1ST Dimayon Es 001
1ST Dimayon Es 001
1ST Dimayon Es 001
CODE:
DEPED, LANAO DEL NORTE
DIMAYON ELEMENTARY SCHOOL AGENCY CONTROL NO.: 2023-04-001
AGENCY PROCUREMENT REQUEST PS APR NO.
To: THE PROCUREMENT SERVICE REGIONAL DEPOT 10
DBM RO - 10 Compound April 18, 2023
Zone 1, National Highway, Bulua Date Prepared
9000 Cagayan de oro City
( ) Please furnished us with Price Estimate (for Office equipment/furniture & supplementary items)
( ) Please purchase for our agency the equipment/furniture/supplementary items per your price estimate
(PS RAD No. __________________attached) dated ________________________
( ) Please issue common-use supplies/materials per Price List as of___________________________
( ) Please issue Certificate of price Reasonableness
( ) Please furnish us with your latest/updated price List
( ) Others (Specify)_____________________________________________________
IMPORTANT !! PLEASE SEE THE INSTRUCTIONS/CONDITIONS AT THE BACK OF THE ORIGINAL COPY
ITEM. ITEM and DESCRIPTION/SPECIFICATIONS/STOCK NO. UNIT QUANTITY UNIT COST AMOUNT
001 CLEARBOOK, 20 transparent pockets, legal piece 150
002 ERASER, plastic/ rubber piece 100
003 SIGN PEN, Black, liquid or gel piece 25
004 SIGN PEN, Red, liquid or gel piece 36
005 BROOM, Soft (Walis Tambo) piece 4
006 MONOBLOC CHAIR, beige piece 12
007 MONOBLOC TABLE, beige, 4 seater capacity unit 2
008 CLIP, backfold, 19mm box 5
009 CLIP, backfold, 25mm box 5
010 CORRECTION TAPE, 8 meters piece 36
011 CUTTER/UTILITY KNIFE, for general purpose piece 20
012 ENVELOPE, Documentary, A4, 500 pieces per box box 2
013 ENVELOPE, Expanding, Plastic piece 20
014 FOLDER, L-type, legal, 50 pieces per pack pack 24
015 MARKER, Permanent, Black piece 17
016 MARKER, Whiteboard, Black piece 90
017 PAPER CLIP, vinly/plastic coated, 33mm box 20
018 PAPER CLIP, vinly/plastic coated, jumbo, 50mm box 20
019 PENCIL, lead/graphite, with eraser, one (1) dozen per box box 32
020 PUNCHER, paper, heavy duty piece 4
021 STAPLER, standard type piece 20
022 STAPLER, heavy duty (binder type), desktop unit 8
023 CARTOLINA, assorted colors, 20 pieces of assorted colors per pack pack 34
024 NOTEBOOK, stenographer piece 1660
025 PAPER, MULTICOPY A4, 500 sheets per ream ream 75
026 PAPER, MULTICOPY LEGAL, 500 sheets per ream ream 28
027 RECORD BOOK, 300 PAGES book 18
028 LIQUID HAND SANITIZER, 500mL bottle 18
029 INK CARTRIDGE, EPSON C13T664100 (T6641), Black cart 1
030 INK CARTRIDGE, EPSON C13T664200 (T6642), Cyan cart 1
031 INK CARTRIDGE, EPSON C13T664300 (T6643), Magenta cart 1
032 INK CARTRIDGE, EPSON C13T664400 (T6644), Yellow cart 1
-
STOCKS REQUESTED ARE CERTIFIED TO BE FUNDS CERTIFIED AVAILABLE: APPROVED:
WITHIN APPPROVED PROGRAM
END USER:
Appendix 60
PURCHASE REQUEST
Entity Name: DIMAYON ELEMENTARY SCHOOL Fund Clust 1st Quarter MOOE
Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
001 piece CLEARBOOK, 20 transparent pockets, legal 103 53.00 5,459.00
002 piece ERASER, plastic/ rubber 89 5.00 445.00
003 piece SIGN PEN, Black, liquid or gel 25 10.00 250.00
004 piece SIGN PEN, Red, liquid or gel 36 10.00 360.00
005 piece BROOM, Soft (Walis Tambo) 4 150.00 600.00
006 piece MONOBLOC CHAIR, beige 12 345.00 4,140.00
