record Book Large 3 120.00 360.00
17 pc Scotch Tape 30 13.28 398.40
18 pcs Signpen Black 30 31.69 950.70
19 pcs Stabilo 20 55.00 1,100.00
20 box Staple Wire 15 60.95 914.25
21 pcs Toilet Bowl Cleaner 3 175.00 525.00
22 pcs White Board Marker 25 58.00 1,450.00
23 boxes Fax Ribbon 10 1,700.00 17,000.00
24 pc keyboard 2 528.00 1,056.00
25 pcs Insect Spraty Baygon 8 462.00 3,696.00

TOTAL: 86,993.01
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 17- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-022 Invoice No. : 37260 I.A.R. No. :
Date : July 9, 2020 Date : July 17 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 kilo kangkong seeds 50 480.00 24,000.00
2 kilo Pechay seeds 35 550.00 19,250.00
3 kilo Okra seeds 40 1,100.00 44,000.00
4 kilo String Beans seeds 50 1,100.00 55,000.00
TOTAL: 142,250.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 17- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2020-023 Invoice No. : OO62 I.A.R. No. :
Date : July 15, 2020 Date : July 23 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Digital Weighing Scale Capacity 30kg 1 4,350.00 4,350.00
2 unit Dial Spring Weighing Scale Capacity 60kg 1 3,150.00 3,150.00
TOTAL: 7,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 23- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-026 Invoice No. : 0134 I.A.R. No. :
Date : July 27, 2020 Date : July 302020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 rolls Seine net 2 1,875.00 3,750.00
TOTAL: 3,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 30- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: D.B POULTRY SUPPLY
PO No. : 2020-025 Invoice No. : 2414 I.A.R. No. :
Date : 07/23/2020 Date : June 29, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Bags Tilapia Adult Pellets 18 1,000.00 18,000.00
2 bags Fry mash 20 750.00 15,000.00
TOTAL: 33,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-30-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-026 Invoice No. : 0131 I.A.R. No. :
Date : July 27, 2020 Date : July 302020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 rolls Seine net 2 1,875.00 3,750.00
TOTAL: 3,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 30- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SMN3 AGRI SUPPLY
PO No. : 2020-021 Invoice No. : 0000156 I.A.R. No. :
Date : July 9, 2020 Date : July 30, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 kilo Eggplant 10 12,000.00 120,000.00
TOTAL: 120,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 30- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: IMMACON CORPORATION
PO No. : 2020-024 Invoice No. : 20363 I.A.R. No. :
Date : July 23, 2020 Date : August 6, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: Supply and Materials:
1 pcs 4"gi pipe s.20 6 3,530.00 21,180.00
2 pcs C-purlains 8 402.00 3,216.00
3 pcs Corrugated sheets 11 285.00 3,135.00
4 kg Welding Rod 1 390.00 390.00
5 box Cutting Disk 1 2750.00 2,750.00
6 bag Cement 12 230.00 2,760.00
7 load Sand 1 1,500.00 1,500.00
Labor Cost 15069.00 15,069.00

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 - 6- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-029 Invoice No. : 0131 I.A.R. No. :
Date : August 3, 2020 Date : Aug. 7, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 kilo Organic Fertilizer/ Vermi-cast 400 250.00 100,000.00
TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 - 3- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2020-028 Invoice No. : 11208 I.A.R. No. :
Date : July 29, 2020 Date : Aug. 7, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: Supply and Labor Materials:
1 JO Repair Printer 3 600.00 1,800.00
2 JO Repair/Format Desktop 2 950.00 1,900.00
TOTAL: 3,700.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 -7- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-030 Invoice No. : 37550 I.A.R. No. :
Date : August 3, 2020 Date : Aug 7, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 800 40.91 32,728.00
2 Liters Gasoline 340 47.76 16,238.40

TOTAL: 48,966.40
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 - 7- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-037 Invoice No. : 0132/0133 I.A.R. No. :
Date : August 18, 2020 Date : Aug. 27, 2020
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
1 packs Squash seeds 50 80.00 4,000.00
2 packs String beans seeds 50 80.00 4,000.00
3 packs Tomato seeds 49 85.00 4,165.00
4 packs Okra seeds 47 85.00 3,995.00
5 packs Eggplant seeds 49 85.00 4,165.00
6 packs Cucumber seeds 47 80.00 3,760.00
7 bags Palay seeds 7 1,700.00 11,900.00
8 packs Ampalaya seeds 47 85.00 3,995.00
9 packs Green Pepper seeds 50 80.00 4,000.00
10 packs Upo seeds 50 80.00 4,000.00

TOTAL: 47,980.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 - 27- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-033 Invoice No. : 2420 I.A.R. No. :
Date : August 18, 2020 Date : Augus 27, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Bags Frymash 22 750.00 16,500.00
2 Bags Tilapia Adult Pellets 18 1,000.00 18,000.00

TOTAL: 34,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-27-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: MEGAMIGHT ENTERPRISES
PO No. : Invoice No. : 5285 I.A.R. No. :
Date : Date : August 28, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Mobile Rice Mill w/ Hauler, Brand new 44 649,600.00 28,582,400.00

TOTAL: 28,582,400.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-28-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-30 Invoice No. : 0135/0136 I.A.R. No. :
Date : 08/26/2020 Date : Aug 28, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 liter Diazinon 2 700.00 1,400.00
2 box Niclosamide 5 1,200.00 6,000.00
3 bags Potash 5 1,100.00 5,500.00
4 liter Organic Foliar 5 600.00 3,000.00
5 liter 2-4D Amine 6 400.00 2,400.00
6 gal Isoprylamine salt 5 1120.00 5,600.00
7 liter Lambda Cyalothrin 6 980.00 5,880.00
8 liter Bentraton 5 850.00 4,250.00
9 pack Mancozeb 11 595.00 6,545.00
10 box Copper Hydroxide 5 1080.00 5,400.00

TOTAL: 45,975.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-28-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2020-034 Invoice No. : 11208 I.A.R. No. :
Date : July 29, 2020 Date : Aug. 26, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: Supply and Labor Materials:
1 JO Repair/Reformat of Desktop/Laptop 4 950.00 3,800.00
2 JO SATA HD 1TB 1 3,700.00 3,700.00

TOTAL: 7,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 -26,2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-037 Invoice No. : 38044 I.A.R. No. :
Date : 09/21/2020 Date : Sept. 24 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 1799 42.38 76,241.62
2 Liters Gasoline 477 49.72 23,716.44

TOTAL: 99,958.06
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9 - 24- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-038 Invoice No. : 0140/0141 I.A.R. No. :
Date : 09/21/2020 Date : Sept. 24, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 packs Ampalaya seeds 69 85.00 5,865.00
2 packs Cucumber seeds 59 80.00 4,720.00
3 packs Eggplant seeds 69 85.00 5,865.00
4 packs Green Pepper seeds 60 85.00 5,100.00
5 packs Okra seeds 60 80.00 4,800.00
6 packs Squash seeds 75 80.00 6,000.00
7 packs String beans seeds 60 80.00 4,800.00
8 packs Tomato seeds 59 85.00 5,015.00
9 packs Upo seeds 60 80.00 4,800.00

TOTAL: 46,965.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9 - 24- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-039 Invoice No. : 2435 I.A.R. No. :
Date : September 21, 2020 Date : Sept. 24, 2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Bags Frymash 20 750.00 15,000.00
2 Bags Tilapia Adult Pellets 18 1,000.00 18,000.00

TOTAL: 33,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-24-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2020-036 Invoice No. : 0140/0141 I.A.R. No. :
Date : 09/21/2020 Date : Sept. 24, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 rms Book paper A4 9 247.50 2,227.50
2 rms Book paper L 9 264.00 2,376.00
3 pcs Correction Tape 8 86.90 695.20
4 btls Printer ink (Black) 8 385.00 3,080.00
5 btls Printer ink (Color) Assorted 5 385.00 1,925.00
6 pcs Alcohol Big 10 102.85 1,028.50
7 pcs Calculator 2 764.50 1,529.00
8 boxes Signpen Black 2 198.00 396.00
9 pcs Stapler 2 495.00 990.00
10 pad Photo Paper 8 88.00 704.00
11 pcs Folder S 27 5.50 148.50
12 pcs Folder L 29 4.95 143.55
13 pcs Folder w/ metal tab 5 32.07 160.35
14 boxes Pencil 1 99.00 99.00
15 btls Downy 2 247.50 495.00

TOTAL: 15,997.60
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9 - 24- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NICANOR PALLADO
PO No. : 2020-040 Invoice No. : I.A.R. No. :
Date : 09/23/2020 Date : Sept. 21, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 J.O Riprapping of Nursery Ponds 1 5,000.00 5,000.00

TOTAL: 5,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9 - 21- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-42 Invoice No. : 0135/0136 I.A.R. No. :
Date : 09/29/2020 Date : 09/30/2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 liter Cartap 7 840.00 5,880.00
2 liter Butachlor 6 500.00 3,000.00
3 liter Cypermethrin 6 600.00 3,600.00
4 liter Ditenconzaole 6 850.00 5,100.00
5 gal Glyphosate 8 1,600.00 12,800.00
6 bags Complete 7 1100.00 7,700.00
7 bags Urea 6 1,170.00 7,020.00
8 bags Ammonium Sulfate 6 610.00 3,660.00

TOTAL: 48,760.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-30-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARMANDO PARCON
PO No. : 2020-046 Invoice No. : RER I.A.R. No. :
Date : October 12, 2020 Date :October 9, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 J.O Clearing of Perimeter (EEMU) 1 10,000.00 10,000.00
2 J.O Clearing of Perimeter (PSWL) 1 10,000.00 10,000.00

TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9 - 11- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2020-043 Invoice No. : 127 I.A.R. No. :
Date : October 12, 2020 Date :October 22, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Photocopier with Scanner 1 130,000.00 130,000.00

TOTAL: 130,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-22-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: Southern Philippines Agro-Industrial Marketing Cooperative
PO No. : 2020-041 Invoice No. : OO67 I.A.R. No. :
Date : September 29, 2020 Date :May 10, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Office Tables 27 5,500.00 148,500.00
2 pcs Office Chairs 27 4,500.00 121,500.00

TOTAL: 270,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10 -05- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-049 Invoice No. : O125 I.A.R. No. :
Date : November 9, 2020 Date : Nov. 13,2020
Requisition. OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Shovel 3 750.00 2,250.00
2 pcs Lagaraw 3 415.00 1,245.00
3 pcs Softbroom 3 85.00 255.00

TOTAL: 3,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-13-2020
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-051 Invoice No. : O149 I.A.R. No. :
Date : December 9, 2020 Date : Dec. 11,2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Tilapia Adult Pellets 21 1,000.00 21,000.00
2 bags Fry Mash 18 750.00 13,500.00

TOTAL: 34,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-11-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-054 Invoice No. : O148 I.A.R. No. :
Date : December 9, 2020 Date : Dec. 11,2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 gal Glyphosate 8 1,600.00 12,800.00
2 liter Butachlor 6 500.00 3,000.00
3 liter Cypermethrin 6 600.00 3,600.00
4 bags Ammonium Sulfate 8 610.00 4,880.00
5 bags Urea(46-0-0) 6 1,170.00 7,020.00
6 bags Complete (14-14-14) 7 1100.00 7,700.00
7 liter Cartap 7 840.00 5,880.00
8 liter Ditenconazole 6 850.00 5,100.00
TOTAL: 49,980.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-11-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-054 Invoice No. : 6504 I.A.R. No. :
Date : December 9, 2020 Date : Dec. 11,2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 packs String beans seeds 70 80.00 5,600.00
2 packs Upo seeds 70 80.00 5,600.00
3 packs Squash seeds 75 80.00 6,000.00
4 packs Green Pepper seeds 65 85.00 5,525.00
5 packs Okra seeds 65 80.00 5,200.00
6 packs Eggplant seeds 70 85.00 5,950.00
7 packs Ampalaya seeds 70 85.00 5,950.00
8 packs Tomato seeds 60 85.00 5,100.00
9 packs Cucumber seeds 63 80.00 5,040.00
TOTAL: 49,965.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-11-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-054 Invoice No. : O148 I.A.R. No. :
Date : December 9, 2020 Date : Dec. 11,2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: Supply Labor and Materials
1 J.O Tarpaulin 8 x 12 (turn Over) 2 1,600.00 3,200.00
2 J.O Tarpaulin 8 x 12 (Welcome) 2 1,600.00 3,200.00
3 J.O Tarpaulin 3 x 5 2 580.00 1,160.00
4 J.O Tarpaulin 4 x 5 ( Consciousness Month) 2 545.00 1,090.00
5 J.O Plaques 1 1350.00 1,350.00
TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-11-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-083 Invoice No. : O163 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 Bales Peatmos 4 2,500.00 10,000.00


TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-087 Invoice No. : O161 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Polyetyhlene Bag
1 packs 2.5 x 6 x 50 280 30.00 8,400.00
2 packs 2.5 x 7 x 50 200 35.00 7,000.00
3 packs 3 x 7 x 50 200 38.00 7,600.00
4 packs 4 x 8 x 50 200 45.00 9,000.00
5 packs 5 x 5 x 8 x 25 200 40.00 8,000.00
TOTAL: 40,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-082 Invoice No. : O163/O164 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Fertilizer
1 sacks Calcium Nitrate plus ammonium 10 1,700.00 17,000.00
2 sacks Winner(15-2-20 + 2mg 2s +2E) 10 1,700.00 17,000.00
3 sacks Unik(16-16-16) 5 1,700.00 8,500.00
4 sacks Nitrabor - Calcium- Boron 5 1,700.00 8,500.00
5 box Humic Acid 5 1400.00 7,000.00
6 kg Nutricote 4 500.00 2,000.00
TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-085 Invoice No. : O157 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 Bags Corn Seeds 25 2,800.00 70,000.00


TOTAL: 70,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-084 Invoice No. : O158 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 loads Soil Media 12 3,500.00 42,000.00


2 loads Organic Soil Mix 8 1,000.00 8,000.00
TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-086 Invoice No. : O159 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 units Agro- net 70% light Trap 2 10,000.00 20,000.00


TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-086 Invoice No. : O159 I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Pesticide
1 Liter Abamectin 1 2,720.00 2,720.00
2 Liter Cypermathrin 5 700.00 3,500.00
3 Liter Butachlor 3 500.00 1,500.00
4 Liter Cartap 5 840.00 4,200.00
5 Liter 2-4D amine 5 500.00 2,500.00
6 gal Glyphosate 4 1,700.00 6,800.00
7 box Copper Hydroxide 5 1,280.00 6,400.00
8 pack Mancozeb 4 595.00 2,380.00

TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JUN PALLADO
PO No. : 2020-096 Invoice No. : RER I.A.R. No. :
Date : 12-29-2020 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Pesticide
1 JO Dike repair 9 4,444.44 39,999.96
TOTAL: 40,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JOJIE'S CATERING SERVICES
PO No. : 2021-02 Invoice No. : 0239 I.A.R. No. :
Date : 4-22-21 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 JO Meals and Snacks 40 250.00 10,000.00
TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-22-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-04 Invoice No. : O168/O169 I.A.R. No. :
Date : 4-22-21 Date : 4-26-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Ammonium Sulfate 6 610.00 3,660.00
2 bags Urea(46-0-0) 6 1,170.00 7,020.00
3 bags Complete( 14-14-14) 6 1,100.00 6,600.00
4 bags Potash 5 1,100.00 5,500.00
5 liter Organic Foliar 3 600.00 1,800.00
6 liter 2-4D amine 4 400.00 1,600.00
7 gal Isoprpylamine 4 1,120.00 4,480.00
8 gal Glyphosate 4 1600.00 6,400.00
9 liter Lamdba Cyalothrin 4 980.00 3,920.00
10 box Cartap Hydrochloride 4 990.00 3,960.00

TOTAL: 44,940.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-26-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2020-03 Invoice No. : OO31/OO32 I.A.R. No. :
Date : 4-22-21 Date : 4-26-21
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Palay seeds 6 1,700.00 10,200.00


