VOUCHER Attachments

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    Mode of

    Payment

    Office

    Address: Office/Unit/Project

    Amount Due

    A. Allotment obligated for the purpose as indicated abov B.Supporting documents complete.

    Signature: Signature:

    Printed

    name: GALILEO V. CALIZO, JR.Date: Printed

    name: LUCIANO C. DEL ROSARIO

    Municipal Accountant Municipal Treasurer

    (Head, Accounting Unit /Authorized Representat ive) (Treasurer/Authorized Representative)

    C. Approved for Payment:D. Received Payment

    Check No.: Bank Name:

    Signature:

    Date: Signature:

    MA. LOURDES M. MIRAFLORESPrinted

    Name:

    Municipal Mayor

    Position: (Agency Head/Authorized Representative)

    Republic of the Philippines

    Province of Aklan

    MUNICIPALITY OF IBAJAY

    DISBURSEMENT VOUCHER

    Payee:

    OR/Other

    Documents:

    AMOUNT

    Position: Position:

    Printed

    Name:

    Check Cash Others

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    No.Date:

    Payee:

    Office

    Address:

    Responsibility

    Center: PARTICULARS F.P.P.Account

    CodeAmount

    TOTAL

    A. Certified: B. Certified:

    Charges to appropriation/Allotment necessary,

    lawful and under my direct supervision. Existence of available appropriation

    Supporting documents valid, proper and legal

    Signature: Signature:Printed

    name:

    Printed

    name:

    Head, Requesting Office/Authorized Representative Head, Budget Unit/Authorized Representative

    Date: Date:

    Republic of the Philippines

    Province of Aklan

    MUNICIPALITY OF IBAJAY

    OBLIGATION REQUEST

    Position: Position:

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    Supplier:

    Address:

    Gentlemen:

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

    Place of Delivery:

    Date of Delivery:

    Item No. Unit Quantity Unit Cost Amount

    (Total amount in words)

    Very truly yours,

    (In case of Negotiated Purchase pursuant to Requisitioning Office/Dept. Funds Available:

    Section 369 (a) of RA 7160, this portion must Amount:

    be accomplished).

    Approved to be purchased thru negotiated R.O. No.

    purchase per Sanggunian Res. No. _______.

    Certified Correct: _________________________

    Secretary to the Sanggunian

    Date

    Requisitioning Officer

    _________________________________

    __________________________________________________

    (Signature over printed name)

    _____________________________________

    ____________________________

    PURCHASE ORDERMUNICIPAL GOVERNMENT OF IBAJAY

    IBAJAY, AKLAN

    Description

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    Department: Date __________

    Section: Date: _________ALOBS No. _ Date: _________

    Qty. Unit of Stock Estimated Estimated

    Issue No. Unit Cost Cost

    Requested by:

    Signature:

    Printed Name: ____________________________

    Designation:

    Date:

    PURCHASE REQUESTIbajay

    LGU

    PR No. _____

    SAI No.: _____

    Item Description

    _________________________

    Approved by:

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    Item No. Qty. Unit ARTICLES AND DESCRIPTION UNIT COST AMOUNT

    Name and Signature of Dealer

    You are hereby invited to quote your price of the articles listed below for immediate delivery if available in your

    stock. Please submit your quotation in a sealed envelope to the Office of the Municipal Mayor, Ibajay, Aklan or thru the

    bearer hereof on or before 10:00 a.m. on __________________.

    MAY NORALYN S. LASERNA M.D.

    BAC Chairman

    Republic of the Philippines

    Province of Aklan

    Municipality of Ibajay

    OFFICE OF THE MUNICIPAL MAYOR

    INVITATION FOR PRICE QUOTATION

    I HEREBY CERTIFY, that the articles listed above were their corresponding unit price quoted opposite each items

    at present in my stock and are available for delivery according to specifications within _________________ after receipt

    of the duly approved award and the corresponding PURCHASE ORDER.

    (Date)

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    Purchase Request No. ____________ Date:

    We, the undersigned representatives of the Committee on Bids and Awards and the Requisitioning

    Officer, do hereby certify that in accordance with the NOTICE TO DEALERS dated _____________________

    the foregoing abstract is the result of the joint canvass made by us for the purchase of supplies and materials

    particularly described above.

    Estimated Cost PhP __________ Recommending the approval for award in favor of dealer/dealers.

    Total Quoted Price PhP ___________ most advantageous offers indicated in the appropriate column above.

    Offers of ______________________ for the items appearing herein above and respectively

    checked/initialed is/are hereby accepted and awarded at price recommended.

    Mun. Civil Registrar/BAC Vice Chairman

    JUN V. MACOGUE

    MPDC/BAC Member

    Mun. Engineer/BAC Member

    Rural Health Physician/BAC Chairman

    ABSTRACT OF PRICE QUOTATION AND AWARD

    QTY UNIT DESCRIPTION

    DEALERS

    MAY NORALYN S. LASERNA

    LORNA S. SALESMun. Budget Officer/BAC Member

    ELIEZER L. SEVILLA

    HELSON J. SEVILLA

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    Supplier: AR No. _________

    P.O. No. ______ Date __________ DATE:

    Requisitioning Office/Dept.

    Item No. Unit

    Date Inspected: ________________________

    Inspected, verified and found OK as to

    quantity and specifications

    INSPECTION & ACCEPTANCE REPORTIBAJAY

    LGU

    DESCRIPTION Quantity

    Property Officer

    INSPECTION ACCEPTANCE

    ____________________________

    Inspection Officer

    ____________________________

    /

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    Division Responsibility Center R.I.S No. ________ Date ___________

    Office Code: S.A.I. No. ________ Date ___________

    Stock No. Unit Quantity Remarks

    PURPOSE/REMARKS: .

    REQUESTED BY: ISSUED BY: RECEIVED BY:

    Signature

    Name

    Designtion

    Date

    APPROVED BY:

    REQUISITION AND ISSUE SLIP

    MUNICIPAL GOVERNMENT OF IBAJAY

    IBAJAY, AKLAN

    REQUISITION

    Description

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    Division Responsibility Center R.I.S No. ________ Date ___________

    Office Code: S.A.I. No. ________ Date ___________

    Stock No. Unit Quantity Quantity Remarks

    PURPOSE/REMARKS:

    REQUESTED BY: APPROVED BY: ISSUED BY: RECEIVED BY:

    Signature

    Name

    Designtion

    Date

    REQUISITION AND ISSUE SLIP

    MUNICIPAL GIVERNMENT OF IBAJAY

    IBAJAY, AKLAN

    REQUISITION

    Description

    ISSUANCE

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