007 unit MONOBLOC TABLE, beige, 4 seater capacity 2 1,530.00 3,060.00
008 box CLIP, backfold, 19mm 5 23.00 115.00
009 box CLIP, backfold, 25mm 5 28.00 140.00
010 piece CORRECTION TAPE, 8 meters 15 26.00 390.00
011 piece CUTTER/UTILITY KNIFE, for general purpose 20 15.00 300.00
012 box ENVELOPE, Documentary, A4, 500 pieces per box 1 1,950.00 1,950.00
013 piece ENVELOPE, Expanding, Plastic 20 55.00 1,100.00
014 pack FOLDER, L-type, legal, 50 pieces per pack 9 600.00 5,400.00
015 piece MARKER, Permanent, Black 17 20.00 340.00
016 piece MARKER, Whiteboard, Black 55 15.00 825.00
017 box PAPER CLIP, vinly/plastic coated, 33mm 10 15.00 150.00
018 box PAPER CLIP, vinly/plastic coated, jumbo, 50mm 9 30.00 270.00
019 box PENCIL, lead/graphite, with eraser, one (1) dozen per box 6 98.00 588.00
020 piece PUNCHER, paper, heavy duty 3 195.00 585.00
021 piece STAPLER, standard type 20 145.00 2,900.00
022 unit STAPLER, heavy duty (binder type), desktop 8 680.00 5,440.00
023 pack CARTOLINA, assorted colors, 20 pieces of assorted colors per pack 34 160.00 5,440.00
024 piece NOTEBOOK, stenographer 1500 28.00 42,000.00
025 ream PAPER, MULTICOPY A4, 500 sheets per ream 75 185.00 13,875.00
026 ream PAPER, MULTICOPY LEGAL, 500 sheets per ream 28 205.00 5,740.00
027 book RECORD BOOK, 300 PAGES 18 87.00 1,566.00
028 bottle LIQUID HAND SANITIZER, 500mL 18 130.00 2,340.00
029 cart INK CARTRIDGE, EPSON C13T664100 (T6641), Black 1 260.00 260.00
030 cart INK CARTRIDGE, EPSON C13T664200 (T6642), Cyan 1 260.00 260.00
031 cart INK CARTRIDGE, EPSON C13T664300 (T6643), Magenta 1 260.00 260.00
032 cart INK CARTRIDGE, EPSON C13T664400 (T6644), Yellow 1 260.00 260.00
033 cart Ink 003, Black 30 234.00 7,020.00
034 cart Ink 003, Magenta 22 234.00 5,148.00
035 cart Ink 003, Cyan 22 234.00 5,148.00
036 cart Ink 003, Yellow 22 234.00 5,148.00
037 cart Ink, BT 500c, Cyan 3 390.00 1,170.00
038 cart Ink, BT 500m, Magenta 3 380.00 1,140.00
039 cart Ink, BT 500y, Yellow 3 380.00 1,140.00
040 cart Ink, BT D60 BK, Black 3 380.00 1,140.00
041 piece 4 LAYER, DESK FILE ORGANIZER 3 980.00 2,940.00
042 ream FOLDER Brown, Long 18 600.00 10,800.00
043 pack WORX PAPER Long 40 35.00 1,400.00
044 pack WORK PAPER A4 60 32.00 1,920.00
045 piece PINTEL PEN, PERMANENT (Broad), Black 17 45.00 765.00
046 Box PERMANENT INK 17 95.00 1,615.00
047 piece WHITE BOARD 1 3,650.00 3,650.00
048 dozen PAD PAPER, All Grade level 46 204.00 9,384.00
049 piece STICKY NOTES 10 28.00 280.00
050 Box STAPLER WIRE #35 10 45.00 450.00
051 meter TEXTILE, Assorted Color 100 55.00 5,500.00
052 box CRAYON Double (24) 95 48.00 4,560.00
053 box BALLPEN, Black 19 80.00 1,520.00
054 piece CHESS BOARD 2 380.00 760.00
055 ream CONSTRUCTION PAPER, Assorted 1 280.00 280.00
056 ream LAMINATING FILM, A4 1 1,300.00 1,300.00
057 meter RIBBON, Assorted Color (2 Inch) 79 6.00 474.00
058 piece OIL PASTEL 10 55.00 550.00
059 piece ILLUSTRATION Board, 1/8 53 10.00 530.00
060 piece BIG NOTEBOOK, 80 lvs 11 38.00 418.00
061 piece BADMINTON 2 300.00 600.00
062 piece FOLDER WHITE, Long 61 7.00 427.00
063 piece BIG SCISSORS 1 65.00 65.00
184,050.00
Purpose: PROCUREMENT OF SCHOOL & OFFICE SUPPLIES
TOTAL
Brand Model
Delivery Perio
After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.
