SVP TAMBULAN 2024

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ABSTRACT OF BIDS/ CANVASS FOR FURNISHING AND DELIVERING SUPPLIES

AND/ OR MATERIALS TO THE MUNICIPALITY OF TAYASAN

NORWE'S HARDWARE ZUNIEGA Amount of the following Bidders


ITEM NO. QTY UNIT DESCRIPTION OF ARTICLES AND CONSTRUCTION HARDWARE & CCJ VARIETY STORE recommended price offered being
SUPPLIES CONST. SUPPLIES the most advantageous to the
1 160 bd.ft. 2"x2"x8' COCO LUMBER 28.00 35.00 30.00 Government
2 6 shts ¼" THK ORDINARY NAILS 595.00 610.00 600.00 Item # 1-18 is awarded to
3 2 kgs 1½" CW NAILS 89.00 96.00 90.00 NORWE'S HARDWARE AND
4 7 kgs 3"&4" CW NAILS ASSTD. 80.00 85.00 83.00 CONSTRUCTION SUPPLIES
5 1 kg #150 NYLON STRING 419.00 420.00 425.00 for the prices offered being the most
6 58 bags PORTLAND CEMENT (40 KGS PER BAG) 350.00 360.00 355.00 advantageous to the government.
7 144 bags SAND 9WASHED) 43.00 50.00 45.00
8 66 bags GRAVEL (PASSING 2" SIEVE) 50.00 55.00 53.00
10MMØ X 6M REINFORCING STEEL BAR Canvassed by:
9 238.08 kgs 65.00 70.00 68.00
(3.72 KG/INGTH) (64 LENGTHS)
10 11 kgs #16 G.I. TIE WIRE 115.00 120.00 118.00
11 6 pcs HACKSAW BLADE 85.00 90.00 88.00
12 416 pcs 4" THK CHB 20.00 25.00 22.00 LEMUEL H. CABOG
13 8 pcs DECORATIVE CONCRETE BLOCKS 50.00 55.00 51.00 Admin Aide I
14 2 pcs 7" ROLLER PAINT BRUSH (BIG) WITH KEY 149.00 160.00 150.00
15 2 pcs PAINT BRUSH 3" (GOOD QUALITY) 90.00 95.00 93.00
16 2 pcs PUTTY KNIFE 3" 50.00 60.00 55.00
17 4 gals FLAT LATEX PAINT 795.00 850.00 800.00
18 4 gals SEMI GLOSS LATEX PAINT 805.00 820.00 810.00

WE HEREBY CERTIFY THAT WE open the bids/ canvass for the above listed supplies/ materials: the abstract of which appears above. The items, prices, timeand date are
individuals. We hereby certify the correctness of the foregoing abstract and that all bids/canvass submitted and initiated by us.

Prepared by: Approved by:

ENGR. STEVE NICHOLS S. DIONALDO HON. SUSANO ANTONIO D. RUPERTO III


Municipal Engineer Municipal Mayor
ABSTRACT OF BIDS/ CANVASS FOR FURNISHING AND DELIVERING SUPPLIES
AND/ OR MATERIALS TO THE MUNICIPALITY OF TAYASAN