2 packs Ampalaya seeds 47 85.00 3,995.00
3 packs Tomato seeds 47 85.00 3,995.00
4 packs Okra seeds 47 85.00 3,995.00
5 packs Eggplant seeds 47 85.00 3,995.00
6 packs Cucumber seeds 47 80.00 3,760.00
7 packs Squash seeds 47 80.00 3,760.00
8 packs String Beans seeds 47 80.00 3,760.00
9 packs Green Pepper seeds 47 80.00 3,760.00
10 packs Upo seeds 47 80.00 3,760.00

TOTAL: 44,980.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-26-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-01 Invoice No. : 40435 I.A.R. No. :
Date : 4-22-21 Date : 4-26-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 3240 46.38 150,271.20
2 Liters Gasoline 895 53.32 47,721.40

TOTAL: 197,992.60
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-26-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE
PO No. : 2021-011 Invoice No. : 11891 I.A.R. No. :
Date : June 9, 2021 Date : June 14, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 unit 3 in 1 Printer 6 10,000.00 60,000.00


Specs:
Print, Scan and Copy function
Borderless, Printing( 4R Photos)
Print Speeds of up to 33ppm
Very small footprint
High page yields of 4500(Black) and 7500(Black)
Preferably made in Japan

TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-14-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: PEREZ AGRI MACHINERIES
PO No. : 2020-100 Invoice No. : OOO1 I.A.R. No. :
Date : 12-29-20 Date : 12-29-20
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Heavy Duty Tractor Trailer 1 300,000.00 300,000.00
Specs: Brand New, Fabricated

TOTAL: 300,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-20

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-013 Invoice No. : 4822 I.A.R. No. :
Date : June 9, 2021 Date : June 14, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Tilapia Adult Pellets 30 1,000.00 30,000.00


2 bags Fry mash 40 750.00 30,000.00
40

TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-14-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-012 Invoice No. : 40704 I.A.R. No. :
Date : June 9,2021 Date : June 14 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 1600 45.32 72,512.00
2 Liters Gasoline 525 52.34 27,478.50

TOTAL: 99,990.50
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6- 14- 2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-173 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 heads Job order: Meals and snacks 36 1,500.00 54,000.00
(3 meals and 2 snacks x 2days)

TOTAL: 54,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2021-026 Invoice No. : 11208 I.A.R. No. :
Date : July 29, 2020 Date : Aug. 7, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 unit Repair Printer 2 40,000.00 80,000.00

TOTAL: 80,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 -7- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2021-024 Invoice No. : O301 I.A.R. No. :
Date : July 21 2021 Date :July 2, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Hapa net 1 3,600.00 3,600.00
2 tank Oxygen Tank 1 8,000.00 8,000.00
3 bundle Polybag/Dispersal bag 1 400.00 400.00

TOTAL: 12,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-2-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2022-179 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 pcs Plaques 12 1,200.00 14,400.00

TOTAL: 14,400.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE
PO No. : 2021-011 Invoice No. : 11993 I.A.R. No. :
Date : 09/21/2021 Date : June 15, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Laptop 2 40,000.00 80,000.00
Specs:
AMD Ryzen™ 5 4500u(2.3Ghz base)
Clock(2h) up to 4.0Ghz max boost
Clock(2i) 8MB L3 cache, 6 cores
Chipset AMD Integrated Soc
8gb DDR4-2666 SDRAM(1x8GB)
512 GB PCIE®NVMe™ TLC M.2 SSD
Windows 10
3-cell,41 wh Li-on
39.6cm(15.6") Diagonal,HD(1366X768)
Microedge,Brightview1 229nits
45% NTSC
AMD Radeon™ Graphics

TOTAL: 80,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-027 Invoice No. : 4840/4841//4842/4843/4845 I.A.R. No. :
Date : 7/21/21 Date : June 15, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 hills Rubber Materials (Parent Material) 2000 55.00 110,000.00
2 FERTILIZERS -
3 bags Organic 100 300.00 30,000.00
4 bags slow release fertilzer 5 8500.00 42,500.00
5 bags 14-14-14 30 1050.00 31,500.00
6 bags Ammonium sulfate 30 750.00 22,500.00
7 TOOLS
8 pcs shovel 5 650.00 3,250.00
9 pcs Bolo 5 350.00 1,750.00
10 pcs Budding Knife 5 450.00 2,250.00
11 pcs Knapsack Sprayer 2 2,650.00 5,300.00
12 pcs Grafting Knife 10 350.00 3,500.00
13 pcs Pruning Knife 10 550.00 5,500.00
14 pcs Polly Bag 1500 50.00 75,000.00
15 rolls B-net Black 4 8,500.00 34,000.00
16 pcs Wheelbarrow 2 3,000.00 6,000.00
17 kls Tie wire 5 110.00 550.00
18 pcs Sprinkler 2 300.00 600.00
19 pcs Bamboo Poles 50 180.00 9,000.00
20 qrt Insecticide 6 725.00 4,350.00
21 qrt Fungicide 6 900.00 5,400.00
22 pcs Tank w/ Water Pump 1 20,000.00 20,000.00
23 pcs Pipe 0.15 inch GE. Ga 29 2,000.00 58,000.00
24 pcs Shovel Spade 4 700.00 2,800.00
25 pcs Hand Trowel 5 150.00 750.00
26 meter Fiber Hose 105 100.00 10,500.00
27 JO Trucking Fee & Labor 1 15,000.00 15,000.00
TOTAL: 500,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-028 Invoice No. : 4835/4836/4837/4838/4839 I.A.R. No. :
Date : 7/21/21 Date : June 15, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 hills Rubber Materials (Parent Material) 2000 55.00 110,000.00
2 FERTILIZERS
3 bags Organic 100 300.00 30,000.00
4 bags slow release fertilzer 5 8500.00 42,500.00
5 bags 14-14-14 30 1050.00 31,500.00
6 bags Ammonium sulfate 30 750.00 22,500.00
7 TOOLS
8 pcs shovel 5 650.00 3,250.00
9 pcs Bolo 5 350.00 1,750.00
10 pcs Budding Knife 5 450.00 2,250.00
11 pcs Knapsack Sprayer 2 2,650.00 5,300.00
12 pcs Grafting Knife 10 350.00 3,500.00
13 pcs Pruning Knife 10 550.00 5,500.00
14 pcs Polly Bag 1500 50.00 75,000.00
15 rolls B-net Black 4 8,500.00 34,000.00
16 pcs Wheelbarrow 2 3,000.00 6,000.00
17 kls Tie wire 5 110.00 550.00
18 pcs Sprinkler 2 300.00 600.00
19 pcs Bamboo Poles 50 180.00 9,000.00
20 qrt Insecticide 6 725.00 4,350.00
21 qrt Fungicide 6 900.00 5,400.00
22 pcs Tank w/ Water Pump 1 20,000.00 20,000.00
23 pcs Pipe 0.15 inch GE. Ga 29 2,000.00 58,000.00
24 pcs Shovel Spade 4 700.00 2,800.00
25 pcs Hand Trowel 5 150.00 750.00
26 meter Fiber Hose 105 100.00 10,500.00
27 JO Trucking Fee & Labor 1 15,000.00 15,000.00
TOTAL: 500,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-029 Invoice No. : 4831/4832/4833/4834/ I.A.R. No. :
Date : 7/21/21 Date : June 15, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 hills Rubber Materials (Parent Material) 2000 55.00 110,000.00
2 FERTILIZERS -
3 bags Organic 100 300.00 30,000.00
4 bags slow release fertilzer 5 8500.00 42,500.00
5 bags 14-14-14 30 1050.00 31,500.00
6 bags Ammonium sulfate 30 750.00 22,500.00
7 TOOLS
8 pcs shovel 5 650.00 3,250.00
9 pcs Bolo 5 350.00 1,750.00
10 pcs Budding Knife 5 450.00 2,250.00
11 pcs Knapsack Sprayer 2 2,650.00 5,300.00
12 pcs Grafting Knife 10 350.00 3,500.00
13 pcs Pruning Knife 10 550.00 5,500.00
14 pcs Polly Bag 1500 50.00 75,000.00
15 rolls B-net Black 4 8,500.00 34,000.00
16 pcs Wheelbarrow 2 3,000.00 6,000.00
17 kls Tie wire 5 110.00 550.00
18 pcs Sprinkler 2 300.00 600.00
19 pcs Bamboo Poles 50 180.00 9,000.00
20 qrt Insecticide 6 725.00 4,350.00
21 qrt Fungicide 6 900.00 5,400.00
22 pcs Tank w/ Water Pump 1 20,000.00 20,000.00
23 pcs Pipe 0.15 inch GE. Ga 29 2,000.00 58,000.00
24 pcs Shovel Spade 4 700.00 2,800.00
25 pcs Hand Trowel 5 150.00 750.00
26 meter Fiber Hose 105 100.00 10,500.00
27 JO Trucking Fee & Labor 1 15,000.00 15,000.00
TOTAL: 500,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-030 Invoice No. : 41533 I.A.R. No. :
Date : July 27, 2021 Date : July 2 ,2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 323.48 46.37 14,999.77
2 Liters Gasoline 93.31 53.58 4,999.55

TOTAL: 19,999.32
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 2- 2021
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-032 Invoice No. : 4848 I.A.R. No. :
Date : July 27, 2021 Date : July 20, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Fry mash 28 750.00 21,000.00


2 bags Tilapia Adult Pellets 39 1,000.00 39,000.00

TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-20-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2021-025 Invoice No. : 13117 I.A.R. No. :
Date : July 21, 2021 Date : June 15, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Computer/Desktop with Accessories 2 45,000.00 90,000.00
Specs:
Intel core i5-10400(2.0Ghz 12m cache up to 4.30Ghz)

8Gb DDR4 Memory PC2400


1Tb Hard disk(7,200 rpm)
USB Keyboard
USB Optical Mouse w/ pad
Amplified Speaker
AVR(Ideal)
500W rated power supply
240GB SSD
23.8”LED-LCD blk Monitor IPS
GAMDIAS/AOC
TOTAL: 90,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6 -15- 2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2021-031 Invoice No. : 11995 I.A.R. No. :
Date : July 21, 2021 Date : June 15, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Computer/Desktop with Accessories 1 45,000.00 45,000.00
Specs:
Intel core i5-10400(2.0Ghz 12m cache up to 4.30Ghz)

8Gb DDR4 Memory PC2400


1Tb Hard disk(7,200 rpm)
USB Keyboard
USB Optical Mouse w/ pad
Amplified Speaker
AVR(Ideal)
500W rated power supply
240GB SSD
23.8”LED-LCD blk Monitor IPS
GAMDIAS/AOC
TOTAL: 45,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6 -15- 2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2021-040 Invoice No. : 13179 I.A.R. No. :
Date : August 4, 2021 Date : July 28, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 unit SSD 240 GB 1 2,950.00 2,950.00
2 unit DDR4 RAM 8GB 1 3,150.00 3,150.00
3 JO Reformat of Laptop 1 900.00 900.00
TOTAL: 7,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: July 28, 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2020-020 Invoice No. : 41423 I.A.R. No. :
Date : 9-20-21 Date : July 21, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 1510 47.09 71,105.90
2 Liters Gasoline 503 53.43 26,875.29
TOTAL: 97,981.19
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: July 21, 2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-55 Invoice No. : O180/O181 I.A.R. No. :
Date : 9-20-21 Date : 7-14-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 packs Mancozeb 8 595.00 4,760.00


2 liter Butachlor 9 500.00 4,500.00
3 liter Ditenconazole 10 850.00 8,500.00
4 liter Diazinon 11 700.00 7,700.00
5 liter Lambda Cyalothrin 11 980.00 10,780.00
6 gal Glyphosate 9 1,600.00 14,400.00
7 liter Organic Foliar 9 600.00 5,400.00
8 bags Potash 8 1100.00 8,800.00
9 bags Ammonium Sulfate 8 610.00 4,880.00
TOTAL: 69,720.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-14-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2021-053 Invoice No. : O374/0375 I.A.R. No. :
Date : 9-20-21 Date : July 22, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 reams Book Paper A4 8 230.00 1,840.00
2 reams Book Paper long 8 253.00 2,024.00
3 reams Folder A4 2 339.02 678.04
4 pc Correction Tape 12 32.20 386.40
5 gal Alcohol 68%-70% 1 gal 4 1,023.50 4,094.00
6 pc Signpen Black Liquid 30 42.21 1,266.30
7 box Envelope Legal size document 1 1,127.75 1,127.75
8 box Ballpen Ordinary 2 96.60 193.20
9 btls Printer Ink(Black) 5 385.00 1,925.00
10 btls Printer ink(Color) Assorted 9 385.00 3,465.00
11 gal Disinfectant spray 400-550 grams 1 897.00 897.00
12 btls Hand sanitizer 50ml 6 71.01 426.06
13 pc Folder Long 54 5.50 297.00
14 pcs Softbroom 5 82.50 412.50
15 pcs Toilet bowl Cleaner 5 192.50 962.50
TOTAL: 19,994.75
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7 - 22- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: H.BUENACOSA WELDING AND REPAIR SHOP
PO No. : 2021-054 Invoice No. : 4613 I.A.R. No. :
Date : 9-20-21 Date : July 21, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 JO Front L/R Calliper Assy Pull-out for Bushing Fabricaton and 1 1,200.00 1,200.00
Install
2 JO Bushing Fabrication 1 2,000.00 2,000.00
3 JO Radiator Pull-out for Overhauling & Install 1 500.00 500.00
4 JO Radiator Overhaul 1 1,200.00 1,200.00
5 JO Brake tubing pull-out for welding & Install 1 300.00 300.00
6 JO Tube welding 1 200.00 200.00
7 JO Alternator Assy pull-out for Repair & Install 1 800.00 800.00
8 JO Alternator bushing fabrication 1 500.00 500.00
9 JO Alternator Bracket & Welding 1 2,500.00 2,500.00
10 JO Alternator Adjuster Welding 1 200.00 200.00
11 JO Alternator Build Up & Hose Rebuilt 1 600.00 600.00
TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 - 18- 2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2021-58 Invoice No. : O639 I.A.R. No. :
Date : 9-28-21 Date : 8-18- 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Catering Services (Meals and Snacks) During of Enterprise 30 400.00 12,000.00
and Agribusiness Training at King's hall Provincial Capitol,
Isulan, Sultan Kudarat on August 18, 2021
TOTAL: 12,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8 - 18- 2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-013 Invoice No. : 4822 I.A.R. No. :
Date : June 9, 2021 Date : June 14, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Tilapia Adult Pellets 30 1,000.00 30,000.00


2 bags Fry mash 40 750.00 30,000.00
TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-14-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-071 Invoice No. : O184/O185 I.A.R. No. :
Date : 4-22-21 Date : 10-15-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 liter Cypermethrin 7 600.00 4,200.00


2 liter Cartap 7 840.00 5,880.00
3 gal Isoprpylamine salt 9 1,120.00 10,080.00
4 liter Bentraton 8 850.00 6,800.00
5 liter 2-4D Amine 14 400.00 5,600.00
6 bags Urea (46-0-0) 8 1,170.00 9,360.00
7 bags Ammonium Sulfate 7 610.00 4,270.00
8 bags Complete (14-14-14) 9 1100.00 9,900.00
9 box Copper Hydroxide 10 1180.00 11,800.00
10 box Niclosamide 10 1,200.00 12,000.00

TOTAL: 79,890.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-071 Invoice No. : O184/O185 I.A.R. No. :
Date : 4-22-21 Date : 10-15-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 packs Upo seeds 100 80.00 8,000.00


2 packs Green Pepper seeds 100 80.00 8,000.00
3 packs String Pepper seeds 100 80.00 8,000.00
4 packs Squash seeds 100 80.00 8,000.00
5 packs Cucumber seeds 104 80.00 8,320.00
6 packs Eggplant seeds 111 85.00 9,435.00
7 packs Okra seeds 99 85.00 8,415.00
8 packs Tomato seeds 99 85.00 8,415.00
9 packs Ampalaya seeds 99 85.00 8,415.00
`