TOTAL
Brand Model
Delivery Perio
After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.
TOTAL
Brand Model
Delivery Perio
After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.
TOTAL
Brand Model
Delivery Perio
After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.
TOTAL
Brand Model
Delivery Perio
After having carefully read and accepted your General Conditions, I/We quote you on the item(s) at prices noted above.
PURCHASE REQUEST
Entity Name: DIMAYON ELEMENTARY SCHOOL Fund Cluster: 1st Quarter MOOE
Stock/
Unit Item Description Quantity Unit Cost Total Cost
Property No.
001 Unit SMART TV 32" 2 14,995.00 29,990.00
002 Unit LAMINATING MACHINE 1 4,800.00 4,800.00
X-X-X-X-X-X-X-X--X--X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X-X--X-X-X
34,790.00
Purpose: PROCUREMENT OF ICT EQUIPMENT
Gentlemen:
Please furnish this Office the following articles subject to the terms and conditions contained herein:
In case of failure to make the full delivery within the time specified a bove, a penalty of one-tenth(1/10) of
percent of every day shall be imposed.
Entity Name : DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Stock/
Description Unit Quantity
Property No.
19 PENCIL, lead/graphite, with eraser, one (1) dozen per box box 6
61 BADMINTON piece 2
0 0
INSPECTION ACCEPTANCE
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2023-04-001
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
001 piece CLEARBOOK, 20 transparent pockets, legal 103
002 piece ERASER, plastic/ rubber 89
003 piece SIGN PEN, Black, liquid or gel 25
004 piece SIGN PEN, Red, liquid or gel 36
005 piece BROOM, Soft (Walis Tambo) 4
006 piece MONOBLOC CHAIR, beige 12
007 unit MONOBLOC TABLE, beige, 4 seater capacity 2
008 box CLIP, backfold, 19mm 5
009 box CLIP, backfold, 25mm 5
010 piece CORRECTION TAPE, 8 meters 15
011 piece CUTTER/UTILITY KNIFE, for general purpose 20
012 box ENVELOPE, Documentary, A4, 500 pieces per box 1
013 piece ENVELOPE, Expanding, Plastic 20
014 pack FOLDER, L-type, legal, 50 pieces per pack 9
015 piece MARKER, Permanent, Black 17
016 piece MARKER, Whiteboard, Black 55
017 box PAPER CLIP, vinly/plastic coated, 33mm 10
018 box PAPER CLIP, vinly/plastic coated, jumbo, 50mm 9
019 box PENCIL, lead/graphite, with eraser, one (1) dozen p 6
020 piece PUNCHER, paper, heavy duty 3
021 piece STAPLER, standard type 20
022 unit STAPLER, heavy duty (binder type), desktop 8
023 pack CARTOLINA, assorted colors, 20 pieces of assorted 34
024 piece NOTEBOOK, stenographer 1500
025 ream PAPER, MULTICOPY A4, 500 sheets per ream 75
026 ream PAPER, MULTICOPY LEGAL, 500 sheets per ream 28
027 book RECORD BOOK, 300 PAGES 18
028 bottle LIQUID HAND SANITIZER, 500mL 18
029 cart INK CARTRIDGE, EPSON C13T664100 (T6641), Bl 1
030 cart INK CARTRIDGE, EPSON C13T664200 (T6642), C 1
031 cart INK CARTRIDGE, EPSON C13T664300 (T6643), M 1
032 cart INK CARTRIDGE, EPSON C13T664400 (T6644), Ye 1
033 cart Ink 003, Black 30
034 cart Ink 003, Magenta 22
035 cart Ink 003, Cyan 22
036 cart Ink 003, Yellow 22
037 cart Ink, BT 500c, Cyan 3
038 cart Ink, BT 500m, Magenta 3
039 cart Ink, BT 500y, Yellow 3
040 cart Ink, BT D60 BK, Black 3