NORWE'S HARDWARE ZUNIEGA Amount of the following Bidders


ITEM NO. QTY UNIT DESCRIPTION OF ARTICLES AND CONSTRUCTION HARDWARE & CCJ VARIETY STORE recommended price offered being
SUPPLIES CONST. SUPPLIES the most advantageous to the
19 2 l ROOF PAINT (GREEN) 250.00 260.00 255.00 Government
20 4 bags SKIM COAT 630.00 650.00 635.00 Item # 19-36 is awarded to
21 5 pcs #120 SAND PAPER 43.00 50.00 45.00 NORWE'S HARDWARE AND
22 5 pcs #80 SAND PAPER 43.00 80.00 45.00 CONSTRUCTION SUPPLIES
23 56 pcs 300MM X 300MM TILES (UNGLAZED) 73.00 155.00 75.00 for the prices offered being the most
24 2 pack TILE GROUT (2KG/PACK) 150.00 600.00 151.00 advantageous to the government.
25 7 sheets 1/4" X 4'X8' MPW 1,500.00 1,800.00 1,600.00
26 10 sheets 1/2" X 4'X8' MPW 2,230.00 2,300.00 2,500.00
27 2 kg 1 1/2" CW NAILS 90.00 100.00 95.00 Canvassed by:
28 4 kg 3" & 4" CW Nails Asstd. 80.00 90.00 85.00
29 32 bd.ft. 2" x 2" x 8' Coco Lumber 30.00 35.00 33.00
30 8 sheets G.I. Corrugated Sheet x 10' Gauge22 643.00 650.00 645.00
31 40 bd.ft. 2" x 6" x10' Coco Lumber 30.00 40.00 35.00 LEMUEL H. CABOG
32 2 pack Roof Sealant (250g/pack) 175.00 180.00 177.00 Admin Aide I
33 80 pcs 2" Tex Screw 3.00 5.00 4.00
34 2 pcs Paint Brush 3" (good quality) 85.00 100.00 90.00
35 2 sets Ceramic Water Closet (Pail Flush) 1,200.00 1,300.00 1,250.00
36 4 pcs Plastic Faucet (Good Quality) 215.00 220.00 218.00

individuals. We hereby certify the correctness of the foregoing abstract and that all bids/canvass submitted and initiated by us.

Prepared by: Approved by:

ENGR. STEVE NICHOLS S. DIONALDO


Municipal Engineer HON. SUSANO ANTONIO D. RUPERTO III
Municipal Mayor
ABSTRACT OF BIDS/ CANVASS FOR FURNISHING AND DELIVERING SUPPLIES
AND/ OR MATERIALS TO THE MUNICIPALITY OF TAYASAN

NORWE'S HARDWARE ZUNIEGA Amount of the following Bidders


ITEM NO. QTY UNIT DESCRIPTION OF ARTICLES AND CONSTRUCTION HARDWARE & CCJ VARIETY STORE recommended price offered being
SUPPLIES CONST. SUPPLIES the most advantageous to the
37 4 lengths 1/2" Ø PVC Pipe Blue 100.00 110.00 105.00 Government
38 3 pcs 1/2" Ø Teflon Tape (Big) 40.00 40.00 50.00 Item # 37-54 is awarded to
39 3 pc 1/2" Ø PVC Tee 42.00 45.00 48.00 NORWE'S HARDWARE AND
40 5 pcs 1/2" Ø PVC Elbow 30.00 40.00 35.00 CONSTRUCTION SUPPLIES
41 5 lengths 4" Ø PVC Pipe 630.00 650.00 640.00 for the prices offered being the most
42 2 pcs 4" Ø PVC Wye 70.00 85.00 75.00 advantageous to the government.
43 3 pcs 4" Ø PVC Elbow 75.00 80.00 76.00
44 2 pcs 2" Ø PVC Elbow 50.00 60.00 55.00
45 2 pcs 2" Ø PVC Pipe 200.00 210.00 205.00 Canvassed by:
46 4 pcs 1/2" Ø PVC Female Adaptor 50.00 60.00 55.00
47 4 pcs 1/2" Ø PVC Male Adaptor 50.00 60.00 55.00
48 2 can Cement Solvent (400cc) 150.00 160.00 155.00
49 4 sets 4" Plastic Floor Drain 150.00 160.00 155.00 LEMUEL H. CABOG
50 4 pcs 4" Ø PVC Tee 332.00 340.00 335.00 Admin Aide I
51 2 pcs 4"Ø PVC Clean Out 125.00 130.00 128.00
52 4 pcs 4"Ø x 90⁰ PVC Elbow 185.00 190.00 187.00
53 2 sets 0.7m x 2.10m PVC Door w/ accessories 2,400.00 2,500.00 2,450.00
54 2 sets Door Knob (Good Quality) 600.00 700.00 650.00

individuals. We hereby certify the correctness of the foregoing abstract and that all bids/canvass submitted and initiated by us.

