Download - VOUCHER Attachments

8/11/2019 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:


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


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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