041 piece 4 LAYER, DESK FILE ORGANIZER 3
042 ream FOLDER Brown, Long 18
043 pack WORX PAPER Long 40
044 pack WORK PAPER A4 60
045 piece PINTEL PEN, PERMANENT (Broad), Black 17
046 Box PERMANENT INK 17
047 piece WHITE BOARD 1
048 dozen PAD PAPER, All Grade level 46
049 piece STICKY NOTES 10
050 Box STAPLER WIRE #35 10
051 meter TEXTILE, Assorted Color 100
052 box CRAYON Double (24) 95
053 box BALLPEN, Black 19
054 piece CHESS BOARD 2
055 ream CONSTRUCTION PAPER, Assorted 1
056 ream LAMINATING FILM, A4 1
057 meter RIBBON, Assorted Color (2 Inch) 79
058 piece OIL PASTEL 10
059 piece ILLUSTRATION Board, 1/8 53
060 piece BIG NOTEBOOK, 80 lvs 11
061 piece BADMINTON 2
062 piece FOLDER WHITE, Long 61
063 piece BIG SCISSORS 1
Purpose:
Signature :
Printed Name : AISA G. LABE SAIRA ALEAH D. RONOLO
Designation : SCHOOL HEAD ADMINISTRATIVE OFFICER II 0
Date :
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-002
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : SALT AISA G. LABE SAIRA ALEAH D. RONOLO SALT
Designation : TEACHER I SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-003
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : PEPPER AISA G. LABE SAIRA ALEAH D. RONOLO PEPPER
Designation : TEACHER II SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER II
Date : 3/15/2022 03/15/2022 03/15/2022
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-004
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : GINGER AISA G. LABE SAIRA ALEAH D. RONOLO GINGER
Designation : TEACHER III SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER III
Date : 3/15/2022 03/15/2022 03/15/2022
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-005
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : ONION AISA G. LABE SAIRA ALEAH D. RONOLO ONION
Designation : TEACHER I SCHOOL HEAD ADMINISTRATIVE OFFICER II TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-006
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : TOMATO AISA G. LABE SAIRA ALEAH D. RONOLO TOMATO
Designation : MASTER TEACHER I SCHOOL HEAD ADMINISTRATIVE OFFICER II MASTER TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-007
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : COFFEE AISA G. LABE SAIRA ALEAH D. RONOLO COFFEE
Designation : TEACHER I SCHOOL HEAD SCHOOL PROPERTY CUSTODIAN TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022
Appendix 63
Entity Name :DIMAYON ELEMENTARY SCHOOL Fund Cluster : 1st Quarter MOOE
Division : DEPED, DIVISION OF LANAO DEL NORTE Responsibility Center Code : 200525
Office : DIMAYON ELEMENTARY SCHOOL RIS No. : 2022-03-008
Requisition Stock Available? Issue
Stock No. Unit Description Quantity Yes No Quantity Remarks
1 piece CLEARBOOK, 20 transparent pockets, legal 30 ü 30 COMPLETE
2 piece SIGN PEN, Black, liquid or gel 1 ü 1 COMPLETE
3 piece SIGN PEN, Red, liquid or gel 3 ü 3 COMPLETE
4 piece BROOM, Soft (Walis Tambo) 2 ü 2 COMPLETE
5 piece MONOBLOC CHAIR, beige 1 ü 1 COMPLETE
6 piece CORRECTION TAPE, 8 meters 7 ü 7 COMPLETE
Signature :
Printed Name : MILK AISA G. LABE SAIRA ALEAH D. RONOLO MILK
Designation : TEACHER I SCHOOL HEAD SCHOOL PROPERTY CUSTODIAN TEACHER I
Date : 3/15/2022 03/15/2022 03/15/2022