Prepared by: Approved by:

ENGR. STEVE NICHOLS S. DIONALDO HON. SUSANO ANTONIO D. RUPERTO III


Municipal Engineer Municipal Mayor

ABSTRACT OF BIDS/ CANVASS FOR FURNISHING AND DELIVERING SUPPLIES


AND/ OR MATERIALS TO THE MUNICIPALITY OF TAYASAN

NORWE'S HARDWARE ZUNIEGA Amount of the following Bidders


ITEM NO. QTY UNIT DESCRIPTION OF ARTICLES AND CONSTRUCTION HARDWARE & CCJ VARIETY STORE recommended price offered being
SUPPLIES CONST. SUPPLIES the most advantageous to the
55 2 lengths 1 1/2" x 1 1/2" x 3/16" Angle Bar 620.00 650.00 640.00 Government
56 2 lengths 1" x 1" x 3/16" Angle Bar 420.00 430.00 425.00 Item # 55-58 is awarded to
57 3 lengths Red Oxide Primer 185.00 190.00 189.00 NORWE'S HARDWARE AND
58 3 kgs Welding Rod 160.00 160.00 165.00 CONSTRUCTION SUPPLIES
for the prices offered being the most
advantageous to the government.

Canvassed by:

LEMUEL H. CABOG
Admin Aide I

WE HEREBY CERTIFY THAT WE open the bids/ canvass for the above listed supplies/ materials: the abstract of which appears above. The items, prices, timeand date are
individuals. We hereby certify the correctness of the foregoing abstract and that all bids/canvass submitted and initiated by us.

Prepared by: Approved by:

ENGR. STEVE NICHOLS S. DIONALDO HON. SUSANO ANTONIO D. RUPERTO III


Municipal Engineer Municipal Mayor
Republic of the Philippines
Province of Negros Oriental
MUNICIPALITY OF TAYASAN
Office of the Municipal Engineer

PURCHASE ORDER
LGU - TAYASAN
Agency/ Procuring Entity
Supplier : NORWE'S HARDWARE AND CONSTRUCTION P.O No.
SUPPLIES
Address : Tambo, Ayungon, Negros Oriental Date
E - mail Add : Mode of
Telephone No. : Procurement
TIN NO. : Location

Please furnish this office the following articles subject to the terms and condation herein :

Place of Delivery : Delivery Term W/IN 7 DAYS AFTER RECEIVED PO


Date of Delivery : Payment Term W/IN 30 DAYS AFTER FULL DELIVERY
ITEM UNIT AMOUNT
UNIT DESCRIPTION QNTY.
NO. COST in ( PhP )
1 bd.ft. 2"x2"x8' COCO LUMBER 160 28.00 4,480.00
2 shts ¼" THK ORDINARY NAILS 6 595.00 3,570.00
3 kgs 1½" CW NAILS 2 89.00 178.00
4 kgs 3"&4" CW NAILS ASSTD. 7 80.00 560.00
5 kg #150 NYLON STRING 1 419.00 419.00
6 bags PORTLAND CEMENT (40 KGS PER BAG) 58 350.00 20,300.00
7 bags SAND (WASHED) 144 43.00 6,192.00
8 bags GRAVEL (PASSING 2" SIEVE) 66 50.00 3,300.00
10MMØ X 6M REINFORCING STEEL BAR
9 kgs 238.08 65.00 15,475.20
(3.72 KG/INGTH) (64 LENGTHS)
10 kgs #16 G.I. TIE WIRE 11 115.00 1,265.00
11 pcs HACKSAW BLADE 6 85.00 510.00
12 pcs 4" THK CHB 416 20.00 8,320.00
13 pcs DECORATIVE CONCRETE BLOCKS 8 50.00 400.00
14 pcs 7" ROLLER PAINT BRUSH (BIG) WITH KEY 2 149.00 298.00
15 pcs PAINT BRUSH 3" (GOOD QUALITY) 2 90.00 180.00
16 pcs PUTTY KNIFE 3" 2 50.00 100.00
17 gals FLAT LATEX PAINT 4 795.00 3,180.00
18 gals SEMI GLOSS LATEX PAINT 4 805.00 3,220.00

Sub- Total 71,947.20


( Total Amount in Words ) SEVEN THOUSAND NINE HUNDRED FORTY SEVEN AND 20/100 PESOS ONLY