TOTAL: 75,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-072 Invoice No. : 4851 I.A.R. No. :
Date : December 10, 2021 Date : October 15, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Tilapia Adult Pellets 30 1,000.00 30,000.00


2 bags Fry mash 40 750.00 30,000.00
TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10/15/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2021-069 Invoice No. : 0275/0276/0277 I.A.R. No. :
Date : December 10, 2021 Date : 10-15-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 btls Printer Ink(Black) 10 385.00 3,850.00
2 btls Printer Ink(color)assorted 20 385.00 7,700.00
3 reams Book Paper A4 50 230.00 11,500.00
4 reams Book Paper long 50 253.00 12,650.00
5 box Staple wire 10 59.23 592.30
6 pack Photopaper 2 345.00 690.00
7 reams Folder Long 4 690.00 2,760.00
8 reams Folder A4 4 339.02 1,356.08
9 pcs Stabilo 18 25.30 455.40
10 pcs Pentel Pen(Black FINE) 20 55.20 1,104.00
11 book Record Book 500 pages 5 129.00 645.00
12 can Air Freshner 277 ml 15 296.70 4,450.50
13 gal Alcohol 68%- 70% 1 gal 3 1,023.50 3,070.50
14 pcs Correction Tape 22 32.20 708.40
15 pcs Mouse 4 322.00 1,288.00
16 pcs Keyboard 4 290.95 1,163.80
17 btls Toilet Bowl Cleaner 3 356.50 1,069.50
18 pcs Signpen Black Liquid 25 42.21 1,055.25
19 pcs Scotch Tape 24mm 19 41.40 786.60
20 box Envelope Legal size Document 2 1,127.75 2,255.50
21 box Ballpen Ordinary 3 96.60 289.80
22 pcs Pentel Pen(Black Broad) 9 62.10 558.90

TOTAL: 59,999.53
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2021-073 Invoice No. : 4851 I.A.R. No. :
Date : October 12, 2021 Date : 10-15-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 roll Masking Tape 1'' 10 59.40 594.00
2 roll Masking Tape 2'' 10 129.81 1,298.10
3 roll Packaging Tape 10 56.10 561.00
4 bts Toilet Cleaner 4 352.90 1,411.60
5 pcs Soap Plate 2 102.80 205.60
6 boxes Ballpen(Ordinary)50's 5 275.00 1,375.00
7 rms Book Paper A4 30 247.50 7,425.00
8 rms Book Paper Long 30 264.00 7,920.00
9 pcs Correction Tape 12 86.90 1,042.80
10 pcs Folder L 125 6.00 750.00
11 pcs Soap 20 42.00 840.00
12 ps Alcohol Big 15 105.00 1,575.00

TOTAL: 24,998.10
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: RAMGO INTERNATIONAL CORPORATION
PO No. : 2021-055 Invoice No. : 216967 I.A.R. No. :
Date : 9-20-21 Date : August 11, 2022
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
1 kilo Pole Sitao 4 1,520.00 6,080.00
2 gram Celery(50g) 1 450.00 450.00
3 gram Cucumber(100g) 2 440.00 880.00
4 gram Eggplant(100g) 4 1,020.00 4,080.00
5 gram Ampalaya(250g) 4 2,100.00 8,400.00
6 gram Upo(250g) 4 1,035.00 4,140.00
7 gram Patola(250g) 4 1,035.00 4,140.00
8 kilo Kangkong 2 850.00 1,700.00
9 gram Lettuce(FAME)(25g) 1 540.00 540.00
10 gram Lettuce(LYON)(25g) 1 435.00 435.00
11 kilo Okra 4 1,200.00 4,800.00
12 kilo Pechay 3 930.00 2,790.00
13 gram Tomato(25g) 3 2,200.00 6,600.00
14 gram Pepper(100g) 1 1,090.00 1,090.00
15 gram Radish(100g) 2 535.00 1,070.00
16 gram Squash 6 1580 9,480.00
17 pcs Seedlings Trays(100 holes) 150 31.20 4,680.00
18 pcs Seedlings Trays(128 holes) 200 41.50 8,300.00

TOTAL: 69,655.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-30-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2021-068 Invoice No. : 0301/0302 I.A.R. No. :
Date : October 12, 2021 Date : 10-14-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pc Folder Long 104 5.50 572.00
2 reams Folder A4 2 339.02 678.04
3 reams Book Paper A4 31 230.00 7,130.00
4 gal Book Paper Long 31 253.00 7,843.00
5 pc Alcohol 68% - 70% 1 gal 10 1,023.50 10,235.00
6 box Signpen black liquid 34 42.21 1,435.14
7 box Envelope legal size document 2 1,127.75 2,255.50
8 box Ballpen Ordinary 2 96.60 193.20
9 btls Printer ink(Black) 20 385.00 7,700.00
10 btls Printer ink(Color)Assorted 20 385.00 7,700.00
11 gal Disinfectant spray 11 897.00 9,867.00
12 btls Hand sanitizer 37 71.01 2,627.37
13 pc Correction Tape 12 32.20 386.40
14 pcs Softbroom 5 82.50 412.50
15 pcs Toilet bowl Cleaner 5 192.50 962.50

TOTAL: 59,997.65
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-14-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2021-079 Invoice No. : 42385 I.A.R. No. :
Date : November 8, 2021 Date : 9/11/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 215.65 46.37 9,999.69
2 Liters Gasoline 93.31 53.58 4,999.54

TOTAL: 14,999.23
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11/09/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: IMMACON CORPORATION
PO No. : 2021-077 Invoice No. : 7944 I.A.R. No. :
Date : November 8, 2021 Date : 9/11/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 set Battery 1 9,680.00 9,680.00
2 tire Tire 265/65 R17(all terrain) 2 13,965.00 27,930.00

TOTAL: 37,610.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-9-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: NATURE'S BLESSED 7 AGRI , INC
PO No. : 2021-074 Invoice No. : 00123 I.A.R. No. :
Date : October 19, 2021 Date : 10/21/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 loads Soil Media 6 3,500.00 21,000.00
2 loads Organic Soil Mix 9 1,000.00 9,000.00

TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10/21/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: ESPERANZA CONSTRUCTION AND SUPPLY PARTNER CO.
PO No. : 2021-076 Invoice No. : O252 I.A.R. No. :
Date : November 11, 2021 Date : 11-15-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Brush Cutter 1 15,000.00 15,000.00

TOTAL: 15,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-15-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: ROBERT AGRIVET SUPPLY INCORPORATED
PO No. : 2021-01 Invoice No. OO10567/
: 10611 I.A.R. No. :
Date : October 28, 2021 Date : March 11, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 packs Ampalaya seeds 350 140.00 49,000.00
2 packs Tomato seeds 350 140.00 49,000.00
3 packs Okra seeds 350 140.00 49,000.00
4 packs Eggplant seeds 350 140.00 49,000.00
5 packs Cucumber seeds 350 140.00 49,000.00
6 packs Squash seeds 321 140.00 44,940.00
7 packs String beans seeds 300 140.00 42,000.00
8 packs Green Pepper seeds 300 140.00 42,000.00
9 packs Cow pea seeds 300 140.00 42,000.00
10 packs Winged beans seeds 300 140.00 42,000.00
11 packs Upo seeds 300 140.00 42,000.00

TOTAL: 499,940.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-3-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2021-023 Invoice No. : 7321 I.A.R. No. :
Date : November 11, 2021 Date :November 12, 2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 JO Tarpaulin Printing ( 4 x 8 ) 2 480.00 960.00
Cooperative month Celebration

TOTAL: 960.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-11-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ESPERANZA CONSTRUCTION AND SUPPLY PARTNER CO.
PO No. : 2021-086 Invoice No. : O251 I.A.R. No. :
Date : 11/15/2021 Date : 11-17-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 set Water Reservoir 1 29,000.00 29,000.00
2 set Tower 1 18,000.00 18,000.00
3 set Motor, Pipes and Fitting 1 8,000.00 8,000.00
4 J.O Labor Installation 1 20,000.00 20,000.00

TOTAL: 75,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-17-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ESPERANZA CONSTRUCTION AND SUPPLY PARTNER CO.
PO No. : 2021-086 Invoice No. : O253 I.A.R. No. :
Date : 11/15/2021 Date : 11-17-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 set Mainline assembly 2 8,000.00 16,000.00
2 set Submain assembly 2 5,000.00 10,000.00
3 set Zone assembly 2 15,000.00 30,000.00
4 J.O Labor installation 1 19,000.00 19,000.00

TOTAL: 75,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-17-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2021-087 Invoice No. : 42180 I.A.R. No. :
Date : November 15, 2021 Date : 11/17/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 424 47.09 19,966.16

TOTAL: 19,966.16
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11/09/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ESPERANZA CONSTRUCTION AND SUPPLY PARTNER CO.
PO No. : 2021-085 Invoice No. : O254 I.A.R. No. :
Date : 11/15/2021 Date : 11-17-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs C Purlains 60 626.00 37,560.00
2 pcs Corrugated sheets 60 480.00 28,800.00
3 pcs Cement 80 215.00 17,200.00
4 load Sand 3 1,200.00 3,600.00
5 set Glass Door 1 9,000.00 9,000.00
6 pcs Tiles 320 160.00 51,200.00
7 Adhesive Cement 70 280.00 19,600.00
8 pcs Plywood 50 346.00 17,300.00
9 pcs Rivets 4 290.00 1,160.00
10 pcs Hollow Blocks 1000 8.00 8,000.00
11 pcs Welding rod 5 450.00 2,250.00
12 pcs Red Cement 3 1,800.00 5,400.00
13 JO Labor 1 51,305.00 51,305.00
14 pcs Cutting Disc 25 105.00 2,625.00

TOTAL: 255,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-17-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NATURE'S BLESSED 7 AGRI , INC
PO No. : 2021-088 Invoice No. : 00125 I.A.R. No. :
Date : November 16, 2021 Date : 11/16/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Polyethylene Bag
1 packs 2.5 x 6 x 50 350 40.00 14,000.00
2 packs 2.5 x 7 x 50 200 40.00 8,000.00
3 packs 3 x 7 x 50 200 40.00 8,000.00
4 packs 4 x x 50 220 50.00 11,000.00
5 packs 5 x 5 x 8 x 25 200 45.00 9,000.00

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11/16/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2020-093 Invoice No. : 2622/2623 I.A.R. No. :
Date : 11/23/2020 Date : Sept. 25, 2020
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Notebook 40 leaves 150 14.00 2,100.00
2 pcs Ballpen Ordinary 150 8.00 1,200.00
3 pcs Manila paper 26 5.00 130.00
4 pcs Pentel Pen Broad 12 62.00 744.00
5 pcs Certificate Holder 150 69.00 10,350.00
6 pack Lenin Paper A4 15 28.00 420.00
7 pack Photopaper 2 345.00 690.00
8 btls Canon Computer ink, Black 3 415.00 1,245.00
9 btls Canon Computer ink, Colored 6 415.00 2,490.00
10 pads Yellow pad Paper 6 96.00 576.00
11 btls Alcohol 70% isopropyl 12 109.00 1,308.00
12 pack Tissue 2 ply 12's 400 sheets 1 189.00 189.00
13 pack Battery 6 143.00 858.00
14 ream Bookpaper A4 15 230.00 3,450.00
15 pcs Calculator 2 421.00 842.00
16 pcs Correction pen 6 125.00 750.00
17 pcs Correction tape 10 35.00 350.00
18 pcs Window mailing envelope 200 2.00 400.00
19 pcs Flash drive 32 GB Capacity 2 747.00 1,494.00
20 pcs Folder Long 100 9.00 900.00
21 pcs Record Books 200 pages 6 69.00 414.00
22 pcs Ruler Plastic 12 " 6 34.00 204.00
23 pcs Scissors Big, Liquid gel ink 2 351.00 702.00
24 pcs Signpen Black,Liquid gel ink 12 29.00 348.00
25 boxes Staple wire,standard #35 6 59.00 354.00
15 rolls Tape Transparent, width 34mm 12 41.00 492.00
TOTAL: 33,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11 - 25- 2020

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NATURE'S BLESSED 7 AGRI , INC
PO No. : 2021-089 Invoice No. : 00127 I.A.R. No. :
Date : November 15, 2021 Date : 11/15/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Pesticides
1 liter Abamectin 4 2,750.00 11,000.00
2 liter Cypermethrin 20 700.00 14,000.00
3 liter Butachlor 12 500.00 6,000.00
4 liter Cartap 10 850.00 8,500.00
5 liter 2-4D Amine 15 500.00 7,500.00
6 gal Glyphosate 10 1,700.00 17,000.00
7 box Copper Hydroxide 10 1,300.00 13,000.00
8 pack Mancozeb 5 600.00 3,000.00

TOTAL: 80,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11/15/2021
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NATURE'S BLESSED 7 AGRI , INC
PO No. : 2021-090 Invoice No. : 00129 I.A.R. No. :
Date : November 15, 2021 Date : 11/15/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Fertilizer
1 sacks Calcium Nitrate plus ammonium 10 1,700.00 17,000.00
2 sacks Winner(15-9-20 + 2mg +2s+ 2E) 10 1,700.00 17,000.00
3 sacks Unik 16-16-16 5 1,700.00 8,500.00
4 sacks Nitrabor - calcium + Boron 5 1,700.00 8,500.00
5 box Humic Acide 10 1,500.00 15,000.00
6 kg Nutricote 8 500.00 4,000.00

TOTAL: 70,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11/15/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2021-91 Invoice No. : I.A.R. No. :
Date : 11-16-21 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Catering Services (Meals and Snacks) During joint meeting 30 400.00 12,000.00
with the municipal/City Agriculturist at Sultan Kudarat
Training Center, Bo.2 on October 28, 2021
TOTAL: 12,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2021-098 Invoice No. : 41794 I.A.R. No. :
Date : December 22, 2021 Date : 11/17/2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 2100 50.03 105,063.00
2 Liters Gasoline 774 56.76 43,932.24
TOTAL: 148,995.24
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12/22/2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2021-110 Invoice No. : 4854 I.A.R. No. :
Date : 12-24-2021 Date : 12-24-21
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Fry mash 40 750.00 30,000.00


2 bags Tilapia Adult Pellets 70 1,000.00 70,000.00
TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-108 Invoice No. : O189/O192/O193 I.A.R. No. :
Date : 12-24-2021 Date : 12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Packs String bean seeds 160 80.00 12,800.00
2 Packs Upo seeds 160 80.00 12,800.00
3 Packs Squash seeds 160 80.00 12,800.00
4 Packs Green Pepper seeds 160 80.00 12,800.00
5 Packs Cucumber seeds 160 80.00 12,800.00
6 Packs Eggplant seeds 181 85.00 15,385.00
7 Packs Tomato seeds 180 85.00 15,300.00
8 Packs Okra seeds 180 85.00 15,300.00
9 Packs Ampalaya seeds 180 85.00 15,300.00
TOTAL: 125,285.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-107 Invoice No. : O187/O188 I.A.R. No. :
Date : 12-24-2021 Date : 12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Ammonium Sulfate 8 610.00 4,880.00
2 bags Urea (46-0-0) 8 1,170.00 9,360.00
3 bags Complete 7 1,100.00 7,700.00
4 bags Potash 7 1,100.00 7,700.00
5 liter Organic Foliar 8 600.00 4,800.00
6 liter 2-4D Amine 6 400.00 2,400.00
7 gal Isoprpylamine salt 6 1,120.00 6,720.00
8 gal Glyphosate 6 1,600.00 9,600.00
9 liter Lambda cyalothrin 8 980.00 7,840.00
10 box Cartap Hydrochloride 8 990.00 7,920.00
11 box Niclosamide 6 1,200.00 7,200.00
12 liter Diazinon 8 700.00 5,600.00
13 liter Ditenconazole 8 850.00 6,800.00
14 liter Cypermethrin 8 600.00 4,800.00
15 liter Bentratron 8 850.00 6,800.00
16 liter Butachlor 8 500.00 4,000.00
17 Pack Mancozeb 8 595.00 4,760.00
18 box Copper Hydroxide 6 1,080.00 6,480.00