In case of failure to make the full delivery within the time specified above, a penalty of one tenth ( 1/10 ) of one
( 1 ) percent for every day of delay shall be imposed.
Conformned :

NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES

Date
HON. SUSANO ANTONIO D. RUPERTO, III
Municipal Mayor
Funds Available :

Chief Accountant
Republic of the Philippines
Province of Negros Oriental
MUNICIPALITY OF TAYASAN
Office of the Municipal Engineer

PURCHASE ORDER
LGU - TAYASAN
Agency/ Procuring Entity
Supplier : NORWE'S HARDWARE AND CONSTRUCTION P.O No.
SUPPLIES
Address : Tambo, Ayungon, Negros Oriental Date
E - mail Add : Mode of
Telephone No. : Procurement
TIN NO. : Location

Please furnish this office the following articles subject to the terms and condation herein :

Place of Delivery : Delivery Term W/IN 7 DAYS AFTER RECEIVED PO


Date of Delivery : Payment Term W/IN 30 DAYS AFTER FULL DELIVERY
ITEM UNIT AMOUNT
UNIT DESCRIPTION QNTY.
NO. COST in ( PhP )
19 l ROOF PAINT (GREEN) 2 250.00 500.00
20 bags SKIM COAT 4 630.00 2,520.00
21 pcs #120 SAND PAPER 5 43.00 215.00
22 pcs #80 SAND PAPER 5 43.00 215.00
23 pcs 300MM X 300MM TILES (UNGLAZED) 56 73.00 4,088.00
24 pack TILE GROUT (2KG/PACK) 2 150.00 300.00
25 sheets 1/4" X 4'X8' MPW 7 1,500.00 10,500.00
26 sheets 1/2" X 4'X8' MPW 10 2,230.00 22,300.00
27 kg 1 1/2" CW NAILS 2 90.00 180.00
28 kg 3" & 4" CW Nails Asstd. 4 80.00 320.00
29 bd.ft. 2" x 2" x 8' Coco Lumber 32 30.00 960.00
30 sheets G.I. Corrugated Sheet x 10' Gauge22 8 643.00 5,144.00
31 bd.ft. 2" x 6" x10' Coco Lumber 40 30.00 1,200.00
32 pack Roof Sealant (250g/pack) 2 175.00 350.00
33 pcs 2" Tex Screw 80 3.00 240.00
34 pcs Paint Brush 3" (good quality) 2 85.00 170.00
35 sets Ceramic Water Closet (Pail Flush) 2 1,200.00 2,400.00
36 pcs Plastic Faucet (Good Quality) 4 215.00 860.00
37 lengths 1/2" Ø PVC Pipe Blue 4 100.00 400.00

Sub- Total 52,862.00


( Total Amount in Words ) FIFTY TWO THOUSAND EIGHT HUNDRED SIXTY TWO PESOS ONLY

In case of failure to make the full delivery within the time specified above, a penalty of one tenth ( 1/10 ) of one
( 1 ) percent for every day of delay shall be imposed.
Conformned :

NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES

Date
HON. SUSANO ANTONIO D. RUPERTO, III
Municipal Mayor
Funds Available :

Chief Accountant
Republic of the Philippines
Province of Negros Oriental
MUNICIPALITY OF TAYASAN
Office of the Municipal Engineer

PURCHASE ORDER
LGU - TAYASAN
Agency/ Procuring Entity
Supplier : NORWE'S HARDWARE AND CONSTRUCTION P.O No.
SUPPLIES
Address : Tambo, Ayungon, Negros Oriental Date
E - mail Add : Mode of
Telephone No. : Procurement
TIN NO. : Location

Please furnish this office the following articles subject to the terms and condation herein :