TOTAL: 115,360.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-108 Invoice No. : O187/O188 I.A.R. No. :
Date : 12-24-2021 Date : 12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Packs String bean seeds 160 80.00 12,800.00
2 Packs Upo seeds 160 80.00 12,800.00
3 Packs Squash seeds 160 80.00 12,800.00
4 Packs Green Pepper seeds 160 80.00 12,800.00
5 Packs Cucumber seeds 160 80.00 12,800.00
6 Packs Eggplant seeds 181 85.00 15,385.00
7 Packs Tomato seeds 180 85.00 15,300.00
8 Packs Okra seeds 180 85.00 15,300.00
9 Packs Ampalaya seeds 180 85.00 15,300.00
TOTAL: 125,285.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: H.BUENACOSA WELDING AND REPAIR SHOP
PO No. : 2021-109 Invoice No. : O4706/O4707/ I.A.R. No. :
Date : 12-24-2021 Date : 12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pc Door Mechanism 1 3,500.00 3,500.00
2 pc Cover gasket 1 800.00 800.00
3 qrt E-oil 1 1,750.00 1,750.00
4 pc Change oil filter 1 400.00 400.00
5 oil Change gear oil 1 1,000.00 1,000.00
6 set Brake shoe 1 1,300.00 1,300.00
7 set Wheel Cylinder 1 800.00 800.00
8 pc 2nd Spring & 3 Spring 2 500.00 1,000.00
9 pc Shock Bushing 8 100.00 800.00
10 pc Suspension bushing 4 50.00 200.00
11 pc Alternator belt 1 800.00 800.00
12 pc T-belt 1 1,500.00 1,500.00
13 pc Steering Belt 1 450.00 450.00
14 pc Crankshaft O-seal 1 500.00 500.00
15 pc Cross Joint 2 800.00 1,600.00
16 pc Axle bearing 1 1,900.00 1,900.00
17 pc Ball joint 2 900.00 1,800.00
18 pc Stabilizer assembly 1 1,000.00 1,000.00
19 pc Steering Repair kit 1 1,500.00 1,500.00
20 set Tie Rod end 1 2,000.00 2,000.00
21 pc Clutch operating assembly 1 1,390.00 1,390.00

TOTAL: 25,990.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2021-106 Invoice No. : 7323 I.A.R. No. :
Date : 12-24-2021 Date :12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 Tarpaulin(4 x 8)HB(pax Ali) 5 950.00 4,750.00
2 Tarpaulin(4 x 8)HB 4 480.00 1,920.00
3 Tarpaulin(4 x 8)Coop 4 550.00 2,200.00
4 Tarpaulin(4 x 8)DTI 4 550.00 2,200.00
5 Tarpaulin(4 x 8)HB(Gov. Pax) 4 580.00 2,320.00
6 Table Sign 4 1,585.00 6,340.00
TOTAL: 19,730.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2021-112 Invoice No. : I.A.R. No. :
Date : 12-27-2021 Date :12-27-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 Plaques 5 1,000.00 5,000.00
TOTAL: 5,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-27-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2021-113 Invoice No. : 12362 I.A.R. No. :
Date : 12-27-2021 Date : 12-27-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 JO 1 7,500.00 7,500.00
TOTAL: 7,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-27-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2021-105 Invoice No. : 43014 I.A.R. No. :
Date : 12-24-2021 Date : 12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 651 57.11 37,178.61
2 Liters Gasoline 185 64.44 11,921.40
TOTAL: 49,100.01
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2021-103 Invoice No. : 43013 I.A.R. No. :
Date : 12-24-2021 Date : 12-24-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 2597 57.11 148,314.67
2 Liters Gasoline 802 64.44 51,680.88
TOTAL: 199,995.55
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-24-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ESPERANZA CONSTRUCTION AND SUPPLY PARTNER CO.
PO No. : 2021-115 Invoice No. : I.A.R. No. :
Date : 12-29-21 Date : 12-29-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: Supply Labor and Materials
1 pcs Steel matting( 8 x 4) 12 1,100.00 13,200.00
2 kls Welding Rod 1 360.00 360.00
3 pcs Roundbar 14 170.00 2,380.00
4 pcs Angle Bar 14 290.00 4,060.00
5 JO Labor Cost 1 15,000.00 15,000.00

TOTAL: 35,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ESPERANZA CONSTRUCTION AND SUPPLY PARTNER CO.
PO No. : 2021-115 Invoice No. : I.A.R. No. :
Date : 12-29-21 Date : 12-29-2021
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
Job Order: Supply Labor and Materials
1 pc Shovel(Round,Spade) 8 650.00 5,200.00
3 pc Lagaraw 6 550.00 3,300.00
4 set Broom(Butterfly) 4 500.00 2,000.00
5 pc Ladder(Aluminum) 2 5,500.00 11,000.00
6 pc Wheel Barrow 6 3,600.00 21,600.00
7 pc Shrub Broom shape Rake 10 991.00 9,910.00
8 pc Spade 6 300.00 1,800.00

TOTAL: 54,810.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2021-118 Invoice No. : 13251 I.A.R. No. :
Date : 12-29-2021 Date : 12-29-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Unit Wireless Microphone set 1 10,000.00 10,000.00

TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2021-117 Invoice No. : O194 I.A.R. No. :
Date : 12-29-2021 Date : 12-29-2021
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Seeds and Fruits Planting Materials
1 crates Lemon 5 1,800.00 9,000.00
2 crates Poncan 5 1,760.00 8,800.00
3 kls Marang 100 15.00 1,500.00
4 pc Langka 15 600.00 9,000.00
5 kls Bayabas 47 60.00 2,820.00
6 kls Kalamansi 22 40.00 880.00
7 kls Guyabano 100 60.00 6,000.00
8 kls Durian 200 60.00 12,000.00

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : Invoice No. : I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Catering Services (Meals and Snacks) Provincial 30 400.00 12,000.00
Development Council Meeting on November 25, 2021 at
kings hall, Provincial Capitol,Isulan, Sultan Kudarat

TOTAL: 12,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: H.BUENACOSA WELDING AND REPAIR SHOP
PO No. : Invoice No. : I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 JO Door Lock Mech. Pull-out & Replace 1 1,000.00 1,000.00
2 JO Hinges Bracket fabrication & install 1 1,500.00 1,500.00
3 JO Left side door align 1 1,500.00 1,500.00
4 JO Transmission cover pull-out and replace gasket 1 2,000.00 2,000.00
5 JO Change oil oil filter 1 350.00 350.00
6 JO Change gear oil transmission 1 350.00 350.00
7 JO Transmission gear setting 1 1,000.00 1,000.00
8 JO Rear L/R brake shoe pull-out for bonding & install 1 1,500.00 1,500.00
9 JO Rear L/R brake shoe wheel cylinder Pull-out for honing and r 1 1,000.00 1,000.00
10 JO Rear Left secondary spring & 3rd spring pull-out & replace 1 2,000.00 2,000.00
11 JO Rear Left and right shock bushinng pull-out & replace 1 1,800.00 1,800.00
12 JO Spring Cutting 1 800.00 800.00
13 JO Front Right & left shock abs, Bushing pull-out and replace 1 1,800.00 1,800.00
14 JO Front R/L Suspension Arm assy,Pull-out for replace bushing an 1 1,200.00 1,200.00
15 JO Alternator belt pullout and replace 1 400.00 400.00
16 JO T-belt pull-out and replace 1 2000 2,000.00
17 JO Steering belt pull-out and replace 1 400 400.00
18 JO Crankshaft 0-seal pull-out and replace 1 1500 1,500.00
19 JO Idler Pulley Bracket pull-outand replace for welding 1 2800 2,800.00
20 JO Cross Joint Pull-out and Replace 1 1600 1,600.00
21 JO Steering shaft align pressing build up and machining to fit o-se 1 1500 1,500.00
22 JO Front L/R ball joint drilling and threading 1 500 500.00
23 JO Front nut spindle right side fabrication 1 300 300.00
24 JO Idler shaft build up & machining to fit bushing 1 800 800.00
25 JO Axle assy pull-out and replace 1 1000 1,000.00
26 JO Axle bearing pull-out and replace 1 1800 1,800.00
27 JO Ball joint upper L/R Pull-out & replace 1 1800 1,800.00
28 JO Stabilizer assy front L/R pull-out and Replace 1 1000 1,000.00
29 JO Sterring gear box assy pull-out and replace repair kit and instal 1 2800 2,800.00
30 JO Tie rod end pull-out and replace 1 1000 1,000.00
31 JO Clutch operating assy pull-out and replace 1 1000 1,000.00
TOTAL: 40,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-31-2021

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-02 Invoice No. : 0196/97 I.A.R. No. :
Date : 4-20-2022 Date : 4-20-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 packs Ampalaya seeds 137 90.00 12,330.00


2 packs Tomato seeds 140 90.00 12,600.00
3 packs Okra seeds 120 90.00 10,800.00
4 packs Eggplant seeds 120 90.00 10,800.00
5 packs Cucumber seeds 120 85.00 10,200.00
6 packs Squash seeds 150 85.00 12,750.00
7 packs String bean seeds 120 85.00 10,200.00
8 packs Green Pepper seeds 120 85.00 10,200.00
9 packs Upo seeds 119 85.00 10,115.00

TOTAL: 99,995.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-20-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-01 Invoice No. : 44230 I.A.R. No. :
Date : April 20, 2022 Date : 4-20-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 2990 64.07 191,569.30
2 Liters Gasoline 839 69.61 58,402.79

TOTAL: 249,972.09
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-20-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-03 Invoice No. : 0000608/609/610 I.A.R. No. :
Date : 4-27-2022 Date :4-27-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 reams Book Paper A4 70 229.00 16,030.00
2 reams Book Paper Long 68 359.00 24,412.00
3 pcs Correction Tape 40 33.35 1,334.00
4 pcs Envelope L 93 1.15 106.95
5 pcs Envelope S 93 1.15 106.95
6 pcs Folder L 50 4.27 213.50
7 pcs Folder S 50 5.75 287.50
8 btls Disinfectant spray 400-500 grams 3 874.00 2,622.00
9 pcs Glue 18 57.50 1,035.00
10 pc Mouse 2 528.00 1,056.00
11 box Pencil 2 112.00 224.00
12 pcs Pentel Pen Pilot (Black Broad) 25 59.00 1,475.00
13 pcs Pentel Pen Pilot (Black FINE) 25 57.00 1,425.00
14 pads Photo Paper 15 103.00 1,545.00
15 btls Printer ink( Black) 40 428.00 17,120.00
16 btls Printer ink( Color)Assorted 45 454.00 20,430.00
17 books Record Book Large 3 483.00 1,449.00
18 pc Scotch Tape 30 37.00 1,110.00
19 pcs Signpen Black 6 358.00 2,148.00
20 pcs Stabilo 18 40.00 720.00
21 box Staple Wire 15 46.00 690.00
22 pcs Toilet Bowl Cleaner 4 356.00 1,424.00
23 pcs White Board Marker 25 58.00 1,450.00
24 pc keyboard 2 528.00 1,056.00
25 pcs Insect Spraty Baygon 8 566.00 4,528.00

TOTAL: 103,997.90
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-27-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-05 Invoice No. : OO131 I.A.R. No. :
Date : 4-27-22 Date : 4-27-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Bags Ammonium Sulfate 9 610.00 5,490.00
2 Bags Urea(46-0-0) 12 1,170.00 14,040.00
3 Bags Complete(14-14-14) 15 1,100.00 16,500.00
4 Bags Potash 15 1,100.00 16,500.00
5 Liter Organic Foliar 14 600.00 8,400.00
6 liter 2-4D Amine 14 400.00 5,600.00
7 gal Isoprplamine Salt 13 1,120.00 14,560.00
8 gal Glyphosate 12 1,600.00 19,200.00
9 Liter Lambda Cyalothrin 10 980.00 9,800.00
10 Box Cartap Hydrochloride 10 990.00 9,900.00

TOTAL: 119,990.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-27-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NATURE'S BLESSED 7 AGRI , INC
PO No. : 2022-04 Invoice No. : 00129 I.A.R. No. :
Date : 4-27-2022 Date : 4-27-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Fry mash 40 750.00 30,000.00
2 bags Adult Tilapia pellet 70 1,000.00 70,000.00

TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 4-27-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2022-08 Invoice No. : 13370 I.A.R. No. :
Date : 5-24-2022 Date : 5-24-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Computer/Desktop 2 35,000.00 70,000.00
Specs:
Intel® Pentium G6405(4M Cache, 4.10 GHz)
GIGABYTE H410M w/ Audio, GBLAN, Video, PCI-e
Motherboard
8GB DDR4 Memory PC2400
240GB SSD
1TB HDD (7,200rpm) SATA
19.5" WIDE LED-LCD Monitor
ATX Casing w/650W Power Supply
USB Keyboard
USB Optical Mouse w/ pad
Amplified Speaker
AVR(IDEAL)

TOTAL: 70,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 5-24-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2022-07 Invoice No. : 12581 I.A.R. No. :
Date : 5-24-2022 Date : 5-24-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit 3 in 1 Printer 5 12,000.00 60,000.00
Specs:
Print, scan and copy functions
Borderless Printing (4R Photos)
Print speeds of up to 33 ppm
Very small footprint
High page yields of 4,500 (black) and 7,500 (colour)
Preferably made Japan

TOTAL: 60,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 5-24-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-09 Invoice No. : OOOO641 I.A.R. No. :
Date : 5-24-2022 Date :5-24-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Plastic Table 10 4,500.00 45,000.00
Specs:
1. 6 Feet(1829)
2. L -1899mm X W-753mm X H742mm
3. For indoor or outdoor use
4. Space saver with legs that fold in for storage and transport
5. Heavy-duty, all-weather finish steel frame and legs
6. Designed with safety locking mechanism
7.Lightweight and easy to move around

2 unit Plastic Chairs 125 700.00 87,500.00


Specs:
Dimension: 38x37x70

TOTAL: 132,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 5-24-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER WORKS
PO No. : 2022-12 Invoice No. : 13555 I.A.R. No. :
Date : June 10, 2022 Date : June 10, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Laptop 2 40,000.00 80,000.00
Specs:
Processor: intel i3-1115G4
Operating System: Windows 11/Win 10 Home
Display: 14.0"(16:9)LED HD(1920x1080)60hz
SSD; 128GB SSD
Storage: 1TB 5400rpm SATA HDD
Card Reader: Multi-Format card reader
WebCam: Yes
Networking:Wi-FI Integrated Wi-Fi 5 (802.11 ac)/
Bluetooth Bluetooth® 4.2
Interface: 1 x Combo audio jack/ 1 x type A/ 2 x USB 2.0
port(s)/1 x HDMI x Fingerprint reader(Optional)

***General Fund***
TOTAL: 80,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-10-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat

LGU
Supplier: IMMACON CORPORATION
PO No. : 2022-013 Invoice No.
29943/29944/29945
: I.A.R. No. :
Date : June 10, 2022 Date : 10/6/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Spare Parts and Tires:
Hilux(P3M310)
1 tire Tire 265/65 R17 (all Terrain) 2 12,500.00 25,000.00
2 pc Timing belt 99t 1 2,000.00 2,000.00
3 pc Timing belt 154t 1 4,000.00 4,000.00
4 pc Rocker Arm UDD 2 1,100.00 2,200.00
XR 150
1201-290962(Black) and 1201-290964(Red)
5 pc Chain 2 1,300.00 2,600.00
6 pc Sprocket 2 1,200.00 2,400.00
7 Tire Tire(front) 90/90-19 2 1,800.00 3,600.00
8 Tire Tire(Back) 110/90-17 2 2,300.00 4,600.00
9 set Oil seal 1 970.00 970.00
10 set Telescopic Front Shock Absorber(XR150 Black) 1 10,000.00 10,000.00
JOC 449(Forward Truck)(HINO 500)
11 pc Oil Filter 1 5,000.00 5,000.00
12 pc Fuel Filter 1 3,000.00 3,000.00
JOB 915(Closed Van)(HINO 300)
13 pc Oil Filter 1 7,230.00 7,230.00
14 pc Oil Filter Element 1 1,200.00 1,200.00
15 pc Fuel Filter 1 1,000.00 1,000.00
16 pc Fuel Filter Element 1 1,200.00 1,200.00

TOTAL: 76,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 06/10/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-020 Invoice No. : 0101 I.A.R. No. :
Date : 6-22-2022 Date : 6-22-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meals and Snacks 50 400.00 20,000.00
Catering Services (Meals and Snacks)to conduct meeting
Workshop on PAFES (Province- led Provincial-led Agriculture
and fishery Extension Sytsem at Sultan Kudarat Agricultural
Training Center, Bo.2, EJC Montilla, Tacurong City, Sultan
Kudarat on March 23, 2022
(400 x 50 heads x 1 day)

TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-22-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2022-019 Invoice No. : 4880 I.A.R. No. :
Date : 6-22-2022 Date : 6-22-2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Fry mash 40 750.00 30,000.00


2 bags Tilapia Adult Pellets 70 1,000.00 70,000.00
TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-22-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-023 Invoice No. : O209 I.A.R. No. :
Date : July 1, 2022 Date : July 1, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 kg Copper hydroxide 12 250.00 3,000.00
2 gal Isoprpylamine salt 12 1,120.00 13,440.00
3 gal Glyphosate 14 1,800.00 25,200.00
4 bags Potash 12 2,450.00 29,400.00
5 liter Ditenconazole 11 850.00 9,350.00
6 pack Cartap 10 180.00 1,800.00
7 liter Bentraton 12 850.00 10,200.00
8 liter Diazinon 11 690.00 7,590.00
TOTAL: 99,980.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-1-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-022 Invoice No. : O200/O208 I.A.R. No. :
Date : July 1, 2022 Date : July 1, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 packs Eggplant seeds 133 90.00 11,970.00
2 packs Cucumber seeds 150 90.00 13,500.00
3 packs Squash seeds 150 90.00 13,500.00
4 packs String beans seeds 150 90.00 13,500.00
5 packs Green bean seeds 150 90.00 13,500.00
6 packs Upo seeds 150 90.00 13,500.00
7 packs Ampalaya seeds 150 90.00 13,500.00
8 packs Tomato seeds 150 90.00 13,500.00
9 packs Okra seeds 150 90.00 13,500.00
TOTAL: 119,970.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-1-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-024 Invoice No. : I.A.R. No. :
Date : July 1, 2022 Date :July 1, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pc Folder long 117 5.50 643.50
2 reams Folder A4 2 339.02 678.04
3 reams Book paper A4 26 229.00 5,954.00
4 reams Book Paper long 26 359.00 9,334.00
5 gal Alcohol 68% - 70% 1 gal 10 687.00 6,870.00
6 pc Signpen black liquid 20 30.00 600.00
7 box Envelope Legal size Document 2 1,725.00 3,450.00
8 box Ballpen Ordinary 2 275.00 550.00
9 btls Printer Ink(Black) 10 428.00 4,280.00
10 btls Printer Ink(Color)assorted 10 454.00 4,540.00
11 gal Disinfectant spray 400-500 grams 11 874.00 9,614.00
12 btls Hand sanitizer 50ml 10 81.00 810.00
13 pc Correction Tape 12 40.00 480.00
14 pcs Softbroom 5 82.50 412.50
15 pcs Toilet bowl cleaner 5 356.00 1,780.00
TOTAL: 49,996.04
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-1-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022011 Invoice No. : 97256 I.A.R. No. :
Date : June 10, 2022 Date : 10/6/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 682 80.54 54,928.28
TOTAL: 54,928.28
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 6-10-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-032 Invoice No. : 0052 I.A.R. No. :
Date : 7-29-2022 Date : 7-29-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meals and Snacks 50 400.00 20,000.00
Catering services(Meal and Snacks) to conduct coffee council
meeting on july 7, 2022 at kings hall Provincial Capitol,
Isulan, Sultan Kudarat (400 x 50 x 1 day)
TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-33 Invoice No. : O727 I.A.R. No. :
Date : 7-29-2022 Date : 7-29-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Catering Services(Meal and Snacks) During Provincial 30 400.00 12,000.00
Cooperative Development Council meeting July 21, 2022 at
King's hall, Provincial Capitol, Isulan, Sultan Kudarat
TOTAL: 12,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 7-29-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER STUDIO
PO No. : 2022-044 Invoice No. : 12455 I.A.R. No. :
Date : August 4, 2022 Date : August 4, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Computer Laptop 1 50,000.00 50,000.00
Specs:
OS-windows 11 Home Single Language

LCD-15.5' FHD Comfy View LED


Graphics - NVIDIA®GeForce®MX450 with 2GB VRAM

Memory - 8GB DDR4 Memory


Storage - 512GB PCIE NVMe SSD
Battery - 48Wh Li-ion battery
Software - Office Home and Student 2021 included
TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-4-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-47 Invoice No. : O746 I.A.R. No. :
Date : August 8, 2022 Date : August 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and Snacks 60 400.00 24,000.00
TOTAL: 24,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : ` Invoice No. : OO53 I.A.R. No. :
Date : August 8, 2022 Date : August 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and Snacks 60 400.00 24,000.00
TOTAL: 24,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-052 Invoice No. : 45804 I.A.R. No. :
Date : August 26, 2022 Date : 08-26-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 2017 95.17 191,957.89
2 Liters Gasoline 670 86.53 57,975.10
TOTAL: 249,932.99
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 08-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-064 Invoice No. : 45193 I.A.R. No. :
Date : September 1, 2022 Date : 1/9/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 1840 80.54 148,193.60
2 Liters Gasoline 602 77.88 46,883.76
TOTAL: 195,077.36
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09-01-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-053 Invoice No. : 45806 I.A.R. No. :
Date : August 26, 2022 Date : 8-26-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 696 95.17 66,238.32
2 Liters Gasoline 101 86.53 8,739.53

TOTAL: 74,977.85
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-058 Invoice No. : 4883 I.A.R. No. :
Date : August 26, 2022 Date : 8-26-2022
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
1 Liters Diesoline 340 95.17 32,357.80
2 Liters Gasoline 203 86.53 17,565.59

TOTAL: 49,923.39
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-1-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2022-058 Invoice No. : 4883 I.A.R. No. :
Date : August 26, 2022 Date : 8-26-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Fry mash 48 750.00 36,000.00


2 bags Tilapia Adult Pellets 64 1,000.00 64,000.00

TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: FALLE AUTO REPAIR SHOP
PO No. : 2022-63 Invoice No. : 1103/1104 I.A.R. No. :
Date : September 1, 2022 Date : September 1, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: for the pull-out and replace of the following
spareparts(labor)

Hilux(P3M310)
1 pc Pull-out and Replace Tire 265/65 R17 (all Terrain) 2 2,000.00 4,000.00
2 pc Pull-out and Replace Timing belt 99t 1 2,000.00 2,000.00
3 pc Pull-out and Replace Timing belt 154t 1 2,000.00 2,000.00
4 pc Pull-out and Replace Rocker Arm UDD 2 2,000.00 4,000.00
XR 150
1201-290962(Black) and 1201-290964(Red)
5 pc Pull-out and Replace Chain 2 200.00 400.00
6 pc Pull-out and Replace Sprocket 2 200.00 400.00
7 pc Pull-out and Replace Tire(front) 90/90-19 2 150.00 300.00
8 pc Pull-out and Replace Tire(Back) 110/90-17 2 150.00 300.00
9 pc Pull-out and Replace Oil seal 2 200.00 400.00
10 pc Pull-out and ReplaceTelescopic Front Shock Absorber(XR150 B 1 500.00 500.00
TRACTOR
11 pc Pull-out and Replace Oil Filter 1 300.00 300.00
12 pc Pull-out and Replace Fuel Filter 1 300.00 300.00
ROTAVATOR
13 pc Pull-out and Replace Filter 1 300.00 300.00
14 pc Pull-out and Replace Oil Filter Element 1 300.00 300.00
15 pc Pull-out and Replace Fuel Filter 1 300.00 300.00
16 pc Pull-out and Replace Fuel Filter Element 1 300.00 300.00

TOTAL: 16,100.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-1-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-075 Invoice No. : 46009 I.A.R. No. :
Date : September 1, 2022 Date : 9/1/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 133 95.17 12,657.61
2 Liters Gasoline 84 86.53 7,268.52

TOTAL: 19,926.13
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-1-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: RAMGO INTERNATIONAL CORPORATION
PO No. : 2022-076 Invoice No. : I.A.R. No. :
Date : September 12, 2022 Date :September 12, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 tin Squash seeds 250g 8 1,610.00 12,880.00
2 tin Tomato seeds 25g 5 2,255.00 11,275.00
3 bag Pechay seeds(1kl/bag) 4 999.75 3,999.00
4 bag Okra seeds(1kl/bag) 4 1,200.00 4,800.00
5 bag Kangkong seeds(1kl/bag) 4 890.00 3,560.00
6 can Upo seeds 250g tin 8 1,066.00 8,528.00
7 tin Patola seeds 250g 8 1,066.00 8,528.00
8 tin Ampalaya seeds 250g 6 2,165.00 12,990.00
9 tin Eggplant seeds 50g 6 1,355.00 8,130.00
10 tin Cucumber seeds 100g 8 470.00 3,760.00
11 tin Papaya seeds 100seed/Pack 10 1,130.00 11,300.00
12 bag Pole sitao seeds (1kl/bag) 5 1,565.00 7,825.00
13 tin Green pepper seeds 100g 3 1,105.00 3,315.00

TOTAL: 100,890.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/12/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2022-056 Invoice No. : 5066/5067 I.A.R. No. :
Date : August 26, 2022 Date : August 26, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 btls Printer Ink(Black) 30 428.00 12,840.00
2 pcs Printer Ink(Color) Assorted 30 454.00 13,620.00
3 books Record Book Large 3 483.00 1,449.00
4 pc Scotch Tape 1" 30 37.00 1,110.00
5 reams Book Paper A4 45 229.00 10,305.00
6 reams Book Paper Long 43 359.00 15,437.00
7 pcs Correction tape 40 33.35 1,334.00
8 pcs Envelope L 90 1.15 103.50
9 pcs Envelope S 90 1.15 103.50
10 box Signpen Black 6 358.00 2,148.00
11 pcs Stabilo 20 40.00 800.00
12 box Staple Wire 15 46.00 690.00
13 pcs Toilet Bowl Cleaner 4 356.50 1,426.00
14 pcs White Board Marker 20 58.00 1,160.00
15 pcs Folder L 49 4.27 209.23
16 pcs Folder S 50 5.75 287.50
17 btls Disinfectant spray 400-500 grams 3 874 2,622.00
18 pcs Glue 10 57.5 575.00
19 box Pencil 2 112 224.00
20 pcs Pentel Pen Pilot(Black Broad) 20 59 1,180.00
21 pcs Pentel Pen Pilot(Black Fine) 20 57 1,140.00
22 pads Photo Paper 12 103 1,236.00

TOTAL: 69,999.73
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-057 Invoice No. : O214/O215 I.A.R. No. :
Date : August 26, 2022 Date : 8-26-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 Gal Isoprpylamine Salt 15 1,120.00 16,800.00


2 Gal Glyphosate 12 1,600.00 19,200.00
3 Liter Lambda Cyalothrin 14 980.00 13,720.00
4 Box Cartap Hydrochloride 14 990.00 13,860.00
5 bags Ammonium Sulfate 16 610.00 9,760.00
6 bags Urea ( 46-0-0) 15 1,170.00 17,550.00
7 bags Complete( 14-14-14) 16 1,100.00 17,600.00
8 bags Potash 15 1100.00 16,500.00
9 Liter Organic Foliar 15 600.00 9,000.00
10 Liter 2-4D amine 15 400.00 6,000.00

TOTAL: 139,990.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 8-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-066 Invoice No. : 683/684 I.A.R. No. :
Date : September 1, 2022 Date : September 1, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 btls Printer ink(Black) 6 428.00 2,568.00
2 btls Printer ink(color)assorted 6 452.00 2,712.00
3 pcs Scotch tape 8 37.00 296.00
4 boxes Signpen(gel type) 4 358.00 1,432.00
5 btls Toilet Cleaner 3 360.00 1,080.00
6 pcs Folder A4 147 5.00 735.00
7 pcs Folder L 147 5.00 735.00
8 btls Insect spray 4 566.00 2,264.00
9 pcs Notebook 150 17.00 2,550.00
10 boxes Ballpen Ordinary 50's 4 275.00 1,100.00
11 pack Battery aa 10 90.00 900.00
12 pack Battery aaa 10 90.00 900.00
13 gal Dishwashing Liquid 2 490.00 980.00
14 btls Disinfectant spray 2 874.00 1,748.00

TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/01/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-071 Invoice No. : 213 I.A.R. No. :
Date : September 5, 2022 Date : September 5, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 packs Eggplant seeds 35 90.00 3,150.00
2 packs Okra seeds 35 90.00 3,150.00
3 packs Tomato seeds 30 90.00 2,700.00
4 packs Ampalaya seeds 32 90.00 2,880.00
5 packs Squash seeds 30 90.00 2,700.00
6 packs String beans seeds 30 90.00 2,700.00
7 packs Upo seeds 30 90.00 2,700.00
-
-
-
-
-
-
-

TOTAL: 19,980.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/05/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DIGITECH ART & SIGN
PO No. : 2022-069 Invoice No. : 652 I.A.R. No. :
Date : September 5, 2022 Date : September 5, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs T-shirt (Sublimation) 44 450.00 19,800.00
-
-
-
-
-
-
-
-
-
-
-
-
-

TOTAL: 19,800.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/05/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2022-072 Invoice No. : 5090 I.A.R. No. :
Date : September 8, 2022 Date : September 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 boxes Ballpens 3 275.00 825.00
2 pack Linen paper 10 57.00 570.00
3 pcs Scotch Tape 3 37.00 111.00
4 pack Photopaper 5 103.00 515.00
5 pcs Stapler 2 259.00 518.00
6 box Signpen Black 2 358.00 716.00
7 pcs Double sided tape 5 64.00 320.00
8 pcs Scissor 4 100.00 400.00
9 pcs Tissue paper 4 100.00 400.00
10 pcs Staple wire 5 46.00 230.00
11 pcs Disposable spoon/fork 4 30.00 120.00
12 pcs Paper Plate 5 25.00 125.00
13 pack Paper cup 2 75.00 150.00

TOTAL: 5,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2022-073 Invoice No. : 5091 I.A.R. No. :
Date : September 8, 2022 Date : September 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Training Supplies
1 pcs Notebook 70 17.00 1,190.00
2 pcs Certificate Holder 11 60.00 660.00
3 pcs ID Holder 75 10.00 750.00
4 pcs ID Case 80 5.00 400.00

TOTAL: 3,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2022-074 Invoice No. : 5092 I.A.R. No. :
Date : September 8, 2022 Date : September 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Training Supplies
1 pcs Notebooks 80 17.00 1,360.00
2 pcs Linen Paper 10 57.00 570.00
3 pcs Certificate Holder 8 60.00 480.00
4 pcs ID case 86 5.00 430.00
5 pcs ID Holder 87 10.00 870.00
6 pcs Manila Paper 10 4.00 40.00

TOTAL: 3,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BOOKMAN GENERAL MERCHANDISE
PO No. : 2022-070 Invoice No. : I.A.R. No. :
Date : September 5, 2022 Date : September 5, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Office supplies
1 btls Printer ink (black) 4 428.00 1,712.00
2 btls Printer ink color) assorted 10 452.00 4,520.00
3 pcs 5 37.00 185.00
4 boxes Signpen (gel type) 4 358.00 1,432.00
5 rms Book paper long 21 259.00 5,439.00
6 rms Book paper A4 20 229.00 4,580.00
7 pcs Folder A4 60 5.00 300.00
8 pcs Folder long 101 5.00 505.00
9 pcs Expanding envelope 100 18.00 1,800.00
10 pcs Notebook 100 17.00 1,700.00
11 boxes Ballpen Ordinary 50's 5 275.00 1,375.00
12 pcs Stapler w/ remover 3 350.00 1,050.00
13 boxes Staple wire (no. 35) 5 46.00 230.00
14 pcs Calculator 3 977.00 2,931.00
15 boxes Pencil 15 112.00 1,680.00
16 boxes Paper clip 4 34.00 136.00
17 pcs Scissors 5 85.00 425.00

TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-5-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DUDAY AGRI SUPPLY
PO No. : 2022-080 Invoice No. : OOOOO1 I.A.R. No. :
Date : September 20, 2022 Date : September 20, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bots EM-1 10 1,000.00 10,000.00
2 drums Molasses 5 7,000.00 35,000.00
3 bots Pet Bottle 250 20.00 5,000.00

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-20.-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NOEL PETRON SERVICE STATION
PO No. : 2022-078 Invoice No. : 76866 I.A.R. No. :
Date : September 12, 2022 Date : 12/9/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 334 81.43 27,197.62
2 Liters Gasoline 130 75.28 9,786.40

TOTAL: 36,984.02
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09-12-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-084 Invoice No. : 685 I.A.R. No. :
Date : September 26, 2022 Date :September 26, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Weighing Scale (Baskula) 1 25,000.00 25,000.00
2 unit Weighing Scale (Baskula) 1 10,000.00 10,000.00
TOTAL: 35,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/26/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-082 Invoice No. : 686 I.A.R. No. :
Date : September 26, 2022 Date :September 26, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 set Stockpot 1 1,850.00 1,850.00
2 pc Frying Pan Large 1 2,000.00 2,000.00
3 pc Frying Pan Medium 1 1,250.00 1,250.00
4 set Spoon/Fork 10 180.00 1,800.00
5 set Plates 10 960.00 9,600.00
6 pc Stainless grill with stand 1 3,500.00 3,500.00
TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/26/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BOOKMAN GENERAL MERCHANDISE
PO No. : 2022-081 Invoice No. : I.A.R. No. :
Date : September 26, 2022 Date :September 26, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Flag Pole 13 250.00 3,250.00
2 pcs Personalize 4-H Flag 13 750.00 9,750.00
3 sheet Styrofoam 2 300.00 600.00
4 pcs Clear book 5 44.00 220.00
5 pcs Cutter 4 27.50 110.00
pcs Stick Glue 25 5.00 125.00
7 pcs Glue gun 2 150.00 300.00
8 box Ballpen 5 275.00 1,375.00
9 pcs Staple wire 5 46.00 230.00
10 roll Ribbon 26 120.00 3,120.00
11 pcs Pentel pen(Black Broad) 4 59.00 236.00
12 pcs Pentel pen(Black FINE) 2 57.00 114.00
13 pcs Mascara 1 150.00 150.00
14 pcs Hair spray 1 120.00 120.00
15 pack Pins 10 10.00 100.00
16 roll foil 10 20.00 200.00
TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SPADES GARMENTS AND DESIGN
PO No. : 2022-084 Invoice No. : 696 I.A.R. No. :
Date : September 26, 2022 Date :September 26, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs T-shirt(Sublimation) 50 550.00 27,500.00
TOTAL: 27,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BOOKMAN GENERAL MERCHANDISE
PO No. : 2022-070 Invoice No. : 2547-2548 I.A.R. No. :
Date : September 5, 2022 Date :September 5, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Office supplies
1 btls Printer ink (black) 4 428.00 1,712.00
2 btls Printer ink (color) assorted 10 452.00 4,520.00
3 pcs Scotch tape 5 37.00 185.00
4 boxes Signpen (gel type) 4 358.00 1,432.00
5 rms Book paper A4 21 259.00 5,439.00
6 rms Book paper long 20 229.00 4,580.00
7 pcs Folder A4 60 5.00 300.00
8 pcs Folder long 101 5.00 505.00
9 pcs Expanding envelope 100 18.00 1,800.00
10 pcs Notebook 100 17.00 1,700.00
11 boxes Ballpen ordinary 50's 5 275.00 1,375.00
12 pcs Stapler w/ remover 3 350.00 1,050.00
13 boxes Stapler wire no. 35 5 46.00 230.00
14 pcs Calculator 3 977.00 2,931.00
15 boxes Pencil 15 112.00 1,680.00
16 boxes Paper clip 4 34.00 136.00
17 pcs Scissors 5 85.00 425.00
TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-5-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-090 Invoice No. : 769 I.A.R. No. :
Date : September 29, 2022 Date : 9-26-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and Snacks 25 400.00 10,000.00
TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 9-26-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-083 Invoice No. : 687/688 I.A.R. No. :
Date : September 26, 2022 Date :September 26, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 boxes Ballpen Ordinary 50's 4 275.00 1,100.00
2 pack Battery AA(2pcs per pack) 10 90.00 900.00
3 pack Battery AAA(2pcs per pack) 10 90.00 900.00
4 gal Dishwashing Liquid 2 490.00 980.00
5 btls Disinfectant spray 2 874.00 1,748.00
6 pcs Folder A4 200 5.00 1,000.00
7 pcs Folder L 200 5.00 1,000.00
8 btls Insect spray 4 566.00 2,264.00
9 pcs Notebook 200 17.00 3,400.00
10 btls Printer ink(Black) 14 428.00 5,992.00
11 btls Printer ink(color)Assorted 14 454.00 6,356.00
12 pc Scotch tape 20 37.00 740.00
13 boxes Signpen(gel type) 8 358.00 2,864.00
14 pcs Softbroom 14 82.00 1,148.00
15 rms Bookpaper A4 35 229.00 8,015.00
16 rms Bookpaper Long 35 259.00 9,065.00
17 btls Toilet Cleaner 7 360.00 2,520.00
18 pcs Folder short 2 4.00 8.00

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/26/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: MILKY MARKETING
PO No. : 2022-085 Invoice No. : 8260 I.A.R. No. :
Date : September 29, 2022 Date :September 29, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 unit Split Type Airconditioner 3 50,000.00 150,000.00
Specs and Key Features:
Energy Savings Up to 73%
Fast Cooling
R32 Refrigerant
LED Display
Anti Corrosive Fin Condensers
Remote Controlled
Super Quiet Operation
Slim Design
On/Off Timer
Triple Protector Plus Technology
3-Care Filter

TOTAL: 150,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/29/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: RURAL IMPROVEMENT CLUB OF ISULAN & GEN. MERCHANDISE
PO No. : 2022-089 Invoice No. : 2412 I.A.R. No. :
Date : September 29, 2022 Date :September 29, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Jacket 13 1,500.00 19,500.00
2 pcs Customize T-shirt 15 500.00 7,500.00
3 pcs Customize ID Holder 100 80.00 8,000.00
TOTAL: 35,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/29/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: RURAL IMPROVEMENT CLUB OF ISULAN & GEN. MERCHANDISE
PO No. : 2022-088 Invoice No. : 2414 I.A.R. No. :
Date : September 29, 2022 Date :September 29, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Jacket 16 1,500.00 24,000.00
2 pcs Customize T-shirt 30 500.00 15,000.00
3 pcs Customize ID Holder 50 100.00 5,000.00
4 assorted SK local products 1 22,500.00 22,500.00
TOTAL: 66,500.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 09/29/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BRIGHT COLORS TARPAULIN AND GENERAL MERCHANDISE
PO No. : 2022-086 Invoice No. : 365 I.A.R. No. :
Date : September 29, 2022 Date :October 10, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs 4 500.00 2,000.00
Tarpaulin(Livelihood,Year-end, Evaluation and Target setting)
TOTAL: 2,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10/10/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BRIGHT COLORS TARPAULIN AND GENERAL MERCHANDISE
PO No. : 2022-087 Invoice No. : 363 I.A.R. No. :
Date : September 29, 2022 Date :October 10, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Tarpaulin(Livelihood,Year-end, Evaluation ,4H Achievement 8 500.00 4,000.00
Day and Target setting)
TOTAL: 4,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10/10/2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-101 Invoice No. : 46507 I.A.R. No. :
Date : October 24, 2022 Date : 10-24-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 435 80.45 34,995.75
TOTAL: 34,995.75
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-24-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-102 Invoice No. : 46602 I.A.R. No. :
Date : October 24, 2022 Date : 10-24-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 417.53 81.43 33,999.47

TOTAL: 33,999.47
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-24-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-095 Invoice No. : 792 I.A.R. No. :
Date : October 3, 2022 Date :October 3, 2022
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
Job Order:
1 heads 80 400.00 32,000.00

TOTAL: 32,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-3-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : 2022-098 Invoice No. : 5103/5104 I.A.R. No. :
Date : October 10, 2022 Date : October 10, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Notebookm 40 leaves 150 16.10 2,415.00
2 boxes Ballpen Ordinary Retract 50's Black 4 237.50 950.00
3 pcs Manila Paper 32 5.75 184.00
4 pcs Pentel Pen Broad 12 60.00 720.00
5 pcs Certificate Holder Plastic 150 69.00 10,350.00
6 packs Lenin Paper ,long 15 43.70 655.50
7 packs Photo Paper 180 gsm A4 2 61.75 123.50
8 btls Canon Computer ink, black 3 415.00 1,245.00
9 btls Canon Computer ink, Colored 6 415.00 2,490.00
10 pack Yellow Pad paper 8 24.50 196.00
11 btls Alcohol 500ml 70% 15 116.00 1,740.00
12 pack Toilet tissue paper 2ply sheet 12's 2 127.75 255.50
13 packs Battery AAA 6 84.70 508.20
14 reams Bookpaper 80gsm A4 18 255.75 4,603.50
15 reams Bookpaper 80gsm Legal 10 275.00 2,750.00
16 pc Calculator 2 630.75 1,261.50
17 pcs Correction Pen 9ml 6 119.25 715.50
18 pcs Correction Tape 12 20.5 246.00
19 pcs Flash Drive 32GB 2 341 682.00
20 pcs Folder Ordinary Brown legal 100 5 500.00
21 pcs Record Book , 300pages 6 73.75 442.50
22 pcs Ruler. Plastic 12" 6 20 120.00
23 pcs Scissor 2 78.5 157.00
24 pcs Sign pen Liquid 0.5mm needle tip,black 24 22.25 534.00
25 boxes Staple wire, standard #35 8 80.75 646.00
26 rolls Tape Transaparent, width 24mm 16 31.75 508.00
TOTAL: 34,998.70
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-10-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ANTONIAS PLACE
PO No. : 2022-105 Invoice No. : 374 I.A.R. No. :
Date : November 4, 2022 Date : 4/11/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meals and Snacks 100 450.00 90,000.00
Catering services(meals and snacks) during the Cooperative
Training on basic Accounting for non Accountants(BANA) on
October 20-21, 2022 at Antonias Place and Catering, Isulan,
Sultan Kudarat( 100hds x 2 days x 450.00 = 90,000.00)

TOTAL: 90,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-04-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-097 Invoice No. : 780 I.A.R. No. :
Date : October 3, 2022 Date :October 3, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and Snacks 30 400.00 12,000.00

TOTAL: 12,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-3-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-117 Invoice No. : 216967 I.A.R. No. :
Date : October 12, 2021 Date : November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pc Folder Long 104 5.50 572.00
2 reams Folder A4 2 339.02 678.04
3 reams Book Paper A4 31 230.00 7,130.00
4 gal Book Paper Long 31 253.00 7,843.00
5 pc Alcohol 68% - 70% 1 gal 10 1,023.50 10,235.00
6 box Signpen black liquid 34 42.21 1,435.14
7 box Envelope legal size document 2 1,127.75 2,255.50
8 box Ballpen Ordinary 2 96.60 193.20
9 btls Printer ink(Black) 20 385.00 7,700.00
10 btls Printer ink(Color)Assorted 20 385.00 7,700.00
11 gal Disinfectant spray 11 897.00 9,867.00
12 btls Hand sanitizer 37 71.01 2,627.37
13 pc Correction Tape 12 32.20 386.40
14 pcs Softbroom 5 82.50 412.50
15 pcs Toilet bowl Cleaner 5 192.50 962.50

TOTAL: 59,997.65
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-14-21

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: RAMGO INTERNATIONAL CORPORATION
PO No. : 2022-117 Invoice No. : 216967 I.A.R. No. :
Date : November 8, 2022 Date :November 14, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 tin Squash seeds 250g 30 1,610.00 48,300.00
2 tin Tomato seeds 25g 30 2,255.00 67,650.00
3 bag Pechay seeds (1kl/bag) 30 999.75 29,992.50
4 bag Okra seeds (1kl/bag) 30 1,200.00 36,000.00
5 bag Kangkong seeds(1kl/bag) 40 890.00 35,600.00
6 can Upo seeds 250g tin 38 1,066.00 40,508.00
7 tin Patola seeds 250g 38 1,066.00 40,508.00
8 tin Ampalaya seeds 250g 20 2,165.00 43,300.00
9 tin Eggplant seeds 50g 22 1,355.00 29,810.00
10 tin Cucumber seeds 100g 29 470.00 13,630.00
11 pack Sigarilyas seeds 212 80.00 16,960.00
12 bag Pole Sitao seeds (1kl/bag) 30 1,565.00 46,950.00
13 tin Green Pepper seeds 100g 30 1,105.00 33,150.00
14 tin Sweet Pepper seeds 16 1,100.00 17,600.00

TOTAL: 499,958.50
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-14-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: IMMACON CORPORATION
PO No. : 2022-114 Invoice No. : 032654 I.A.R. No. :
Date : November 8, 2022 Date : 8/11/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Spare Parts and Tires:
Hilux(P3M310)
1 set Brake pad 1 3,500.00 3,500.00
2 pc Oil filter 1 350.00 350.00
3 set Wiper 1 800.00 800.00
4 unit Hydraulic floor jack 2 tons(Crocodile Jack) 1 1,600.00 1,600.00
XR 150
1201-290962(Black) and 1201-290964(Red)
5 unit Battery 2 1,000.00 2,000.00
6 pc Monoshock 1 2,500.00 2,500.00
7 set Cylinder block with piston(Piston rings) 1 3,000.00 3,000.00
8
9

TOTAL: 13,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: FALLE AUTO REPAIR SHOP
PO No. : 2022114 Invoice No. : 1104 I.A.R. No. :
Date : November 8, 2022 Date :November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: for the pull-out and replace of the following
spareparts(labor)
XR150
1 JO Camshaft holder Pull-out and Replace 1 1,540.00 1,540.00
2 JO Valve seal Pull-out and Replace 2 320.00 640.00
3 JO Valve stem(Engine)Intake Pull-out and Replace 1 400.00 400.00
4 JO Valve stem(Engine)Exhaust Pull-out and Replace 1 1,200.00 1,200.00
5 JO Cylinder Head Cover Gasket Pull-out and Replace 1 120.00 120.00
6 JO Crankcase Gasket left side Pull-out and Replace 1 50.00 50.00
7 JO Cylinder base gasket Pull-out and Replace 1 100.00 100.00
8 JO Cylinder head gasket Pull-out and Replace 1 140.00 140.00
9 JO Top Overhaul 1 1,700.00 1,700.00
Hilux -
10 JO Oil Filter Pull-out and Replace 1 500.00 500.00
11 JO Brake pad Pull-out and Replace 1 750.00 750.00
12 JO Wiper Pull-out and Replace 1 300.00 300.00

TOTAL: 7,440.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-111 Invoice No. : OO53 I.A.R. No. :
Date : November 8, 2022 Date : November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and Snacks Philippine Coffee Expo 2022 SMX 60 1,600.00 96,000.00
Convention Center, SM Lanang Davao City (800 per head x
2days) 3 meals 2 snacks x 2days

TOTAL: 96,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-112 Invoice No. : OO55 I.A.R. No. :
Date : November 8, 2022 Date : November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and snacks 30 400.00 12,000.00
Provincial P4MP Federation Officers
Reorganization at the Sultan Kudarat
Agricultural Training Center(SKATC)
Bo.2, Tacurong City,Sultan Kudarat
on Sept 16, 2022.