Place of Delivery : Delivery Term W/IN 7 DAYS AFTER RECEIVED PO


Date of Delivery : Payment Term W/IN 30 DAYS AFTER FULL DELIVERY
ITEM UNIT AMOUNT
UNIT DESCRIPTION QNTY.
NO. COST in ( PhP )
38 lengths 1/2" Ø Teflon Tape (Big) 3 40.00 120.00
39 pcs 1/2" Ø PVC Tee 3 42.00 126.00
40 pc 1/2" Ø PVC Elbow 5 30.00 150.00
41 pcs 4" Ø PVC Pipe 5 630.00 3,150.00
42 lengths 4" Ø PVC Wye 2 70.00 140.00
43 pcs 4" Ø PVC Elbow 3 75.00 225.00
44 pcs 2" Ø PVC Elbow 2 50.00 100.00
45 pcs 2" Ø PVC Pipe 2 200.00 400.00
46 pcs 1/2" Ø PVC Female Adaptor 4 50.00 200.00
47 pcs 1/2" Ø PVC Male Adaptor 4 50.00 200.00
48 pcs Cement Solvent (400cc) 2 150.00 300.00
49 can 4" Plastic Floor Drain 4 150.00 600.00
50 sets 4" Ø PVC Tee 4 332.00 1,328.00
51 pcs 4"Ø PVC Clean Out 2 125.00 250.00
52 pcs 4"Ø x 90⁰ PVC Elbow 4 185.00 740.00
53 pcs 0.7m x 2.10m PVC Door w/ accessories 2 2,400.00 4,800.00
54 sets Door Knob (Good Quality) 2 600.00 1,200.00
55 sets 1 1/2" x 1 1/2" x 3/16" Angle Bar 2 620.00 1,240.00
56 lengths 1" x 1" x 3/16" Angle Bar 2 420.00 840.00
57 lengths Red Oxide Primer 3 185.00 555.00
58 kgs Welding Rod 3 160.00 480.00
Sub- Total 17,144.00
Total 141,953.20
( Total Amount in Words ) ONE HUNDRED FORTY ONE THOUSAND NINE HUNDRED FIFTY THREE AND 20/100 PESOS ONLY

In case of failure to make the full delivery within the time specified above, a penalty of one tenth ( 1/10 ) of one
( 1 ) percent for every day of delay shall be imposed.
Conformned :

NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES

Date
HON. SUSANO ANTONIO D. RUPERTO, III
Municipal Mayor
Funds Available :

Chief Accountant
ACCEPTANCE AND INSPECTION REPORT
MUNICIPALITY OF TAYASAN
LGU
Supplier NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES AIR No.
P.O. No. : Date: Invoice No.
Requisitioning Office/ Department: Engineering

ITEM
UNIT ITEM DESCRIPTION QTY.
NO.
1 bd.ft. 2"x2"x8' COCO LUMBER 160
2 shts ¼" THK ORDINARY NAILS 6
3 kgs 1½" CW NAILS 2
4 kgs 3"&4" CW NAILS ASSTD. 7
5 kg #150 NYLON STRING 1
6 bags PORTLAND CEMENT (40 KGS PER BAG) 58
7 bags SAND (WASHED) 144
8 bags GRAVEL (PASSING 2" SIEVE) 66
9 kgs 10MMØ X 6M REINFORCING STEEL BAR (3.72 KG/INGTH) (64 LENGTHS) 238.08
10 kgs #16 G.I. TIE WIRE 11
11 pcs HACKSAW BLADE 6
12 pcs 4" THK CHB 416
13 pcs DECORATIVE CONCRETE BLOCKS 8
14 pcs 7" ROLLER PAINT BRUSH (BIG) WITH KEY 2
15 pcs PAINT BRUSH 3" (GOOD QUALITY) 2
16 pcs PUTTY KNIFE 3" 2
17 gals FLAT LATEX PAINT 4
18 gals SEMI GLOSS LATEX PAINT 4

ACCEPTANCE INSPECTION

Date Received: Date Inspected:

Inspected, verified and


Complete
found OK as to quantity
and specification

Partial

ENGR. HARLAN C. ABSIN MANOLITO A. ARBOLY


ADM. OFFICER III UTILITY FOREMAN
ACCEPTANCE AND INSPECTION REPORT
MUNICIPALITY OF TAYASAN
LGU
Supplier NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES AIR No.
P.O. No. : Date: Invoice No.
Requisitioning Office/ Department: Engineering