2 heads Meal and snacks 45 400.00 18,000.00


Training Business Model Canvass
Making at Provincial Capitol Bldg.
SP hall on Sept. 27, 2022

3 heads Meal and snacks 35 400.00 14,000.00


Training Business Model Canvass
Making at Kalamansig Sultan Kudarat
on Oct 4, 2022

4 heads Meal and snacks 70 400.00 28,000.00


Pambansang Manahon-Maguuma
Magbabaul-Magsasaka ng Pilipinas
(P4MP)Livelihood Contest/Training
in SP Hall on Oct 27, 2022

TOTAL: 72,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-123 Invoice No. : OO56 I.A.R. No. :
Date : 11-15-22 Date : 11-15-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and snacks 55 400.00 22,000.00
RIC Consultation meeting & Training on Business
Model Canvass (BMC) making at Provincial Capitol
Bldg. Hall on sept. 26, 2022

2 heads Meal and snacks 25 400.00 10,000.00


Rural Improvement Club
Livelihood Contest on Oct 26, 2022

TOTAL: 32,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-15-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-110 Invoice No. : OO57 I.A.R. No. :
Date : November 8, 2022 Date : November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and snacks 30 400.00 24,000.00
Catering Services(meals and snacks)During the joint PCDC
and Provincial Coffee Council in attendance to Regional
Coffee Festival at Veranza, General Santos City on
September 29-30, 2022 (30heads x 2 days x 400 = 24,000.00)

TOTAL: 24,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER STUDIO
PO No. : 2022-120 Invoice No. : 12694 I.A.R. No. :
Date : November 15, 2022 Date :November 15, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order: Supply Labor and materials for the replacement
of the following item:
1 pcs 240 GB SSD 4 2,038.00 8,152.00
2 pcs DDR4 8GB memory 2 1,620.00 3,240.00
3 pcs M.2 SSD 500GB 1 2800.00 2,800.00
4 JO Printer Reset/ Repair 1 808.00 808.00

TOTAL: 15,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-15-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)
ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO
Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DUDAY AGRI SUPPLY
PO No. : 2022-125 Invoice No. : OOOOO2 I.A.R. No. :
Date : November 15, 2022 Date : November 15, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Packs Cucumber Seeds 130 85.00 11,050.00
2 Packs Squash Seeds 139 85.00 11,815.00
3 Packs String Bean Seeds 120 85.00 10,200.00
4 Packs Green Pepper Seeds 110 85.00 9,350.00
5 Packs Upo Seeds 120 85.00 10,200.00
6 Packs Amplaya Seeds 137 90.00 12,330.00
7 Packs Tomato Seeds 150 90.00 13,500.00
8 Packs Okra Seeds 115 90.00 10,350.00
9 Packs Eggplant Seeds 124 90.00 11,160.00

TOTAL: 99,955.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:___________________Date Received: 11-15-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DUDAY AGRI SUPPLY
PO No. : 2022-124 Invoice No. : OOOOO3/OOOOO4 I.A.R. No. :
Date : November 15, 2022 Date : November 15, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Packs Cucumber Seeds 130 85.00 11,050.00
2 Packs Squash Seeds 139 85.00 11,815.00
3 Packs String Bean Seeds 120 85.00 10,200.00
4 Packs Green Pepper Seeds 110 85.00 9,350.00
5 Packs Upo Seeds 120 85.00 10,200.00
6 Packs Amplaya Seeds 137 90.00 12,330.00
7 Packs Tomato Seeds 150 90.00 13,500.00
8 Packs Okra Seeds 115 90.00 10,350.00
9 Packs Eggplant Seeds 124 90.00 11,160.00

TOTAL: 99,955.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:___________________Date Received: 11-15-22
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SNV COMPUTER WORKS & GENERAL MERCHANDISE
PO No. : 2022-121 Invoice No. : 694/695/696 I.A.R. No. :
Date : November 15, 2022 Date :November 15, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs White Board Marker 40 58.00 2,320.00
2 pcs Toilet Bowl Cleaner 8 356.50 2,852.00
3 box Staple Wire 30 46.00 1,380.00
4 pcs Stabilo 20 40.00 800.00
5 box Signpen Black 5 358.00 1,790.00
6 pcs Scotch Tape 1" 30 37.00 1,110.00
7 books Record Book Large 6 483.00 2,898.00
8 btls Printer Ink(Color) Assorted 50 454.00 22,700.00
9 btls Printer Ink(Black) 60 428.00 25,680.00
10 pad Photo Paper 12 103.00 1,236.00
11 pcs Pentel Pen Pilot(Black Fine) 60 57.00 3,420.00
12 pcs Pentel Pen Pilot(Black Broad) 60 59.00 3,540.00
13 box Pencil 4 112.00 448.00
14 pcs Glue 10 57.50 575.00
15 pcs Folder S 50 5.75 287.50
16 pcs Folder L 49 4.27 209.23
17 pcs Envelope S 87 1.15 100.05
18 pcs Envelope L 86 1.15 98.90
19 btls Disinfectant spray 400-500 grams 6 874 5,244.00
20 pcs Correction tape 40 33.35 1,334.00
21 reams Book Paper Long 71 359 25,489.00
22 reams Book Paper A4 72 229 16,488.00
TOTAL: 119,999.68
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-15-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2022-104 Invoice No. : 7818 I.A.R. No. :
Date : 10-27-22 Date :10-27-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 10 Tarpaulin(Cooperative Trainings, Cooperative Month and 10 500.00 5,000.00
Family Day Celebration, Year-end Evaluation and Target
Setting
TOTAL: 5,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 10-27-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-119 Invoice No. : O792 I.A.R. No. :
Date : November 10, 2022 Date :Sept 28, 2022/Oct 5, 2022/Oct 2, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and snacks 40 400.00 16,000.00
4-H Training on Business Model Canvass
(BMC) at SP Hall Sept. 28, 2022

2 heads Meal and snacks 20 400.00 8,000.00


4-H Training on Business Model Canvass
(BMC) at Kalamansig, Sultan Kudarat
Oct 5, 2022
3 heads Meal and snacks 60 400.00 24,000.00
4-H Livelihood Contest/ Training
Oct 28, 2022
TOTAL: 48,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: Sept 28, 2022/Oct 5, 2022
Oct 2, 2022
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
specifications ( pls. specify quantity) Complete

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SPADES GARMENTS AND DESIGN
PO No. : 2022-084 Invoice No. : 712 I.A.R. No. :
Date : November 8, 2022 Date :November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs T-shirt(Sublimation) 25 550.00 13,750.00
TOTAL: 13,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SPADES GARMENTS AND DESIGN
PO No. : 2022-116 Invoice No. : 711 I.A.R. No. :
Date : November 8, 2022 Date :November 8, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs T-shirt(Sublimation) 27 550.00 14,850.00
TOTAL: 14,850.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-8-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-134 Invoice No. : I.A.R. No. :
Date : December 1, 2022 Date : 2/12/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 134 74.33 9,960.22
TOTAL: 9,960.22
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-02-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-133 Invoice No. : 47121 I.A.R. No. :
Date : December 1, 2022 Date : 2/12/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 134 74.33 9,960.22
TOTAL: 9,960.22
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-02-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-128 Invoice No. : 47011 I.A.R. No. :
Date : December 1, 2022 Date : 2/12/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 2226 74.33 165,458.58
2 Liters Gasoline 501 68.94 34,538.94
TOTAL: 199,997.52
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-02-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2022-127 Invoice No. : 7819/7820 I.A.R. No. :
Date : November 21, 2022 Date :11-21-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:Supply labor and Materials
1 J.O Tarpaulin(4x8) Coop Meeting 2 580.00 1,160.00
2 J.O Tarpaulin(6x8) Coop Back draft 3 950.00 2,850.00
3 J.O Tarpaulin(4x6) Coffee turn over 2 480.00 960.00
4 J.O Tarpaulin (4x8)Coop 3 580.00 1,740.00
5 J.O Tarpaulin (4x8) DTI 3 580.00 1,740.00
6 J.O Tarpaulin (4x8) NSO month 3 580.00 1,740.00
7 J.O Tarpaulin(4X8) Disability week 2 580.00 1,160.00
8 J.O Tarpaulin(4X8) Techno demon on corn 2 580.00 1,160.00
9 J.O Tarpaulin(4x6) CSC Tarp 2 480.00 960.00
10 J.O Tarpaulin(8X8)Citizen Charter 2 1,200.00 2,400.00
11 J.O Tarpaulin(4X8)Year Evaluation end 2 480.00 960.00
12 J.O Plaque (Retirement) 1 1,500.00 1,500.00
13 J.O Tarpaulin(6 x 4.5 feet)Org Chart 1 1,670.00 1,670.00

TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-21-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-126 Invoice No. : OO50 I.A.R. No. :
Date : November 21, 2022 Date : 11-21-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 sack ANC(African Night Crawler)23kgs/sack 28 714.00 19,992.00
TOTAL: 19,992.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-21-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: WAGGY AGRIVET SUPPLY
PO No. : 2022-122 Invoice No. : 4887 I.A.R. No. :
Date : November 15, 2022 Date : 11-15-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST

1 bags Fry mash 65 1,000.00 65,000.00


2 bags Tilapia Adult Pellets 53 750.00 39,750.00
TOTAL: 104,750.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-15-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-144 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 250 400.00 100,000.00
TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DUDAY AGRI SUPPLY
PO No. : 2022-124 Invoice No. : OOOOO3/OOOOO4 I.A.R. No. :
Date : November 15, 2022 Date : 11-15-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Ammonium Sulfate 20 610.00 12,200.00
2 bags Urea - (46-0-0) 5 1,170.00 5,850.00
3 bags Complete ( 14-14-14) 5 1,100.00 5,500.00
4 bags Potash 10 1,100.00 11,000.00
5 Liter Organic Foliar 10 600.00 6,000.00
6 liter 2-4D - amine 8 400.00 3,200.00
7 Gal Isoprpylamine Salt 9 1,120.00 10,080.00
8 Gal Glyphosate 7 1,600.00 11,200.00
9 Liter Lambda Cyalothrin 10 980.00 9,800.00
10 box Cartap Hydrochloride 5 990.00 4,950.00
11 box Niclosamide 9 1,200.00 10,800.00
12 Liter Diazinon 5 700.00 3,500.00
13 Liter Ditenconazole 7 850.00 5,950.00
14 Liter Cypermethrin 5 600.00 3,000.00
15 liter Bentatron 6 850.00 5,100.00
16 liter Butachlor 10 500.00 5,000.00
17 pack Mancozeb 10 595.00 5,950.00
18 liter Cartap 6 840.00 5,040.00
19 box Copper Hydroxide 5 1,180.00 5,900.00

TOTAL: 130,020.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 11-15-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-144 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 250 400.00 100,000.00

TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-150 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
Job Order:
1 hds Meals and Snacks 50 400.00 20,000.00

TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-149 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 35 400.00 14,000.00

TOTAL: 14,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-148 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 45 400.00 18,000.00

TOTAL: 18,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-147 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 100 400.00 40,000.00

TOTAL: 40,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-146 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 100 400.00 40,000.00
Contribution for Agricultural Extension Worker
Forum(Kalimudan)
November 16, 2022

2 hds Meals and Snacks 20 400.00 8,000.00


RIC Consultative meeting
November 28, 2022

2 hds Meals and Snacks 75 400.00 30,000.00


Training/ Retooling of RIC Coordinator and year end
Evaluation/ target setting for 2023
December 16-17, 2022

TOTAL: 78,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-145 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 100 400.00 40,000.00
4H day(Kalimudan)

2 hds Meals and Snacks 80 400.00 32,000.00


4H day Achievement day

2 hds Meals and Snacks 70 400.00 28,000.00


Regional Youth Camp and Year End Evaluation

TOTAL: 100,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
OO55/60/61/62
Sept 16, 2022/Sept. 27, 2022/Oct 4, 2022/ Oct 27, 2022

Date Received: Sept 16, 2022/Sept. 27, 2022


Oct 4, 2022/ Oct 27, 2022
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: N.JERR MERCHANDISE
PO No. : 2022-136 Invoice No. : OO48 I.A.R. No. :
Date : December 7, 2022 Date :Dec 7, 2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs G. Pipes(76mm) 3 3,000.00 9,000.00
2 pcs c purlins 3" 12 400.00 4,800.00
3 pcs C purlins 4'' 8 600.00 4,800.00
4 pcs Currogated Sheet 22 460.00 10,120.00
5 bags cement 8 280.00 2,240.00
6 load sand 1 1,600.00 1,600.00
7 box Welding rod(5kls) 1 1,200.00 1,200.00
8 pcs Cutting disc 5 120.00 600.00
9 pcs Steel matting 5 950.00 4,750.00
10 JO Labor cost 1 10,890.00 10,890.00
-

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: Dec 7, 2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
specifications ( pls. specify quantity) Complete

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SPADES GARMENTS AND DESIGN
PO No. : 2022-156 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs T-shirt(Sublimation) 52 550.00 28,600.00

TOTAL: 28,600.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER STUDIO
PO No. : 2022-163 Invoice No. : 12934 I.A.R. No. :
Date : 12-29-22 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 set Speaker System with Complete Accessories 1 40,000.00 40,000.00
Specs:
2 12" Speaker with Bass 550W
2 15" Speaker with Bass 750W
Amplifier With Eqaulizer Mixer,Bluetooth, Fm Tuner,
Remote,USB Decoder,Mic Mixer
2 wired High Fidelity Microphone

TOTAL: 40,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: AJ SOFTDRIVE INTERNET CAFE & COMPUTER STUDIO
PO No. : 2022-161 Invoice No. : 12935/36/37 I.A.R. No. :
Date : 12-29-22 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Correction tape 50 33.35 1,667.50
2 pcs Envelope L 92 1.15 105.80
3 pcs Envelope S 100 1.15 115.00
4 box Signpen Black 5 358.00 1,790.00
5 pcs Stabilo 20 40.00 800.00
6 box Staple Wire 15 46.00 690.00
7 btls Printer Ink(Black) 30 428.00 12,840.00
8 pcs Printer Ink(Color) Assorted 30 454.00 13,620.00
9 books Record Book Large 3 483.00 1,449.00
10 pc Scotch Tape 1" 29 37 1,073.00
11 reams Book Paper A4 45 229 10,305.00
12 reams Book Paper Long 43 359 15,437.00
13 pcs Toilet Bowl Cleaner 4 356.5 1,426.00
14 pcs White Board Marker 20 58 1,160.00
15 pcs Folder L 100 4.27 427.00
16 pcs Folder S 100 5.75 575.00
17 btls Disinfectant spray 400-500 grams 3 874 2,622.00
18 pcs Glue 10 57.5 575.00
19 box Pencil 5 112 560.00
20 pcs Pentel Pen Pilot(Black Broad) 20 59 1,180.00
21 pcs Pentel Pen Pilot(Black Fine) 20 57 1,140.00
22 pads Photo Paper 14 103 1,442.00

TOTAL: 70,999.30
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: IMMACON CORPORATION
PO No. : 2022-153 Invoice No. : I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:Supply Labor and Materials
1 pcs Tiles(40x40) 835 90.00 75,150.00
2 bags Cement 30 285.00 8,550.00
3 bags Adhesive 5 490.00 2,450.00
4 kilo Grout 2 85.00 170.00
5 Cubic Sand 4 1,200.00 4,800.00
6 pcs Hardiflex 10 700.00 7,000.00
7 box Rivets 1 200.00 200.00
8 Pcs Tubular 1x2 (Length) 17 750.00 12,750.00
9 JO Labor 1 48,930.00 48,930.00

TOTAL: 160,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:


ORIGINAL To be attached to the voucher
2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: EDDIES RADIO ELECTRONICS ELECTRICAL SUPPLY & GENERAL MERCHANDISE
PO No. : 2022-154 Invoice No. : 3132/3133 I.A.R. No. :
Date : December 20, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:Supply Labor and Materials
1 unit Circuit breaker 175A 1 4,500.00 4,500.00
2 pcs Circuit breaker 30A 5 485.00 2,425.00
3 pcs Circuit breaker 20A 4 485.00 1,940.00
4 pcs Circuit breaker 15A 3 485.00 1,455.00
5 roll Electrical Tape 2 120.00 240.00
6 roll Rubber Tape 1 195.00 195.00
7 pcs Hardiflex(4X8) 15 500.00 7,500.00
8 pc Steel Matting 15 900.00 13,500.00
9 kilo Tie wire 2 90.00 180.00
10 qrt Hardiflex(4X8) 1 200.00 200.00
11 pcs Hollow Block 150 9.00 1,350.00
12 sacks Cement 8 285.00 2,280.00
13 kilo Nail 2 1/2 3 90.00 270.00
14 pcs Rounbar 30 180.00 5,400.00
15 cubic Sand 1 1,200.00 1,200.00
16 box Rivets 1/8 1 165.00 165.00
17 JO Labor 1 12,200.00 12,200.00

TOTAL: 55,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user
The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-166 Invoice No. : 217 I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Sacks 250 10.00 2,500.00
2 pcs Drum/Container 2 1,250.00 2,500.00

TOTAL: 5,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: LEAMSI MARKETING
PO No. : 2022-166 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Rabbit Male 85 400.00 34,000.00
2 pcs Rabbit Female 415 400.00 166,000.00

TOTAL: 200,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:
Inspection verified and found Complete Delivery Partial
in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: NAY ELEN'S BBQ & RESTO
PO No. : 2022-178 Invoice No. : 751 I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 hds Meals and Snacks 225 400.00 90,000.00

TOTAL: 90,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-13-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: FALLE AUTO REPAIR SHOP
PO No. : 2022-181 Invoice No. : 1763/1764 I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 JO Pull-out and Replace Battery 2 350.00 700.00
2 JO Pull-out and Replace Brake Pad 1 700.00 700.00
3 JO Pull-out and Replace Alternator Belt 1 2,700.00 2,700.00
4 JO Realignement of Propeller 1 3,500.00 3,500.00
5 JO Pull-out and Repair Transmission Gearbox 1 15,000.00 15,000.00
6 JO Engine Tune Up and Calibration of injection pump 2 6,500.00 13,000.00
7 JO Radiator Pull out and Overhaul 1 2,500.00 2,500.00
8 JO Turbo Cleaning 1 2,500.00 2,500.00
9 JO Engine Tune Up and Calibration of injection pump 2 6,500.00 13,000.00
10 JO Pull-out and Repair and with alignment of Reaper Blade 2 3,500.00 7,000.00
11 JO Check Up and Refill Gearbox 2 1,000.00 2,000.00
12 JO Agricultural Drive Belt 2 2,200.00 4,400.00
13 JO Pull-out and Replace Oil seal 1 350.00 350.00
14 JO Pull-out and Replace Sprocket 2 200.00 400.00
15 JO Pull-out and Replace Chain 2 200.00 400.00
16 JO Pull-out and Replace and Align Rim 1 1,000.00 1,000.00
17 JO Pull-out and Replace Clutch Cable 2 200.00 400.00
18 JO Pull-out and Replace Headlight Bulb 2 150.00 300.00
19 JO Pull-out and Replace Tire(Back)110/90-17 2 300.00 600.00
20 JO Pull-out and Replace Tire(Front )110/90-17 2 300.00 600.00
21 JO Pull-out Side Mirror and Replace 2 200.00 400.00

TOTAL: 71,450.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BAMBUSA KAINAN
PO No. : 2022-180 Invoice No. : 63 I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meals and Snacks 60.00 400.00 24,000.00
TOTAL: 24,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: SEAMALL PETRON SERVICE STATION
PO No. : 2022-183 Invoice No. : 47809 I.A.R. No. :
Date : December 29, 2022 Date : 12/29/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 Liters Diesoline 508 74.39 37,790.12
2 Liters Gasoline 180 67.53 12,155.40
TOTAL: 49,945.52
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ANIMALANDIA VETERINARY SOLUTIONS
PO No. : 2022-171 Invoice No. : 10 I.A.R. No. :
Date : December 29, 2022 Date : 12/29/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 ml Terramycin LA 5 670.00 3,350.00
2 ml Tycosin 200 5 495.00 2,475.00
3 ml Bromihixen 5 467.00 2,335.00
4 ml Quickheal 15 200.00 3,000.00
5 gal Envirosure 3 1,450.00 4,350.00
6 ml Biocatalyn 5 500.00 2,500.00
7 ml Viton 500 3 1,030.00 3,090.00
8 ml Irondex 5 280.00 1,400.00
9 liter Valbazen 1 2300.00 2,300.00
10 ml Ivomec 1 1680.00 1,680.00
11 box Latigo 1000 2 1260 2,520.00
12 bags Salt 4 250 1,000.00
TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DP CONSUMER GOODS TRADING
PO No. : 2022-165 Invoice No. : 405 I.A.R. No. :
Date : December 29, 2022 Date : 12/29/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Spawn of mushroom 3125 80.00 250,000.00
TOTAL: 250,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-169 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meal and Snacks 25 400.00 10,000.00
TOTAL: 10,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARKOWA ARTS
PO No. : 2022-179 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 pcs Plaques 12 1,200.00 14,400.00
TOTAL: 14,400.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BOOKMAN GENERAL MERCHANDISE
PO No. : 2022-177 Invoice No. : 2613/2614 I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Printer Ink (Black) 3 428.00 1,284.00
2 pcs Printer Ink (color)assorted 5 452.00 2,260.00
3 pcs Scotch Tape 5 37.00 185.00
4 box Sign pen(gel type) 4 358.00 1,432.00
5 rms Book paper long 10 259.00 2,590.00
6 rms Book paper A4 10 229.00 2,290.00
7 pcs Folder A4 30 5.00 150.00
8 pcs Folder Long 40 5.00 200.00
9 pcs Expanding envelope 40 18.00 720.00
10 pcs Notebook 40 17.00 680.00
11 box Ballpen ordinary 50's 5 275.00 1,375.00
12 pcs Staple with remover 3 350.00 1,050.00
13 box Staple wire (no.5) 3 46.00 138.00
14 box Pencil 3 112.00 336.00
15 box Paper Clip 4 34.00 136.00
16 pcs Scissor 2 87.00 174.00

TOTAL: 15,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ARMAN A. FELICIANO
PO No. : 2022-167 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 JO Job Order: Labor Planting of silage,Bed preparation, 2 16,250.00 65,000.00
harvesting duration of months( 2 x 8,125.00 x 4 months =
65,000.00)
TOTAL: 65,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: ANTONIAS PLACE
PO No. : 2022-184 Invoice No. : 385 I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


Job Order:
1 heads Meals and Snacks 70 1,600.00 112,000.00
2 meals and 4 snacks(800x70x2 days)
2 JO Accomodation 1 18,000.00 18,000.00
TOTAL: 130,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

Provincial Government of Sultan Kudarat


LGU
Supplier: JN CATERING SERVICES
PO No. : 2022-173 Invoice No. : I.A.R. No. :
Date : December 29, 2022 Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 heads Job order: Meals and snacks 36 1,500.00 54,000.00
(3 meals and 2 snacks x 2days)
TOTAL: 54,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DIGITECH ART & SIGN
PO No. : 2022- Invoice No. : I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Tarpaulin(backdraft)10x16feet 1 5,000.00 5,000.00
TOTAL: 5,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: DREAMWEAVER HILL RESORT
PO No. : 2022-185 Invoice No. : 1107 I.A.R. No. :
Date : 12-27-22 Date : 12-16-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 heads Meals and Snacks 51 1,370.00 69,870.00
685 per head x 51 x 2 days
2 JO Accomodation 1 30,000.00 30,000.00

TOTAL: 99,870.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-16-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-188 Invoice No. : 218/219 I.A.R. No. :
Date : December 27, 2022 Date : 12-27-22
Requisitioning Office/Dept. : OPAG
Item No. Unit Description QTY UNIT COST TOTAL COST
1 packs Eggplant seeds 88 90.00 7,920.00
2 packs Cucumber seeds 88 85.00 7,480.00
3 packs Squash seeds 88 85.00 7,480.00
4 packs Ampalaya seeds 88 90.00 7,920.00
5 packs Okra seeds 88 90.00 7,920.00
6 packs Tomato seeds 88 90.00 7,920.00
7 packs String bean seeds 88 85.00 7,480.00
8 packs Upo seeds 88 85.00 7,480.00
9 packs Green pepper 87 85.00 7,395.00

TOTAL: 68,995.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-27-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-188 Invoice No. : 218/219 I.A.R. No. :
Date : December 27, 2022 Date : 12-27-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 packs Eggplant seeds 88 90.00 7,920.00
2 packs Cucumber seeds 88 85.00 7,480.00
3 packs Squash seeds 88 85.00 7,480.00
4 packs Ampalaya seeds 88 90.00 7,920.00
5 packs Okra seeds 88 90.00 7,920.00
6 packs Tomato seeds 88 90.00 7,920.00
7 packs String bean seeds 88 85.00 7,480.00
8 packs Upo seeds 88 85.00 7,480.00
9 packs Green pepper 87 85.00 7,395.00

TOTAL: 68,995.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-27-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: BRIGHT COLORS TARPAULIN AND GENERAL MERCHANDISE
PO No. : 2022- Invoice No. : I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Jacket 15 1,500.00 22,500.00
2 pcs Customize T-shirt 15 500.00 7,500.00
3 pcs Shovel 12 600.00 7,200.00
4 pcs Lagarao 12 450.00 5,400.00
5 pcs SK Product 52 50.00 2,600.00
6 pcs Plaque 4 1,200.00 4,800.00

TOTAL: 50,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO

INSPECTION & ACCEPTANCE REPORT


Provincial Government of Sultan Kudarat
LGU
Supplier: COUSINS CONSUMER GOODS TRADING
PO No. : 2022-187 Invoice No. : 3708 I.A.R. No. :
Date : 12-27-22 Date :12-27-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 rms Folder 2 600.00 1,200.00
2 rms Bondpaper 5 280.00 1,400.00
3 pcs Picture Frame 105 120.00 12,600.00
4 packs Disposable cups(35pcs/packs 450 55.00 24,750.00
5 pcs Creamer(400g) 20 200.00 4,000.00
6 kls Coffee 40 550.00 22,000.00
7 kilo Sugar 20 80.00 1,600.00
8 container Mineral water 50 50.00 2,500.00
9 unit Coffee Perculator 1 7,500.00 7,500.00
10 packs Sterir 20 45.00 900.00

TOTAL: 78,450.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-27-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: KLABRADOR ENTERPRISES
PO No. : 2022-188 Invoice No. : 218/219 I.A.R. No. :
Date : December 27, 2022 Invoice No. : 12-27-22
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 bags Urea(46-0-0) 124 2,320.00 287,680.00
2 bags Complete (14-14-14) 116 2,261.00 262,276.00
3 gal Glyphosate 25 1,600.00 40,000.00
4 liter 2-4D Amine 30 360.00 10,800.00
5 pack Mancozeb 28 650.00 18,200.00
6 ml] Ditenconazole 30 1,450.00 43,500.00
7 liter Cypermethrin 30 450.00 13,500.00
8 liter Diazinon 30 800.00 24,000.00

TOTAL: 699,956.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: QUIDILLA CONSTRUCTION SUPPLY AND GENERAL MERCHANDISE
PO No. : 2022- Invoice No. : 76 I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Shovel 30 550.00 16,500.00
2 pcs Rake 30 750.00 22,500.00
3 pcs Wheelbarrow 10 2,000.00 20,000.00
4 pcs Secateurs 21 1,000.00 21,000.00
5 pcs Knapsack/Power Sprayer 20 2,550.00 51,000.00
6 pcs Pole Pruner 16 12,500.00 200,000.00
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

TOTAL: 331,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-22

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: SPHIXKIKAY GENERAL MERCHANDISE
PO No. : 2022- Invoice No. : 4939/4940/4941 I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Wooden Judge Gavel with sound 1 700.00 700.00
2 packs Sticker paper glossy 6 59.00 354.00
3 sheet Tacker 2 645.00 1,290.00
4 pcs Clear Book 10 42.00 420.00
5 pcs Scissor 4 75.00 300.00
6 pcs Epson Printer ink 003(assorted) 8 350.00 2,800.00
7 pcs Photo Paper 180 gsm A4 4 75.00 300.00
8 roll Tape double sided 48mm 4 41.00 164.00
9 pcs Correction tape 4 33.00 132.00
10 pcs Flash Drive 40 360.00 14,400.00
11 pcs Marker Permanent 5 39.00 195.00
12 pcs Stick Glue 21 7.50 157.50
13 pcs Glue gun 2 380.00 760.00
14 roll Twine Plastic 1 97.00 97.00
15 box Pencil Mongol 2 108.00 216.00
16 box Sign Pen liquid 0.3 needle tip 20 72.00 1,440.00
17 pcs staple wire #35 2 35.00 70.00
18 packs Ballpen Ordinary retract 50s black 5 300.00 1,500.00
19 roll Ribbonet 1 242.50 242.50
20 box Storage box 2 735.00 1,470.00
21 pcs Mailing envelope 3 20.00 60.00
22 pcs Transparent tape width 24mm 2 35.00 70.00
23 pcs Transparent tape width 48mm 2 60.00 120.00
24 pcs Glue gun 4 71.00 284.00
25 pcs Stapler 1 256.00 256.00
26 pcs hand sanitizer 4 56.00 224.00
27 roll Tape masking witdh 48mm 2 39.00 78.00
28 pcs 8.5 x11 pvd plastic certificate frames 19 100.00 1,900.00
TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: DADIANGAS CROWN BOOKSTORE INC.
PO No. : Invoice No. : I.A.R. No. :
Date : Date :
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 pcs Notebook 200 18.00 3,600.00
2 pcs Linen paper 20 35.00 700.00
3 pcs Certificate Holder 150 47.00 7,050.00
4 meter Alphagina cloth(assorted color) 24 103.25 2,478.00
5 pcs Manila Paper 19 6.00 114.00
6 pcs 8.5 x 11 PVS Plastic Certificate Frame 10 147.00 1,470.00
7 pcs White Board marker 5 65.00 325.00
8 pcs Ledger Notebook 10 39.00 390.00
9 pcs Marker Permanent 15 45.00 675.00
10 pcs Cartolina(Assorted Color) 21 8.00 168.00
11 pcs Photo Pape 180gms A4 10 80.00 800.00
12 pcs Record Book , 300 Pages 20 85.00 1,700.00
13 ream Construction Paper 2 265.00 530.00

TOTAL: 20,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received:

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
INSPECTION & ACCEPTANCE REPORT
Provincial Government of Sultan Kudarat
LGU
Supplier: ANIMALANDIA VETERINARY SOLUTIONS
PO No. : 2022-171 Invoice No. : 10 I.A.R. No. :
Date : December 29, 2022 Date : 12/29/2022
Requisitioning Office/Dept. : OPAG

Item No. Unit Description QTY UNIT COST TOTAL COST


1 ml Terramycin LA 5 670.00 3,350.00
2 ml Tycosin 200 5 495.00 2,475.00
3 ml Bromihixen 5 467.00 2,335.00
4 ml Quickheal 15 200.00 3,000.00
5 gal Envirosure 3 1,450.00 4,350.00
6 ml Biocatalyn 5 500.00 2,500.00
7 ml Viton 500 3 1,030.00 3,090.00
8 ml Irondex 5 280.00 1,400.00
9 liter Valbazen 1 2300.00 2,300.00
10 ml Ivomec 1 1680.00 1,680.00
11 box Latigo 1000 2 1260 2,520.00
12 bags Salt 4 250 1,000.00

TOTAL: 30,000.00
INSPECTION ACCEPTANCE RECEIVED
Date of Inspection: ______________ Date of Acceptance:________________________ Date Received: 12-29-2022

Inspection verified and found Complete Delivery Partial


in order as to quantity and Particular Deliver
Complete
specifications ( pls. specify quantity)

ELENITA U. COLOMA MA. CRISTINA O. LINDOG ESTELA S. HALLEGADO


Head Inspectorate Provincial General Services Officer Requisitioner/End-user

The AIR shall be presented in four copies as follows:

ORIGINAL To be attached to the voucher


2nd COPY COA Auditor
3rd COPY Inspection Officer
4th COPY PGSO
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