ITEM
UNIT ITEM DESCRIPTION QTY.
NO.
19 l ROOF PAINT (GREEN) 2
20 bags SKIM COAT 4
21 pcs #120 SAND PAPER 5
22 pcs #80 SAND PAPER 5
23 pcs 300MM X 300MM TILES (UNGLAZED) 56
24 pack TILE GROUT (2KG/PACK) 2
25 sheets 1/4" X 4'X8' MPW 7
26 sheets 1/2" X 4'X8' MPW 10
27 kg 1 1/2" CW NAILS 2
28 kg 3" & 4" CW Nails Asstd. 4
29 bd.ft. 2" x 2" x 8' Coco Lumber 32
30 sheets G.I. Corrugated Sheet x 10' Gauge22 8
31 bd.ft. 2" x 6" x10' Coco Lumber 40
32 pack Roof Sealant (250g/pack) 2
33 pcs 2" Tex Screw 80
34 pcs Paint Brush 3" (good quality) 2
35 sets Ceramic Water Closet (Pail Flush) 2
36 pcs Plastic Faucet (Good Quality) 4

ACCEPTANCE INSPECTION

Date Received: Date Inspected:

Inspected, verified and


Complete
found OK as to quantity
and specification

Partial

ENGR. HARLAN C. ABSIN MANOLITO A. ARBOLY


ADM. OFFICER III UTILITY FOREMAN
ACCEPTANCE AND INSPECTION REPORT
MUNICIPALITY OF TAYASAN
LGU
Supplier NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES AIR No.
P.O. No. : Date: Invoice No.
Requisitioning Office/ Department: Engineering

ITEM
UNIT ITEM DESCRIPTION QTY.
NO.
37 lengths 1/2" Ø PVC Pipe Blue 4
38 lengths 1/2" Ø Teflon Tape (Big) 3
39 pcs 1/2" Ø PVC Tee 3
40 pc 1/2" Ø PVC Elbow 5
41 pcs 4" Ø PVC Pipe 5
42 lengths 4" Ø PVC Wye 2
43 pcs 4" Ø PVC Elbow 3
44 pcs 2" Ø PVC Elbow 2
45 pcs 2" Ø PVC Pipe 2
46 pcs 1/2" Ø PVC Female Adaptor 4
47 pcs 1/2" Ø PVC Male Adaptor 4
48 pcs Cement Solvent (400cc) 2
49 can 4" Plastic Floor Drain 4
50 sets 4" Ø PVC Tee 4
51 pcs 4"Ø PVC Clean Out 2
52 pcs 4"Ø x 90⁰ PVC Elbow 4
53 pcs 0.7m x 2.10m PVC Door w/ accessories 2
54 sets Door Knob (Good Quality) 2
55 sets 1 1/2" x 1 1/2" x 3/16" Angle Bar 2
56 lengths 1" x 1" x 3/16" Angle Bar 2
57 lengths Red Oxide Primer 3
58 kgs Welding Rod 3
ACCEPTANCE INSPECTION

Date Received: Date Inspected:

Inspected, verified and


Complete
found OK as to quantity
and specification

Partial

ENGR. HARLAN C. ABSIN MANOLITO A. ARBOLY


ADM. OFFICER III UTILITY FOREMAN
LGU - Tayasan Project Number
Municipality of Tayasan Name of the Project
Province of Negros Oriental Location of the Project

Standard Form Number : SF - GOOD - 61


Revised on : May 24 2006

REQUISITION AND ISSUE SLIP

LGU - TAYASAN
Agency/Procuring Entity
Division/ Branch/ Unit : Engineering Responsibility Cent RIS No.:
Office Code: SAI No.:

REQUISITION ISSUANCE
STOCK
UNIT DESCRIPTION QTY. QTY.
NO.
1 bd.ft. 2"x2"x8' COCO LUMBER 160 160
2 shts ¼" THK ORDINARY NAILS 6 6
3 kgs 1½" CW NAILS 2 2
4 kgs 3"&4" CW NAILS ASSTD. 7 7
5 kg #150 NYLON STRING 1 1
6 bags PORTLAND CEMENT (40 KGS PER BAG) 58 58
7 bags SAND (WASHED) 144 144
8 bags GRAVEL (PASSING 2" SIEVE) 66 66
9 kgs 10MMØ X 6M REINFORCING STEEL BAR (3.72 KG/INGTH) (64 LENGTHS) 238.08 238.08
10 kgs #16 G.I. TIE WIRE 11 11
11 pcs HACKSAW BLADE 6 6
12 pcs 4" THK CHB 416 416
13 pcs DECORATIVE CONCRETE BLOCKS 8 8
14 pcs 7" ROLLER PAINT BRUSH (BIG) WITH KEY 2 2
15 pcs PAINT BRUSH 3" (GOOD QUALITY) 2 2
16 pcs PUTTY KNIFE 3" 2 2
17 gals FLAT LATEX PAINT 4 4
18 gals SEMI GLOSS LATEX PAINT 4 4
Requested by : Approved by: Issued by: Received by:

Signature

Printed Name
ENGR. STEVE NICHOLS S. DIONALDO
HON. SUSANO ANTONIO D. RUPERTOENGR.
III HARLAN C. ABSIN
DANILO C. RUPERTO
Designation Municipal Engineer Municipal Mayor ADM Officer III Admin Aide III
Date
LGU - Tayasan Project Number
Municipality of Tayasan Name of the Project
Province of Negros Oriental Location of the Project

Standard Form Number : SF - GOOD - 61


Revised on : May 24 2006

REQUISITION AND ISSUE SLIP

LGU - TAYASAN
Agency/Procuring Entity
Division/ Branch/ Unit : Engineering Responsibility Cent RIS No.:
Office Code: SAI No.:

REQUISITION ISSUANCE
STOCK
UNIT DESCRIPTION QTY. QTY.
NO.
19 l ROOF PAINT (GREEN) 2 2
20 bags SKIM COAT 4 4
21 pcs #120 SAND PAPER 5 5
22 pcs #80 SAND PAPER 5 5
23 pcs 300MM X 300MM TILES (UNGLAZED) 56 56
24 pack TILE GROUT (2KG/PACK) 2 2
25 sheets 1/4" X 4'X8' MPW 7 7
26 sheets 1/2" X 4'X8' MPW 10 10
27 kg 1 1/2" CW NAILS 2 2
28 kg 3" & 4" CW Nails Asstd. 4 4
29 bd.ft. 2" x 2" x 8' Coco Lumber 32 32
30 sheets G.I. Corrugated Sheet x 10' Gauge22 8 8
31 bd.ft. 2" x 6" x10' Coco Lumber 40 40
32 pack Roof Sealant (250g/pack) 2 2
33 pcs 2" Tex Screw 80 80
34 pcs Paint Brush 3" (good quality) 2 2
35 sets Ceramic Water Closet (Pail Flush) 2 2
36 pcs Plastic Faucet (Good Quality) 4 4
Requested by : Approved by: Issued by: Received by:

Signature

Printed Name
ENGR. STEVE NICHOLS S. DIONALDO
HON. SUSANO ANTONIO D. RUPERTOENGR.
III HARLAN C. ABSIN
DANILO C. RUPERTO
Designation Municipal Engineer Municipal Mayor ADM Officer III Admin Aide III
Date
LGU - Tayasan Project Number
Municipality of Tayasan Name of the Project
Province of Negros Oriental Location of the Project

Standard Form Number : SF - GOOD - 61


Revised on : May 24 2006

REQUISITION AND ISSUE SLIP

LGU - TAYASAN
Agency/Procuring Entity
Division/ Branch/ Unit : Engineering Responsibility Cent RIS No.:
Office Code: SAI No.:

REQUISITION ISSUANCE
STOCK
UNIT DESCRIPTION QTY. QTY.
NO.
37 lengths 1/2" Ø PVC Pipe Blue 4 4
38 lengths 1/2" Ø Teflon Tape (Big) 3 3
39 pcs 1/2" Ø PVC Tee 3 3
40 pc 1/2" Ø PVC Elbow 5 5
41 pcs 4" Ø PVC Pipe 5 5
42 lengths 4" Ø PVC Wye 2 2
43 pcs 4" Ø PVC Elbow 3 3
44 pcs 2" Ø PVC Elbow 2 2
45 pcs 2" Ø PVC Pipe 2 2
46 pcs 1/2" Ø PVC Female Adaptor 4 4
47 pcs 1/2" Ø PVC Male Adaptor 4 4
48 pcs Cement Solvent (400cc) 2 2
49 can 4" Plastic Floor Drain 4 4
50 sets 4" Ø PVC Tee 4 4
51 pcs 4"Ø PVC Clean Out 2 2
52 pcs 4"Ø x 90⁰ PVC Elbow 4 4
53 pcs 0.7m x 2.10m PVC Door w/ accessories 2 2
54 sets Door Knob (Good Quality) 2 2
55 sets 1 1/2" x 1 1/2" x 3/16" Angle Bar 2 2
56 lengths 1" x 1" x 3/16" Angle Bar 2 2
57 lengths Red Oxide Primer 3 3
58 kgs Welding Rod 3 3
Requested by : Approved by: Issued by: Received by:

Signature

Printed Name
ENGR. STEVE NICHOLS S. DIONALDO
HON. SUSANO ANTONIO D. RUPERTOENGR.
III HARLAN C. ABSIN
DANILO C. RUPERTO
Designation Municipal Engineer Municipal Mayor ADM Officer III Admin Aide III
Date
Republic of the Philippines
Province of Negros Oriental
Municipality of Tayasan
No.
DISBURSEMENT VOUCHER
Mode of O Check O Cash O Others
Payment
NORWE'S HARDWARE AND CONSTRUCTION TIN/Employee No. Obligation Request No.
Payee
SUPPLIES
Responsibility Center
Address Pob. Tayasan, Negros Oriental Office/Unit/Project Code

EXPLANATION AMOUNT

PAYMENT OF MATERIALS FOR THE CONSTRUCTION OF


COMFORT ROOM AND WASHING AREA AT PROPER TAMBULAN, TAYASAN,
NEGROS ORIENTAL WITH SUPPORTING PAPERS ATTACHED IN THE
AMOUNT OF………… 136,275.07

Gross : 141,953.20
Less :
3% 4,258.60
1% 1,419.53 5,678.13
5,678.13 136,275.07
A. Certified B. Certified
Allotment obligated for the purpose as indicated abov Funds Available
Supporting documents complete

Signature Signature
Printed Date Printed Date
Name DIEJO B. QUILLANO Name NOLI B. GABOTERO
Position Municipal Accountant Position Municipal Treasurer

Head Accounting Unit/Authorized Representative Treasurer/Authorized Representative

C. Approved Payment 136,275.07 D. Received Payment


Check No. Bank Name Date:
Signature
Printed Signature
Name HON. SUSANO ANTONIO D. RUPERTO, III Printed NORWE'S HARDWARE AND
Position Municipal Mayor Name CONSTRUCTION SUPPLIES
Date:
Agency Head/Authorized Representative JEV No. Date
Republic of the Philippines
Province of Negros Oriental
Municipality of Tayasan
Office of the Municipal Mayor
No.
OBLIGATION REQUEST

Payee NORWE'S HARDWARE AND CONSTRUCTION SUPPLIES

Office

Address Pob. Tayasan, Negros Oriental


Account
RESPONSIBILITY CENTER Particulars F.P.P Amount
Code

PAYMENT OF MATERIALS FOR THE 8919-1-07-04-010


CONSTRUCTION OF COMFORT ROOM AND WASHING 20%EDF-2024
AREA AT PROPER TAMBULAN, TAYASAN, NEGROS
ORIENTAL WITH THE SUPPORTING PAPERS 141,953.20
ATTACHED IN THE AMOUNT OF……………..

Total 141,953.20
A. Certified B. Certified
Charges to appropriation/allotment necessary, Existence of available appropriation.
Lawful and under my direct supervision
Supporting documents valid, proper and legal.

Signature: Signature:

Printed Name: Printed Name:

HON. SUSANO ANTONIO D. RUPERTO, III ROVELEN G. VISOR


Position: Position:
Municipal Mayor Municipal Budget Officer
Head requesting Office/Authorized Representative Head budget Unit/Authorized Representative
Date: Date:

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